What to do

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Hi, I wanted to hop on for some advice. I have been caring for my husband who was diagnosed with Head and neck cancer last June. Its been a horrific year. He had rare maxillo sinus cancer which had grown into a large tumour. As a result he lost his left eye, most of his palette and also had a neck dissection. He initially had reconstruction in the form of a flap from his shin bone which failed. As a result of this he is limited now with his speech and eating and has to wear an Obturator. He underwent invasive Radiotherapy and Chemotherapy for 7 weeks which resulted in a lot of problems. Hes also more or less deaf now too. As a consequence of the Radiotherapy, where his eye was, a large hole, cavity has opened up and in his cheek and you can see into hos skull and nasal cavities. He keeps this side of his face covered, he wont leave the house and has although he gets up every day and keeps going, I don't know how he does it I honestly don't.

Anyway we have a follow up apt with the Oncology Surgeon on Monday and after the last apt I left feeling exteeme anger due to the lack of clarity about what they are going to do to repair these horrorific holes in his face. We were told they may try reconstruction again when he was in hospital after the first surgery, now that's not likely to be an option and when my husband asked about grafting skin over these holes we were met with well it might look odd! Erm as odd as having half of your face destroyed or wearing a clip on prosthetic? I really dont feel that we have had nearly enough support for the severity of how traumatic and life changing this has been for him and for both of us. We had a full life, we are still relatively young too. I am worried that we may get fobbed off next week and don't know how to approach seeking additional information or to push for additional referrals. We have had a bit of practical support from the nurses, but minimal emotional support. They say they are going to do check in calls and it rarely happens. I just feels so frustrated on his behalf. 

There is so much going on in the reconstruction world. 

WDoes anyone please have any advice on what might be helpful  and how to approach things if we are not happy with the outcome of the apt?

I am sorry for the long post. I have been procrastinating about coming on and writing this.

Many Thanks. 

  • Hi, Things at the moment sound terrible for you and your husband and what you have both been through up to now must have been horrendous .I would normally say dont use google etc but it may be worth doing some research as to what can be achieved so you have a realistic outlook and some information when you next meet the doctors .You may have already done this .If you are not satisfied with what you are being told Put your concerns in writing and keep copies and indicate on your letter that you have kept a copy .I find putting things in writing makes things more official and can be used if you have to go the legal route .I would also ask who the head of department is and who the Hospital managers are and write to them if your point of contact does not respond .You may have to go outside the hospital and get the management of the hospital trust involved .I am not one for causing trouble but because of the pressure the NHS and doctors are under and the amount of people waiting for things to be done you can become just a number .And those who shout loudest get heard above the crowd .I think to start with though being realistic about what can be done is key Macmillan may be able to advise you on this .Good Luck and keep us informed of how your going on . 

  • Thank you for taking time to read my post. It is really helpful. I will and have been doing some research  and will seek further advice and keeping the documents is something that i need to do. I will keep you posted. Thank you. 

  • Hi: Am sorry your hubby and you are going through such a tough time. We are all entitled to a 2 nd opinion from another hospital. Also your trust will have a pals department which can take issues and complaints to the next level. 
    I always found it easier when talking with oncologist and consultant was tontake a typed or handwritten note with me that way I didn’t get in a flap when speaking plus I gave a copy to the oncologist so he could have a read and formulate his responses. I also ticked off the questions or hubby did and wrote down their reply. 
    We all feel anxious when faced with the medical terminology.Please don’t leave the appointment until you are happy with their replies. Tell then quality of life is just as important as quantity of life and at the moment yiu can’t see a way forward might be one of the questions. 
    thank you for posting on here it’s never easy. 
    Hazel xx 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  7years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/