Problems with replacement hips and Prostate Radiotherapy

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My story: I was diagnosed by my local District Hospital (A) who referred me to Hospital (B) for radiotherapy. (B) then said they could not treat me due to my 2 replacement hips. My 2 consultants (Oncology & Urology) at (A) were “surprised” (I am being very diplomatic here !) at this response. To be fair, I do not think that (B) gets many, if any, referrals from (A)………..but so…. ?  I was then referred to Hospital (C) who gave me a Planning Appointment, completed with no problems. On my first radiotherapy treatment at (C) I asked the radiologist what problems/difficulties/differences my 2 replacement hips made to my treatment. His reply - “none whatsoever”.

I am confused, even more so, as (B) had just opened, with much publicity, a new multi zillion pound cancer unit. I have read that some hip replacement patients have even been told that they cannot even have CT or MRI scans, yet my initial diagnosis was all done at (A) with the full panoply of CT, MRI and Bone scans. No potential scanning problems were mentioned there, or at (C) during Planning or treatment.

Having now completed my RT I am left with the impression that I was getting different (better ??) treatment at (C) than I could/would have received at (B). No enemas, no tattoos – just drink 500ml of water, wait 30 mins – then 10 mins (ish) on the machine.  No problem !  Does (B) just take, perhaps, the “easy” cases ?

In short: Why do my hips appear to be a ”show stopper” at (B) – but pose absolutely no problems at (C) ? Is there a huge difference in the equipment available at the two hospitals ?

I do intend to query this at my first follow up appointment (mid Jan) with the Oncologist but would be interested if any other “hippies’” have had similar experiences in this area.

Many thanks,

John

  • FormerMember
    FormerMember

    Hi moonrakerz welcome to the forum.. As far as I can see it is about the radiotherapy maybe causing bone problems afterwards but not 100% on that one. You could try posting in the Ask a Nurse thread on the forum as they may have more knowledge about this. The other thing you could do is to give the Macmillan Line a call as they may be able to direct you to sources of information re this. 08088080000. That said there may be others  with experience of this in this thread and I'm sure they will be along soon to offer up any ideas or thoughts. Best wishes for now..

  • Hello John ( 

    I did read somewhere that the new technology with Radiotherapy would be using laser measurements to "zap" the prostate with no need for tattoos and with more accuracy - perhaps this has arrived at C?

    The whole way the NHS works amazes me - I ended up in our local hospital - no urology  department, so I was transferred by ambulance to the nearest urology ward, another hospital another NHS trust. My home town hospital using pen and paper notes, the new one all digital!!

    The good thing is you have been "zapped" and progress has been made.

    Best wishes - Brian.

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  • Hello Granny59 & Millibob,

    thanks for your replies. I was actually thinking of ringing Macmillan and seeing if there was anyone there with a wider knowledge of this subject.

    You have hit the nail exactly on the head with - "The whole way the NHS works amazes me". I am not criticizing the staff I have dealt with in any way, but there does seem to be a lot of "insularity" in the system. Immediately I was "accepted" by "C" I was asking myself why didn't "B" tell me to go there when they said that they couldn't help me ?  All I got from "B" was that "D" might be able to help. (I did ask to be referred to "B" rather than "C" in the first place, for geographic reasons, under the naive assumption that both would have very similar capabilities) 

    I have spent a lot of time and effort sifting through piles of stuff on the web and have come to the conclusion that "C" has equipment and capabilities fairly close to the top of the pile; "first in Europe to use".............Of course, without my knowing the full ins and outs of all the options available elsewhere that is very much an uneducated "guesstimate"

    I will identify "C" with a clip from the BBC website earlier this year (the date is an unfortunate coincidence ....I hope !!) - they deserve an excellent mention. 

    https://www.bbc.co.uk/news/uk-england-hampshire-68688198

    The best to you both,

    John

  • Hello John ( 

    Thank you very much for the information and the link - that sets my mind at rest, I know I wasn't dreaming when I said there was new RT kit about where you don't need tattoos! (I would add at 69 years old my 3 dots are the only one's I have).

    As for the NHS - yes, it moves slowly but works. In times of need it works well and to be honest it's thanks to their prompt action I am writing this (see my journey by clicking on my avatar or name).

    As a Community Champion I see the NHS at work (or not as the case may be) in various areas of the UK - it's a lottery, your treatment path can be so different in one area to another for people with an identical diagnosis.

    It's not broken but very much a work in progress.

    Stick with us, your contributions are great and I wish you well with your continuing journey.

    Best wishes - Brian.

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    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.