Hi folks
My apologies if I have posted here already - I am finding the Macmillan site a bit clunky.
So I have DAC - and have known since the start of 2025.
I have been on testosterone blockers since about February.
I was due to start Radiotherapy - 20 sessions - today - but it has been put back - hopefully just for a few days,
I was told about 10 days ago that I had to decide whether I agreed to a very aggressive Radiotherapy programme (A) or a less aggressive one (B).
My original sign off date for the treatment was cancelled because they had not finished working out the treatment plan.
So they asked me to meet just before the start of the programme to agree the plan - either A or B.
I had asked the consultant whether they had treated anyone with this condition before - and they said no. This did not fill me with confidence.
I also asked if they had spoken with any consultant who had conducted such a programme - again the answer was no.
I have used ChatGPT to identify other consultants with experience in the UK - and have passed this on to the consultant.
My concerns are the usual ones - Effectiveness of the treatment and risk of damage particularly to my bladder and rectum.
Yesterday I received a phone call from the consultant asking me to agree to A or B - so that they could set the machines up.
I said that I could not agree over the phone without a discussion and we had a meeting set up the following day to discuss this anyway.
So in 2 hours I go into the meeting (with and advocate) knowing that my treatment is on hold. Its a bit dispiriting.
Finally, the consultant has asked if I would like a second opinion - to be honest I just want them to talk to another consultant who has experience - because I worry that a second opinion will just hold everything up ... and I am now geared up for this intervention.
Its a bit dispiriting, any thoughts?
Hi laverick551144 not a simple choice if you don’t know all the facts.
Whenever consultants have given me a choice I always turn it back on them - If you were me what would you do? They often say it’s your decision, but I just press them for an opinion (they will have one).
In terms of new treatments not yet tried by that consultant, then they all have to start somewhere. I don’t think it is anything like surgery, where experience counts. Effectively, RT is using quite advanced technology to deliver a very precise dose to a given area. Maybe your consultant can consult with a colleague from the Marsden or other major cancer centre about your specific case, once they have the scans.
If I were going for the meeting I would want to weigh up the risks and outcomes. Personally, with DAC I would err on trying to hit it hard and fast. Good luck today.
Best wishes, David
Please remember that I am not medically trained and the above are my personal views.
Hello laverick551144
I think David (David2017) has hit the nail on the head there.
I am unaware of where your treatment is but in the UK we have some centers of excellence here - The Royal Marsden, The Christie in Manchester (who are treating me!), Addenbrookes and Clatterbridge - surely someone there will have the relevant experience of both treatments.
I know someone has to be the first to try these treatments - but at least your team could ask around first for you.
Do let us know how you get on.
Best wishes - Brian.
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