Lost Faith, second opinion

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Hi all after much deliberation I have asked to be transferred to another hospital and for a second opinion.  I cannot accept that a CNS nurse told me I was clear of cancer after surgery when I had to ask her because the consultant gave my histology feed back in a way that I wasn't sure and when I reoccured 6 months later being grade 1 Stage 1 a to find out the doctor's knew there was cancer cells in my blood (they have had to tell me now because I pushed) and because of my low grade and stage deemed this an acceptable risk indeed the NICE guidelines thinks it's acceptable risk.  The hurtful thing also was when my husband was sat in the room with me in years saying cancer cells were left behind with the same CN nurse she said nothing.  The hospital doctor's have picked up on something with me because they have wrote to my GP saying they have explained to me re the cancer in the blood, in realality I have a drawing and was told how bodyfluids flow down and the second doctor told me about vestibule channels both avoided using the word blood.  I have read Cancer UK about why does cancer come back and the blood is one of the avenues.  My family have taken the view that I should be grateful they have treated me and alright they didn't share the full story with me and they have sorted it now. I thought that cancer treatment primary aim is to try and clear your body cancer. I asked the consultant why I didn't receive treatment for the cancer in my blood and she said they don't give it at my stage and grade.  My response to my reoccurence from the oncologist was it was bad luck.  I had a conversation with my GP who worked with my gynecologist and tried to defend them and asked me to have faith in them, I explained to her that 3 years ago I had to had 2 hip replacements within 12 weeks because my joints had fused together and I couldn't open my kegs. I had with a previous GP practice fought for years with arthritis pain even to the point of not being able to walk and ended up having a gastric bypass 2 years later I was told by the consultant that if left

for another 6 months I would have been stiff as a board unable to walk. I am not looking to blame anyone about the Cancer but having a treatment plan based on wait and see knowing having evidence cancer cells have been left cannot be acceptable. I have been given the rationale of decision making re treatment benefits v side affects and quality of life but should I have some say in my treatment. My GP has asked me to go to the Monday appointment because I am 8 weeks post brachetherapy and does not want to put my health at risk - there is some irony there somewhere - so I'm going to see doctor's who I don't trust I don't even know what my treatment plan is going forward.  I think it's the not trusting that hurdles me to feeling the way I do. My husband tells me that to them in cancer land I'm small fry and to be honest i do feel worthless my life is worth the risk. Thank you for listening. X

  • That's really awful what has gone on , I am not at all surprised you have trust issues with your medical team. One thing I always will say you have to trust your team and when things like this goes on your whole trust is gone and hard to get back. Yes go your appointment, I realise your sceptical but getting a second opinion is also important for you to fully understand what's happened and what treatment there is going forward. I also know how it feels to be let down and you do lose trust, I always try if I can to see the same GP and she's totally aware I have serious trust issues, this was because I kept being fobbed off with its just fibroids and I quote "nothing sinister" this has left me untrusting my poor GP who is my hero for being so understanding but was also the one that pushed the hospital for me when they didn't listen to me so I am greatful to that. Trust is very hard to gain but easy to lose. I am really pretty mad and upset for you especially as some seem to not think its a big deal - it is! And I wish these mistakes didn't happen, I know there is  lot of strain in the NHS and when they do it well there fabulous but when these things happen it makes people do mad about it all and they should of explained everything to you, its their obligation that you fully understand treatment and your condition.

    But I think you need a gentle hug and knowing that someone understands completely. 

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  • Hello Chickpic,

    I'm sorry that your gynae oncology team have made you feel that you are worthless small fry, firstly by their failure to tell you just what had happened and then by not discussing the treatment plan etc with you. All of this on top of your experience with the arthritis/hip issues has clearly left you feeling that you can't trust the medical profession. You are most definitely not worthless and your life is not insignificant. We all want to know that we've had go,d standard treatment and it's understandable that you feel let down by those whose job it is to care for you.

    I agree with , do please go to your appointment for the brachytherapy follow up. It may be that you are seen by a radiotherapy oncology consultant on this occasion  - they sometimes do the radiotherapy followups then subsequent follow ups go back to your gynae oncology team. Or certainly that was my experience. It's often the case that in clinic people are sometimes seen by the registrars not the consultant (again I found that to be so) and if thats the case for you, you may find you see someone that you feel you can trust. However as i understand it, it is your right to ask for a second opinion so do talk to someone about how to go about that. It's important that you have confidence in the person/team looking after you.   If you wish to make a formal complaint about your treatment, you could contact the PALS team at your hospital (details are usually on the hospital trust website) 

    Sending you a gentle hug x

  • FormerMember
    FormerMember in reply to Fairycake

    Chickpic I cannot really add to the wonderful advice given by gbear and fairycake. I feel so aggrieved by what has happened to you and how you have been treated...it shouldn't have turned out this way. I just wanted you to know that I'm holding you and your family close to my heart and praying for a better outcome to this horrendous mess. Hopefully it will be sorted out quickly for you. Stay strong darling. God bless love lamb.xxx

  • FormerMember
    FormerMember

    Hi

    You have spoken about all my fears, and I have still to be staged post hysterectomy. I often wonder if a PET scan would have been helpful, sorry I dont know a lot about it. I do know however it lights up cancer cells. I often wonder if it is something that should be offered after surgery at follow ups.

    I am realistic and realise that microscopic cells can be missed, and have the potential to proliferate and cause reoccurence. The hospital have their targets to meet in relation to NICE guidelines, I have had my surgery and any correspondance I have had since then has been initiated by me.

    Hope you get a good outcome. x

    Nina

  • Hi , firstly fingers crossed over your final staging. I have never had a PET scan or even offered it but it does make me wonder I hear about them mentioned in other groups to why the hospital doesn't offer them as a double check sort of thing when you are suspected of having cancer or have had it and to look for possible reaccurrance. I get it that they probably cost a lot of money but then I reflect on the possibility maybe it will cost less in the end in the possibility of catching it earlier and not having to have extra treatment but its always a difficult thing but totally understand what your saying about them.

    Community Champion badge_GBear Xxxx 

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  • I had a petscan when they found the suspect node to see if it was positive or benign. They dont show up cancer cells per se the tumour has to be a certain size to show up. No scans will show up cancer cells we all have them circulating through our body all the time mostly our immune system takes care if them. it takes millions to form a lump.

  • Hi Paper moon Thank you for  your thoughts, and I have thought this.  My bogy man is that when the biopsy result was given me apart the Dr saying about cells in my blood she said the cancer was acting differently for a grade 1 and she asked if I was diabetic.  What I am scared of is that they have treated the reoccurence but have not thought about if there is something affecting my immune system, or is my body still expressing too much estrogen is there too many cancer cells in my blood or as I have read this is my cancer inherently aggressive for a grade ,1.  I'm scared at moment for  I am now coughing something I have not done I'm a non smoker I've never smoked although my scan on 7 May was clear (they couldn't see the tumor the biopsy measured it at 5mm) but does that mean anything. Thank you xx

  • FormerMember
    FormerMember in reply to GBear

    Hi GBear

    I will not receive my results untill 5 weeks post hysterectomy. I have no idea what is going on inside my body while I wait this length of time. I hopefully will get them 15th August, Pathology is taking ages.

    I honestly feel PET scanning should be offered at some point, even with the best surgeon cancer cells can escape/ be missed .

    Nina. x

  • Hi chickpic I feel your whole case has been handled badly and I understand what that is like as I changed my oncology team from Southampton to bath as I wasn't happy. I don't think things have really been explained very well. Maybe a talk with one of the Macmillan nurses  on here would be beneficial. I'm not a medic but from what I understand type 1 grade 1 is the slowest growing and that maybe recurrence at 6 months means that it was probably not a recurrence at all but just was too small to show up on preop scans at diagnosis. I say that because I'm grade 2 but it took 2half years for my recurrence to show up in scan. When you say they've found cancer in your blood do you mean LVSI lymphavascular space invasion? Where cancer cells break away from the tumour and invade the lymph system in an attempt to spread. I had that in fact mine already had spread that way to a pelvic lymph node on diagnosis. It isn't so common in grade 1 that's why they asked if you were diabetic. I'm type .2 and endometrial cancer is more common in diabetics. The oncologists make all their decisions at mdt meetings on treatment and guidelines are laid down by the federation institute of gynaecologists FIGO.  And it's quite usual for low grade and stage to have surgery alone. If there is LVSI then brachytherapy or RT may be suggested but this is precautionary at this stage as no adjuvant treatment is guaranteed it just cuts the odds of recurrence. Pelvic RT can come at a risk with side effects that can last a long time. You don't say where your recurrence is but that you've had Brachy which suggests vaginal vault. If it is then it's very easy to treat and probably be the end to all your problems and you'll be fine. I know it's easy to say not to worry but try to get the notion that somehow all these cells have escaped into your blood and are on the march out of your had because I think you'll find that this really isn't the case. Instead keep the positives in your head low garde low stage equals the best outcome possible.

  • 5mm wouid been too small to show on scan. That's is very tiny. My lymph node was over 10mm. Didn't show up till it was 8.2.