No communication!

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Hi! I’m new on this forum and have been interested to read everyone’s posts.

Back in March, I was referred by my GP for post-menopausal bleeding and got an ultrasound about a week later. A couple of hours after this, the GP phoned me in the early evening to say due to the thickness of the endometrium, she was referring me on the 2-week pathway.  A biopsy followed, taken by a very nice senior nurse in her office in the hospital.

A few days later, I had a cholesestectomy (gall bladder) op at the same hospital. A week after that, the biopsy results came in  with a letter from the nurse saying I had complex atypia hyperplasia of the endometrium and I would need a total hysterectomy. Another ultrasound was arranged but I was also sent a text calling me in immediately for an MRI.  I called the MRI dept back and explained I’d just had the gallbladder op and they said “oh no, we can’t do the MRI this close to your op - we’ll have to delay by six weeks….”.  I was also asked to set up a blood test at the hospital, which when I googled, said it was to check for ovarian cancer!! (CA125).  It doesn’t seem normal to have an MRI before a hysterectomy for this diagnosis either so I attempted to contact the hospital to speak to an actual Doctor - but not possible.  They hide behind some firewall and you can only speak to a very nice - but medically unqualified secretary.  A telephone call has apparently been arranged (I received notification by letter) from this apparently hallowed Consultant in mid-June.

So, so much for the 2-week pathway!!!  The waiting, I understand - it’s par for the course on the NHS.  But the total lack of comms from the gynaecologist-oncologist or her department, apart from a nurse, is staggering when she’s ordered tests which seem clearly for looking for cancer.  And the fact they clearly don’t want anyone contacting them!  I got an appointment with my GP to discuss it and she said their total lack of communication was “sub-optimal”.  If a Consultant is doing tests to detect and/or rule out cancer, you’d think some direct communication from them, even by letter, would be nice - especially when it’s going on for weeks. (My gallbladder op - same hospital - was preceded by a full appointment with the Consultant himself a few months’ before where he explained in great detail about the need for the op and the op itself, and on the day, he was also very communicative immediately pre-op; he is also one of their eminent surgeons according to all the nurses I spoke to).  

  • Hi Kimski

    sorry to hear your news. When I first had tests and had a thickened lining identified by the ultrasound, the next steps was a hysteroscopy and biopsy, and also CA125 blood test. As they said to rule things out. For me the biopsy came back with pre cancerous cells, and CA125 was normal. For me though as the biopsy was pre cancerous, they wanted me to have MRI and chest X-ray, and in there words, we put many ladies through quite a bit of testing to find the people we need to find. For me unfortunately there was cancer.

    i was also given a Macmillan booklet on understanding womb cancer, that does outline the testing/scans they undertake, and you should be able to find a copy of this here, under “cancer info and support”. Sorry I don’t know how to link to it from my post.

    i wonder whether you could go back to your GP and see if they could speed things up for you.

    good luck

  • Ah, that’s very interesting - thank you for that info. I have got the MRI and blood test finally this Wednesday but it is the total lack of communication which I think is unacceptable apart from a nurse’s letter saying I will need a total hysterectomy …….