Wednesday, 22 August 2012

Second Bite of the Cherry....... More Chemo!

Last November I visited my liver consultant at Kings to review how successful the RFA (radiofrequency ablation therapy) I'd had done 6 weeks previously on a stubborn tumour on my liver had been. A week before I'd been up there to have a CT scan so they could assess the results. The RFA, I was told had been a success, but, and isn't there always a but in this game, tumours had again reappeared on my lungs. It was a complete smack in the face, good news followed up by bad, so no time to celebrate the successful op. I was told I'd need more chemo as they were not in good places, they were deep and some attached to the branches of the lungs.

So back to my oncologist in Kent and hoping to start chemo ASAP. Nothing is as simple as that! First the CT had got mislaid on route from Kings, so another one was ordered and I was keen to see a cardio-thoracic specialist, as I wanted to hear from the horses mouth that they were inoperable and what he thought my best course of action would be. So another CT scan and an MRI to have done and then an appointment again in London to see my cardio-thoracic consultant. By this time it was early March and I was worrying about how much the tumours had grown.

So a Monday morning in March saw me waiting to see my consultant, I'd gone on my own as I wasn't expecting to hear anything all the experts so far hadn't told me i.e. there were too many, they were the wrong size, they were too deep, they were too near major branches of the lungs. So imagine my surprise when my consultant told me he could operate, for once I had no words, the wind was taken totally out of my sails and I think the look on my face totally fazed the consultant as he paused, looked at me and said "At this point most people jump out of their chairs and hug me, you don't look too pleased!" I was just totally flummoxed, it was the last thing I was expecting and has taught me not to take everything people tell me as gospel! He went on to show me how he would operate, that I would need 2 ops and that maybe RFA would be possible on a couple of the tumours. I went home on the train with my mind in a whirl, totally excited on one hand and totally confused on the other.

My excitement was short lived, I received a letter from my consultant 4 days later to say they had reviewed my case again at their MDT and had decided it was too complex an op and had decided against going ahead at present, suggesting I go back to my oncologist and discuss chemo and if I went down that route and the tumours reduced in size they would review my case again then. My world crumpled, I'd had 4 days to get used to the idea of major surgery, I'd told everyone, I was excited and feeling optimistic about my uncertain future. I was at home alone when the letter came, I had to read it several times before I could believe what I was seeing. I was angry, very angry. How could someone build up a patient so much, explain the whole operation and options, tell me how lucky I was, give me hope for the future and then in a single letter bring my whole world crashing down?

I just didn't know what to do. But as in other situations, when my pathway was unclear I phoned a nurse at Beating Bowel Cancer and sobbed through explaining my situation. As usual, I was calmed down, the letter was dissected word by word and explained that perhaps it was too big an op, it may be better for me to go down the route suggested, it would take longer if chemo was successful, but would be better for me in the long run.

So, back to my oncologist and we agreed to try more chemo, this time Irinotecan and 5FU again, I was to have 6 sessions and then rescanned. I was already booked in to have an operation on my stoma, as it was constantly blocking and causing me severe pain. I elected to go ahead with my op before starting chemo as I could not keep putting up with the pain and emergency admittances to hospital. So chemo started in May with each session 2 weeks apart.

My first line of chemo Oxaliplatin and 5FU, I had managed well, working through it with minimal tiredness, no sickness and I managed to put up with the peripheral neuropathy, which eventually left my body after 6 months. My 2nd line of chemo was to be an altogether different ball game. I'd decided to forgo all but 2 of the steroid tablets for this line of chemo as they had given me really bad headaches with the first line. I'm still glad I decided on this as I had no headaches, but they were replaced by nausea. During the infusion I would start to feel 'bad' after about the first hour, sweating and feeling really spaced out, fortunately this would wear off when the Irinotecan infusion was finished and I was being hooked up to the 5FU pump that I would wear at home for the next 46 hours. I felt well enough to drive myself home after each infusion, but that evening or the next day tiredness would hit me. I can only explain it like sleeping sickness, I would go to bed on the Thursday evening and virtually sleep through until about midday on the Monday, just getting up for bathroom needs and the occasional meal. My appetite was gone, I felt constantly nauseous, that was helped somewhat with anti-sickness tablets, nothing tasted normal and my mouth had the constant taste of bile in it. Once the deep tiredness and lethargy had gone, I was more able to function normally and when possible I went into work, trying to gain some semblance of normality. Mostly I just wanted to be left on my own, I think I went through a few days of depression each cycle, but again as with my first line of chemo a year before, each cycle was slightly different to the one before. It was lovely if I was able to attend social events or feel up to meeting friends and this enabled me to see light at the end of the tunnel and that things would be normal again when chemo was ended. My last session of chemo was particularly bad and I can remember lying in bed sobbing at the thought that if my tumours hadn't shrunk enough, I would have to decide if I could face another 3 months of this chemo, with the severity of the symptoms escalating.

Ten days after the last cycle of Irinotecan and 5FU, I had the dreaded CT scan to determine my fate! Anyone with cancer will tell you how awful the time is coming up to these scans and the inevitable result that follows. So it was with trepidation I walked into my oncologists consulting room another week later. I needn't have worried, again my body had responded positively to chemo and all the tumours in my lungs had reduced by about 50%, my oncologist beamed at me (a rare occurrence!) and said he was sending the scans to my cardio-thoracic surgeon straight away and he hoped they would reconsider surgery or RFA.

Just over a week later in the middle of August I was again seen by a cardio-thoracic surgeon (a different one this time!) in London, this time I took my husband for support. He was pleased to inform me that the result was so good there was no need for surgery and I was suitable for RFA. This is to be carried out in 2-3 sessions (under a general anaesthetic) and approximately 3 weeks apart and and surgery would be possible if there was an awkward one as they would not have to remove so much lung.

So, I am awaiting the phone call to go in for the first treatment. I'm excited about having the treatment that will hopefully rid me of these stubborn little blighters. I know it's not going to be an easy time and will tie up a lot of the Autumn and mean that my family will again have to take on the domestic chores, but if it gives me more time to appreciate the life I love, my family and my army of good friends then bring it on. Oh..... and that awful chemo? It's in the past, it did it's job. Would I have it again? .........yes, yes, yes!


  1. Thanks for sharing all your ups and downs of the past months. You've had it rough. Thank you too for the "yes, yes, yes!" at the end. God's Word tells us "Surely blessings will follow me . . . " and it took me a while to realise the truth in that. The blessings FOLLOW. You often don't see them at the time!
    Looking forward to some positive news on Twitter soon!

  2. Niec Blog, Convatec is a global medical products and technologies company, We providing ostomy , ostomy bag, ostomy care, Urine Meter, Diuresis Monitoring system ,Closed suction system, Airway management, Critical Care Products etc...
    colostomy surgery
    ostomy appliance
    colostomy bag care
    colostomy bag price in india