Category Archives: cancer

still in limbo…

26 Monday Feb 2018

Posted by in cancer, health & happiness, hospitals, sevilla

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I’ll write something more about my fab weekend away later. As usual, it was great to come home and be welcomed by los gatos (this big lug was especially happy to have his comfy warm human lap back). Though I didn’t sleep so well because today I had my oncology appointment to get the results for the colonoscopy and CAT scan. Bottom line is that I am still in limbo for now.

The colonoscopy results were good, which I already knew because at the time I asked them if they had taken samples to be tested, and they said no because they hadn’t found anything. Phew!

But I had to wait until today for the CAT scan results. In a word, they were inconclusive. There is still that pesky area of inflammation sitting over my stomach that is obscuring any clear scan results, either the PET or CAT. The reason I am getting all these extra tests now is because the last PET scan results showed that the inflammation had grown substantially since the previous one, and I was also in a lot of pain. Though shortly after the last PET the pain suddenly disappeared.

And so, because they don’t actually know what is going on in that murky area of inflammation, I now have to have an endoscopy so they can look inside my stomach. That will happen on Thursday. AND THEN… I have to go through the hell of waiting for results until my next oncology appointment on March 19th.

I like my new oncologist. She is very clear and sympathetic, and answers all my questions. Today she said that because of this “murky area” they simply cannot say with certainty that I am in the clear. And so even if the endoscopy comes back clean, they will still want to do a follow-up CAT scan in three months. She said the only way to be 100% sure that I have no cancer is to operate, which she thinks is too aggressive an approach at this time, especially as the pain has disappeared.

After having undergone four major abdominal operations, the main suspect at the moment is post-op adhesions, when the buildup of fibrous bands of scar tissue wreaks havoc on the surrounding organs. This very same buildup often shows up as inflammation on scans, and can obscure scan results.

So here I am once again in limbo. Of course I am relieved that I wasn’t told today that they’d found cancer and then passed on a death sentence… but I am not out of the woods yet. Because although my doctor told me today it was a positive sign the pain had gone, they wouldn’t be doing these extra tests fer nuthin. So today felt like a “stay of execution”, and now I am waiting (with fingers crossed) for a full pardon. xx

après oncology

01 Thursday Feb 2018

Posted by in cancer, friends, hope, hospitals, sevilla, sherry

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This morning I had an appointment with my new oncologist. After last week’s “good news bad news” situation following the PET scan I have to say I’ve been pretty stressed, with some days better than others. Say what you will, but after all my cancer history, the idea of a looming recurrence threat just became a lot more real to me. I try hard not to think about this too much, but sometimes it’s just too much.

Anyhow, today my lovely friend and colleague Cinta came with me to my appointment to act as “interpreter”, because when I get really nervous somehow my knowledge of Spanish totally flies out the window, and I wanted to be sure I didn’t miss anything important.

The good news is that both Cinta and I like the new oncologist. She was patient and had a gentle touch whilst poking around my belly. She was also patient as I tried to explain my situation in a more elaborate manner than she possibly required. Then she said that she was going to ask for both a colonoscopy and abdomen-thorax CAT scan, in order to find out what was causing the increase of inflammation seen in the PET scan, and also the extreme abdominal pain I’ve been having since November.

EXCEPT the weirdest thing has happened. After having had “travelling” abdominal pain for almost three months, sometimes so intense I couldn’t sleep and could barely walk… the day after the PET scan ALL THE PAIN DISAPPEARED. What?? I mean, seriously, it’s gone. Well okay, there are a few “tugs” here and there. But I no longer want to scream in agony when I roll over in bed or bend over to put on my shoes. The new onc is taking this as a positive sign, but the tests still need to be done. And I’m still scared.

Anyhow, after Cinta and I left the hospital and got a taxi back to the centre, it seemed like a good time to relax with a nicely chilled manzanilla, even though it wasn’t quite noon yet. Luckily this isn’t anything unusual in Sevilla.

good news, bad news…

25 Thursday Jan 2018

Posted by in cancer, health & happiness, hope, hospitals

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officially radioactive!

I’ve been having routine PET scans since I was first diagnosed with stage 4 colon cancer (metastasis to liver) back in May 2008. At first they were every six months, but then once I became a member of the 5 Year Club they were reduced to once a year.  And every time I’ve been scared witless, fearing I’d hear the worst after my scan. I am very fortunate that my friend Isabel is the head of Nuclear Medicine at my hospital, so she always has a look at my scan while I’m there and gives me the results on the spot. She’ll call me into the PET area and say “all normal, nothing to worry about” and then send me on my way, not quite believing my good fortune.

But today after my scan Isabel called me into a private office and asked me to sit down.

And well, it’s kind of good news / bad news. The good news is that my liver is clean, no signs of anything nasty going on there. The bad (or potentially bad) news is that the “area of inflammation” that has been showing up on my PET scans since 2008 has increased dramatically. Over the years this area has been constantly shrinking, with each PET scan showing it a bit smaller and, as long as it kept shrinking, it was always considered a result of scar tissue. Today Isabel told me that it is back to the size it originally was back in 2008. And so now I will have to undergo more tests – CAT scan, ultrasound, colonoscopy – to (hopefully!) rule out cancer. In theory it could be an inflammatory infection, complications due to the adhesions, or any other number of non-cancer-related issues. Or it could be cancer. And so, Isabel has taken steps to get me an appointment with Oncology asap so they can start the extra testing.

I’m annoyed that they didn’t take me seriously at Emergency when I went there complaining about the abdominal pain back in November (exactly two months ago today). My GP also blew me off when I went to ask him about it afterwards, saying I just had gas and should take a pain killer. And even when I saw an oncologist at the beginning of January, she was totally dismissive about my complaints (you need to lose weight, I’m sure it’s just gas), and reluctantly booked my next PET scan.

The good thing is that now Isabel is setting the wheels in motion for me to get the appropriate extra testing done and, more importantly, to have me taken seriously by these other doctors. Meanwhile I am fluctuating between absolute terror and total denial. How’s your day going?

oncology visit

05 Friday Jan 2018

Posted by in cancer, hospitals

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Ever since “Lost Saturday” I’ve been quite concerned about the abdominal pain I’ve been experiencing since the beginning of November. I thought for awhile I’d figured out the source of it, but then it shifted, and now it’s worse than ever… really, wtf?

Anyhow, I finally got to see an oncologist today to request my annual PET-TAC scan (it used to be every 6 months), and that was fine. Or as fine as things can go when you are talking to a doctor you’ve never seen in your life, and you are talking about your life… In this case the doctor put in the request, but then she said to me that this would probably be the last time I will need to have scans. Ummm… what? No more annual scans? Why not?

This is a photo I took back in 2009 to show the scars I’d been left with after the 3 slice & dice abdominal cancer ops (there was also a subsequent non-cancer related surgery in 2011, following the same scar lines). So that area of my ever-ageing body is pretty much a big mess. If there are reasons (adhesions?) that I have PAIN all the time now… why can’t anybody tell me this? It’s very frustrating. All I can do now is wait for the next PET-TAC.

hope 2019

03 Wednesday Jan 2018

Posted by in cancer, health & happiness, hope, life stuff

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Continuing the “tradition of hope” that began back in 2009 with my first ever Photohunt entry on January 3rd. The theme that week was “hope” and I put up a photo of my battered old daybook turned to January 3rd 2010 with the words “STILL HERE!” written on it. Having just finished a second stint of chemo a few months previously this felt like a very bold – and hopeful – thing to do.

Anyhow, since then I have posted a similar photo on this date each year. So, as always, here’s hoping that I will still be here January 3rd 2019, and will see this page in my book… and smile just like I did this morning.