An appointment at last….

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  • #37966
    jemima
    Member

    Well, just a bit of an update on Mum as we are back from Paris having seen one of the surgeons in Prof Belghiti’s team.

    First of all….. it was HOT !!! 35C during the day which was overwhelming but I made sure that Mum kept drinking plenty of water. It probably doesn’t sound much to all of you in the US but over here in Wales we think it’s hot when it gets to 24C.

    Anyway, we had an appointment for 5.30pm last Friday. I thought it was weird having it so late and that they wouldn’t do more than just look at all the notes and the scan images on the disc I took. However, due to some problem with his computer he couldn’t open the disc so arranged for Mum to have a CT scan on the spot ! I couldn’t believe it….in the UK you’d have to wait a week at leats for an appointment and then 2 weeks for the results. So he got the results back and actually seemed very positive. He said that the main problem he could see with surgery was that there might be an issue with her artery as the tumour may have grown too close to it. But he wouldn’t really be able to tell until the operation itself.
    He is having his team meeting tomorrow (monday) where they will discuss Mum’s case and then get straight back to us.
    I really don’t know whether he will agree to operate or not but it has certainly boosted Mum’s morale. He was so much more positive than the guy we saw at Basingstoke, who we just knew would say no.
    So, more waiting (as usual) but hopefully not for too long, just a day or two. He said that if the surgery did happen then it could be in a couple of weeks which would mean a mad panic to get everything sorted out over here, plus drafting in friends of Mum’s in France to be able to visit her.
    I would try to go over a bit but it is not easy trying to sort out someone to look after the children, so I am not sure how it would all work.
    Still, I am not counting my chickens yet…..I will just have to try and keep sane until we hear back.

    On another note, it has been three weeks since I sent Mum’s info to Prof Davidson in London and other than an acknowledgment email I have heard nothing…..

    Tomorrow we are off to Swansea to see the oncologist there about starting chemo when we get back from holiday. We are keeping on with this until we hear back from Paris as if they say No to surgery then this will be the next option.

    Sorry for the long rambling email but it has been a while since I have had the time to post.

    Apart from all this Mum is keeping well at the moment and is just a bit tired from all the travelling.

    Jemima

    #37965
    lainy
    Spectator

    Hi Andie, just want to say that for Cyber Knife the tumor must be under 7cm. Teddy’s was 7 and had to be brought down so he had radiation. Chemo never mentioned. Different doctors different opinions, I guess. Good luck with it all.

    #37964
    gavin
    Moderator

    Hi Jemima,

    Glad to hear that your mum is feeling better this morning and that her temperature is back down to normal levels, but I guess it wouldn’t do any harm to have her checked out at the hospital tomorrow. You are right in that a CC for dummies guide would have been very handy indeed!

    My dad was the same as your mum when it came to drinking water in that he never drank enough, so I stopped asking him if he wanted a drink and just started getting him a glass of water. And when dad was in the hospital for 7 weeks, the doctors were always telling him that it was important to keep drinking the water.

    As to Cyberknife in London, I understand that there are now 3 places where it can be done. The London Oncology Clinic and the Harley Street Clinic, and also at the Mount Vernon Cancer Centre which I think is an NHS hospital. But I am not sure if the machine at the Mount Vernon Centre is actually up and running yet, but it is the first place in the UK that will use Cyberknife under the NHS.

    I hope your mum continues to feel better and that you are able to arrange consultations with the doctors that you mention.

    My best wishes to you and your mum,

    Gavin

    #37963
    andie
    Spectator

    The clinic I got in touch with was the following:-

    Dr Andrew Gaya BSc MD MRCP FRCR
    Consultant Clinical Oncologist
    Guy’s & St Thomas’ NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH London Oncology Clinic
    95 Harley Street
    London W1G 6AF
    Tel: +44 (0)20 7188 1459 (Guys)
    Tel +44 (0) 20 7317 2563 / 2572 (LOC)
    Fax: +44 (0)20 7009 4272

    And the reply I got when asked if Cyberknife suitable for CC was:-

    Possibly, depends on the extent. Chemo will also be required. If you collect scans on a disc and a medical report I will see you for a second opinion.

    Please liaise with my PA Diana on 020 7317 2563

    Regards Dr Andrew Gaya BSc MD MRCP FRCRConsultant Clinical Oncologist

    #37962
    jemima
    Member

    Thank you all for your messages.
    Mum says that she drinks lots but I know that to her that means about 2 or 3 glasses a day….. I think I will have to do the bottle thing like you do Marion.
    The guy in France is part of Prof. Jacques Belghiti’s team. They seem to have done a lot of research on CC so I am hoping that with their opinion and Prof. Davidson’s we may come up with something new, or maybe not and then at least we will know that chemo is definitely the next step.
    Mum is feeling better this morning though which is great. Her temperature is normal and she is feeling better in herself. I think I’ll get her checked out at the hospital tomorrow though. It may not be a stent infection of course, it may have been something different but it is so difficult to know what to do. It would be nice to have some sort of guide. Is there a ‘CC for Dummies’ book ??!!

    Andie, mum’s stent is plastic but she’s only had her latest one a few weeks so I am hoping it is not blocked already.
    Was it the Cyberknife Centre in Harley Street you got in touch with ? I had a couple of emails back from thema nd they said nothing about having chemo first. Said to send a referral letter from her consultant and all scans etc. I know there are two in London so maybe yours was the other one ?

    Interesting about the Omega 3. I’ll have to look into that if/when Mum starts chemo.

    Hope your Dad’s bilirubin falls enough for him to start chemo soon. Keep in touch too as it seems like we have similar cases…

    best wishes and thanks again

    Jemima

    #37961
    andie
    Spectator

    Hi Jemima, Your Moms story is very similar to my Dads regarding tumour location and the waiting game! He was due to start Chemo last week but his bilirubin level was 75. The previous week it was 45 which would have been acceptable for chemo. He is currently on antibiotics (he was told to start them whilst on chemo) and is waiting for an emergency slot to become available to sort out his stent.

    Is your Moms stent plastic or Metal?

    Dads eyes have started to develope a yellow tinge but apart from that he has no other symptons of jaundice. He does drink 3 litres a day which I think is helping him, like Marions said it is really important that they keep their fluid intake up.

    Dad has also started taking a high dose Omega 3, I read somewhere that it helps with the chemo drug Cisplatin, which is one of the Chemo drugs they will be taking.

    Are you planning on going to Paris to see if they can operate on you Mom? If so please let me know what they say.

    Enjoy your Family holiday, Im sure it will do your Mom the world of good.

    I contacted Dr Gaya regarding Cyberknife but he said Dad would need to have Chemotherapy first, not sure why as, I hadn’t sent a copy of Dads scans or reports, i ‘d just sent an email enquiring if they recommend Cyberknife for CC.

    Good Luck for the next few weeks and lots of best wishes

    #37960
    lainy
    Spectator

    Hi Jemima, sorry to hear the good and not so good news. Teddy does not get stent infections but is prone to blood infections. Not sure if they are in the same category, but the only thing that knocks it out is Levaquin (sp) which is one of the strongest anti biotics. Good luck on the visit to France.

    #37959
    marions
    Moderator

    Jemima….you might want to make sure that your Mum is taking in plenty of fluids. I always placed a 2 liter bottle of tea or water on the table and made sure for my husband to drink it within a 24 hour period. More is better of course. Who is the physician you are planning on seeing in France? I am familiar with Dr. Davidson and am aware of his extensive knowledge with CC. Consulting with both will give you some solid information. Good luck and I hope for your Mum to be able to meet up with her family in France.
    Best wishes,
    Marion

    #37958
    jemima
    Member

    Hello
    Just thought I would update my Mum’s situation. Well, she had her stent changed on 1st June and after a couple of days at home she was doing really well and was almost back to her usual self. So, for the past three weeks she has been feeling OK and just a bit tired.
    Then last Thursday she felt unwell, not at all hungry and had a temperature 39+. So I called our local doctor who came out to see her and has prescribed an antiobiotic – cefalexin. I don’t think it’s massively suitable but it seems to be working to keep things at bay. Her temp is lower but she is not feeling great. Anyway, we are seeing how things are going at home as she really doesn’t want to go into hospital. I will take her on Monday anyway as her consultant will be in then and we will see what he says.
    It’s all a bit of a blow as it has been such a short time since the new stent.
    On the 9th July we are planning to go to Paris to see a surgeon who specialises in CC so we will see what happens there.
    If she is feeling well enough then we will go back to France a couple of weeks later to see all her family and then start chemo as soon as she gets back.
    In the meantime we are waiting to hear back from Prof Davidson in London to see his thoughts about surgery, and we are sorting out a referral for Cyberknife.
    So although there is lots going on we are still just waiting …….
    I hate CC :(
    Jemima

    #37957
    marions
    Moderator

    Jemima……cholangitis can be quite bothersome however, our members have reported good responses to the antibiotics. In fact, I remember Peter mentioning that he always had the medicine on hand for that same reason. Proceeding the stent replacement your Mom should feel tons better.
    Good luck.
    Marion

    #37956
    jemima
    Member

    Thanks Lainy. The good news is that she is allowed out for the day so we will go and get her in a while and then take her back this evening so she is then in and ready for her stent change tomorrow. She is desperate to have a bath !
    I hope that Teddy’s temperature comes down OK, and I will keep my fingers crossed for you both that the surgery happens.
    For Cyberknife here in the UK, because it is not available on the National Health Service (i.e. free of charge) we have to pay ourselves and therefore we send medical notes/scans to them and do our own referral !
    I thought maybe the place in Lille might be more experienced in CC because they have been open for longer, but maybe, as you say, it doesn’t work like that.
    We will make some decisions this week once everything opens again….
    Thanks again
    Jemima

    #37955
    lainy
    Spectator

    Hi Jemima, and so sorry to hear about your Mum. She WILL be feeling better soon from the antibiotics although these infections really do take a lot out of you, but she will be better. Teddy has 101.4 fever again, I just took his temperature and am plying him with fluids and Ibuprofen and watching. Last time he went to ER but they sent him home and that was just a month ago. He has no CC stent but he does have a stent in his right ureter. About the Cyber Knife, it is what it is and since there is only one way to give it, I would stay where you are unless you can get in sooner in France. Your ONC has to recommend you to a Radiologist and between them, they will decide if she is a candidate. Ooops, I forget you are not here. Well, that’s how it works here. I am thinking the ONC really feels Teddy will have surgery this time as that is what he is sort of pushing. Please keep us posted on your Mum. Stay strong and try to tell Mum this is just a bump in the road. I know, the waiting is one of the worst parts and you feel so helpless while you watch someone you love so dearly suffer. This will be OK.

    #37954
    jemima
    Member

    Well, a bit of bad news in that Mum is in hospital with cholangitis. She was feeling unwell last Thursday, cold and just not herself but we didn’t think much of it. Then on Friday she had a pain in her neck and by the evening had a temperature.
    Thinking back on it I should have taken her to A&E then but she sounded bright and said she wanted to go to bed and sleep so I thought it was OK. But when I rang her on Saturday morning shehad been sick, was shaking and had a temperature still.
    So I drove her to A&E and they took her straight in and put her on IV antibiotics, IV paracetamol and fluids, and oxygen.
    She had reall bad shaking like I’ve never seen. The doctor had warned us about it but it was very severe and although he said it was one of the symptoms to tell us her stent was failing to be honest she didn’t start doing it until it was too late.
    So she is still there as they are still monitoring her. Monday is a holiday here so they won’t be changing her stent until Tuesday but hopefully by then the antibiotics will have worked properly and she will be in the clear.
    It has really knocked her back though and she had been looking and feeling so well until then.
    She has only just been referred to an oncologist so we are waiting (again!) for an appointment with him. In the meantime I think we will go for a second/third opinion with Prof Brian Davidson in London and maybe also to the Cyberknife Centre in London, or maybe the one in Lille in France as it has been up and running for much longer.
    I guess this is just the beginning of trips to the hospital and her being unwell, but it is horrible and I just don’t want her to go through it. She has always been so strong and seeing her on Saturday so helpless and confused (she was very dehydrated having sweated all night) it just wasn’t my Mum. I guess it happens to everyone but I just want my old Mum back :(

    #37953
    jemima
    Member

    Thank you Lainy, Marion and Gavin

    You are all a mine of information ! I will try contact some of these places this week once all the children are at school. They are on holiday the week after that so I won’t be able to think for a minute once they are at home all the time…..
    The guy in Aintree seems very switched on but it seems strange that I haven’t seen any reference to him elsewhere.
    My brother is arriving tomorrow night for a couple of days so that should cheer Mum up a bit and be some moral support for me too. I will discuss all the options with him and see what he thinks.
    Thanks again for all your support
    Jemima

    #37952
    gavin
    Moderator

    Hi Jemima,

    Yes Jemima you certainly do have a lot on your shoulders right now, but I know that you are strong enough to deal with it all. I was the same with my dad in that he just accepted everything his doctors told him and I was looking for answers and options for him. You are doing everything right here for your mum in looking for other opinions and asking questions here. I know how hard this is but you can do it.

    Marion has provided details regarding some doctors in the UK and hopefully others will have more that can be contacted. Perhaps someone who has knowledge of doctors in some of the London hospitals. Dr Valle at Christies in Manchester perhaps could be worth contacting on the number Marion has given you.

    I think there are 3 centres in the UK that offer cyberknife,

    http://www.newlondoncancercenter.com/contact-location.htm

    http://www.theharleystreetclinic.com/contact.php

    And I think the Mount Vernon Cancer Centre in London also does cyberknife, or at least it will start doing so this year.

    Graeme Poston at the Aintree hospital could also be worth contacting.

    http://www.aintreehospitals.nhs.uk/news/a_world_class_cancer_service_at_uha.asp

    I posted this a while ago and from what it says in this article, it seems that he is very experienced in dealing with cancers such as this.

    http://www.maghullstar.co.uk/maghull-aintree-news/maghull-aintree-news/2010/01/21/aintree-surgeon-s-award-104897-25637047/

    I hope some of that is useful and I wish you every success in finding some more help for your mum.

    Best wishes to you and your mum,

    Gavin

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