Hospital protocol when pain severe during break from chemo?

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    Dear Evan,

    I am sorry to hear that your mom is having pain, I hope that the issue will be solved soon.
    I am not familiar with how the system works in Ireland but I am sure that it should be somehow similar to the US.
    Calling your oncologist ward is a good idea, even if her main doctor is away, the on call doctor will be able to make some decisions in his behalf.
    I know for fact that whenever a patient has cancer, even if they are admitted to the ER, the doctors usually consult with the oncologist in charge or his office to agree on the treatment.
    If you think that your mom’s stent is causing the pain and needs to be replaced, I suggest that you go the the hospital, call the oncology ward or whoever you think of so they can get it done ASAP. A clogged stent causes increase in her biliruben levels that will lead to delaying chemo.

    Good luck and I hope your mother will feel better soon.



    Hi all,

    My mother is on a break from chemo following 6 months of treatment. Chemo is due to resume in a week or two, but in the last few days, her pain has increased significantly, most likely due to a need for the stent to be replaced.

    She intends contacting the hospital tomorrow, with a view to being admitted straight away to have the pain eased (whatever that takes, whether it’s replacement of the stent or otherwise).

    Should she be contacting her oncologist? Or the oncology day ward? She’s always been told, “if you ever have any problems, just give us a call here in the day ward”, but I’m not sure if that’s not just canned advice. Matters are muddied somewhat by the fact that her regular oncologist is away, and she my mother has never met his stand-in (and it’s possible that the stand-in has not even studied her case at this point).

    For Irish forum members reading this, the hospital is Vincent’s Private, if that helps inform your response.



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