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Kathryn (kathryn)


August 26, 2011


Hamilton, Canada


Cancer Fighter

Cancer Info


Anal Cancer


Squamous Cell Carcinoma of the Anus


Stage 4


Yes


Radiation Therapy


Fluorouracil (5-FU), Cisplatin (Platinol, Platinol-AQ)


It can hit anybody at any time.


I am strong.


Laugh with me, help me stay strong.


Pelvic and abdominal lymph system.


Juravinski Cancer Centre


Don't be afraid or too proud to ask for help.


December 1, 2011





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Posts: 8
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My Supporters: 27
I Support: 27
Comments: 183
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Kathryn's Cancer Blog

Not quite what I expected!

It has been 3 months since my last rad/chemo treatment. December passed pretty much in a haze of pain. I kept waiting and praying for the light at the end of the tunnel. My skin slowly healed over, my diarrhea wasn’t quite the excruciating experience it had been and I realized that I had pretty much skated through previous treatment. I tried so hard to stay positive and strong, but the nausea and then picking up a flu bug had me really down. I developed a cough that wasn’t a constant thing but very occasional and not at all productive. I discussed my symptoms with my Rad/Onc at my checkup the first week of January. He suggested that I go to my family doctor and have the cough checked. I did and the family doctor prescribed antibiotics for a very mild form of pneumonia. Well no wonder I felt lousy I thought – there is a light at the end of that tunnel after all. 15 days later I am being admitted to hospital with an infection in my lungs and in my blood! I’m still trying to stay strong and positive but it is starting to get to me and wear me down! I had some pretty weepy moments. The IV antibiotics 4 times daily is starting to work – the cough is diminishing and the blood infection is not growing any new bugs. Do you sense the but that is coming? A very young and eager resident decides that he needs to examine my abdomen for something. I caution him that I have just finished 35 treatments of radiation and am very tender. His idea of taking it easy is something akin to psychic surgery – I let out a couple of ladylike screams and he backed off – but not after doing some damage I think. Now I have pain – lots and lots of pain. I tell them I think I need some strong anti-inflammatory drugs just from the way my belly is starting to bloat and of course they give me morphine??! Doesn’t work – they don’t get it – I am beside myself with pain and anger at them. Finally due to a medication screw up all I am able to have is an Advil and 1 mg of dilaudid. It works! Pain is controlled now. I am released from hospital 10 days later with not many answers, lots of questions, lots of resentment and lots of appointments. My first call is to my med/onc. He immediately orders a ct scan – did I mention I had 2 in the hospital? I go for it anyway. I go to the followup appointment and get no real answers. They see some inflammation, could be from the infection, could be new lymph node involvement, could be the cancer growing, can’t tell yet. Lets wait a couple of weeks to see if it settles down and then do a biopsy if needed. Oh and by the way the lymph nodes that the chemo/rad targeted had all shrunk and there was no sign of the tumour in the anus. Yaaaaaaaaay (sort of). So here I sit waiting for the infection to settle down, my right leg has so much edema that it is 3 times the size of the left leg, I am taking so much advil that the doc prescribed stomach medicine to protect it, I can hardly wait for meds every 4 hours and nobody seems to know what the hell is going on.
I feel so let down by my medical community. I felt as though I was totally on my own after treatment had finished. I had no information on how I should be feeling and at what bench marks I should be looking at for progress or a lack of. It took a hospital admission for me to get the cancer doctors involved in my care again. How can a general practitioner understand all the nuances of radiation and chemotherapy and how and when they can cause side effects? How is it that my cancer center can classify you as an active patient but no longer in treatment and therefore unless directly related to treatment any symptom of anything must be checked by the family doctor first.
I can honestly say that while I did not lose hope that I had been cured – I can tell you that I had some very dark moments. I felt like a total fraud at times – stay strong blah blah blah – all the while I am cursing the medical profession and our system here in Canada. When | had the energy I trolled every website I could find that would give me some indication of when I could expect to feel better. I have no answers. I know everyone is different, I know everyone reacts to treatment differently, but there must be some general guidelines to indicate that if you still feel like sh.. 3 months after treatment that there might be something going on that should be checked out. But I guess I am asking too much.
Thanks for the opportunity to rant. I do believe a positive attitude makes the world of difference and influences the outcome of treatment. Its just taken a back seat to disillusionment in the medical system at the moment.

Kathysman threw a punch at your cancer.
5 people sent you a hug.

The games we play are pretty sick sometime. If your not getting answers,keep asking, keep calling until someone listens.I really hope things calm down for you, It can take a long time.

Kathryn..I am so sorry to hear all you have been through. You are incredibly strong. I will keep you in my prayers that all your pain and other problems go away, esp the cancer.

Hugs,
Mari

Thank you Mari I appreciate the prayers and the words of encouragement, but I’m not so sure about the strength anymore. I try but the days are pretty dark right now.

Hi Kathryn:

I am sorry you are still battling so many possible health problems after treatment. I agree with you as no one prepared me for what it would be like post treatment and I just assumed all would be well after my last round of radiation. That has hardly been the case. I hope you get the care you need. The medical systems had me up in arms at the moment as well.
Hugs and prayers,
Cathy

What you are describing is what is actually called Pelvic Radiation Disease in the UK - and you are absolutely right, I don’t know anyone who was given much information/advice about after-effects, regardless of what stage they were. I tried to give some links about this on my own website (see the link on my profile). My recovery has not been as difficult as yours – just an endless roller coaster of constipation/diarrhea/constipation, impossible to know when it is safe to leave the house! I am so sorry to read about your problems and I hope you can finally find a doctor who will help you.

 Thanks Helen – your website was one of my most visited. It seems to me that everyone’s recovery is so unique and personal to them that I can somewhat understand no information/advice, but I think some general guidelines would be really helpful. Something along the lines of – if at week 12 you are still experiencing xyz, perhaps a call to the doctor would be wise. It would not have to be too specific but even my home care nurse would say things like “you should start to feel a little more energy after the 6 – 8 week mark post radiation”. That at least gave me a heads up that things were not quite right in my little world.

 That’s a great idea. I wonder who can create such a list. Maybe the Anal Cancer Foundation people could help…

Kathryn

Curse away – don’t blame you. I find it difficult to stay optimistic sometimes – I know about those dark moments and I haven’t been through most of what you are describing above. I don’t know much about your health system but it does seem a bit daft having to go through a GP before you can talk to a specialist even though you have already received treatment. No one has the right to expect you to be positive all the time. I don’t know if I believe that positive thinking makes much difference except that it may lead to more positive behaviours like exercise and good food but it sure is a better feeling.
Wishing you better health, less pain and much happiness.

Mayday x

Thanks Mayday

Hi Kathryn—
It is perfectly fine for you to come here to vent. You have been through the wringer, to be sure, and have every right to be upset and angry. Navigating the healthcare system, either in Canada or the U.S. can be a daunting task, especially when we are not at our best. Try to hang in there and keep pushing for answers. I hope you pain eases soon.

Martha

 Thanks Martha – you are so right. The “system” is never an easy road to navigate. I get so frustrated that I am unable to make a point when in conversation with the doctors. I will keep pushing though.
Thanks

Kathryn-
I am so sorry to hear about all that you have been through and are going through. You need answers and treatment now. I hope you get medical care soon from the right doctor(s).
You are in my thoughts and prayers.

Linda

 Thank you for the positive thoughts and prayers Linda. I continue to push for answers although I seem to be beating my head against a brick wall at times. I will keep trying and I will keep my bfac family up to date.

Hi Kathryn,
Wow you have had quite a time of it! What a roller coaster…I know that I guess it depends on where you live in Canada as to your follow up? Is that true? I don’t understand why some people seem to get good follow up and some don’t? It is sort of inconsistent? I know that I follow p with my onco and then colorectal doc every 4 mos and I’m three plus years out…so they think that is should still be watched…I have a pet scan every year now..though they say now a ct is fine..I still want a pet…I actually go every 18 mos as I’m trying to not get the radiation exposure…I had quite a rough time after trtmt but not like you! You poor thing! I just want you to know that we are all not just praying but gathering around you and I hope you can feel us all sending you the most powerful healing wishes ! Be gentle on yourself ..you have been thru so muc..the burden we place on ourselves to stay positive is somewhat misguided..it is one more should that our very human selves cannot always sustain..this is when we need to lean on the divine and all the prayers and shoulders of our fellow warriers..we will carry you through this time..don’t feel like you are alone…best to you always ! Lori

Thank you Lori – I really appreciate the support. When the dark moments come I try to surrender to the Divine but it still takes a lot of work to let it go. I feel safe when I come here, I feel the caring and concern – it helps me to continue to fight for answers and unfortunately that is what it is – a fight.
I don’t know why the after treatment care for me has been so crappy. Maybe the majority of people get over the initial bad stuff like the diarrhea and radiation burns quickly and then are able to get on with life. Perhaps the doctors here are so overburdened that they don’t know what to do with someone like me. Whatever the reason though – it is not right and I will continue to fight for some answers. I will keep you posted.
Thanks

Your recent mishaps with your medical team seem to be rather disappointing. I would try and threaten them, if they don’t do something more to find out what is wrong you will be moving on to another more reliable cancer centre. I guess we know that mean Princess Margaret. Never feel you don’t have options to fight this dreaded disease. There are many ways to approach various problems as a result of cancer. I hope you can call a meeting of all of them together, have them do a think tank on why you are not getting any better. They should be clear and honest with you. After all that’s what you want, RIGHT? REAL>

You are absolutely right Louise – I want real answers. I have a second opinion appointment in London on the 12th. Princess Margaret is too busy with their patients to do second opinions. I tried that in the beginning when Juravinski wanted to only do palliative treatment. It took a lot of nagging on my part plus a CT scan that showed shrinkage in the tumours. I have been so tired, but I am getting my fighting spirit back. The antibiotics seem to be doing their job getting rid of the infections.
Thanks for your words of encouragement. 

 Now that you mention it, PM is a zoo. I am so happy you are getting a second opinion. It may seem like repitition but we as little lambs out here, are learning that you have to knock on more than one door to get the SALE DONE. That’s a one o one saying, that goes way back, if you have ever done sales. You should click on our website above under your cancer to see if anyone has gone to London. You might find some luck there and some advice if that is so. GOOD LUCK AND for god’s sake keep us posted.

Kathryn,

Boy, I thought what I was going through was bad until I read your post! I am so sorry that you are in a system that pushes you around and no one is taking charge. I can tell you I have had similar situations and I am here in the states! I finally had to get nasty with my oncologist and demand that he speak with all of my other docotr BEFORE he made any more reccomendations on how to treat my stage 4 cancer. You really have to take control of your own care as I believe that the doctors care but have there own self interest at heart. IE Oncologist want to do chemo, radation oncologist want to do radiation, surgeons want to cut etc. Getting mad was the only thing that helped my situation. I hope that you can get the answers you need and the care you deserve. Always, Maya

I am dancing with NED!!!!!!!!!

I am so happy to be able to say that my No Evidence of Disease happened at my Oncology appointment today. I had to ask the doctor 3 times to explain and repeat what he was saying.
Thank you for all your positivity, and support. If there is hope for me at stage IV then we have to keep hope alive for all of us!
Stay strong – keep fighting the fight!
Kathryn

4 people like this.
Kathysman, Louise threw a punch at your cancer.
Serenity, Jessicafk11 sent you a hug.

Kathry, this is the best news! I am so very happy for you! Your case demonstrates to all of us that Stage 4 can be beaten and we should never give up! I hope you are feeling well and I wish you NED forever!

Hugs—
Martha

Thanks Martha – I look to you and others like you as shining examples of what can be accomplished. Its a good day but I am also a realist and we have to keep hope alive for each and everyone of us!
K

 

YAYYYY! What wonderful news – and I needed that!

 Helen I can honestly say that you are one of the people I look up to when it comes to fighting the fight. You never cease to amaze me as to the depth of your knowledge and your ability to freely share it with the rest of us.
Thanks for helping me fight the fight.
K

OH, I am embarrassed!
Just visit my analcancerhelp website and let me know how I can make it better..

I just wrote to someone else on the site who wanted to know if the Stage 4 was always fatal to let her know that NO WAY is that the case…other than all of us eventually exit, of course!

You must be so happy and I hope you had a wonderful evening of celebration..

NED is wonderful! good for you,
Stay well,
Claudya

 Thank you so much – it was so kind of you to take the time to read the blog and leave a comment.
Thanks
Kathryn

Yay! Congrats!

Oh, yeah! Kathryn….what wonderful news. Wishing you many, many, many more NED reports.

Mari

 Thanks Mari
Your support means a lot! You are one of my inspirations.
K

This is just wonderful news! So very happy for you! As others have said, never give up hope! NED…what a wonderful word!
Hugs,
Ruth

 Thanks Ruth and I thank you for your eloquence and thought provoking blogs. You are truly and inspiration!
Kathryn

I love, love, love it! Fantastic news.

 Jill I don’t even know where to start to say thank you to you for creating this safe and nurturing place. I can honestly say that I am so overwhelmed by the love and support that I have received that my commitment to supporting the newcomers and the rest of the BFAC family will continue to be a huge part of my life. I may dance with NED for a month or years – no matter. Your work will live on through the hope that is spread every minute with this site.
Thank you
Kathryn

 I have tears in my eyes reading this. I am just so happy for you. So great for the community to see this too.

I am so happy for you! yayyyyyy doing the happy happy dance…...I don’t know what else to say! Keep us updated.

Take care
Nancy

 Thank you Nancy – I was doing a little wiggling myself today! I will be continuing to blog for as long as my BFAC friends can stand me!
Thanks for your support.
Kathryn

 We can stand you…..don’t ever feel that way. We are here and we want to hear from you!

CONGRATS! :) :)

Kathryn-
Your post made my day! You are an inspiration to all cancer patients and survivors. Congratulations!
May you and NED be forever.

Linda

 Thanks Linda – yes – I have asked NED to marry me and never cheat on me! LOL

So very happy for you! I bet NED is a wonderful dance partner.

 Thanks Jana
NED can boogie like nobody’s business. Love it !

Fantblinkingtastic news Kathryn,
Keep up the positive thinking and enjoy life.

Mayday x

 Thank you so much Mayday – you are one of my inspirations. I can’t thank you enough for your support!
Kathryn

That is F—king AWESOME! Keep up the fight!

 Thanks Blair – I will. You hang in there|!

Catching up with your wonderful news – wow and congratulations – well done you! Can imagine that you are waking up from a nightmare and stepping into a new new normal – one day at a time! Wishing you much happiness and many happy days – be well and keep up the healing! much love, janet

NED. Never heard that acronym before today. I must be living in the dark ages. I am so happy for you that you get to live with this feather lifting news. Good for cancer people who have doubts.

May NED always be a part of your life!







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