It’s been a while since I’ve blogged about anything at all – not that I ever managed to do too much that was actually interesting enough to keep it up regularly anyway! However, although this was never intended for the eyes of anyone I actually knew in the real world, with everything that’s been going on recently it seems to be the easiest way to keep everyone up to date. Those who want to can check in from time to time and I don’t have to pester people who’d rather not know all the gory detail with emails.
Apologies to everyone who already knows everything to date, but I think a bit of background is probably needed for those people I’ve not been seeing regularly – including the few “cyber friends“ I’ve made if they’ve not given up on me by now!!
So, the story so far….. around Christmas time, I started bleeding when I was going to the loo - on and off, not all the time, I wasn’t in any pain and didn’t seem to have any other symptoms. I didn’t really want to go to the doctor and to be honest I thought it was probably haemorrhoids so I got some cream and thought it would sort itself out. By the end of February it had got worse and it was clear it wasn’t just going to go away, so I made an appointment with the doctor.
Monday 2nd March
First appointment with the doctor. He had a bit of a poke about and despite my embarrassment about the whole situation I knew from his reaction that it probably wasn’t just nothing. He asked me to go back for a proper examination later that week.
Thursday 5th March
Second appointment with the doctor. By this time I was getting over the embarrassment and just wanted to know what was wrong. He carried out a proper examination complete with proctoscopy (I think!) By this time I was also becoming aware of a small lump in my perineum (don’t know? – neither did I before all this – Google it!!), barely big enough to feel and not painful. I was referred to hospital and the doctor said I should get an appointment within two weeks.
Tuesday 10th March
Doctor phoned and asked me to to the surgery and have some blood samples taken because he said it would be quicker if the hospital already have the results when I get my appointment.
Thursday 12th March
Hospital appointment arrives for the following Monday and I have my appointment with the practice nurse to have blood samples taken – the first of many!
Monday 16th March
First hospital appointment. We arrived in good time for my 10.30 appointment , but the waiting room was packed and a nurse came round to say that the consultant was running about half an hour late, so we settled ourselves for a bit of a wait. Finally after about an hour when people who came in much later than us seemed to have been seen first, a nurse came over to ask my name. I heard her go back to her colleague and say “she IS here!” Turns out that my appointment letter had been mislaid after I’d handed it into the reception so the nurses didn’t know I was there. When they realised, there were lots of apologies and I was whisked through to a consulting room. More poking by the consultant with a nurse and young lady doctor in attendance and he did apologise for having to do it when I must be sore! I was completely over the embarrassment by that time. I wasn’t at that point given a name for what I have, but the consultant did say that I’d be likely to need "a fair bit of treatment" and mentions chemotherapy and radiotherapy. He said that he would organise some more tests - CT and MRI scans, and an examination under anaesthetic and flexible sigmoidoscopy which he says will probably be the following week.
Tuesday 17th March
7pm got a phone call from a junior doctor to say they've a space in theatre for me the following day and would I be able to come in that evening? AAARRRGGGGHHHHH!!! I've not had any tea yet and have just stripped the bed and put it in to wash AND I've got no clean jammies! We agreed that I could go in for 8am the following morning.
Wednesday 18th March
Arrived at Ward 32 in plenty of time - it's the bowel ward, but they were also an admitting ward that week, so it was pretty busy. At 8am, the wee wifie in the bed opposite is throwing up, and the girl in the bed next to me is moaning about her Methadone - "I've usually had it by now!!!" OMG, get me out of here - it's full of sick people and junkies! Anyway, I get my hospital goonie on with my bum hanging out the back wave goodbye to DK and settle down with my sewing which seems to amuse everyone. Not too long to wait before one of the nurses comes to give me an enema to “clear everything out” and get taken down to theatre about 10.30 - one minute I'm looking up at a map of Scotland, the next I'm waking up in recovery and asking if I've been snoring! (They said not – they might just have been being nice, or maybe you can’t snore with a tube down your throat!) Back in the Ward at about 12.30, and after about an hour of feeling squeamish, I think more to do with lack of food than anything else, one of the nurses brings a cup of coffee and some toast. Feel much better and get the sewing out again. My first visit to the loo after the procedure was a bit alarming – as they’d taken a couple of biopsies, I had some sort of packing to stop any bleeding which I “lost” when I went. I could only find the male nurse when I came out, but explained what had happened, so he said he’d get one of the females to come and see me. I caught sight of us in the mirror – me bending over and her peering up my bum – so the comedy of the situation wasn’t lost! Definitely no room for any embarrassment now!! The consultant comes round in the afternoon, sits on the bed and says he thinks he and I are going to see quite a bit of each other, but still no mention of the actual C word. He says I'm very chirpy, and that they don't see many people stitching these days. DK arrives back to take me home at 7pm after I've had something to eat - Lentil & Veg soup and Sweet & Sour Chicken - not like the hospital food you always hear about, so polish the lot off, unlike my other three ward-mates!
Monday 23rd March
CT scan - possibly the worst experience so far - not the scan itself, but because it had to be done with a full bladder. Had to drink two pints of a tracer solution (Gastrografin) that tasted like aniseed - the first at 7.45, the second at 11am. I HATE aniseed, so was just about gagging by the time I got the second lot over, and I have a bladder the size of an ant at the best of times, so holding on is not my strong point! Also, during the scan they give you an injection in your hand - as it's going in it feels like a hot flush going through your body. Luckily they had warned me that in females it makes you feel as though you've wee'd yourself – doesn’t it just! The weirdest feeling, but it soon passed. Then just had to drink loads for the rest of the day to flush everything out again. DK was away working by this time so my folks took me in and dropped me off, then little sis came back to take me home again and stayed over.
Thursday 26th March
MRI scan – I was going to go to this one myself, but my friend wouldn’t hear of it and said she needed a day out (NS, you definitely need to get out more!). To be honest I was glad of the company for the drive in and half-hour wait to be taken. I have heard people say they get claustrophobic in the scanner, but as I was in feet first with my head just out of the opening, so it was all fine. Quite noisy though, so they give you earphones with music playing - might have chosen better than Northsound radio though! (the local radio station)
Thought that was going to be it, but then...
Monday 6th April
PET & CT scan - at least I've got the full set now! The PET scan looks at how well the body is working, while the CT scan gives information about the body’s anatomy (size, shape and location of organs). Combining the two allows for a more accurate diagnosis of cancer. Apparently there are only two PET scanners in Scotland – the other is in Glasgow, so I know how lucky I am to have all these resources within an hour’s drive. I had to fast from midnight the night before, and got some Diet Coke to drink beforehand – something to do with how the body takes up the radioactive tracer, and not having your heart show up too brightly on the scan – I don’t know, it was all explained to me and seemed to make perfect sense at the time! I was then taken through to have the radioactive tracer injection in my hand and had to lie still for 45 minutes until the nurse came back to take me through to the loo and then to the scanner. It was more like the donut shaped CT scanner than the MRI tube and really nothing to worry about. I then had to sit in the waiting area for about 10 mins until they checked that everything on the scans was readable before I could go.
I then had a couple of weeks to wait and before my appointment with the Consultant Clinical Oncologist on Wednesday 22 April, who confirmed that I have Squamous Carcinoma of the Anal Canal and Margin – T4 N1 M0. The tumour has spread into the surrounding tissue, and is in the lymph nodes in my groin, but it's contained in my pelvic area, which at least is good. I've to get 28 sessions of radiotherapy Monday - Friday over 5 and a bit weeks, with chemotherapy at the same time. In years gone by, he said they'd have given one lot of treatment, have a rest period then give the second lot, but the rest period also gives the tumour a break, so it's better if they just blast it with everything all in one go.
So, that’s the situation at the moment. I had my planning CT scan on Thursday 14th May, and had the markers for the radiotherapy treatment drawn onto my tummy and thighs (my “targets”), so I go to hospital for my first blast of radiotherapy and to collect my chemo drugs later on today. Over the weeks I’ve gone from having no pain at all, to feeling like I’m sitting on an egg and having to take 3 different painkillers – paracetamol, ibuprofen and tramadol – just to be able to do anything at all other than sit in the bath. They’ve usually worn off by about 4am, so I’m up then to take my last (or first) tramadol, pace about for a bit then go back to bed to try to get some more sleep. I’m glad the treatment is finally starting, but also a bit nervous about the possible side effects.
I’ll post my progress here whenever I can, and be as honest as I can without giving so much detail that I’ll not be able to look anyone in the face again when I get back to work (I think I might have crossed that line already!) If my experiences help to encourage even one person to go and get anything checked out at the doctor before they might have normally, then it'll be worth baring my bum for! I’ll try not to make it all too miserable though – so far there’s been some humour in almost everything that’s happened and I’ll definitely need a laugh over the next few weeks. To be continued….