A glance back before I move forward...
It's a longer post than usual but these are the notes I spoke from at the Kidney Cancer Information Day last year, I've edited a little. It was that day that gave me the courage to return to my GP and pursue the answers I still seek.
Kidney cancer is an unfashionable cancer but the statistics are rising, so much more needs to be done to raise awareness and beat this disease. One thing's for sure, it won't beat me.
Before
I wasn't ill. Aged 45 I ran a small business designing and
selling clothing for entertainers. At the beginning of March 2013 my husband
and I had just celebrated our 25th wedding anniversary in London and
life was good.
On 13th March everything changed, I woke that
morning with what I later heard termed ‘a gross hemorrhage’ and shortly after
collapsed in the most excruciating pain I’d ever felt in my left side. Via two
other hospitals I was taken by blue light to Heartlands in Birmingham with what
by then had been described ‘a mass in my kidney’.
Once I was hooked up to drips and drains etc I was left
overnight in a renal ward with staff who seemed as clueless as I was as to what
was actually wrong with me. The following morning on a ward round a registrar
checking my notes told me casually that I may need my kidney removing with the
cancer inside...and there it was.
Alone with no family, no nurse, doctor, specialist, Macmillan
nurse or anyone to hold my hand, there was the news we all dread, I had cancer.
This may not have taken me aback as much had I not been
present for my Mothers breast cancer diagnosis which conversely took place in a
specialist centre with all of the aforementioned people present. This guy had
to be kidding right?
It was 6 days later when together with my husband we wrote a
list of 12 questions that remained unanswered and asked to see a doctor – the
consultant I was told was away on holiday. Question 2 was ‘What are you
removing and how do you know?’ after all I’d had no biopsy and still no actual
diagnosis of cancer from a specialist. The answer we received was simple, ‘It’s
cancer, we know a dirty big tumour when we see it’.
The rest of my hospital saga can be found on my blog
anunfashionablecancer.blogspot and I'm sorry to say my experience did not get
any better. So much so that after the 6 week check up with the surgeon it was
starting to become apparent that I could not stay with this hospital trust. One
of the questions we asked that day was, ‘What are the chances of the cancer
having spread?’ to which the answer came, ‘You may have a tumour this size (at
which he made a dot with his ballpoint pen on the desk) in your lung right now
but we wouldn't be able to pick it up. Either walk out of here and worry about
it or get on with life as best you can’. The other concerned back pain I’d
developed in my right side which the consultant immediately said ‘had
categorically nothing to do with his surgery’. Looking back now, I felt more as
though I’d been delivered bad news than any sense of relief as we left that
day. I never returned and shortly afterwards my GP helped me change hospital
trust.
After
During my stay in hospital I kept notes, firstly so that I
could relay to my husband what was going on as dosed up on morphine and with so
much happening to me I couldn't understand it all myself. My medical knowledge
was increasing daily as words like embolisation had never entered my vocabulary
let alone taken place in me before. These notes are what became the beginning
of my blog.
Post surgery I struggled with pain, particularly my back. I
also struggled with coming to terms with telling people where I’d been and why.
My former business was loud and happy, I’d had a mohican when first rushed into
hospital and before that multicoloured dreadlocks. I was discovering that I’d
not only lost my kidney, my confidence was dwindling. The blog became an outlet
for what was happening to me and how I felt about it.
I still had so many unanswered questions and no one to ask.
A GP had advised ‘Don’t Google It’ and I’d steered clear of putting kidney
cancer into search engines however, I felt cast out by the hospital and other
than my family had no support network – neither did they. That’s when I found the
James Whale Fund (now Kidney Cancer UK) which really did help me no end. From
them I was able to hook up with a few others going through similar and was able
to recognise symptoms, fears and feelings.
As I continued with my blog I began to share it on twitter,
I had a large following from my fashion business most of whom were completely
bewildered when faced with tweets about catheterisation! However, I started to
see an increase in views and began to receive messages from other kidney cancer
patients and carers as well as people facing cancer of other types.
I transferred to Burton Hospital Trust under the care of a
consultant in their urology department, she was extremely pleasant and
welcoming but – I was signed off after only 2 visits. At that time I was more
than willing to leave hospital care as my experience so far had been dreadful
however, only 11 months specialist care for a large grade 2 cancer didn't seem
right?
Now
It’s 3 years since my sudden cancer diagnosis and I am still
without specialist care, the backache remains as do other related health
issues. I am fortunate to have an excellent GP who has done all he can to help
and advise including arranging an MRI scan and appointment at the Orthopedic
Hospital, Birmingham concerning my back pain. From this I received
physiotherapy, something that was missed in my hospital care and which led me
to begin a yoga class – I'm still going over 12 months later and it’s helped
tremendously.
In the absence of any specialist kidney cancer care I have
made sure to maintain as healthy a diet as possible – something else that wasn't advised on by the hospital. I've cut right down on dairy products and of course
salt and sugar and I've been a semi-vegetarian for over 10 years so eat hardly
any meat. Yoga has played a big part in my recuperation but I needed something
else and so started running 18 months ago. I now run at least 3 times a week
and have recently joined a running club to help improve my distances. I love to
run, when I’m out I don’t feel the pain in my back, so much focus is on pace
and breathing I feel running is a form of meditation and I couldn't do without
it now.
After being asked to talk about my cancer journey at a
Kidney Cancer Information Day last year I took some good advice from both
specialists, patients and carers who attended. Since then I've spoken to the
PALS (patient advice and liaison service) about being signed off early, unfortunately
they weren’t very helpful so I spoke to Macmillan Cancer. The nurse I spoke to
was horrified that I’d been signed off and confirmed that ALL cancer patients
should have at least 5 years specialist care.
I also took advice to request my notes from Heartlands
Hospital, now there’s a can of worms. The large file was littered with mistakes
from my age and length of my hospital stay to the size and grade of my tumor.
Having had an embolisation I have since been told that this would have shrunk
the tumor by starving it of blood. As the surgeon was away on holiday I was
left for 12 days before surgery to remove the cancer by which time it was
smaller than the original scan. It is this size that was quoted to me, not the
original tumor size.
Had I still been a kidney cancer patient it would now be
time for my 3 year CT scan, my GP is arranging this for me and has also taken a
look at my medical records with a view to getting me an appointment with
another renal consultant.
3 years ago I was oblivious, I was neither aware I was ill
nor did I worry about it, cancer certainly didn't keep me awake at night. I don’t
worry about it now, what concerns me is that I may not be doing everything I
can to avoid getting unwell again because what really scares me is not being in
control. I’d hoped that my cancer journey would be plain sailing by now but
without that specialist care I still have those nagging doubts, is everything
being done that should be?
I continue to look for those answers.
