lizziec: (Rocks fall)
LizzieC ([personal profile] lizziec) wrote2010-04-22 03:59 pm

Filtered (not mum): Bad news

We went to St Georges ENT clinic again today, in the absence of any news in the meantime, and the news we got from Mr Williamson today is not good. Looking at it objectively, I suppose it's not the worst news we could have had - mum won't die tomorrow - but it pretty much extinguishes all hope, and from that point of view it doesn't get much worse.

The pathologists at St Georges were unable to make a diagnosis of mum's tumour from the samples taken at biopsy and so they've sent it to a Professor Fisher at the Royal Marsden (think he's the guy at the bottom here, which makes him sound like he's pretty much a world expert) who is pretty much the last chance for identifying the tumour, and it's a pretty slim chance. It's likely that we will never find out what the tumour is.

If they can't identify the tumour then they won't be able to offer Chemotherapy, as different tumours react in different ways to different drugs, and as I mentioned before, surgery is out because the tumour is wrapped around mum's Carotid artery. Mr Williamson pretty much said today that there is a very good chance that the cancer/tumour is terminal, and that the most that they will be able to do for mum is palliative radiotherapy.

Failing any news before next Thursday we'll be seeing him again for a confirmation that there's not much they can do. After that (or before, depending on when they know for sure) they'll refer mum to the Royal Marsden at Sutton for the radiotherapy.

In the meantime, mum's been given five days worth of steroids in the hope that they can quell some of the worst symptoms by reducing the swelling and inflammation that's being caused by the tumour. The downside to this is that the steriods will mess with mum's diabetes management and in the worst case scenareo she will end up in hospital for constant monitoring and possibly be on an insulin drip. The steriods are at a low dose to try and ward off problems, but that means there's less chance of them having an effect. The Macmillan nurse (Fiona) at St Georges is contacting the diabetic nurse at mum's GP to arrange for close-ish monitoring, though I don't know how we'll manage over the weekend. Hopefully some more answers on that tomorrow.

I don't know yet if I'm going home this weekend. I don't want to be in Canterbury if mum does end up in hospital because of the steriod/diabetes mix. Mostly right now I'm trying to deal with the fact that the diagnosis is almost certainly terminal. I feel like I did back at the cancer diagnosis. I'm swinging wildly between numb-Lizzie, planning-Lizzie and sobbing-her-heart-out-Lizzie. Ben's taken tomorrow off work and will be arriving tonight, which will be good as I feel like I need someone not so emotionally involved to lean on. Phil just came home and we hugged like we haven't hugged in ages.

Feel awful.

ETA: 12/07/11 No longer filtered

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