Prostate Cancer - wrong information given. Finding it hard to cope

Recently my husband was diagnosed with prostate cancer.  We were told by phone a couple of weeks ago that his cancer had not spread outside of the prostate gland and that his MRI and bone scans were clear. We went away on holiday relieved at the news.  Last Monday we saw a doctor at the hospital who was Bosnian.  We couldn't understand her accent.  She told us that the information we were give was incorrect.  The cancer has spread to his lymph nodes.  His bone scan was clear.  We wer told his staging is T3b, N1, M0.  Because we couldn't understand the doctor (who was the oncologist), yesterday, we saw a private consultant urologist who answered all our questions and was lovely.  However, he has put the fear of god into me by saying the worse case scenario is a life expectancy of 2-5 years.  I know he has said worse case but I can't get this comment out of my mind.  I cannot comprehend losing my husband ....... I am trying to be strong but keep breaking down.  My husband is going for a CT scan on Monday with results the Monday after to see how far in the lymph nodes it has spread.  He then starts 3 months hormone therapy, then 7.5 weeks radiotherapy, the 3 years hormone therapy (we were originally told after the radiotherapy it would only be 3 months hormone therapy).  I am feeling I just can't cope ...... I feel so weak.  Please help anyone - I don't know what to do.

Parents
  • Mrs T,

    I share your frustration about poor communication from medics, who sometimes assume you understand all the jargon they use. If your husband has an M0 status, technically what he was initially told was partly true ... the cancer hasn't spread outside the immediate area. If it had spread the staging would be M1. It is very bad practice to give news like this over the phone, because it can lead to exactly this sort of confusion. There have been other cases where someone has been initially told their MRI scans looked clear, only for the more detailed radiologists report to contradict this a few days later. Again, best practice is to say nothing until the detailed report has been received.

    I'm not a medic but when I was first diagnosed with cancer last September both the oncologist and my GP told me not to pay too much notice to any estimates of time scales as these are based on averages. More easily said than done when you've just been told by them that worst case you have just two months to live and that average life expectancy is ten months from diagnosis. It is worth remembering that these averages include people who weren't diagnosed until it was too late, people who refused treatment, people who were too weak for surgery or chemo as they were already very ill with other conditions and very old people who were already dying (sorry to be so blunt). Statistics also tend to be out of date and reflect the situation several years ago before new drugs and other treatments were available.

    I hope this helps a little. Your husband's situation is very serious, but perhaps not as bleak as it has been painted so far.

    Best wishes and I hope Monday's scan went OK

    Dave

Reply
  • Mrs T,

    I share your frustration about poor communication from medics, who sometimes assume you understand all the jargon they use. If your husband has an M0 status, technically what he was initially told was partly true ... the cancer hasn't spread outside the immediate area. If it had spread the staging would be M1. It is very bad practice to give news like this over the phone, because it can lead to exactly this sort of confusion. There have been other cases where someone has been initially told their MRI scans looked clear, only for the more detailed radiologists report to contradict this a few days later. Again, best practice is to say nothing until the detailed report has been received.

    I'm not a medic but when I was first diagnosed with cancer last September both the oncologist and my GP told me not to pay too much notice to any estimates of time scales as these are based on averages. More easily said than done when you've just been told by them that worst case you have just two months to live and that average life expectancy is ten months from diagnosis. It is worth remembering that these averages include people who weren't diagnosed until it was too late, people who refused treatment, people who were too weak for surgery or chemo as they were already very ill with other conditions and very old people who were already dying (sorry to be so blunt). Statistics also tend to be out of date and reflect the situation several years ago before new drugs and other treatments were available.

    I hope this helps a little. Your husband's situation is very serious, but perhaps not as bleak as it has been painted so far.

    Best wishes and I hope Monday's scan went OK

    Dave

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