osophagus cancer diagnosis

Hi,

I have recently been diagnosed with oesophagus cancer stage 3 and have come across this forum while googling, since the middle of September, I have had a plethora of tests and have been very well treated by the hospital staff, I’m starting my FLOT treatment in 9 days’ time a regime of 4 rounds 2 weeks apart then hopefully followed by surgery and then another FLOT regime.

Parents
  • Hi guys. Sending love to you all. We have just lost my mum to this cancer after only 6 months post surgery. My advice push for the chemo after and push for all the scans you can get after too. If this had been possible for mum then she might still be here. Xx

  • Hi

     

    I too would advise, push push push.  My brother had been visiting his GP since March with fears of this dreadful cancer and was pooh poohed and told it was acid reflux.  Eventually at the end of August he had an endoscopy and a biopsy.  By this time he had lost 1 and half stones in 6 weeks.  He was rushed into hospital on 20th September, and passed away on 25th October without having had any treatment.  I could go into far more detail but would not wish to distress anyone on this forum.  It was obviously too late for him and I find it extremely upsetting that in spite of him doing the right thing and going to his doctor, (and advising the doctor that his paternal grandfather had died of the same disease) he was sent away and not seen to in sufficient time to give him a few months quality of life.  

     

    Make a nuisance of yourself, push and push for scans and tests and treasure every moment you have xx

  • Hi RayB..... you are back yaaay.

    i for once in my life have ,been quiet for a while as there is nothing going on !!!
    He went back to work last Monday and did okay- get this- he met his mate down the pub (garden) last Friday night and drank 4 pint!!! - so glad he's been saved, so I can kill him myself!. He reckons an 'experiment' to see if he could still 'hold his beer' (:. Well , before all his treatment, he used to stop at 3 as regurg. Would have been a problem......no longer (: he was most pleased with the result!!

    PICC lines are tricky old things. But they are better than the cannula alternative. Essentially the body sees them as an 'invader' foreign body, so tries all sorts to get rid of them, Husbands really started playing up towards the end, but it held out, but the whole infection, clotting thing are very standard.

    Constipation- that old chestnut (forgive the image !). FLOT contains a platinum, which is a heavy metal- revolting stuff, same one as causes the tingling (nerve damage) causes horrendous constipation. Only solution for him was the old senakot. Once had 'been' his hideous exhaustion, nausea etc lifted. He really notice the difference after they cancelled his last 2 platinums (anaphylaxis)

    The tingling and coldness. Husbands continues to improve. Still tingling , but getting less and less. Hair is now really growing back too.

    Remember this - YOU have 'only' FOUR weeks to go - then YOU ARE DONE after 8-9 months.

    Lee- the diarrhoea -same applies, the body is trying to get rid of the 'toxin' the chemo, any which way it can. So all sorts of 'strange effects'

  • Hi all

    Apilogies for not posting but we have had a very difficult time.  My husband was making fantastic progress despite the extra time in ICU due to an extra drain,They even did things slightly differently and he had a small amount of water on day s 3, 4,5 and tea, soup and ice cream on Monday. All good. He was on step down when I rang on Tuesday morning to be told he'd literally just taken a turn for the worse and was very unstable anc in a very dangerous position.
     

    I don't intend to frighten anyone on here and he is currently back in ICU and making progress. Everyone says what has happened is highly unusual and has never happened before. They couldn't stabilise him so he had to go back to theatre and be opened up again. This time open surgery on his abdomen. They found he had internal bleeding on his lung which they believe was from a blood vessel which had been caught when the last drain was removed. It was a slow overnight leak which had pooled.He felt fine until he got out of bed then it all kicked off. They saved his life. 
     

    He was ventilated to give his body a rest. The positive is that the original surgery was good. In effect he has had major surgery twice a week apart. Everyone keeps saying how well he is doing. The ICU doctor said he even scared the ICU team which isn't easy.

    As you can imagine it has been extremely hard as no visiting has been allowed. I pleaded my case and I've been allowed in twice for an hour. He is in a side room and he  has sat out in a chair.. yesterday they got him to stand. He is so brave and determined.

    I felt I couldn't post anything and he still has a long way to go. I'm hoping to speak the the surgeon today. So many doctors were coming to see him before as you will know but even more now! All the staff who looked after him originally keep popping in to see him.

    I will keep you posted and I hope it's good news.

    RayB nice to hear from you and well done for continuing to progress despite your setbacks. 
     

    Lee I hope your dad tolerates the FLOT.

    Hilts your husband is doing really well which is good to hear.

    Keeping the faith.

    Milly

     

     

     


     

     

     

     

  • Hi Milly,  it sounds like you've both had a massive shock, but what we have all been through...it feels like shocks have become the norm!

    It sounds more promising now than a few days ago...I hope he keeps improving-good luck.

    Lee

  • Oh Milly - what a horrendous time you've had. Well done on getting in to see him though, our hospital was like Fort Knox and the ward I was on was on an even higher level of covid protection than the rest of the hospital.  Looks like he is well on the mend and should be out of ICU soon. 

    Ray - good luck with the brick wall :-).  I've got my 2nd cycle of the final four this Thursday.  I take psyillium husk as added fibre in my diet - I find taking in high calory food in small amounts means my fibre intake isn't what it should be.  The anti-nausea medication also causes constipation and the nurses usually give out senna or something else to help things move along which I took only when taking the anti-nausea tablets.

    Lee - those daily injections are a pain - I had to take them when my first PICC line generated a DVT after a week.  Hope your dad is ok on the FLOT - it affects different people in so many different ways.

    Hilts - your hubby is still my inspiration, and having 4 pints of beer is certainly a challange I am aspiring to once this FLOT is out the way and things have settled down.  

     

  • Oh Blimey Millie!
    what a nightmare, what can I say!
    BUT- they have fixed it. I wonder if these sort of events are not more common that we realise. When you consider the MASSIVNESS(queens English ?) of the surgery and the billions of tiny capillaries, veins, bits and pieces in there - I suspect they are far more common. Just to cheer everybody up Oesophagectomy has a 5% mortality rate even before they operate, that is how major it is. Surgeon told us that- something we really 'needed to know'

    They guy opposite my husband when he was in ,went down like a sack of spuds one morning. Some bleed, but like your guy- all sorted.

    Please don't EVER refrain from posting if you need to, that is the whole point of our club, in it for the good and the bad.

    SO Millie, they sorted it. If he is out in the chair, even more brill, brill. Trust me , if he was looking at all 'dodgy' he would be nowhere near it !
    He is probably being seen by the whole hospital staff- he is probably famous (:

    That 'phone call' sounds horrendous you must have a SERIOUS wobble- which I think , given the circumstances was compulsory!
    Now that his leaks and lumps  have been sorted, he will be on a very quick discharge programme I would imagine.

    Many on here have had stumbling blocks on the way, which is no surprise given the extent of the surgery.

    Do remember that he is now 3/4 of the way done 'just' recovery from op,the final FLOT and job done?
    Husband is 5 months post op and 9 weeks post his last chemo and last week I think I would say 'normal' (ish). You'll get there.

    take care and keep the faith (:

    Hilts

  • Hi all,

     

    Thanks for your understanding and support. Yes maybe it has happened somewhere before. By all accounts not where he is, everyone says the same. One nurse with 20 years experience said he'd seen lots of different things but never known anyone have to go through the op again, although as I said the actual surgery was good. But obviously he's had all the drains, monitors and general parafinalia again! He has had his first cuppa today! Surgeon is going to remove the final drain tomorrow morning.
     

    He had so much fluid on him because they didn't know what was wrong so they pumped him with everything just to keep him alive before surgery. Over 5 litres have been got off using Frusemide which has helped him to clear his lungs. Still not lost his sense of humour. When I asked what his pain level was he replied "4 and 3 of that is my bum!" Flat bum from sitting. Good job he got fit beforehand. Just got to hope all keeps going well and he can continue to move forwards.

    It was horrendous being at home phone call 9.00 am another at 11 am and then at 1.30 pm to say he'd gone to theatre. Fortunately our two sons work fairly locally so they came home. Anyway as you say they sorted him. Just hope all goes well tomorrow and from then onwards. 
     

    Bfg hope FLOT continues to go as well as it can do.

    Yes keeping the faith Hilts!

    Milly
     

     

  • Hi all,

    Some good news! Yesterday the last chest drain was removed and so far, so good. Kev is still in ICU but had his first food yesterday (had soup and ice cream before before all the drama!). Puréed sausage, mash and peas. The best news possible is that all of the tumour has been removed and there are good clear margins. Also 37 lymph nodes removed and all are clear! Such a huge relief after the last 6 months never mind the last week! 
     

    So onward and upwards albeit at a slower pace. The surgeon has just spoken with me and is very pleased with his progress considering all that has happened. He is moving to 'step down' either today or tomorrow. It has been a real knock back but he is recovering. They are taking it slowly to ensure he is well enough to come home. He also said that prior to what happened he was exceeding all expectations and it was so sad that this complication happened. 

    All in all a good day! Much better than last Wednesday. Surgeon said he's not out the woods yet but has done remarkably well.

    Lee I hope you've managed to get out and your dad's swallowing should improve with chemo. 
     

    Bfg hope your FLOT is manageable.

    RayB hope you are continuing to make progress.

    Hilts - I think I need to have four pints!

    Doug your continued recovery is very encouraging.

    Everyone - this is such a hard diagnosis and having people who understand is truly helpful.

    Keeping the faith

    Milly

     


     

     

     

     

  • Very good news Milly...nice and steady,  one step at a time. 

    My Dad has just had his first session of his second round of chemotherapy.  The oncologist has said he will have 4 hrs every week for 2 months- standard chemotherapy and antiangiogenic (if I've spelt that correct!).

    It's my birthday today so we have all been to the beach for a nice day. 

    Good luck with your husband's recovery. 

    Lee

  • Hi Lee,

    Pleased you have a plan. My husband had those injections for 7 days. They can cause muscle cramps/back ache so just speak to the cancer team if they do. He had warm baths and used Aveeno and I massaged his legs for him. I'm sure your dad will know to try and drink lots of water. Also my husband found ginger biscuits helped and lemon and ginger tea. 

    Happy birthday. So nice that you've been to the beach. As you say one step at a time.

    keeping the faith

    Milly

     

  • Hi Milly

    Delighted to hear about progress and the fact that he is now on "minced and moist".  From the original OP side of things, that's usually the pre-cursor to getting out of there and going home - so hopefully not long!

    Happy Birthday Lee! Hope your Dad is doing well as can be on the chemo.

    bfg

Reply
  • Hi Milly

    Delighted to hear about progress and the fact that he is now on "minced and moist".  From the original OP side of things, that's usually the pre-cursor to getting out of there and going home - so hopefully not long!

    Happy Birthday Lee! Hope your Dad is doing well as can be on the chemo.

    bfg

Children
  • Hi y'all.

    Happy Birthday Lee 21?
     

    Millie- that is really GOOD news, they will chuck him out in the next couple of days. Not sure about anyone else, but my husband chest drain was the last thing to come out, and now your guy is also having a la carte hospital food- his 'eviction' looks imminent (:

    Bad day for me today, sense of humour left me and a total meltdown arrived. Other people as usual and managers at work grrrrrrrr , emotional intelligence of a camp guard !

    Better a bit, and now husband has put 'Gordon Ramsey- Headteacher' on you tube. I'm not sure who is enjoying it more him or the kids!!!! Making me laugh too.

    For some weird reason , when I logged on here it took me to a page ' Agnes left ***' god that made me laugh, I posted to her . Maybe karma, but I am now smiling at the thought of my bosses being a pair of t**its (((: ( triple smile = laughing +++ emoji, but this board doesn't like emojis)

    I sometimes think meltdowns are good for the soul, clears junk from the ' spin cycle' brain

    Anyhows

    Laters, fellow travellers & keep the faith

    Hilts

  • Hi Hllts and everyone,

    You have made me laugh too! The surgeon has said he will be in a while longer, looking at next week. To be honest he needs to get back where he was before it all kicked off! Surgeon said was such a shame as he was exceeding all expectations by a long way. However he has made good progress for saying he's had two major ops in a week! Fluid coming off him and bits and pieces being removed. He has been in ICU for 2 weeks apart from 1 day in step down. 

    One day at a time but such good news and he is determined!

    Work will always be there and events like this certainly put everything in perspective. As you say sometimes we need a 'meltdown' to enable us to move forward again. Life eh? You sound like you have a great family unit with all it's day to day normal ups and downs and having a sense of humour is essential! 

    Keeping the faith (not the TV programme!)

    Milly

     

     

  • Hi, hope you're all well.

    This is a helpful, encouraging and positive thread - so know that you're helping many, even if they aren't posting, they're likely reading  ; and they're going through this journey too, and following your updates is really uplifting.

    Just a quick question, have the option of a Port or Picc line starting FLOT pre surgery and been recommended the port - and wondered what you guys had ... 

    Thanks for the help.

  • 21...I feel like it most of the time until this Last year!

    41 yes but feeling much younger apart from the stress! 

    Happy Wednesday folks...

    Lee

  • Hi redski... unfortunately my Dad has been diagnosed with stage 4 and inoperable...so surgery hasn't been an option for us.

     

    Lee

  • Thanks for the reply Lee and it sounds like you and your family are giving your Dad so much love and attention through his journey, it's really lovely to read !

    I meant for my chemo, I'm not sure whether to have the port fitted or a picc line. Do you know which fitting your Dad used for his chemo and whether it was easy / hassle free / no infections / blockages etc - I was asked which I wanted and I have no idea !

    Thanks for your help 

  • Hi Redski,

    My husband had a picc like. I know a friend who has a port but don't really know the difference? I do know that the picc line goes to a central vein. Hilts  may help being an ex nurse and all that! 

    Re FLOT ask away, I am a concerned onlooker. My husband coped pretty well. Yes there were side effects but he managed them. He had a heat pad for his throat as he had a slight reaction to the Oxaliplatin. At least it's warmer - winter when he had his FLOT and during lockdown! He drank lots of water and took warm boiled water in flasks and a cup for when he woke up at night. Seemed to help him. Hope all goes well. Cancer nurse should be able to explain pros and cons of port or Macmillan nurse. I used their help line. I found nurses good, emotional support not as good. Although sharing your feelings/fears with a stranger can help.

    Keep the faith #Hilts

    Milly

     


     

  • Hi redski,  my Dad has a cafeter fitted just below his left shoulder- everything goes through there eg. Weekly blood tests,  chemotherapy,  pre scan drugs ect

     

    My Dad has not had any issues with this and easy quite easy and straightforward 


  •  

    Hi

    Milly glad to hear your husband is on the mend. Its a long slow road we are on.

    Hilts glad to here the husband has returned back to work a bit of normality for yourself whatever that means in this mad world

    BFG good luck with the final 4 this Thursday it will all seem a distant memory very soon.

    Leechap definitely not the nicest thing this chemo but for a bit of constipation or even tingling the benefits outweigh anything else we just have to grin and bear it and be glad we have strong family's supporting us.

    Redski

    I have had a Hickman line (central line) and also a PICC line (on my second PICC line now), I believe the port version is the Hickman version, my understanding is some staff  prefer this version due to it not blocking as easy for administering drugs and taking bloods, In my experience the PICC line is a lot easier to install and remove, my personnel issue with these lines is my body tends to rejects them and gets infected and i end up on antibiotics.



     

  • Hi Redski

    I didn't get a choice and had a Picc line.  I had a dvt with my first one last December on my first flot round,  which resulted in blood thinners for a few months, but they moved it to my other arm (radiologist was impressed,  saying it was the longest ever picc line for him). So I'm currently on my 3rd picc for my 2nd round of flot.

    Other than the dvt which is not uncommon, I've not had any infections - but there are others in this chat who have.

    Picc is relatively hassle free,  just need to ensure the end is covered and strapped back onto the arm to stop it irritating in between cycles.  They gave me an elasticated cover - nothing fancy - to protect it in the shower.  Nurses paid a visit day after chemo to remove the pump,  then a week later to flush, and then to take bloods before the next cycle. 

    As others have said,  ask away - we don't really shy from providing our experiences, side effects and occasional gory details.