rheumatologist diagnosed lung cancer over phone?

Hi everyone,

I wanted to post on here to see if anyone has had the same or similar experience as us. This has quite possible been the worst weekend for my mum and myself - and I am still angry and in shock on how such life-changing news was delivered. 

For background, my mum was diagnosed with osteoporosis arthritis a few years back but since March of this year, the pain has gotten significantly worse. The pain was more in her shoulder and neck and usual pain killers were not touching it. She went to the doctors who sent her for blood tests. The blood tests showed there was inflammation and so she was then referred on to a rheumatologist who subsequently sent her to have have a full body CT scan. They wouldn't give her much information at the time as to what they were looking for, which I thought was appropriate. Who can possible say anything until results have been fully analysed and referred on to appropriate experts. Well, fast forward a few weeks to Thursday last week, the Rheumatologist called my mum early in the morning and said these exact words: " I am very sorry to say but you have lung cancer. Would you like me to speak with your husband." As you can imagine, my mum was absolutely floored  and destroyed by this. And we are still so confused as to why the news was delivered in such a cold and inappropriate way? A phone call, really? Anyway, my mum asked the question what's next, and the rheumatologist said she is being referred onto a oncologist next week (she has had to wait a week since receiving that absolute bomb) where they will discuss a biopsy. So from my understanding, my mum has not yet seen a oncologist, her results have not yet been analysed by an oncologist,  nor has she had a biopsy. 

Maybe I am in denial here, and emotion is getting the better of me, but is a rheumatologist at all qualified to be making phone calls like this? Before my mum's results were even seen by a oncologist? I have to say I find this all bizarre and its been incredibly upsetting for us to go through. My sister is a doctor and specialises in cancer research and she is also absolutely gobsmacked by this consultant's behaviour. She believes this was out of the consultant's area of expertise and should never have made that diagnosis and follow up call to my mum. 

So now we are all in limbo and don't know what to think? Maybe I am holding onto hope but has anyone experienced anything like this? 

Parents
  • A very warm welcome to the Cancer Chat community HHTT although I'm really sorry to hear your mum has been told she has lung cancer, and for how this news was given. 

    Unfortunately I'm unable to answer your questions about the rheumatologist but our team of cancer nurses may be able to help, so if you'd like to get their thoughts on this, you can contact them on 0808 800 4040, Monday - Friday between 9a.m - 5p.m.

    Hopefully some of our members will be along soon to share their experiences and advice but in the meantime, we're thinking of you and hope you're able to get some clarification on this when your mum sees her oncologist.

    Kind regards,

    Steph, Cancer Chat Moderator 

  • Sorry to hear about your mum, and yes, this shouldn't have been said to your mother over the phone in this manner. I would maybe say something to the hospital about this.

    As for the specialists, an oncologist deals primarily with the drug treatments (chemo etc), radiotherapy and some other things (there's usually 3 different types of oncologists). For example, when my wife had breast cancer, the actual information and the cancer being analysed, fell upon other specialists. Such as the breast surgeon, breast doctor and someone else who for the life of me I can't remember.

    Before we dealt with cancer first hand, i always assumed an oncologist dealt with all things cancer, but that isn't actually the case. The oncologist is just one part of a larger team. Your mum's results will be sent off to a team of experts, known as the multidisciplinary team [MDT], who will then probably give their opinion, and the oncologist might be the person who then relays all that information to you. But it could be someone else, so don't fret if it gets delivered by someone else. It can all get a tad confusing.

Reply
  • Sorry to hear about your mum, and yes, this shouldn't have been said to your mother over the phone in this manner. I would maybe say something to the hospital about this.

    As for the specialists, an oncologist deals primarily with the drug treatments (chemo etc), radiotherapy and some other things (there's usually 3 different types of oncologists). For example, when my wife had breast cancer, the actual information and the cancer being analysed, fell upon other specialists. Such as the breast surgeon, breast doctor and someone else who for the life of me I can't remember.

    Before we dealt with cancer first hand, i always assumed an oncologist dealt with all things cancer, but that isn't actually the case. The oncologist is just one part of a larger team. Your mum's results will be sent off to a team of experts, known as the multidisciplinary team [MDT], who will then probably give their opinion, and the oncologist might be the person who then relays all that information to you. But it could be someone else, so don't fret if it gets delivered by someone else. It can all get a tad confusing.

Children
  • HI ProBaw. Thank you for the reply! I agree, it was the wrong way to deliver the news - and we did get a letter of apology from the hospital. 

    I have also learnt a lot more about the MDT etc. It was something I did not want to learn, but here we are. 

    Thank you for sharing your experience about your wife's diagnosis. I hope she is doing OK. 

    T

    x