Advice on second opinion

Hello,

I’m a 40 year old mum of three children under 10, I was told last Wednesday that I have oesophagus cancer with secondary tumours in my lung and liver.

The consultant was very negative and said they can’t cure me ( I did not think this was ever an option) so they would not operate. I will have chemo which won’t start for another 2 weeks but this will only hold the cancer back. She kept saying she was sorry and that as I’m young I could have a second opinion but this would just delay treatment.

this is not the reaction I expected, I expected her to say we’ll do what we can to shrink it then operate it, especially as I’m ‘young’.

now the news has sunk in I really want a doctor who is more wiling to fight, I’m certainly not giving in but I’m finding it hard to take that my doctor seems to have written me off.

does anybody have any advice?

many thanks 

  • Hi Krang,  I just read your post, I'm waiting for a diagnosis.  I'm so sorry to hear your news.  I'm sure someone on here will be able to give you guidance.  

    Have you been in contact with the Mcmillian nurses?  

    Here if you need to talk x

    Kernow200

  • Hi, this is so difficult for you and we are not experts in cancer so advice about the diagnosis for you is difficult.   We were told from day one, no operation,  incurable, but she would fight for us if we wanted to.  So worst case scenario at age 70 but after chemo and radiotherapy,  eighteen months later we have a better life expectancy than was initially given.  Having an Oncologist who is despairing before you even have treatment is not good.  Why don't you stick with her/him to get the ball rolling.  To be perfectly frank the Oncologist is not the one you will see regularly it will be the chemo unit, then radiotherapy if offered.  Only in between treatments will you have a check up with them.  So ignore the bed side manner,  it's not improving your situation,  fight for yourself and your children and everyone will do their best to get you to where you want to be.  I hope this helps however if you want to post your thoughts again, someone will always come along and help.  Good luck and fight your corner.   Carol 

  • Hi Krang,

    Really sorry to hear about your diagnosis, your head must be spinning from all this.

    Given that you already have secondary tumours my thinking (from what happened with me) is that chemo would always be the first line of approach.  Operating doesn't stop the spread obviously so it would come later.  Is it possible that the doctor just hasn't given you the full picture as per what will happen after your chemo?  Or did she actually say they wouldn't ever be operating?

    It might be worth asking why it would delay treatment?  With the spread already having happened I couldn't see someone wanting to operate before doing chemo (but I'm not a doctor obviously), so why couldn't you start the chemo while seeking a second opinion?

    Sorry, just my rambling thoughts on it.  But if in doubt I would advise asking more questions to get a clearer picture, and given the age of your kids I would definitely be fighting to live as long as possible.

    Best wishes,

    LJx

  • Hello 

    thanks for the reply 

    i did start chemo but thankfully I’m under a different oncologist who has a more balanced view, I’ve had 6 sessions of chemo and because thankfully everything has shrunk by a lot my oncologist has said I’ve responded far better than anyone expected ( clearly!) so I’m having 2 extra treatments. 

    Im hoping then that if everything shrinks more I can try and push for a operation.

    best wishes 

  • Thank you

    i just felt like the doctor spoke to me like I was a lost cause! Not what I was expecting especially in view of my age, lack of any other conditions etc!

    thankfully my new oncologist is more balanced and after having 4 chemo treatments everything had shrunk by more than 50% so I’m now having 8 in total instead of 6 and then I will ask again about an op.

    in spite of everything I feel pretty positive ( apart from when I feel like poo after chemo) and hope to stay that way!

    best wishes to you

  • So glad you've got a new oncologist who is being a bit more hopeful.  Also, your response to the treatment sounds fantastic so hopefully that will swing your situation in favour of an operation.

    I did give it some more thought as the only reason I could see for them refusing surgery was if it would potentially shorten your life rather than extend it.  So I wondered if they were just worried that in the operation recovery period you end up with another secondary somewhere.  Chemotherapy to treat that secondary would have to be delayed until you were healed from surgery.  Anyway, I was just pondering, but thankfully you'll be able to ask this new oncologist and, even if they still refuse, you might get a clearer answer as to why.

    Good luck, I hope things keep going in the right direction.

    LJx