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User
Posted 29 Aug 2018 at 14:59
Hello Ray, yes my childhood memories were either selective or non-existant. i accepted this but now i need to know . I still cant talk about it on here i'm afraid . Im not as brave as Mr Angry. In one way i think this has meant i can maybe deal with the stuff i never dealt with before.

i have a number of different things happen that affected me and i am learning that they may have affected me differently to how i thought. All very interesting and difficult to deal with, some of which i trivialised in my memory but my counselor is helping me to understand.

The thing is that all those things affected how i deal with the current and future issues and luckily for me my counselor recognises that.

I am terrified of the future even though so far i know i am doing well.

I havent got private message facilities yet so i cant contact anyone personally and i find it a bit too open on here at the moment im afraid.

i know i will get through this but its not an easy journey with the HT helping me along ! but i know i am relatively lucky compared to many.

User
Posted 21 Sep 2018 at 11:44

After all the problems getting the request form for the 3 monthly PSA test and telephone monitoring, the Pinderfields consultant said it was the fault of the consultant at Jimmy's in Leeds for not copying him into the letter circulation.  He assured me it had all been fixed back in April after loads of hassle.  A few days later and the form comes together with a telephone follow up appointment.  Excellent.

The test is done, the appointment is carried out and all is good.  3 months till the next one.

I am now overdue a PSA test.  Form and appointment letter should have been here before September.  No sign.  Here we go again.

I kick off and the consultant calls me.  He refuses to say why I have not been sent the form and appointment.  I press him again and again.  He tells me patients should take more responsibility for their treatment.  So its my fault then?  Am I not taking responsibility by phoning now asking for the bloody form?  The conversation deteriorated to the point where I wanted his full name to report him to the GMC.

Suddenly he switched tack and said a trainee had cancelled all telephone follow up appointments which also cancelled all request forms.  Can you believe it?  But the trainee cancelled them all in August (cancellation letter) and you never knew?  No, but I have just discovered this and it has been put right.  So, had I not phoned, you know, taking responsibility for my treatment, you would never have found out?  No.  And no other patient has called asking the same?  No.  (Unbelievable nonsense)  So what about supervision of the trainee?  How can he/she do this and no one notice?  I'm looking into it.  Did it not occur to the telephone follow up nurse there might just be something wrong as ALL her appointments had been cancelled for more than 6 weeks and she would have nothing to do all day?  Since August?  I can't answer that.  I have sent out the form and the appointment has been reinstated for the 2nd October so I've sorted it for you.  Am I the only patient who has these problems with you?  Yes.

Words fail me.....

User
Posted 21 Sep 2018 at 12:39

Hi Mr Angry. I have to say it seems to the luck of the draw. I just saw my consultant 7 weeks after finishing the RT and good news my PSA is down to 0.37 and he gave me a blood test form there and then for 3 months time .

i think I am lucky with Southend they have been brilliant in every way. It’s a shame that all hospitals aren’t that good.

Wish you luck with the next test .

Phil

User
Posted 21 Sep 2018 at 13:27

I now get you Mr Angry. I think as a newbie I have been terribly nieve. I think I was getting excited about the options, treatment choices and taking at face value feedback from ‘experts’ and making too many quick decisions as if I was helping someone else rather than it affecting me and my family. Not sure I want this journey now. 

Its just dawned on me after reading massively on this site the journeys of many of the men and the layers of bullsh1t and false hope that is being peddled. Men are being told they are in remission, told they are in a great position post operatively. Being told that they have ’Persistent PSA’ rather than ‘We didn’t get all of it’. 

I don’t even think the Oncs know what any prognostic path looks like. They use euphemisms Like ‘Everyones disease is different’ when what they are really saying Is that they don’t know. Then you get the real bastards, the pharmaceutical companies that price treatments out of most people’s pockets or the new nuclear tech treatments like LEU-177 PSMA that have been on the market for 10 years that will never be available to normal people. I have already been exposed to surgeons who think they are oncologists and can master the diseas. One NHS high volume surgeon at UCLH told me your gonna live to 80 then slipped me his business card and whispered that he could do my surgery privately and perform a new ’stem cell treatment’ that would regrow my nerves back and only he was licensed to do it, latest tech from America.

Pedlers of false hope, profiteers and deceivers who are trained at best to keep the lab rats happy at worst to be indifferent. There is a scene in the movie ‘Man on the moon’ about the life of Andy Kaufman, the scene after he has been diagnosed with cancer where he realises time is running out and searches for a cure. Finds a shaman in some remote village who has powers of cure, he witnesses the shaman apparently extracting cancer with his bare hands from the dying. He lays down before the shaman and then sees the slight of hand trick. And laughs !

Fresh

Base jumping without a parachute should be frowned at, never criticised. Fresh

User
Posted 21 Sep 2018 at 13:43
Angry, why can’t your GP give you a stack of PSA blood test forms, as mine did, so you can have one when you want. I had one a month post-op, and am up to three-monthly now.

If I go to the phlebotomist at my local Lloyds chemists for a test today, the results appear on my iPad EMIS Patient Access app around 8.30 next morning. No need for any doctor or nurse involvement as long as my PSA is undetectable.

“taking responsibility for my treatment”

Cheers, John

User
Posted 21 Sep 2018 at 13:51
Because his GP refuses to do the PSA test unless the hospital sends a form - read back in the thread
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 21 Sep 2018 at 13:59
Fresh FFS. You are suffering PTSD or something! Since when did you think humanity was anything but ultimately self serving!!

I see the reason for your distress in your profile - another PSA test and it's gone up?? It's bad news no doubt about it and you should see an ONC for a second opinion rather than the self serving t*** of a surgeon you have seen previously..

You need someone who can assess the true risk from your final pathology (focal breach, how much, G stage at the breach etc) Not all experts are idiots but it has been my experience that any medical profesional who even mentions the cure word is a close as you get to one!!

The good news?? you had a positive margin and hence an explanation for a detectable PSA. You need to consider ART to mop up the bit your pompous surgeon missed..

User
Posted 21 Sep 2018 at 14:49

Bollinge my dear chap.  My GP is in North Kirklees Care Commissioning Group where they don't spend money on patients, rather they give themselves pay rises.  The GP will not authorise the PSA test without the form because he will not get paid.  Its all about the money, not care. 

As for "taking responsibility for my treatment", I have been attending Cancer Forums, meetings and giving talks to patients and health professionals alike plus letters and calls to The Care Quality Commission, The Ombudsman and the local paper to try and get improved care for prostate cancer patients in this area.  As Healthwatch Wakefield said today, "No one has taken more responsibility than you for your treatment" 

 

@ Lynn - on the ball as usual. 

User
Posted 21 Sep 2018 at 15:44
Angry, I understand why you are angry. I wasn’t suggesting you were not taking responsibility for your treatment, as you seem to have been very proactive in that regard! I was just repeating the rather callous words from your consultant.

It seems post treatment PSA and indeed pre treatment PSA testing is a complete lottery, the first depending on post code and the latter on the whim of a GP to decide which box to tick on a phlebotomy form.

I think I read the PSA test costs the NHS about eight quid, but a private option has just popped up on Google as they are wont to do, at a bargain £178!

My gas boiler broke down this morning, and I did a Google search. I have had three boiler replacement ads pop up on Facebook already.

Hope you get the bloody blood form soon!

Cheers, John

User
Posted 25 Sep 2018 at 12:38

John, or anybody that knows 

I see your mention of the EMIS application. I tried to get started but if your GP is not registered it doesn't appear to work. Do you know if its also possible to register it to your hospital so you can see your results ?

Thanks

Phil

User
Posted 25 Sep 2018 at 14:18

Hi Phil,

Have you asked your GP surgery if they are registered with the EMIS scheme? They are the key. If not, why not? And when?

Hospital records are separate and on paper.

Cheers, John

User
Posted 25 Sep 2018 at 14:47

Hi John,

I went on the EMIS website and it says my surgery is not registered. I was there at the surgery this morning getting my first prescription for Mirtazapine for depression (damned HT) and didn't think to ask - .

I will have to pop in and see if they are considering registering - i presume it costs them to do it ?

Ta,

Phil

User
Posted 25 Sep 2018 at 15:24
Update: after kicking off at the hospital again, email and calls to PALS, finally the doc in charge woke up and sent out the blood borm and reinstated the previously cancelled telephone appointment. All good then.

Well, not quite. The form arrived Saturday morning so call the GP to get the blood test done. Ahh, no appointments for the next 2 weeks but call back every morning as we get cancellations blah blah blah. Today is the last day to ensure the nurse has the results in 7 days so we drove to Pinderfields to have it done.

So maybe, just ,maybe I'm back on track.

User
Posted 25 Sep 2018 at 15:43

Angry, can’t you nip with the form to a local chemist that does phlebotomy? We have a private nurse who will pop round your house for a tenner, take a sample and feed it into the NHS system.

She also runs a timed appointment clinic at the local church hall for a fiver.

Cheers, John

User
Posted 25 Sep 2018 at 15:45

If it costs “them” we are bloody paying for it!

 
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