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This has to be unethical

User
Posted 04 Mar 2019 at 21:27

After three and a half weeks from when I had a biopsy, today I receive a letter for an appointment in two weeks time to see a doctor in the Oncology department . The appointment date will be almost six weeks after my biopsy. 

It just seems such a cruel wait and the most unethical way of telling someone they have cancer. 

 

 

User
Posted 05 Mar 2019 at 10:24

We've all been there, though the details vary - My initial wait was similar to yours, though I had other investigations while I waited (scans etc). It took a few weeks to get them all arranged and analysed.

The waiting can be torture, but in many areas, the NHS simply cannot work any faster: there are just too many people being investigated, and resources have not been increased enough to cope.

If it's unethical, it isn't your consultant or the NHS - it's the effects of successive governments over the last 20 years.

User
Posted 05 Mar 2019 at 14:06

People approach it different ways , me i just went with the flow , as mentioned there are a LOT of people wanting quick info but it just dont happen ,as a good friend who had terminal asbestosis told me what will be will be , the thing in our favour pc is every treatable . i personally know 5friends who have it and all have been treated. 

User
Posted 05 Mar 2019 at 15:52

I don't know how much pressure your hospital is under.  With my biopsy I was rung up 2 weeks later by a nurse and asked if I could come in that day and she told me. It took another 3 weeks to see the Consultant, although I had scans just 3 days after the biopsy.   Post op I've found the hospital gets behind and then holds evening clinics to catch up although now my next is an evening telephone call with a nurse.

In your case you might think that getting an appointment with an oncologist is telling you the result and leaving you guessing and unable to ask questions.  It seems like poor practice and I'd be wanting to ring up the secretary of the Urologist and ask to speak to someone who can confirm what you're guessing.  After that you might think waiting under 2 more weeks to see a specialist isn't that long but we don't know your full diagnosis.

That's assuming you've had your scans and perhaps you know something about their results.  If you haven't had them then they are working slowly and they should be ringing you with scan appointments.

There isn't much in your profile. Regards

Edited by member 05 Mar 2019 at 15:57  | Reason: Not specified

User
Posted 05 Mar 2019 at 16:19
Chris G,

Did you have an mpMRI scan prior to your biopsy? What did they say about that?

Was it a rectal TRUS biopsy or a template biopsy under general anaesthetic?

I think the reasons you are waiting for your consultation are two-fold: One is that the NHS is over-stretched and under-funded considering the massive increase in our population, and two, that most prostate cancers are slow-growing, so a delay of weeks or months is of no consequence in the general scheme of things.

But the delay is of course, of consequence to your anxiety levels!

I don’t think a few weeks delay here or there is unethical, and I hope you have some news soon to let you know where you stand, hopefully good.

Best of luck.

Cheers, John.

User
Posted 05 Mar 2019 at 16:30

Thanks John, 

I agree with you that having to wait 6 weeks to be informed of my biopsy results is not ethical. It feels like a cruel time, but I know I'm not alone. What I said was that it's unethical to me to be informed by a letter like I was. 

 

User
Posted 05 Mar 2019 at 16:35

I had a similar wait of around 4 weeks post biopsy and then another 3 or 4 weeks to see urologist.  Then another week or so to see an oncologist after pushing! It is torture.  

Ido4

User
Posted 05 Mar 2019 at 17:11

I got a letter telling me that an apt had been made for me to see a consultant who I had not seen before. I googled his name and discovered that he was a  surgeon who specialised in prostate cancer. From that I concluded that I had prostate cancer. Within an hour of getting the letter I received a phone call from tha hospital asking me when I could come for a bone scan. At that point I thought not only do I have prostate cancer, I have advanced prostate cancer. I was unable to get any confirmation of the biopsy results or why the bone scan was necessary despite several calls to my GP and the hospital. Eventually I gave up and just waited for my apt with the surgeon. He confirmed that I had prostate cancer but went on to say that all indications were that the treatment would be curative since the cancer was confined to the prostate. The bone scan was routine to confirm that there had been no spread although given my low PSA this was considered very unlikely. I have since had surgery which is very likely to have been curative. A bit of communication between the biopsy and my meeting with the surgeon would have resulted in a lot less stress and worry for me and my family. The surgeon was surprised that I had not been told anything. It would appear that administrative failings are causing a lot of avoidable stress and worry to patients.

Edited by member 05 Mar 2019 at 17:14  | Reason: Not specified

User
Posted 05 Mar 2019 at 18:12

I had a 3 week wait from biopsy to being called back to see the consultant and get results.

I used that time to think through in my mind what I would do if the result was positive (it was), and if it was thought to be curable or not. I also considered how I would tell my family (and talked with my McMillan nurse about it which was also useful). I did loads of research - reading papers on treatments, hormone therapy, etc. I actually found that time very useful.

At that consultation, it wasn't known if it was potentially curable so more tests were ordered. Actually, 6 months later I'm still in the same boat because my PSA is high enough to indicate it's probably spread, but they haven't yet found any spread in the various tests. I'm currently waiting for a full body MRI scan result, and if that's clear, I will pay for a PSMA PET scan (not available on NHS in my area).

User
Posted 05 Mar 2019 at 18:34

Andy, I was in a similar position to you: PSA 32 but biopsy showed mainly Gleason 3+3 with a small amount of 3+4. I had a full skeletal MRI scan, which my consultant said was the "gold standard" for detecting bone mets, and it came back clear.

The concern in my case was undetectable spread into the lymph nodes as a potential reason for the high PSA, so I was strongly advised to go down the HT/RT route. 6 months on 150mg/day bicalutamide, followed by a "wide area" RT to irradiate both the prostate and surrounding lymph nodes. I'm currently half way through my RT. HT will continue for a total of 2 years.

Cheers,

Chris

Edited by member 05 Mar 2019 at 18:35  | Reason: Not specified

User
Posted 05 Mar 2019 at 18:37

Thanks everyone

Edited by member 05 Mar 2019 at 20:14  | Reason: Not specified

 
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