The Good. The Bad. And the something in between

The Good
The meeting with the new Consultant went very well. He’s very professional of course, but affable enough with it. I am sure we are going to get along just fine and I was “worrying” unnecessarily last week.
He took a full history from me and was grateful for the brief notes that I gave to him. We discussed the whys and wherefores of what treatment I have already had and he confirmed that the RCVP and maintenance are the “Gold Standard” of first line treatment for my NHL. Not that I had ever doubted that. So that’s good.

The Bad
He had lots of notes from my previous hospital too, including the (brief) report on the CT scan that I had 12 months ago on completion of the maintenance. He was less than complimentary on the standard of the report and showed some of it to me. There were some paragraphs that just didn’t make any sense at all, explained by the fact that the report had been done on-line by someone in India. It is, of course, common to send work off-shore these days, but I am a little unhappy that my previous consultant didn’t similarly question the content.
I was told at the time that the report made no mention of any significant disease. I now learn that there was no sign of any residual mass within the abdomen. The new consultant finds this “a little odd”. This is potentially a worry…
He explained to me that it might not be bad news though. It could mean that there really is no disease left, which would constitute being cured. But NHL is not curable when it’s got to the Stage that I had at the beginning, at least that what I was told. He said that it would be extremely unusual if that were the case. Much more likely is that the person in India didn’t read the CT results properly…
So, he is going to do another CT scan so that he can confirm the position for himself, the worry being that the disease in the abdomen can progress without any external symptoms and cause problems for the kidneys or arteries and veins. If there is disease there, he may recommend some radiotherapy to deal with that, without further chemo at this stage.
I was also informed that the radiotherapy that I had four years ago to deal with the lymphodema in my right leg, was done to the wrong lymph node. It should have been done to disease in my abdomen, around my aorta and that would have most likely dealt with the leg issue.

The something in between
So, how do I feel about this?
I am pleased, of course, that the chemo and maintenance that I have enjoyed are the right thing to have done.
I am not pleased that I had unnecessary radiography to a part of my body that didn’t need it.
I am not pleased that the competency of the person employed by my local hospital has been so strongly questioned – questioning that should have been done at the time by my first consultant.
I am also pleased that my new man clearly knows what he is doing and wants to get things right on my behalf from now on.

Let’s hope that I might just be that one-in-million people who have been completely cured through the chemo. He might even write a paper about me…

5 thoughts on “The Good. The Bad. And the something in between”

  1. This makes uncomfortable reading. A bit of a mixed bag, but this DOES take the biscuit, “There were some paragraphs that just didn’t make any sense at all, explained by the fact that the report had been done on-line by someone in India.” Whoever came up with this particular branch of outsourcing really needs to get shot. Unbelievable, the hole we are digging for ourselves.

    At least you ‘new man’ looks to be a regular guy. Sounds like he is getting to grips with the situation. Poor you having to go through all this.

    Yeah, the dark side of the NHS one hears so much about…

    All the best. Be seeing ya 🙂

  2. I am amazed, but not I suppose entirely surprised that CT analysis had been out sourced to what on the face of it seems someone incompetent. You would think that the report should be signed-off by a senior person who hopefully might have questioned the nonsensical bits.
    Looking on the brighter side it does seem that you have found a good specialist, for which I am relieved, let’s hope that your new scan and treatment now progresses as it should. We’re all rooting for you!

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