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Koukla's avatar
Koukla
Member
8 years ago

What happens if I cannot trust my Oncologist?

I went into the cancer centre I normally have my treatments for my 8th Paclitaxel on Tuesday, I told the receptionist that I wished to see my Oncologist before my treatment, she then told me that my Oncologist was taking a 4-week holiday now.  I almost broke down and tried very hard to hold my tears in the waiting room.  The reason I wanted to see her was because I have developed Neuropathy that my fingers and feet are quite numb and my tongue is a bit numb as well.


To give a bit of background, I was diagonised triple negative bc in July 2017, grade 3 stage 2a with no lymp nodes involved while I was in Brisbane.  My surgeon suggested to have single mastectomy but I opted to have a bilateral matectomy, like all the other ladies in the similar situation on this forum, I did not want to deal with the possible recurrance on the other breast later.  I did this surgery and 3 cycles of AC in Brisbane then transferred to NSW due to my husband‘s work. I have done 4 cycles of AC and 7/12 Paclitaxel so far (3x AC in Brisbane and the rest in Sydney).

I found the system in Sydney is very different from in Brisbane, or maybe just this cancer centre/or this Oncologist is different (?).  I was able to see my Oncologist before each treatment while I was in Brisbane or if she was too busy at the time she would come to have a chat with me while I was having treatments. Nurses were great and her secretary was very helpful. After I was transferred to the current cancer centre in St. Leonards NSW I  only saw my Oncologist twice because she is only there two afternoons a week and it is so hard to get an appointment to see her.  When I saw her four weeks ago she booked herself in to come and see me in the following treatment but guess what?  She did not turn up!

We all know how important it is to be able to trust our medical teams when we are dealing with breast cancer but at the moment I feel so insecure to be "looked after" by my Oncologist. I am more than half way to finish my treatments now so I don‘t think it would be a good idea to change Oncologist, but on the other hand I am also worried who is going to make a call to reduce my doseage or stop my treatments to avoid a permanent damage to my body?

15 Replies

  • Aren't they supposed to sign off on the scripts for the drugs before each treatment?  Some one has to be doing that.  Seems a bit odd if the scripts are being signed off by a doctor that has never met the patient.
  • Well they do need holidays too. Did you tell the nurse about your neuropathy?   My oncologist only visted 1 day a month. Everything else done by phone. If he was away they have a backup plan to discuss with another . Sometimes they reduce the dose. There would be a plan but you do need to tell the team what's happening. Your breast care nurse could be a help here on what to do..
  • They will have appointed a minion to stand in for the absent onc. Make a fuss and talk to someone with a medical qualification. I don't know who is authorising your treatment, but they are in the shit if they haven't seen you.

    It's very hard when you have formed a relationship with someone and they piss off and leave you high and dry. The thing is, your relationship with your onc is professional, and they have a right to go on holidays. What they can't do is leave you unsupervised. You need to talk to an oncologist--there will be one, maybe not 'yours'.

    You can sack them. Moving to a new practice is not nearly as hard as some clinics would have you believe. Problem with that is you have to start again. Up to you.

    My advice is make a fuss and demand to see whomever is signing off on your treatment. Take your trusty folder and note book. Painstakingly write down their name and everything they say. It's one of my few passive aggressive moves and it works a treat. Marg

  • Anonymous's avatar
    Anonymous
    Make sure you let your oncologist know that your neuropathy is getting worse, especially if you feel it is affecting your tongue. I still have peripheral neuropathy more than 2 1/2 years after finishing Taxol. It has really affected my wellbeing. It affects everyone differently and some people recover much better. Just make sure you let them know how bad it is and get a second opinion if you need one. All the best. 
  • The neuropathy should resolve once treatment is finished. I currently have neuropathy and was told my treatment would only be reduced or stopped if I struggled with walking and I am ok with that. If you really feel you cant finish on this dosage then please let your Onc nurses know and tell them you need to se an Oncologist no matter who it is. She must have someone covering for her if she is away.