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kezmusc's avatar
kezmusc
Member
7 years ago

Follow up oncology appointment....a colossal waste of time.

Apologies for the monologue in advance.
So yesterday was my 18mth post chemo appointment. That's two hours of my life I won't get back. What a flipping waste of time.

 I have zero raport with this man.  Bearing in mind that this is the bloke who told me at the beginning that we are basically wanting hormone therapy to "castrate me"...LOL....Yes those were the words.  I could write a book on the dumb shit people have said to me along the way.

 Prior to now he's  told me that things will get better over time. Well I think that 18 months is enough time so I went in with a list.
  There are various things that I attribute to chemo and rads, the others to Tamoxifen and a couple due to surgery.

Sun & heat sensitivity is one of the big ones right now as it affects my income.  I have just about had to give up teaching riding as I can only tolerate being in the sun for about an hour or so in summer. I overheat badly and that makes me nauseas and dizzy.  
 Apart from the fact that I love teaching, (my specialty is riding biomechanics and overcoming fear which has proved quite useful throught BC) nobody needs to lose a few hundred dollars a week.   No answer for that one it should have resolved by now.

 I made the mistake of saying I had been able to improve some of the Tamoxifen side effects. "Well that's good"  Next subject. No interest in  what had improved and what hadn't.

I asked whether or not we should be doing hormone testing or something to see where that's at.  Apparently that's not useful until about the 3 year mark and gives no evidence of the eficacy of the drugs.

By this time I had zoned out and didn't bother asking anything else. The ho hum of changing to letrozole after then just buzzed in my ears.  Blah blah blah...

 I have come to the conclusion that once active treatment is over, you didn't die, and have completed the suggested steps  the team  (apart from the surgeon for followup scans etc.) has pretty much done their job. "Next please"  

 "See you in six months."  Why, what for?  So I can sit in the waiting room for an hour or more for a 10 minute appointment. From now I will go in to check the boxes, grab my script and stay in the loop just in case I need it later. They have new patients to worry about which is what they should be doing I guess. 
  
To be  fair, what can they really do?  What's done is done. What am I really expecting from them anyway? There is no magic potion to reverse things just time, perseverance and never giving in to it.

  I have no more tears for this thing these days so I just get annoyed.  Luckily I do annoyed very well.  Annoyed keeps me searching for ways to improve things and make the best decisions for myself and the quality of life I find acceptable.  No less than 99% I might add. I can take care of the 1% with wine ::wink:

Steer your own boat lovelies,  you are the best captain for it and nobody knows you like you.

Thanks for listening as usual.  Hugs to all,
xoxoxoxoxo


  • My onc is the same @kezmusc!  I went in today for my annual check.  Thankfully I was only waiting about 15 mins (yes, in a public hospital too!) but the registrar that I saw was new.  I've just had a hormone test so she  changed me from Tamoxifen to another tablet.  I wasn't having any probs with the Tamoxifen but she said to try the new one and I could always go back if I wanted.     Then she started talking about more blood tests and a bone density test, but I've never had that before so wasnt quite sure what to do … but she didn't want to take any time to make sure I understood.  She just gave me a pile of papers and almost shoved me out the door!  Thankfully the nurse at the counter grabbed me to make my next appointment, and I shoved all my papers at her in total confusion, and she was easier to talk to.

    One other time I timed it, and the time between when I left the waiting room and came back was 6 mins.  In that time I walked a long hall, saw the registrar, sat and waited while she got the oncologist, saw the oncologist, and walked back to the waiting room... and that was at the start of my treatment! The oncologist didn't even sit down. 
  • To attend a follow up oncology clinic appointment is a week away from home and somewhere in the region of $1,000 out of my pocket. I have better things to do with that money and much more to do than waste a week.

    I now only attend the 12 month  mammogram and ultrasound scan. I decided that every six months was far too expensive for me. I am not on hormone therapy, therefore the six monthly interval is not needed (in my opinion). If I am concerned about anything I consult my very warm, caring and compassionate GP. She is very much on the ball. And my GP clinic is only 10 kms from home not 2,300 kms!

    Head in the sand? Yes, possibly, however at long last I am enjoying life (when there is a bit of breath in me !!! )









  • I never went to a follow up oncology appointment after BCV1. I hated those pricks with such a passion I refused to part with one single cent more. They were hopeless during treatment and as far as I was concerned,they were sacked. I had no trouble with Tamoxifen and as I had chemo before tit lopping I was still Well and truly in the system.

    BCV2, I only go and see my oncologist when I want something. If there is nothing wrong, what is the point? They can't tell by just looking at you if the shit is galloping through your body and my GP can order a scan if I think something is hinky. It's taken a few visits to work through the available range of AI, now it's up to me if I keep taking them. I don't think the fanny rejuvenation project is going to work, so no point revisiting that either.

    Don't go back, there is no reason to let him irritate you any further. Find someone else if you think you need to be seen. Mxx
  • I'm so sorry it's been like that for you @kezmusc.  I feel even more that I have been fortunate with my onc - he's never been other than honest with me about the treatments and the future but all done with respect and consideration.
  • I hear you too, @kezmusc  - maybe your onc went to uni with my onc  :(     I always had the feeling that I wasn't 'sick enough' for him to be bothered, to be honest.  In & out in 5 mins - after the 1-2hr wait.    It is not right.

    I reckon we can call them Oink Oncs   grrrr

    That is a real bugger you've had to give up your riding lessons  :(    Our local Riding for the Disabled has a big undercover area for the riders & teachers ...... is there any way that you can have the lessons in a similar place?


  • @kezmusc. That’s horrible. You are not expecting too much. You are a person, with feelings and fears that don’t go away after active treatment and should be treated as such. If he feels spending time with you and thoroughly address your concerns is not worth his time then maybe he should be looking at a career change. 

    I must say - so far I’m very lucky with my oncologist. I always go in with a list and she is always happy to go through all my questions and concerns. She never makes me feel rushed. I was they were all like her. 

    Big hugs xoxoxo 
  • @kezmusc My onco just passes her post chemo patients on to the registrar doctors. She is too busy to see us now. Pity, because the registrars just look at you blankly when you come up with a new side effect and tell you they don’t know. Next.
  • I hear you! I have an appointment with the medical oncologist next Friday to discuss commencement of hormone treatment. I was not particularly fond of her either on my first visit. I only started with this whole BC thing just over 3 Months ago and I reckon I could als write a book. I would call mine, Dear Health Professional....
    A guide about what’s best not to say or do to a woman who is on the BC train and can’t get off.   

    P.S. I am a health professional myself, so I definitely have some perspective of being on the other side! 
    Take care @kezmusc

    Thinking of you 
    Michelle x
  • @kezmusc 
    I am sorry that you feel that way!  
    Perhaps it is time to find a new Onc!  
    I am fortunate I guess as in mine is very caring, understanding and knows me well enough to know if I am struggling or otherwise as he observes me walking into his room and walks me through each appointment gently as he can and always has time to explain a side effect that may have popped up!  I have been going to him from the start and it will be 4 years in June.

    Take care