Showing posts with label christies. Show all posts
Showing posts with label christies. Show all posts

Friday, 5 December 2025

Cancer: The Rest of the Radiotherapy

29 March 2024. The second dose of radiotherapy today. Graham got us there in record time - no school traffic with it being Easter, little work traffic but we weren't sure how many would be heading to Manchester Airport. Hold-ups coming back on end of M61 and M6 up to M55 though - I guess Windermere would be a touch crowded today.

The session begins - as all the sessions will begin - with an MRI scan. This tells the medical team whether the tumour is still in the same place and roughly its size. The burning sensation I had on day one turned out to be something I can expect more of as the treatment goes on.

I've been working on an oil pastel of a street scene in Bristol from an old postcard view. There will be no progress on the painting today - once I get home I'm yawning so much I'm in danger of swallowing my computer screen...

2 April 2024. Today was radiotherapy day 3 of 8. Thanks Graham Astley once again for doing the driving to and from Christies. Managed to stay awake for the trip home but zonked for the afternoon. A day off tomorrow before going back for the 4th dose on Thursday. The waiting room for the radiotherapy is huge and always full. I'm not sure just how many machines there are (each in their own large room) but it's a lot. I am usually in Radiotherapy Room 4. There are at least 12 machines.

Once you have had your MRI you wait around another 20 minutes before going into the Radiotherapy room. Meanwhile some people will be going home (or back to their ward if they are staying in hospital) and new patients will be arriving. Some sit in the waiting room on their own and some seem to bring their entire families. Some sit there making conversation with whoever they have brought with them. Some sit quite still, looking worried. Some sit or walk about terrified, some in tears, some saying how they can't go on with this or that they don't want to go on with their treatment.

I always felt a huge sorrow for these people. My own experiences told me that it really wasn't that bad. Sometimes I had pain but it was usually just pain that could come at any time not because of the machines. Yes, there is some discomfort during your 20 minutes inside an MRI tube, mainly from your inability to move, to rub an itch, to wipe your nose or eyes, or discomfort from the pauses in breathing, or the placement of aparatus across your abdomen. Even the sheer noise.

Once in the Radiotherapy Room my greatest problem was the cold temperature of the room and sometimes the sudden movement of quite large parts of the machine rotating around you can make you jump. Also once your treatment starts you will be lying in this large room totally alone. The operators will be in touch via speakers if they need to speak to you and will every now and then make sure you are ok. They can see you too even if you cannot see them.

I haven't played guitar since shortly after the cancer diagnosis. It rests just over the liver and could be painful. But try this to the song "Every Little Thing She Does Is Magic" by The Police :-

Every little twinge we have is magic
Every little stab just make me moan
When my side starts burning it is tragic
When there is no loo I want to go-o-o-o-o-oh

The latter is a real problem. I'm ok in the house but anywhere else once you feel the urge to pee it takes only seconds before you are desperate to the point of being in pain and scared of being unable to control yourself. During COVID it was a real problem as many public toilets were closed and even a shouted "I HAVE TO GO! would have no influence over a jobsworth. We did once have to screech to a halt outside an early morning coffee shop so I could dash in as best as I could, doubled over, to head with just a mute pointing to the toilet which was thankfully empty. Plan outings carefully.

4 April 2024. Halfway through! A couple of "incidents" on the motorway - one looked like a "Hullo Sonny, you're nicked!" one with a van surrounded by police cars and vans. Got to Christies again thanks to Graham and got booked in early. Got called in early too which was a surprise.

I usually snooze the afternoon on the sofa but today went up to lie on the bed as my side was quite sore - I'm wondering what next week will be like with 3 treatments over 5 days. But it will leave me with just one final visit. I'm told the dose keeps working for two weeks and then another MRI probably at the 6 weeks point to see what effect it has all had.

8 April 2024. Five down, three to go. Thanks to Janet Astley who took over from Graham today as he had to go to a meeting. Jan and I met at school aged 11. Just a short while ago...

10 April 2024. Yesterday's trip was 6 of 8, the end is in sight. Thanks once again to Graham for doing the driving. Just one more visit this week and then a final visit on Tuesday next week.

12 April 2024. Penultimate treatment at Christies. It was an afternoon appointment and they were busier than we had ever seen them. A little late going in but all went well. Graham was there to drive us and give me a helping hand out of the car and to say gently and patiently, "take your time, stop if you need to," whenever I stumbled or caught a foot on nothing walking down the corridors after the treatment. I have tended to make little of this but the sheer exhaustion cannot be underestimated.

As mentioned above, we have seen a few other people over the weeks on the verge of tears saying "I can't do this anymore..." but today whilst I was lying on the cold bench with what felt like a cricket ball pressed hard into my middle and whirling machines trying to bring out my super powers, Fran saw a chap just burst into heart rending sobs in the waiting room.

It's hard. Probably the hardest thing I've ever had to go through and I wouldn't wish it on anyone. The staff at Christies are awesome, the pressure on them must be enormous and I always try to make them laugh in some way, even if it's only that they shake their heads at each other and say "silly old sod!" when I leave. Most days once we get back after a coffee and perhaps a bite to eat that's me zonked for a couple of hours.

I now have 3 days "off" with my final treatment on Tuesday. Apparently the side effects (in my case the tiredness and burning feeling on my right side where the radiation goes in) will last - or "culminate" is what they actually said which makes me wonder whether it gets worse - for another two weeks after the treatment ends.

Then a gap of four weeks before an MRI to see if it's all been successful. It usually takes another four weeks after an MRI to get results so potentially ten weeks to wait before I get any news. For all and anyone going through similar stuff, you have my respect and my good wishes. You can - and should - do it some more.

Those reserves are deep down inside you and by the end of it you may wonder where they came from, but when you need them, come they will. I still have all my colour in my face, I don't look ill, I don't act ill unless I really, really can't help it, but people saying to my face "No you haven't got cancer - look at you..." you will never know just how angry that makes me even if I don't show it. Don't say it even if you think it.

Roll on Tuesday. Thanks to all those many people who have given me support, hugs both physical and virtual and shown love and help. You are bloody wonderful! I'm especially aware of what a huge worry and burden this has been on family, especially Miss Franny who has herself gone through a different form of cancer in the past.

17 April 2024. Our last visit and treatment for the present went ok yesterday. Thanks go to Mags Cummings for inviting us to her house nearby to rest before driving back, lovely to see you again Mags and thanks for the hospitality. Journey back was fine. Today has been spent asleep or dozing or merely just exhausted. Off to bed again now, life is just too hectic. Night all...

27 April 2024. Typical day in the life at the moment - lots of people complain of sleep breaks, where they can only sleep for short periods. For most of this week I've been having "awake breaks"...

The day goes like this: Wake up, shower, shave, go downstairs to make breakfast. An hour later reminded by Miss Franny to make breakfast. Make breakfast. An hour later realise I've not eaten it yet. Eat it. Half an hour later am woken from doze by Miss Franny to tell me my coffee will be stone cold. Drink stone cold coffee.

Doze until dinner. Have soup and toast or similar for lunch sitting under supervision next to Miss Franny. Woken up to be sent to bed for a couple of hours. Sleep. Woken up in case Grace calls on her way home from school. Sit dazed by rapid progression of videos on her phone of 20-30 year old girls with annoying American accents blowing hundreds of dollars at a time on soft toys.

Once Grace has gone watch "Pointless" to keep brain from going to sleep whilst I have tea. Afterwards ask Miss Franny who won and put on something interesting to watch. Wake up when it is finished and ask Miss Franny what happened... Go to bed. Read until woken up by book hitting my face. Sleep. Repeat...

Cancer and Leg Ulcers Index
Family Memories: Personal Index

Monday, 1 December 2025

Cancer: Preparation for Radiotherapy

12 September 2023. Carrying on from the previous article, it is now the third day after the second TACE procedure on my cancer. The bruise from my groin extends a full 12 inches (30 and a bit cm) round the top of my leg, up the side of my bum and looks set to extend up my back. Though it is starting to go yellow in a few spots. The twinges and stabbies have now started a bit in my side and I know they will get worse and probably last a few months now. Getting tired easily, can nap at any time whilst eating, whilst at the computer, am not driving...!

20 September 2023. Whilst trying to protect the area to the side of my bits where a catheter was shoved up not quite a fortnight ago, I've strained the other side haven't I... So whilst sitting, jumping up and uttering "Oh, 'pon my word!" every now and then, I get a package from Talking Pictures TV with tickets for one of their film festivals that I booked, only to find I'd only ordered one ticket and not two. On the phone grovelling and paying for another ticket and have now returned the ticket for the centre of the front row and await whatever are the best tickets for two seats together. Sigh... I remember when my mind worked properly...

22 September 2023. Ok, so I'm back on track now thank goodness and healing well. Bruise is mostly yellow but still have an 8" x 1.5" strip with purple. Most afternoons involve a nap for anything up to a couple of hours, so often that I have given up and just go to bed for a few hours each afternoon. I have managed to get out of the house once or twice.

19 October 2023. MRI No.6 done and dusted. We found the hotel after a false start... There are four Premier Inns in Leeds and we saw the sign for one from the 4th floor of the car park after picking up the case. It was, of course, the wrong one and in the opposite direction than the one we were booked in.

The MRI machine surprised me a couple of times by saying "take shallow breaths...". So after a short interlude of panting I was starting to think I should breathe into a paper bag... Also the nurse said "I've seen you before haven't I?" So I thought here we go, she remembers me spraying blood all over the place, but no! She remembered either the face or the physique - probably the face because she didn't laugh... So now it's the usual wait for the results whilst trying not to bite my nails further down than the first knuckle... Onwards and upwards! Xxxx

21 November 2023. Tomorrow we are heading once more over to Leeds as I have a face to face with the consultant re the cancer. Not sure what to expect as I've already been told the last set of blood tests showed anaemia or low haemoglobin count again. Any more iron tablets and I'll be unable to walk past magnets...

22 November 2023. Back from the trip to Leeds. Mixed news as always. The last op had no effect. The two tumours haven't changed in size and are both still active or viable - meaning capable of being active. So the medical bods at Leeds are now meeting as a team to decide whether they should try the procedure again or, because the first one shrank the main tumour enough that it's just under the upper limit for radiotherapy, whether to try that.

The team meeting will look at where entry (target) points for radiation would need to be and whether that would zap any other parts that shouldn't be zapped. If they go for radiotherapy it could be done at Christies in Manchester which would knock an hour off each journey. Options would only be Leeds or Christies as it has to be done in a major cancer-specialising hospital. Not likely to hear now until near Christmas and nothing likely to happen until next year. Took a full 8-hour day that, from leaving house to getting back.

28 November 2023. I'm getting very dozy. I can fall asleep no matter where I am, at my desk, watching TV, in the doctor's waiting room. Miss Franny is having to nudge me every half hour or so...

1 December 2023. Blooming heck! Mid meal - CRUNCH! - sigh... didn't need that tooth anyway... This is the start of a few losses in the mouth, mainly on the lower right where one missing tooth has created a space for another one to gradually lean over, crushing another couple of teeth. Luckily they haven't caused any pain or discomfort so I've sort of ignored them. Our dentist got taken over by someone who announced I needed four extractions and two fillings before I'd even opened my mouth...

16 January 2024. Follow-up to the meeting at Leeds on 22 Nov. Apparently my details and scans have been forwarded from Leeds to Christies Hospital who are still to make a decision on whether radiotherapy is possible for me. Next step is wait for Christies to get in touch and presumably they will want an up-to-date scan to see whether the tumours have grown or not since my last scan in October. In other words: don't know nuffink... The only thing I do know is that I am still able to fall asleep within two seconds of letting my mind go blank...

8 February 2024. It's my first visit to Christies (or more formally: The Christie) Hospital just outside Manchester today. I am to have Stereotatic Ablative Body Radiotherapy which is high dose, precisely targetted and due to the high dosage will be completed within 5 treatments, one every two days. There are some risks and some side effects. The risk of not having it done is of course a touch more severe... Two visits before the treatment days to have scans done to see how much my liver moves about of its own accord. (It's always been a bit flighty...) Some sort of belt is used to limit my breathing during the hour long treatments - sounds fun to a life-long asthmatic. They estimate that treatment will start in March. Oh... and I have apparently shrunk an inch and a half in height since the last time I was measured.

I updated friends on Facebook and had a few questions directed to me about what on earth "Stereotatic Ablative Body Radiotherapy" meant. I responded:

SABR - stereotatic means two beams - all the better to make me glow in the dark. Hope they don't cross the beams! (see Ghostbusters for explanation)

Ablative means to reduce.

Body apparently means that just the thought of it has reduced me one and a half inches already

Radiotherapy means I'll go green and strong when narked... a bit like the jolly green giant... or the Hulk... or something... This would have been better on Facebook if I hadn't missed out the letter R in narked...

15 February 2024. Letters arriving from Christies on a daily basis (well, it's only been a couple of days...) CT scan and planning meeting scheduled for 8 March and MRI on 14 March. Expecting the treatment to start shortly afterwards.

8 March 2024. To Christies for a CT scan and meet with the oncology team to plan the raidotherapy treatment. We had met up with friends from school days a couple of weeks ago and Graham had very kindly offered to drive us to Christies whenever I needed to go. "I can't ask you to take me there twice a week!" I exclaimed.

"Well... you can..." came the calm reply. What an absolute gent. Already he had taken us to Leeds many times, giving up a entire day each time.

Anyway we got to Christies, found that there was free parking. I found the Radiotherapy ward ok, got registered, had the prep talk then decided not to risk the scanner without going to the loo first. Then of course I got lost in a long corridor as the loo was down a side corridor... I also managed to get lost coming back, as all the doors were marked "Radiation - Do Not Enter" so I didn't fancy opening the wrong door...

The bit I was worried about was the belt around the abdomen to restrict my breathing. The nurse assisting with the CT put it on and tightened it and I thought "oh... not so bad..." Then she said "I'll inflate it now..." It felt a bit like having a solid cricket ball pressed hard into your stomach making each breath a gasp. My chest looks like a noughts and crosses board, arrows everywhere (drawn on not shot at...) I got four tattooed dots, which would be used to ensure the beam would enter and travel through me from the right point and in the right direction. Two dots gave the vertical target and two others from side to side gave the horizontal. I had been warned the beam would touch the bottom of a lung and my heart. One of the dots was tattooed only an inch above a designated area of natural interest (that one made me wince!).

This was the tattoo on my chest - no you can't see the corresponding one lower down...

We got home mid afternoon, I was asleep in 15 minutes flat... The actual radiotherapy will start in just a few days.

Cancer and Leg Ulcers Index
Family Memories: Personal Index