Posted By: Olwen Lost and confused - 07-30-2016 07:22 PM
My partner Fred had a small SCC lesion removed from his tongue last December. They told us it was all removed but they prefer a wider margin so at the end of January it was resectioned and only scar tissue found.

At the follow-up appointment the surgeon felt his neck and found nothing, but a few weeks later Fred felt a small lump -- not much bigger than a pea. He raised this with the surgeon at a follow-up in mid June, and a CT scan and rine needle aspiration were scheduled. I was present when the FNA was done and observed that to my untrained eye there seemed to be a number of small lumps.As the surgeon is not based in our town it was agreed that he would phone us to discuss the results, which he did not do.

We did however get a copy of a letter to a larger centre advising metastatic SCC and suggesting he go to an MDM (I had to Google that)l. We had a phone call about an appointment a week before it happened. We are eligible for travel assistance and when I phoned th travel co-ordinator she said we were expected to drive. It took me around 5 ous each way to drive. (My partner doesn't have a license)

We drove down the day before and stayed at my sister's place overnight. Then we showed up for the 10 am meeting.

First we met a doctor who felt the lumps and looked down Fred's throat with a scope; then we met the cancer co-ordinator who showed us the meeting room and asked us to wait in the corridor. Medical types arrived, and morning tea went in. We waited, and waited, and waited. We gradually became aware other people waiting were there for the same meeting. People were called in, and came out and their treatment was discussed with them in the corridor. One was having an eye removed, another all his teeth.

Finally after 1pm medical people started to leave, and we were called into an office. Their were 2 doctors present. My partner says they were a radiologist and chemo expert.

We were told that there was also a lump in his chest and would receive palliative care only. He could have painkillers and nursing care. He doesn't actually feel any sicker than normal. The chemo guy said he could have chemo but it's not a lot of use. They asked if we were going home that day. Altogether we were in that meeting less that 10 minutes. And then had a difficult drive home. I don't know how I didn't drive off the road.

Fred had a CT scan for chest pain about April. They didn't find a lump in his chest (or anything else then). I am so confused that the tiny lumps in his neck, and a very recent one in his chest are untreatable. And I feel abused by the way we and other patients were treated at the meeting.
Posted By: ChristineB Lost and confused - 07-30-2016 07:43 PM
Welcome to OCF! Im so sorry to read about your partners diagnosis.

Have you gone for any other opinions? Here in the US there are comprehensive cancer centers where the patient meets with the tumor board (all the specialists work together to get a diagnosis using a team based approach). I dont know what MDM is. Here in the US there are new chemos that work with the patients own immune system. Its called opdivo or nivolumab. I dont know what the availability is in other countries but its been fast tracked here in the US to get it approved by the FDA. I would certainly ask about this and also about getting another opinion at a top cancer center. We do have some members from NZ so hopefully one or more will check in and respond to your post.

Best wishes with everything!!!
Posted By: Olwen Re: Lost and confused - 07-30-2016 07:56 PM
Opdivo and Keytrudin are funded for melanoma only AFAIK. The MDM would be similar to your tumour board. We were told Christchurch, where we went offered the best expertise. We are in the public health system, so asking for other opinions is difficult. Our only income is National Super (a state pension)
Posted By: tamvonk Re: Lost and confused - 07-31-2016 07:24 AM
Hello Olwen, my name is Tammy and I live in Whangarei.
I am so sorry to hear of this awful experience you have had in our health system.
There will be a Cancer Nurse Specialist attached to the Hospital where your Multi Disciplinary Meeting ( MDM ) was held. If I was you I would be phoning her tomorrow. If you ring the hospital and ask to be put through the to the Head&Neck CNS ( clinical nurse specialist ) you should get the correct person.
I understand your anguish. You have not been treated with courtesy and respect.
Even the Travel Assistance Coordinator should have arranged accomodation for you prior to your appointment.
You do need to discuss this further . You need to understand fully your Partners diagnosis, staging and what treatment options are available.
My Husband had his recurrence treated in the private sector in Auckland. If you decide to seek another opinion I highly recommend Dr Rajan Patel from Auckland Head and Neck Specialists. 09-6302920
Email: [email protected]
Perhaps your Dr could email/fax all your Partners details and scans for them to look at.?
There is an online support group recently started up in NZ which you can join on FaceBook. Head and Neck Cancer Support.
They have an online page ; www:/headandnecknetwork.blogspot.co.nz

Please join us at either of these support locations and we will try to help/support you. You could also PM me on this site.

I so remember that utter devastation after the MDM, I too had the thought that if I drove at high speed into a large tree it would all be over and we wouldn't have to go through this. I'm glad you too did not do this.

Here for you, Tammy
Posted By: Olwen Re: Lost and confused - 07-31-2016 10:01 AM
I'm in Blenheim and the MDM was in ChCh. We'll be seen again at Blenheim or Nelson. We should be seeing the ENT surgeon who comes from Nelson again, and have been referred to the cancer nurse at Blenheim. Also have a GP appointment on Tuesday. We are not in a position to pay for treatment at the moment.
Posted By: gmcraft Re: Lost and confused - 07-31-2016 03:47 PM
Hi Olwen,

I am sorry you have been given such distressing news. One possibility you could investigate is clinical trials. Is it possible for you to call the Cancer Nurse Specialist at the Christ Church hospital and let them know that you are interested in clinical trials? These trials are free and your partner will continue to receive medical attention.

Keeping you both in my thoughts.
Posted By: nancyjg Re: Lost and confused - 08-01-2016 02:11 PM
Hi Olwen,
I hope your next Dr. will give you better options for treatment. If not, I would be on the phone to Bristol Myers Squibb, and to Merck. They are the manufacturers of the newest immunotherapy drugs.(Opdivo and Keytruda) I dont know how it works in New Zealand, but there are many cases when the drug company will allow you to have the drug under a "compassionate care" scenario. You may need to get your oncologist to speak to them as well regarding this......so even though it has not been officially approved for head/neck cancer, it seems that it can be prescribed off-label, at least it is being done so here in U.S. So keep that in mind.....hoping for the very best for you and your partner.
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