14. End of Active Treatment... So What Happens Now?
I’m sitting opposite my Oncologist in the breast care unit at Kings. It’s been a month since I finished active treatment. I’ve entered no mans land. An empty desert. I’m sure I saw some tumble weed fly past me on the way here.
“I want you to be completely honest with me. I’m pretty morbid so I can take it. Tell me what the worst possible outcome could be and the best?”
My Oncologist is great. She doesn’t mess about. She tells it how it is.
If my cancer comes back the best place to return would be my breast again. It’s an extension of my body away from any major organs. The next best place would be my brain. The tumour could be cut out or shrunk with radiotherapy. The next is bones and then lungs which could potentially borrow me more time. The worst place for my cancer to spread is my liver. When cancer spreads it is called Metastatic. This means it is incurable and treatment is about quality and the extension of life. I’m Triple Negative so no hormone treatment has any effect on my cancer, just chemo, radiotherapy and surgery. If it spreads, at worst I have 3 months left to live. At best 6 years.
Now for some STATS. I love a good statistic. We type all my details into NHS PREDICT. My age, size of the lump, type of cancer, the fact that it hadn’t spread and what treatment I had.
My Five Year Survival Rate:
80 out of 100 patients without chemo survive the first 5 years.
90 out of 100 patients with chemo survive the first 5 years.
My Ten Year Survival Rate:
73 out of 100 patients without chemo survive 10 years.
86 out of 100 patients with chemo survive 10 years.
So a 90% survival rate after 5 years and a 86% survival rate after 10 years.
My chances of getting hit by a bus are probably higher than that! I can live with that!
Is there a magic test I can have every now and then to make sure I’m cancer free?
Instead I have to remain vigilant. Any unexplained pains, nausea, coughs, weight loss or breathlessness then I should go straight to my GP. But if I’m having those symptoms it’s going to be too late anyway, the cancer will have spread.
Every person recovering from cancer knows that feeling. The slight headache - oh god has it spread to my brain? The little twinge in my back - oh no has it spread to my bones? The tenderness in my boob – shit, has it come back?
Do you live in constant fear or do you just get on with it and enjoy the hell out of life? We’re all gonna die at some point.
But the constant threat lingering over you with everyday little reminders niggling away in the back of your head = MIND FUCK.
The 9 months of surgery, chemo and radiotherapy were tough as hell but at least my cancer was being treated. I was under constant observation by an expert medical team.
I have a mammogram once a year. Oh and I have to stay vigilant. Fuck cancer.
It’s no surprise then that 1 in 3 cancer survivors are left with Post Traumatic Stress Disorder:
http://www.healthline.com/health-news/cancer-treatment-leaves-survivors-with-ptsd-scars-031215
I meet with my lovely Surgeon. It’s almost a year to the day since he dropped the C bomb on me. I’m fascinated with my medical team. Day in. Day out. Treating cancer. Slicing. Examining. Stitching. Feeling. Deciding. Saving. Losing.
Bad news day is every Thursday. Some days it can be just one patient being told they have breast cancer. Other days it can be up to 6. Everyone reacts differently apparently. I suddenly flash back to my moment and I remember vividly holding back tears with all my might.
How the hell do you tell someone they have cancer?
“Obviously it’s a hard part of the job” says my Surgeon. When he was a medical student watching a talk about how to break bad news to patients he thought he honestly couldn’t do it. “But knowing you’re potentially going to save that patients life, it’s all worth it in the long run.” When he started 35 years ago things were very different. There has been a 60% increase in the survival rate since then.
What a guy. Thank you for saving my life Mr Roberts.