New to colon cancer and these boards - anyone else here have RSD and is getting treatment for cancer
For at least a year I've been complaining of cramping/bloating and some severe pain when my bowels move. Then the blood in the stools started on and off, and many of my stools were thin - snaky. The doctor kept treating me for IBS. I've had IBS for a long time and kept saying I didn't think this was IBS. He blew off the blood as probably just from some "irritation" from IBS or maybe hemorhoids. I told him I wasn't constipated very often, and never badly - and no diahrea either. And even those small soft stools coming through hurt me a lot. Also every time my bowels moved it hurt - I didn't have to use the toilet to have pain - it happened after I'd gone and things shifted down. It happened if I ate or drank anything. The answer was to increase the current IBS med or try another one. I quit going in since they weren't helping me. The pain got worse, the bleeding frequency increased. I'd spend 30 minutes to 3 hours each morning going through severe pains as my bowels moved before I could go on with my day. (Luckily I run my own business and my office is in my home.)
The end of August I couldn't take it anymore. I had even more pain - affecting more hours of my day, and blood in my stool for 4 days straight. On the 3rd day I insisted on seeing a doctor. None were available, but the physician's assistant was. She took my complaints seriously and ordered a CT scan. She probably saved my life. The results showed thickening of the sigmoid wall and some affected lymph nodes. Diagnosis - probable sigmoid colitis. It also showed a small spot on my left kidney and one on my liver. They didn't know what these were - probably cysts.
Immediately a colonoscopy was set up for the following Monday. During the colonoscopy the gastro doctor told me I had a huge tumor, and that he could sugar coat it - but why bother - it was cancerous. He was 98%+ positive of that due to the large numbers of cancerous tumors he has seen. The tumor was so large it had almost blocked my entire colon. I was the last appointment of the day. He called the surgeon, and they called me at 5PM with an appointment for the next AM, and surgery scheduled for Wednesday - no fooling around.
No one would have thought I could get colon cancer. I'm a female under age 50 with a high fiber, low fat diet, mostly vegetarian with no red meat, no family history of colon cancer, and I'm not overweight. But I am still angry that the doctor didn't listen to me. I feel that if he'd listened a year ago, I probably wouldn't be at the stage I am. And I wouldn't have had all this pain for so long.
I had surgery Wednesday. A resection with 8" of colon and a 2"+ tumor that had grown through the sigmoid wall, muscle and into the fatty tissue removed. They also removed 17 lymph nodes and 5 had cancer cells, the rest were clear. My margins were all clear. I'm stage IIIc. I came home from the hospital yesterday afternoon (I had to stay an extra day due to fever.)
I've had no time to research or find information I want and need. I did see the oncologist - he stopped in at the hospital Friday night. He said he wants to start chemo in 4 weeks. He sent my tumor out to be checked for a mutant gene (if I have it he can get me into a new trial, along with regular chemo). I had blood drawn Friday - CEA test - I'm waiting to hear the results.
I'm a little worried reading some issues with neuropathy and chemo. I'm wondering if some types of chemo might possibly set off my RSD again? Is there anyone else out there battling cancer that also has RSD - active or in remission?
I'm a fighter - I always win. But the pain from RSD could make it very hard to have the energy I need to fight cancer. I want to make sure I have choices that will be least likely to make my RSD flare.
I'm going to check with the oncologist tomorrow to see what his plan of attack is - what specific drugs.
Comments
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Hi- I am also in the MPLS
Hi- I am also in the MPLS area and was not taken seriously by doctors, cc dx'd 15 months ago. If you could pm me (do you know how to do that on these boards?)- I would like to share the name of the clinic/hospital that overlooked my cc and the effort underway on my behalf by a malpractice attorney.0 -
Hi Patteee,Patteee said:Hi- I am also in the MPLS
Hi- I am also in the MPLS area and was not taken seriously by doctors, cc dx'd 15 months ago. If you could pm me (do you know how to do that on these boards?)- I would like to share the name of the clinic/hospital that overlooked my cc and the effort underway on my behalf by a malpractice attorney.
I appreciate
Hi Patteee,
I appreciate your concern, but don't agree with your way of handling things as applied to my situation. (I don't know your situation, so I cannot and will not judge.)
While I'm type A and a take-charge person, I'm really not the suing type.
I feel that my primary doctor made a big mistake, and I've let the clinic know. And I'll be changing my primary doctor, just because I don't feel I can fully trust him with any future concerns. In reality he is a good doctor, but I will always second-guess him now. I also made a mistake in giving up pursuing what was causing my pain and just living with it for several months when he insisted on continuing to treat it as IBS.
Healthcare costs in our country are way out of control - much of it due to malpractice suits and the high cost of malpractice insurance. My OB/GYN of many years had his multiple partner practice closed down because the parent company didn't want to pay the high premiums for OB/GYN malpractice anymore - so they let that department close. It is a sad situation in our country. They had an office of fantastic doctors, but everyone wants to blame someone else if life doesn't go as they planned - especially if a baby doesn't live.
My doctor isn't God - I'm sure he feels badly enough. The radiologist also was way off - "mild sigmoid colitis with a few reactive lymph nodes" was really a large cancerous tumor that had grown through the wall and into the surrounding tissue, and those reactive nodes were reacting all right - to cancer, not colitis. I called the office manager for the radiologist and said I wanted notes added to my records and I wanted the radiologist who read my CT scan to know what he really saw - in the hopes that it might help someone in the future. But not to sue because he missed something important.
I personally do not see how it will help us as a society if I skip out on my responsibility for my own health, and sue others for their human mistakes that were not malicious or intentional. If there had been any malice I would feel differently. Each of us has to make our own decision on what we take responsibility for, and how our consciences handle our actions. I've given lawyers enough of my hard-earned money through a divorce years ago. I'm not about to do that again! I'm a bigger fan of doctors that try hard to do their jobs (even though they aren't perfect) than of money-hungry lawyers.0 -
Mutant gene
Actually he is checking to see if you do NOT have the KRAS gene mutation. If not, you may qualify for an Erbitux trial.
300-40% of us have the KRAS gene mutation. It only affects us in that two drugs, Erbitux and I've forgotten the other drug, won't work on us... but plenty of drugs do.
Sorry about your dx. I don't know what RSD is....
Diane0 -
best of luck to youKathryn_in_MN said:Hi Patteee,
I appreciate
Hi Patteee,
I appreciate your concern, but don't agree with your way of handling things as applied to my situation. (I don't know your situation, so I cannot and will not judge.)
While I'm type A and a take-charge person, I'm really not the suing type.
I feel that my primary doctor made a big mistake, and I've let the clinic know. And I'll be changing my primary doctor, just because I don't feel I can fully trust him with any future concerns. In reality he is a good doctor, but I will always second-guess him now. I also made a mistake in giving up pursuing what was causing my pain and just living with it for several months when he insisted on continuing to treat it as IBS.
Healthcare costs in our country are way out of control - much of it due to malpractice suits and the high cost of malpractice insurance. My OB/GYN of many years had his multiple partner practice closed down because the parent company didn't want to pay the high premiums for OB/GYN malpractice anymore - so they let that department close. It is a sad situation in our country. They had an office of fantastic doctors, but everyone wants to blame someone else if life doesn't go as they planned - especially if a baby doesn't live.
My doctor isn't God - I'm sure he feels badly enough. The radiologist also was way off - "mild sigmoid colitis with a few reactive lymph nodes" was really a large cancerous tumor that had grown through the wall and into the surrounding tissue, and those reactive nodes were reacting all right - to cancer, not colitis. I called the office manager for the radiologist and said I wanted notes added to my records and I wanted the radiologist who read my CT scan to know what he really saw - in the hopes that it might help someone in the future. But not to sue because he missed something important.
I personally do not see how it will help us as a society if I skip out on my responsibility for my own health, and sue others for their human mistakes that were not malicious or intentional. If there had been any malice I would feel differently. Each of us has to make our own decision on what we take responsibility for, and how our consciences handle our actions. I've given lawyers enough of my hard-earned money through a divorce years ago. I'm not about to do that again! I'm a bigger fan of doctors that try hard to do their jobs (even though they aren't perfect) than of money-hungry lawyers.
best of luck to you0 -
PM helpPatteee said:Hi- I am also in the MPLS
Hi- I am also in the MPLS area and was not taken seriously by doctors, cc dx'd 15 months ago. If you could pm me (do you know how to do that on these boards?)- I would like to share the name of the clinic/hospital that overlooked my cc and the effort underway on my behalf by a malpractice attorney.
Hi Pattee,
I don't know how to pm but I would like to discuss your malpractice efforts. Do you know how to pm. I'll try to figure it out or maybe someone could give me some direction.
Hope to hear from you,
Debbie (gramma)0 -
I believe they are lookingdianetavegia said:Mutant gene
Actually he is checking to see if you do NOT have the KRAS gene mutation. If not, you may qualify for an Erbitux trial.
300-40% of us have the KRAS gene mutation. It only affects us in that two drugs, Erbitux and I've forgotten the other drug, won't work on us... but plenty of drugs do.
Sorry about your dx. I don't know what RSD is....
Diane
I believe they are looking to see if I DO have it. It is for a trial for Stage III patients of a drug already approved for Stage IV by the FDA. It is through the Mayo, I believe for people with Wild KRAS, and they will add Cetuximab into my treatment if I qualify. I haven't done the research myself yet, so I don't know for certain if I'll join the study.
Plan so far is 5-FU on the 2-day IV, after first getting Leucororin and Oxaliplatin in the office. What I don't like about this is having to go in for hook-up and unhooking, and with having to see the oncologist before each treatment (every two weeks) it is going to mean a LOT of trips back and forth, since he is only in on Fridays - and I can't start treatments on Fridays because I need to go to the office for unhooking.
I just got the info on which drugs they are planning on yesterday. My first appointment isn't until Monday, but the research assistant called me and gave me a lot of info and answered a lot of questions. Now I have lots to study and research.0 -
Erbitux under another name.Kathryn_in_MN said:I believe they are looking
I believe they are looking to see if I DO have it. It is for a trial for Stage III patients of a drug already approved for Stage IV by the FDA. It is through the Mayo, I believe for people with Wild KRAS, and they will add Cetuximab into my treatment if I qualify. I haven't done the research myself yet, so I don't know for certain if I'll join the study.
Plan so far is 5-FU on the 2-day IV, after first getting Leucororin and Oxaliplatin in the office. What I don't like about this is having to go in for hook-up and unhooking, and with having to see the oncologist before each treatment (every two weeks) it is going to mean a LOT of trips back and forth, since he is only in on Fridays - and I can't start treatments on Fridays because I need to go to the office for unhooking.
I just got the info on which drugs they are planning on yesterday. My first appointment isn't until Monday, but the research assistant called me and gave me a lot of info and answered a lot of questions. Now I have lots to study and research.
The Mayo Clinic tested my tumor and had me get CT scans of my lungs for the trial for a drug already approved for Stage IV (I'm also Stage III). It was for Erbitux. I tested positive for KRAS gene mutation. Erbitux was ruled out. ) That's okay. A lot of our members have the horrific side effects. I'm quite vain and would have been heartbroken if I had sores all over my face, head, body....
BTW, KRAS and KRAS Wild are two different things. )
Cetuximab (IMC-C225 -- marketed under the name Erbitux) is a chimeric (mouse/human) monoclonal antibody, an epidermal growth factor receptor (EGFR) inhibitor, given by intravenous infusion for treatment of metastatic colorectal cancer and head and neck cancer.
I had FOLFOX, too, as did most of us. That's the term used for the cocktail of chemo you described. ) My schedule was a 30 minute infusion of anti nausea drugs, steroids and Benadryl followed by a 2 hour infusion of two of the drugs, a bolus of the 5 FU and then was connected to the wear home pump of 5 FU for 46 hours. I went back on Friday to be unhooked. I also saw my onc or his P/A before each treatment. He's in the local office 4 days a week and in Atlanta on the 5th.
I completed my 12th treatment a month ago tomorrow. The neuropathy is still bad but most of the other side effects have either gone away or gotten much better.
See your dentist before you start chemo. That's VERY important!0 -
Minnesota too
Hi Kathryn,
What's RSD?
Is this colon cancer a secondary cancer from your cervical cancer treatments?
Mayo Clinic is where my oncologist is and where I had my surgeries and follow up. Love the place. Works like a Swiss Watch.
Sorry that they misdiagnosed you. My sister died of adenocarcinoma of the small intestine in 1992 at 33 yrs old and none of my sisters (or parents) were advised to get colonoscopies. For years I was going to doctors and always told them her medical history and NOT ONE doctor ever mentioned that I needed to get scoped. They all would say how rare her cancer was......until I was doubled over in pain with bloody diarrhea. Finally a new GP suggested it.....by then I had Stage III sigmoid colon cancer lymph positive zero mets. Thank god it wasn't worse! Our lawyer friend wanted us to pursue a malpractice but even the thought gave me a gut ache. WE need to be our own advocates and EDUCATE ourselves on our bodies and DEMAND some answers.
The adjuvant chemo at Mayo eight years ago was only 5-FU and leucovorin since they saved the big guns for later. Now it seems they bring out the big guns right away. I opted to NOT do any chemo since I saw what it did to my sister. No thanks.
I saw a TCM in Bloomington and my treatments were like going to a spa every week. I highly recommend her if you're interested in pursuing any alternatives. She has a nursing background but just kept getting deeper involved in alternative healing ie. acupuncture, massage, Traditional Chinese Medicine etc. She was wonderful and pretty knowledgeable about cancer nutrition. My Naturopathic doctor was in St. Paul. She was great too.
peace, emily0 -
hi Emily2bhealed said:Minnesota too
Hi Kathryn,
What's RSD?
Is this colon cancer a secondary cancer from your cervical cancer treatments?
Mayo Clinic is where my oncologist is and where I had my surgeries and follow up. Love the place. Works like a Swiss Watch.
Sorry that they misdiagnosed you. My sister died of adenocarcinoma of the small intestine in 1992 at 33 yrs old and none of my sisters (or parents) were advised to get colonoscopies. For years I was going to doctors and always told them her medical history and NOT ONE doctor ever mentioned that I needed to get scoped. They all would say how rare her cancer was......until I was doubled over in pain with bloody diarrhea. Finally a new GP suggested it.....by then I had Stage III sigmoid colon cancer lymph positive zero mets. Thank god it wasn't worse! Our lawyer friend wanted us to pursue a malpractice but even the thought gave me a gut ache. WE need to be our own advocates and EDUCATE ourselves on our bodies and DEMAND some answers.
The adjuvant chemo at Mayo eight years ago was only 5-FU and leucovorin since they saved the big guns for later. Now it seems they bring out the big guns right away. I opted to NOT do any chemo since I saw what it did to my sister. No thanks.
I saw a TCM in Bloomington and my treatments were like going to a spa every week. I highly recommend her if you're interested in pursuing any alternatives. She has a nursing background but just kept getting deeper involved in alternative healing ie. acupuncture, massage, Traditional Chinese Medicine etc. She was wonderful and pretty knowledgeable about cancer nutrition. My Naturopathic doctor was in St. Paul. She was great too.
peace, emily
The colon cancer is a totally new cancer. NED for cervical cancer since fall 2003. Lots of surgical procedures, but never needed radiation or chemo.
RSD = Reflex Sympathetic Dystrophy, also known as CRPS - Chronic Regional Pain Syndrome. It is a miserable syndrome that I'd never heard of till I got it. I was very lucky to be diagnosed early I was going to the Mayo Clinic - they were treating me for the infection from the injury because it was "foreign." I stepped on a sea urchine and got a spine stuck in my foot which tore up the tendon and joint at the big toe, and caused a sea-born infection. Instead of getting better as the infection cleared and the injury healed, the pain got worse, and my foot swelled huge, turned purple, and got very cold. The pain was awful - burning pain like I had put my foot in a bucket of acid, and spikes of pain like sharp knives sticking into my foot. Even though it was freezing to the touch, it dripped sweat. A very odd thing. The pain is beyond pretty much any other pain. The two biggest triggers for me to overcome were cold and vibration. I spent a lot of time at my house in Mexico that winter - I'd get a nerve block, and then head south to warmth and lots of walking. I slowly got better, and one day a friend commented that I didn't limp anymore! The pain was finally so low I didn't limp anymore.
While they run like a well-oiled machine and dx'd quickly, Mayo dropped the ball, leaving me sit on the list for the pain clinic once they diagnosed me (I got my appt letter in Feb, after dx in Oct). I started researching and realized I could NOT sit around waiting for them to call - I needed to be proactive and get treatment right away. The best shot at remission is within the first 6 months - if I'd waited for Mayo, I probably wouldn't be in remission today. I battled back with heavy PT, spinal nerve blocks, and "tricking" my brain with things like mirror box therapy. I've been pretty much in remission since fall 2008 (it started summer 2007 with an injury to my foot). Check out RSDSA.org for more information.
I don't want to go through what I did ever again. I know several people that live with RSD pain at high levels every day. It wears you out so badly, I can't imagine having the strength to go through chemo while enduring that kind of pain. I do have a very high pain tolerance - always have. But RSD is nasty. (I had surgery just 11 days ago, and today I walked a mile and did some gardening, and made dinner. Not much slows me down, but RSD did.) Even though I don't have my first official appt with the onc till tomorrow, I saw him briefly in the hospital and have talked with his staff. He wants me on 5FU, Leucovorin and Oxaliplatin. The OX has very high incidence of neuropathy - sometimes permananet. I'm thinking of pushing for Xeloda instead and no Ox. I have a friend with pancreatic cancer and liver mets that is currently taking Xeloda. He says it is much better than the different IV chemos he has taken on and off over the last 5 years. It seems a lot more convenient than dealing with all the trips in for hook-up and un-hook for IV chemo.
I've entertained the idea of no chemo, but with the node involvement, I'm worried there could be a few cells hanging around that could cause trouble later. I've already gone back to a diet of mostly raw fruits and veggies (easy this time of year when our fruit trees and garden are peaking). I eat no red meat. I've really cut out the processed food again (I got lax the last several years compared to the way I used to eat). But I just don't feel confident after knowing the battle I had with those persistent cervical cancer cells that I can fight this with diet and exercise only. I will probably agree to the trial if I have Wild Kras. The research I've done shows Cetuximab giving a pretty big boost in survival and/or length in between recurrance compared to not using it.
I was considering Isagenix products before and went ahead and ordered now. I'm going to do the shakes and Ionix supreme (liquid vitamins basically), and stick to a cleaner diet. I'm also looking for a chiropractor with a whole-health focus. I'm also looking for someone for massage, and am considering acupuncture. I would be very interested in information for your contact in Bloomington. I'm south of the river, but that isn't too far to go.
My sister's friend sent me her book when she heard my dx. She is a cancer survivor - stage IV breast cancer, and they gave her no chance of survival. Lori Lober - she wrote Bigger than Pink, and recently Still Bigger than Pink, after a few more years NED. She still lives each day as healthy as she can to stay cancer free. She's been NED for many years now. She fought back with nontraditional medicine and chemo - attack from all sides. She's also a big fan of Isagenix. My sister and her husband are too, and he is very hard to impress with anything. He is a chiropractor who runs a Wellness Center. I asked for suggestions on what I can do during this month to get stronger and healthier before starting chemo. Isagenix was top of his list, along with fresh fruits and veggies, and exercise.
It is so hard to believe none of your family was sent for colonoscopies after your sister's dx. I'm glad you found Mayo for your surgery - they are first-rate in most cases. Your story is so encouraging. I agree with many of your posts I have read. We do need to attack the underlying problem - not just treat the symptoms. But due to my past history, I think I have to do both to start.0
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