Just diagnosed,

okthen
okthen Member Posts: 232
edited March 2014 in Colorectal Cancer #1
Hi all...just found this site today..husband DX w rectal ca yesterday. He was told he needs a rectal ultrasound for staging. The problem is the only radiologist that does this is out till the 18th of june. Have been on the phone for 4 hours now trying to find another radiologist who does them..even if it is in another state...having no luck. Any suggestions? Already left a message at the American College of Radiology, although I don't feel hopeful that they will have an answer for me... Have called the NCI and ACS, called everyone I can think of.... We have thought about going to the Cancer Treatment Center of America, but kind of leary of starting something so far from our home...Im dizzy from everything in my head.
He had a polyp removed last year in the same spot, had the rectal ultrasound that came back clear, and a CT scan that was clear..there was one more procedure they wanted to do and he wouldn't go back. He felt pulled, tugged and waited out....I'm afraid he'll get the same way now if we can't get going. The cancer came back fast, so I guess we feel an urgency to get it out.

Comments

  • zenmonk
    zenmonk Member Posts: 198
    hurry up and wait
    Been there. They wanted me to wait three months for my initial colonoscopy to check my symptoms. I told them that was way too long so they bumped me up but I still had to wait about 10 days. Even if they would have seen me the next day it would not have changed my date for surgery. I ended up waiting 2 months from my initial diagnosis until my surgery. Not much changed in that short time. In fact the doctor asked me if I wanted to wait until after christmas which would have added another 2 weeks to my wait but I said no so I had my surgery on christmas eve. Even if you were able to get the ultrasound tomorrow would it have any effect on your actual surgery date, I dont know. Waiting is the worst part of this.
  • nudgie
    nudgie Member Posts: 1,478 Member
    I am not sure
    where you live, but have you gone to your local hospital and what about a CT Scan instead of the rectal ultrasound?

    Did his primary care Dr write the order for the ultrasound, if so, call them back and explain your situation or if it was another Dr or center, call them back and do the same.

    The most important thing is what you are doing. Staying on top of the doctors and orders. It can get frustrating at times, but doctors get busy and tend to forget sometimes as well.

    You can always call your GI Doctor who performed his colonscopy and explain your situation.
  • AnneCan
    AnneCan Member Posts: 3,673 Member
    Okthen, Welcome to this
    Okthen, Welcome to this site. I think you will find it very useful. Good luck in finding another radiologist.
  • okthen
    okthen Member Posts: 232
    zenmonk said:

    hurry up and wait
    Been there. They wanted me to wait three months for my initial colonoscopy to check my symptoms. I told them that was way too long so they bumped me up but I still had to wait about 10 days. Even if they would have seen me the next day it would not have changed my date for surgery. I ended up waiting 2 months from my initial diagnosis until my surgery. Not much changed in that short time. In fact the doctor asked me if I wanted to wait until after christmas which would have added another 2 weeks to my wait but I said no so I had my surgery on christmas eve. Even if you were able to get the ultrasound tomorrow would it have any effect on your actual surgery date, I dont know. Waiting is the worst part of this.

    They need the sono to stage
    They need the sono to stage the cancer...they wont schedule anything until that is done, hence my hurry to get it done...and of course the 18th is a Friday. I know that there is a great possibility that the wait would cause no issues, but I know with certainty that sooner couldn't hurt. Thanks for the responses and the welcome...I know we are in for a long ride, feels good to know I can vent here...dont want to drag my husband down with my frustration.....
    His Dr that did the colonoscopy ordered the sono...they have no idea who else does them..I am on my own. It seems crazy that only 1 guy in my state does them...but no one Ive talked to today has any suggestions.
    Will keep looking....
  • neon356
    neon356 Member Posts: 137 Member
    Take a deep breath
    I'm sure that we can all relate to your feelings. A diagnosis of a life threatening disease like cancer scares the begeesus out of us and we want to get it out now if not sooner. But fortunately colon cancer progresses relatively slowly, and although having to wait a month to get started seems like a lifetime I doubt that it will make much of a difference to the final outcome. I would also venture to guess that since hubby had a colonoscopy last year and had a polyp removed, any cancer has to be in a very early stage and success rates are extremely high. So, like they say, DON'T PANIC! Take the month to get anything done that might need doing, like seeing a dentist to get any problems taken care of before starting surgery,chemo or radiation should that be a necessity. Don't do too much reading on the internet because it'll just make you more frightened and, especially, forget about all those statistics you might see or hear about. Statistics are always years behind current outcomes. So my advice to you is try to take it easy. Easy for me to say? Of course, but everyone here has been there and would probably reccommend the same. We're all here to help when we can. Stay tuned, and good luck.
    Carl
  • Aud
    Aud Member Posts: 479 Member
    nudgie said:

    I am not sure
    where you live, but have you gone to your local hospital and what about a CT Scan instead of the rectal ultrasound?

    Did his primary care Dr write the order for the ultrasound, if so, call them back and explain your situation or if it was another Dr or center, call them back and do the same.

    The most important thing is what you are doing. Staying on top of the doctors and orders. It can get frustrating at times, but doctors get busy and tend to forget sometimes as well.

    You can always call your GI Doctor who performed his colonscopy and explain your situation.

    ...is always done (as far as I know), along with other tests, for staging rectal cancer. It's not 100% (what is, right?). I had a rectal ultrasound and abdominal/pelvic MRI in the beginning, to provide information to the doctors for staging. PET scan was done about 3 months after treatment was completed.
    ~Aud
  • lisa42
    lisa42 Member Posts: 3,625 Member
    staging
    Hello and welcome to the board. I'm sorry you have need to be here, but you're lucky you found this board right away. I didn't find it until a year after I was diagnosed.(I was diagnosed stage IV- mets to liver and both lungs- at age 41 in Aug. 2007). I have learned many things from many people here about treatment, side effects, surgery, etc. I still am learning, but now also enjoy being able to share information with others and giving support when needed. This is going to be a rough ride for you and your husband, but keeping a positive "we can beat this" attitude is a must. Giving in emotionally, mentally, and spiritually (I think) really kind of is a negative on the cancer itself. Having a doctor who has a positive attitude and wants to fight this aggressively is also very, very important. If your husband ends up with a doctor who has doom and gloom news- run the other way and find another doctor! I was so fortunate that my oncologist was very positive and gung ho about "we're going to beat this!" from the beginning. He never gave me the "you have -- months or years left to live" line. No one has, actually, and I make it clear when I come into contact with new or consulting doctors, that I do not want to hear anything like that. I can read and I know some people don't make it, but it would just kill the fighting spirit within me to actually hear it from my doctors. That's something to consider. Everyone is different though. If you do ask for a timeline or the doctor gives it, just remember doctors aren't God and everyone is different. There have been several people on this board who have been pretty bad off, but then have recovered and are still around.

    With all that said, I'm mainly referring to stage IV patients with what I said above. Hopefully your husband is an earlier stage than that and will do very well!!
    I had an ultrasound at UCSD in San Diego (I live in Fallbrook, which is about 40 miles northeast from downtown San Diego). I was staged as a stage IIB, as no lymph nodes showed up at all in the rectal or pelvic area. Two days later I was given a "routine" CT scan in which I was told they weren't expecting to find anything, but always give them to make sure and have a baseline CT for comparison if needed down the road. My doctors were all sadly amazed when my CT scan results came back showing numerous tumors in my liver and in both lungs. I asked how that could be if nothing showed up in my lymph nodes & was that a mistake. They said no, that in rare cases rectal cancer can bypass the lymph system and travel directly to the liver via a main artery/vein that empties from the rectum into the liver. I never had any lymph node show up on a scan until close to two years after my diagnosis, so I guess that is what happened to me. That is supposedly rare, though, but if your husband's doctors don't also do a CT scan soon, I'd request one be done if I were you.
    I know it's hard to have to wait so long. Once I was initially diagnosed, I had to wait 5 weeks before I was able to start on any treatment, which was definitely tough knowing what was in me. But, I did respond well to chemo & several of the liver and lung tumors shrunk away with the first few treatments. I was initially told (when they thought I was a stage II) that I would have six weeks of radiation and chemo directed at shrinking my rectal tumor to prep it for surgery (to make it smaller in the hopes of being able to save my rectum since the tumor was just 3 cm above the anal sphincter). That plan changed when I got the CT scan results back, though. They decided I needed to have systemic chemo first before we could even think of doing anything to the rectal tumor.

    Well, I would be glad to be of any more support to you and your husband that I can, or answer any questions you might have. As I said, I know very well how hard it is to wait, especially at the beginning, when you're still in shock and are freaked out about having to wait at all to get going on getting the cancer out!

    If you'd like, I will certainly pray for your husband- for finding good doctors who will be positive and proactive, and that you and your husband will be able to be calm through all this turmoil and still have faith and hope.

    Take care and God bless-
    Lisa
  • luv3jay
    luv3jay Member Posts: 533 Member
    I'm so sorry to hear about
    I'm so sorry to hear about what your husband and family are going thru. My situation is very similar to Lisa's. I've also had numerous surgeries, chemo treatments, etc. The waiting is the worst, but unfortunately it comes with the package. I really hope, and it sounds like they have, caught the disease in a very early stage. In which case, it's still very curable. We are all here to comfort you and be of as much support as possible. Please let me know if I can answer any questions for you.

    -Sheri
  • okthen
    okthen Member Posts: 232
    luv3jay said:

    I'm so sorry to hear about
    I'm so sorry to hear about what your husband and family are going thru. My situation is very similar to Lisa's. I've also had numerous surgeries, chemo treatments, etc. The waiting is the worst, but unfortunately it comes with the package. I really hope, and it sounds like they have, caught the disease in a very early stage. In which case, it's still very curable. We are all here to comfort you and be of as much support as possible. Please let me know if I can answer any questions for you.

    -Sheri

    FOUND ONE!
    Thank you all so much for your words of encouragement! I was able to find another Dr, a colo-rectal surgeon, who does the sonograms and the TEM surgery...my husbands Dr. who did the colonoscopy was not aware he did the sonograms. Soooo..we are going Fri (tomorrow) at 1130 to have it done. BIG HUGE relief! Your posts have calmed my heart a bit tonight, thank you again, I am sooo grateful I found this site! You are all in my prayers!
  • okthen
    okthen Member Posts: 232
    okthen said:

    FOUND ONE!
    Thank you all so much for your words of encouragement! I was able to find another Dr, a colo-rectal surgeon, who does the sonograms and the TEM surgery...my husbands Dr. who did the colonoscopy was not aware he did the sonograms. Soooo..we are going Fri (tomorrow) at 1130 to have it done. BIG HUGE relief! Your posts have calmed my heart a bit tonight, thank you again, I am sooo grateful I found this site! You are all in my prayers!

    Great News!
    Great news today! Dr says early early stage. Still recommends resection to remove, but very positive! Going for 2nd opinion regarding TEM or abdominal surgery to remove, but so thankful to have the news today vs 3 weeks from now....Thank you all so much for listening, I feel like Ive found a world of information in this site. You are all in my prayers!