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Here we go again!

On 1st June I had a blood test that reveal a raised CEA marker. At an appointment with Clinical Cancer Nurse Sue Roberts, she told me that the CEA number was 15, up from 3 in January. A CT Scan was expedited undertaken at Southlands Hospital.

At an appointment with Mr Baig, colorectal consultant I learnt that there were multiple peritoneal deposits. An appointment with Dr Webb, consultant oncologist followed on 21st July, and he ran through the scan images. Starting with the liver he showed that none of the deposits were affecting the organs. The 'deposits' shown on the scan were in the lower abdomen.

Dr Webb said that there would be an optimal window that had not been reach from the information available in July. As he said the chemotherapy makes patients feel unwell for little benefit.

A colonoscopy was next on 9th August and that showed a health colon with the resection scar that had healed very well.

A blood test on 22nd August showed a further rise of the CEA marker, up to 33. A phone consultation with a member of the Oncology team on 25th August brought the advice that chemotherapy should start. The treatment regime indicated by the profiling of the tumor is Folofiri, a combination of two infused drugs. This requires a PICC Line to be installed as the second drug is infused by pump over 46 hours at home.



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Blood Test Results

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Oncologist consultation

 I have a quarterly appointment with my oncology consultant, Dr David Webb or one of his team every three month. Last week my appointment was with one of his team and two Mcmillan nurses, Sue and Jo. The oncologist asked how Iam coping with the treatment having had 20 chemotherapy infusions. I told her that I continue to tolerate the drugs very well and am managing most of the key side-effects well and continue to search for solutions for the others. She then told me that the recent CT Scan showed that the two growths remain stable, and the Blood CEA marker has recently fallen to 2, the lowest since November 2021. Most pleasing. She then asked if I wished to have a break, which I declined an ordered a further 12 infusions.

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My blood test showed that my neutrophil level was up to 2.4, double the result from the previous week. The nurse managing the treatment was Pip and was a delight. The treatment caused some nausea that crystalised ginger held control. All the side-effects from the previous infusion were relatively simple to manage. the potential chest infection is still an issue, the sputum sample has not shown a type of infection so a doctor's appointment is made for Tuesday so hopefully a route to a solution can be found.