Thank you all so very much for your posts, thoughts and insight, this support is helping me enormously right now, and to be honest, is something I have missed a lot. It really does mean so much to me.
Hi Lainey, thank you so much for your honest and up front words and thoughts, they are much appreciated, and it feels good to be one of your cubs that you are protecting! Please dont think that you have to apologise for your post as you do not, I would much prefer it that someone said exactly what they are thinking, even if it may be hard to hear.
A GP is a doctor, a family doctor as Dannielle points out. Maybe I should have made that clearer in my posts and I apologise for that. As far as this GP being new, he is new to the surgery having only joined it this year, but he is not newly qualified. He is also new to Dad as he replaced Dad's last GP who retired earlier this year. As to the GP being in on the decision process over Dads treatment, he is not making decisions re treatment after the PDT and chemo etc, the specialist is. I get the impression that the specialist had asked the GP and the Macmillan nurse to talk to Dad about what may or may not lie ahead and this is what they did the other day. If the specialist thought dad needed to go into hospital this week then I think it would have been him that would have made that decision, perhaps with the GP giving his thoughts on how my Dad looked at the time. Im not happy about this as the jaundice and dark urine worries me, but I guess all I can do right now is put our faith in what the specialist says. I did speak to my mum about maybe getting a second opinion, but she wants to see what happens on the 26th with the specialist. As to me talking to all dads doctors etc, I do. The only time I have not talked to them was when they phoned dad giving him the CT scan results as I was not there at the time.
Dad sees his Macmillan nurse next Wednesday and the jaundice and unrine is the first thing that I am going to raise with her again. Just in case anyone is not sure, a Macmillan nurse is a specialist cancer nurse who works with NHS patients in hospitals and the community. Also, Dad has been refered to the local Macmillan centre and his first visit is on Tuesday next week, to which I will be going with him. Here he wil get to speak to other patients and medical staff.
I agree that it does not seem normal or right for someone with jaundice and dark urine to have to wiat this long to be seen by a specialist. Maybe it is different in the US and patients are seem much quicker than here in the UK under the NHS. We cant afford private healthcare and have to rely on the NHS system and how it works.
Marion, thank you so much for your thoughts and kind words. I try to do my best for my parents in looking after them, I love them both dearly and would do anything for them.
As far as Dads jaundice being related to his liver function or the stent possibly being clogged, I dont know as we have not been told. We were told that the stent being clogged was a possibility, but not that it actually is. I sincerely hope that if the specialist thought it was clogged, or a good chance that it might be then Dad would have been admitted to hospital by now. Hopefully the meeting on the 26th will clear up a lot of issues. I agree with you about exploring all the possibe options as to further treatment and I know that this is something that Dad will want to do. But right now it seems like all of that is on hold until the 26th. I think what I am going to do is the next time dad feels unwell, sweating etc, I am going to call the GP out and see if he can be admitted that day.
Danielle, thanks for your kind words and for sharing your experiences with Jim and the troubles he has had with his stents. Does Jim have a plastic or a metal stent? My dad has a metal stent inside so I dont know if this has anything to do with him not being admitted to hospital as quickly as we hoped.
It sounds like you are doing a great job in looking after Jim and getting him some good and quick help. Are the Mayo clinic and where your oncologist based 2 different hospitals? I dont know too much about how the US system works but I understood it to be insurance based and this determines levels of treatment etc. Much differnt from the UK where most people are treated under the NHS, National Health Service. As far as trying to bring forward dads hospital appointment, I guess only dads GP or Macmillan nurse could really do that. Kicking up a bit of a fuss seems to have worked for you and Jim and maybe that this is something I will end up having to do.
Thank you all once again for your thoughts and posts, they are helping me a lot. If in my earlier posts I have given the wrong impression about anything then I apologise for that. I've just re-read this post and realised how long it is and i apologise for that also!
I wish everyone the very very best.
Any advice or comments I give are based on personal experiences and knowledge and are my opinions only, they are not to be substituted for professional medical advice. Please seek professional advice from a qualified doctor or medical professional.