Tuesday, 28 May 2024

World Blood Cancer 2024












 


Today is World Blood Cancer Day so an appropriate day for a blog from me. 


The four big cancers; breast, lung, bowel and prostate are all well advertised and most people could tell you a main symptom from these cancers. For example the following are all mentioned in tv ads; lumps, a persistent cough for more than three weeks, blood in your poo and frequency or trouble peeing. There are of course many more. 


Blood cancer can be insidious in the way it creeps up on you. Would you know what the main symptoms of blood cancer are?


Night sweats

Fatigue

Breathlessness

Bruising

Repeat infections

Unexplained weight loss 

Lumps or swellings


We can rationalise these symptoms as being stressed, having a virus, being run down, menopause and a whole host of other things. GPs can miss these symptoms sometimes because they are so non specific. When you think about it, your bone marrow is the building block from which everything else flows from. Blood goes to every inch of our body to keep it going. So when the marrow fails and the blood going round is a bit off or a lot off the symptoms are going to be broad ranging. A simple full blood count blood test will yield vital information. If you have any of the above symptoms please ask for this simple test. 


When it happened to me I was a fit young football playing woman with a young family and a responsible job. I noticed I wasn’t running as fast down the wing as I used to. The defenders were catching me more often. I’d be breathless and exhausted all the time. I could also bruise more easily. I just didn’t feel right. I went to my GP and she asked me to have a blood test. 


The next day I was sitting at my desk in a corporate housing office when the GP rang. She questioned how much I’d been drinking and then asked me if I was lactating. I was shocked. For those unfamiliar with the word it’s when you produce breast milk following a birth. I laughed and said did she have the right patient. She said yes and I said “but I haven’t had a baby” She told me that my prolactin was very high and my red cells were very large. She asked me to repeat the blood test. It yielded the same result. Next she sent me to an endocrinologist and he prodded and poked me for a couple of years. Lots of my endocrine results were slightly off. He sent me for a brain scan thinking I had a pituitary tumour. That all proved negative. Eventually he admitted defeat but said the one consistent result was the large misshaped red cells and a low grade anaemia. He then packed me off to a haematologist. 


The haematologist scratched his head and after a while said it was a possible MDS (Myelo Dysplastic Syndrome) diagnosis. Eventually he sent me to the specialist team at Kings who are a centre of excellence for this rare blood cancer and they gave me a definitive diagnosis of MDS. It took years to get to this definite diagnosis. I always say I’ve been dealing with all this for 24 years as it was in the year 2000 that Kings told me I had MDS. The truth is it was rumbling away a lot longer. I remember in my early and mid twenties being asked by the GP if I was drinking too much as my red cells were large and misshapen. This can happen with too much alcohol. However I am a disappointment to the alcoholics in the family. One and I’m anybodies, two and I’m everybody’s. Lol. I just can’t take it. It turns out that macrocytosis is also a possible sign of blood cancer. 


When I was diagnosed there was scanty resources available on the internet. It was fairly depressing and scary. I learned that people on average live 2-5 years with MDS. 


The following week after my confirmed diagnosis, I went off to my selection process to see if I’d be a suitable candidate for training to be a priest. It was a four day residential interview putting through your paces. There were IQ and EQ tests. There were observational activities where you’d have to chair a meeting or make a presentations. There were individual interviews plus panel interviews. It was all very intense. Of course in between some of these activities I would wander around the ground wondering if the 2-5 years prognosis would apply to me. 


I was amazed to get through the selection process and I was recommended for training. I’d been arguing with God for twenty years that She must be joking. When I first felt a sense of vocation, women couldn’t become priests. Also there certainly weren’t any working class, lesbian street urchins who didn’t do books! Lol. I left home and school so early I never developed academic skills. 


Being the feisty woman I am on the inside I decided to take the challenge of training. The process is a long one for priests and deacons. There’s a couple of years of discernment before you even get to the selection process. The theological academic training course is either two or three years.  As I don’t even have an O level to my name I had to do the three years. Also I chose to do the training part time so I could continue to raise my young family and work to support them. Once you pass and complete these academic rigours, you then have a further three or four years of training where you learn your trade as a curate. After that you may go into parish ministry or some kind of chaplaincy. As you can see it’s a big commitment. So it was my way of saying “up yours” to the MDS and the implications. 


I worked full time as a priest all the way from the end of my theological training in 2003 to 2016 when I had my transplant. There were numerous hospital admissions over those years and some really near misses with sepsis on several occasions.  In 2016 it was decided I need a stem cell transplant after a particularly bad bout of sepsis. My sister came forward for testing and proved to be a match and my life was saved by the brutal process of the transplant. I still live with the effects as I now have many chronic comorbidities but I’m still here and still breathing. The cancer is in remission and I’m learning to live with all the effects. 


As you can see I had a good quality of life with some serious dips all the way till 2016. That’s a lot better than the 2-5 years I saw on the internet. And now I can add another eight years to that. To those of you who are newly diagnosed remember that what lays before you is nothing compared to what is inside you. If I can get through all this, so can you. There is much better quality information on all the blood cancer charity webpages. Do check out the facts from the experts and patients and use these reliable sources rather than Dr Google. There are also some fantastic patient advocacy and support groups. Please use them and stand on the shoulders of the giants that have trodden this path ahead of you. 


Today I may be a bit broken and battered but I’m still able to give and receive love and receive and reflect light. I believe the more light you let in the brighter your world will be. For all of those struggling, I’m holding you in the light. 






Saturday, 4 May 2024

May the 4th be with you







I'm sitting here with my laptop on, feet up and the TV on giving me the latest mayoral and local election results. I'm feeling quite content with the results so far and hope that all political parties truly learn from what the people are saying. Lets hope the same happens when the general election comes and that it's called soon. We need to face our problems like adults and start sorting this mess out. 

Regular readers will know I picked up covid for the first time in July. I've been below par ever since. I've had a dreadful cough. it's not so bad now but it's still very present especially in the morning. On top of this I've developed chronic sinusitis. It's horrible. Last month I had an endoscope shoved up my nose to confirm the chronic sinus problem. The consultant was a gentle soul. He told me to use a decongestant nasal spray for 10 days as well as regular wash outs. It didn't work and I ended up with a few nose bleeds to make matters worse. When my sinuses are full it puts pressure on my face and gives me a headache. Also on the side that's more effected, the darkness under my eye is worse, so much so I've been asked a couple of times if I have a black eye. I don't know if it's connected. I go back to him in August to work out what next. I hope he can do something.

On top of all this, every now and again, I feel dizzy and very nauseous. My appetite is reduced and I've had a gippy tummy. Last night my lovely little sister invited me and Maggie for dinner. She knew I hadn't been eating so well, so she did a jacket spud with some picky bits. She's very thoughtful like that. I didn't manage to eat what was on my plate. About 30 mins after finishing eating. I'd been sitting very relaxed and chatting, when all of a sudden I didn't know if I was going to pass out or be sick. Gail is sick phobic so I knew I had to get out of the way! I managed to stagger out of the room and get to the bathroom. I was sat on the side of the bath but then realised I may pass out so better to get on the floor. Sweat was pouring off me and my breathing was really ragged. My skin felt prickly and clammy. If it's just because I'm going to be sick I don't have all the other symptoms and I get sick really quickly. It took a while for the sick to come up and a while before I felt able to stand again. Normally being sick doesn't faze me at all. I'm so used to it and generally very quiet about it. This time I felt slightly anxious as it impacts on another weird symptom. It's horrible at the time but wears off pretty quickly.

The first time I experienced this weird symptom I mentioned earlier was when I was in Ireland, just after being diagnosed with covid. I was sat at the table eating a meal with my family, including two grandchildren. All of a sudden, I started to cough. It was like food had gone down the wrong hole. As I struggled to catch my breath, it was like my windpipe totally collapsed. I couldn't breathe in or out and as I continued to struggle I was making this awful high pitched noise as I tried to get air in. My partner was frantically slapping me on the back. I remembered that sitting and leaning forward is the best position to open your chest so I sat down. After what seemed like an age but was probably not much more that a minute it suddenly opened up and I could breathe again. I made some quip to the grandchildren about 'well that was dramatic"and tried to gently eat the rest of my food. Inside I was trembling. I am a calm person but that stressed me. 

It happened again on another occasion when I was eating a meal at home. Exactly the same. It's like my windpipe just shuts and I just can't breathe in or out. This time it was only me and Maggie. I have to force myself to be calm which is not easy. I mentioned it to a doctor who had no idea but said to keep an eye. The third time it happened, I was having a meal with my brother and sister-in-law. The offending bit of food was a piece of raw broccoli. It only touched the back of my throat, I didn't even swallow.

This time I sent an email to one of my consultants. He said it's not my windpipe collapsing but a spasm and to go to A&E if I'm worried. Not particularly helpful. I wouldn't go to A&E after its happened because I'm fine then and I do't want to waste precious NHS resources. The last time it happened it was not around food at all. I was getting ready for bed. Maggie was out. I just started to choke for no reason. and my airway slammed shut. I sat on the bed and lent over my side rail. It seemed to go on and on. All I could hear was this high pitched noise and I could feel the panic rising. I was convinced Maggie would come home to a corpse! It was a horrible experience and was by far the worst one. As a result I reminded Maggie how to give CPR and what to do in that scenario. Not a nice thing to have to do but I was convinced it was getting worse.

This has left me with an anxiety I've never had before. I'm much more aware of how I eat. When I got sick last night I began to feel the vomit catching my throat. As I was throwing up I was thinking "Oh my God. What if it happens now?" Fortunately it didn't. I was mightily relieved.

Going back full circle, when I met the lovely ENT consultant I asked him if he knew about throats as well as noses. He asked me why and I explained. He asked me if I have reflux, which I do. He explained he thinks it's a spasm that cut's the breathing off for a while but then is ok. He said worse case scenario you pass out and your breathing comes back to normal. It can often be triggered by a respiratory infection. Well I've had one respiratory problem or another since July finally having a negative test at the beginning of March. 

The ongoing and relentless nature of these late effects from my cancer treatment, at times leaves me really debilitated. I refuse to lose spirit though. On this special Star Wars Day I want to encourage you to feel the force within and around you. You are all so much stronger than you think. Always remember."This too shall pass!"