Bob – Interview 29
Bob was diagnosed with pancreatic cancer in 2007. The surgeon had hoped to do a Whipple’s procedure but this was impossible because of the position of the tumour. Bob has had chemotherapy and has taken part in clinical trials. He feels quite well but tired.
In 2006 Bob had pain in his tummy. He thought it was an ulcer, because he had one before. The GP gave him some indigestion pills but the pain carried on for about nine months. Bob also lost more than two stone in weight. He went back to see another GP, who sent Bob for a scan.
The day after the scan, the doctor told Bob and his wife that he had pancreatic cancer. The doctor said it was advanced and he probably had about five months to a year to live. This was a terrible shock. Bob and his wife could hardly believe this news.
Bob had to wait three weeks for an endoscopy, because the specialist was on holiday. After he had it, the surgeon said it might be possible to remove the tumour. The tumour was in the tail of the pancreas. The surgeon wanted to do a Whipple’s procedure, but couldnt. The tumour was wrapped around major arteries and involved some of the lymph nodes too. This meant that the tumour couldnt be removed. The surgeon closed the incision without doing the Whipple’s procedure.
Bob woke up after the operation and was told it had not been successful. It was devastating news. The surgeon who had done the operation did not speak to Bob at all, which was upsetting. Bob was glad to leave hospital after three days. He didn’t like the mixed ward and he thought that the hospital was dirty. Some of the nurses were good but Bob felt that others did poor work.
The District nursetook out the stitches from Bob’s stomach. The incision did not heal very smoothly, and still causes pain.
Bob went back to see the oncologist, who arranged for him to have three week cycles of chemotherapy for three months. He had gemcitabine, which caused quite bad side effects, and which was not effective.
In 2008 Bob agreed to go onto a clinical trial. He had a treatment called Reolysin, which is made using reovirus. Reovirus is a common virus that can kill cancer cells but doesnt usually harm normal cells. This trial went on for five months. Bob had the therapy every day for three weeks and then a week off.
This treatment had awful side effects. For example, Bob’s finger nails went black and were infected. A plastic surgeon had to remove them. Bob also felt very sick. At one point the veins in his stomach collapsed and started to bleed. He lost a lot of blood. This was a frightening experience. Bob felt so bad that he had to stop taking the new treatment after five months. Originally the doctors had planned for a six month trial.
At this stage Bob was told that he now had diabetes. He was also told that the cancer had spread to his liver, kidneys and lungs. Now Bob is waiting to see if there are any other trials he can join. His diabetes makes him feel awful at times. He has to inject himself with insulin for his diabetes. He also takes Creon to help with his digestion.
Bob is now having another treatment of chemotherapy drugs called mitomycin and 5-FU. He has a pump which gives him these drugs over a 24 hour period. The drugs go into his body via a PICC line (a peripherally inserted central catheter). Bob thinks that this treatment has been helpful, because his CA119 blood count has come down and now he needs less pain relief. However, he has started to get side effects, such as nose bleeds so thinks he will have to stop the treatment soon.
Bob feels that he has been robbed; of his retirement. On the other hand he still feels good, though tired at times. He feels lucky that he has survived much longer than some other people who have pancreatic cancer.
We spoke to Bob in 2010