We talked to people who had pancreatic cancer about how they got information about their illness.
Most of the people we interviewed knew little or nothing about the pancreas or about pancreatic cancer before the diagnosis. Peter said that before he became ill he didn’t even know that he had a pancreas!
Some people looked for information as soon as they had symptoms or soon after they started getting tests done.
Getting information from the Doctor
After they were told they had pancreatic cancer, people got a lot of information from their doctor. For most, this was plenty of information. Surgeons drew diagrams to explain where organs were and what would happen during surgery.
Doctors had used information that they could understand and explained the treatment they could have. Some people got leaflets about treatments and the possible side effects.
At the time of diagnosis most people were in a state of shock. They found it hard to take in much information. Many said they did not want to know what would happen to them (
the prognosis), and more information would have been frightening.
However, others felt they weren’t told enough. They wanted to know more, or everything, about their or their relative’s illness. Some, such as Adrian, said that they didnt even get essential basic information. When Saba’s mother was diagnosed with advanced pancreatic cancer, Saba and her mother knew little about it. Saba felt that the family were making treatment decisions without enough information.
William also found it hard to get enough information from his doctors. He told his surgeon that the leaflets he got about his operation had not included details about all the possible side effects. The surgeon explained that after such surgery there are hundreds of possible side effects. They are very unlikely to occur so doctors don’t usually list them all. Another time William asked what would happen if the cancer came back after chemotherapy, but his consultant did not want to tell him (also see ‘Communication with professionals’)
Simon’s wife died of pancreatic cancer. Just before she died her GP gave Simon a pamphlet about what to expect when someone is close to death. Simon found this pamphlet very hard to read but was glad he had read it
Getting information from websites
Some people felt they got enough information at the time of diagnosis but wanted more later on. Many looked in books or online. Saba looked up words such as ‘metastases’ and ‘gemcitabine’ online. One man found information online to help him to prepare to talk to his doctors. Several found helpful information about the
Whipple’s operation they were going to have. Others looked for information about new treatments. When Simon’s wife was diagnosed he spent hours looking for relevant academic papers on the web.
Audrey searched to see if others had suffered similar side effects after a Whipple’s operation, and she posted questions on a website. Someone else joined a forum to compare notes with others whod had similar treatment. Bob found out about the enzyme Creon and wondered why his doctor had not told him about it. He then asked his doctor for a prescription to help with his digestion. Helen was convinced that the information she found helped her to get through her surgery.
Richard felt that his doctors had given him superb information, but checked it online. Many of his friends gave him advice about ‘super foods’ which they thought might stop the cancer growing, so he also searched the internet for information about those. He decided that he could not alter his diet to include all the foods that might be ‘appropriate’.
Vicky looked at a website run by her hospital’s liver and pancreatic unit. When Susan’s mother became ill Susan searched Wikipedia. Websites that others found helpful were Macmillan Cancer Support and Pancreatic Cancer UK.
A few people looked at American websites too. Some had found ‘crank doctors’ offering ‘miracle cures’ at huge prices, which they ignored.
Some people were shocked by reading about poor survival rates online, and decided not to look again. However, often their children or their friends found various treatment options or helpful information about clinical trials.
Some people said that they had not looked online at all. They preferred to trust the doctor, felt no need to look elsewhere, or were not used to a computer. Some worried that information on websites might be misleading, frightening or depressing. But many said that their partners or children had found information on the internet about treatment trials or new treatments such as
Cyberknife.
Finding information from the media
Information found in newspapers, magazines and the can also be upsetting, wrong or even harmful. Anthony’s wife got upset when she read news stories about people who had died of pancreatic cancer. TV soap opera had a storyline about a woman who was dying of the disease ands this upset her.
A few people used
complementary or alternative therapies, particularly when medical treatments had failed. One man told us he was eating dried apricot seeds. His wife had read about them in a magazine and found out where to buy them online.
Some people got useful material from books or newspaper cuttings. Peter was grateful when friends sent him articles about CyberKnife therapy.