Frances – Interview 07
Frances was diagnosed with acute lymphoblastic leukaemia after a variety of symptoms. She spent a year in hospital having intensive chemotherapy followed by radiotherapy. Once in remission she took maintenance chemotherapy tablets for a year.
After having always been healthy, in 2004 Frances experienced a series of infections that she attributed to stress, weakening her immune system. She didn’t go to the doctor but resolved to take vitamins. A few months later she lacked energy, had cold sores and joint pain that progressively worsened. She went to the GP who recommended a few days rest. Then she began to lose her appetite, lost weight, looked yellow and was having extremely heavy periods. One night she vomited and couldn’t get out of bed so her partner called the NHS 24 hour helpline. Before the doctor arrived she lost control of her bladder and vomited so violently that she tore muscles in her chest and abdomen. The doctor admitted her to hospital immediately.
She was given painkillers and had tests done which showed she had acute lymphoblastic leukaemia. She was relieved to get a diagnosis but shocked to learn that she would need treatment for two years and would spend most of the first year in hospital. She began to worry about her job and how her project would continue without her. She was fortunate to negotiate a year off work on full pay and her partner also took time off to support her.
Frances found starting chemotherapy distressing because she didn’t like the idea of having poison put into her body. She received chemotherapy intravenously through a Hickman line and intrathecally (in her spine via lumbar punctures). She disliked the Hickman line initially but got used to it. On one occasion the line became infected causing rigors (uncontrollable shaking), and on another there was a blood clot in it causing her head and shoulders to swell up. She became increasingly anxious about having lumbar punctures because the doctors had difficulty inserting the needle. Side effects included hair loss, sickness and a purple rash and Frances was disturbed by her changed appearance. She was prescribed the contraceptive pill to stop her menstrual bleeding and the chemotherapy forced her into an early menopause. After chemotherapy she was given radiotherapy. After a year in hospital she was declared to be in remission and sent home.
Once at home Frances and her partner planned a civil partnership ceremony but the day before the event she was given some test results which suggested she might be relapsing. She considered resigning from her job because of the prospect of being absent for another long period of treatment, but fortunately a repeat test showed she was still in remission. She was subsequently put on maintenance chemotherapy consisting of tablets to take at home. While she appreciated getting her life back she felt insecure being away from the health professionals that had looked after her, and at this stage the shock of the whole experience hit her. Frances felt she had lost her identity through prolonged absence from work and was pleased to return to work, part time initially, gradually increasing to full time.