Janet – Interview 10
Janet was diagnosed with chronic lymphocytic leukaemia after feeling run down and having a routine cholesterol test. Her illness is being monitored not treated. Her activities are limited by tiredness and breathlessness. She feels isolated and depressed.
Janet was feeling run down and tired and after having one of her annual blood tests to check her cholesterol level received a letter inviting her for an appointment at her local hospital with a haematologist. She attended the appointment and was told she had leukaemia, which was an enormous shock. She had more blood samples taken and was told to return in a few weeks. At the next appointment she was told the definitive diagnosis of low grade chronic lymphocytic leukaemia and that they would adopt a watch and wait policy rather than giving her any treatment.
Five years later she was shocked to be diagnosed with breast cancer and tried to find out whether there was any link between the two types of cancer that she had. Her breast cancer was treated with surgery and radiotherapy, the latter causing a reduction in her white blood cell count for a while. She was also given letrozole to lower her oestrogen, which further reduced her energy levels.
Some time later she presented in the leukaemia clinic with pneumonia, which her specialist did nothing about, and she was admitted to hospital the following day by another doctor and given intravenous antibiotics. After that episode she lost confidence in her leukaemia specialist and asked to have her care transferred to a teaching hospital, where she feels the staff are more sensitive to her needs.
She is in remission from her breast cancer and still doing watch and wait for her leukaemia. She is prone to chest infections which sometimes necessitate a spell in hospital. She suffers from very low energy levels, breathlessness and tiredness which increasingly restrict her daily activities and contact with other people. She struggles with housework and cannot afford to pay for help. She feels isolated between hospital appointments because she feels she has no one to ask about things that concern her. Her feelings of isolation make her depressed.