Lilian – Interview 33
Lilian was diagnosed with pancreatic cancer in March 2010. She was having chemotherapy, as part of a clinical trial. Lilian was not in any pain, but at times she felt a bit sick and very tired. She was quite optimistic about her treatment and was living one day at a time.
Just before Christmas 2009 Lilian felt very sick. Her GP could see that Lilian was losing weight and so she gave her some pills to boost her up;. She also took some blood, which came back normal. Lilian’s GP thought that Lilian was tired due to all her voluntary work in the town.
The sickness continued and Lilian went back to see her GP after Christmas. She told the GP that she was still losing weight and that she was itching on the balls of her feet and palms of her hands. The GP did another blood test and found something wrong with Lilian’s liver, so she arranged for Lilian to have an ultrasound scan.
Lilian had a scan the next day. She saw a consultant, who looked at the scan. He said that he could see abnormalities on her liver. Lilian then had a CT scan. Soon afterwards the consultant told her that she had cancer of her pancreas. The cancer was in the tail of the pancreas. This news did not come as a huge shock to Lilian. She had guessed that something was seriously wrong and her father had died of pancreatic cancer.
Lilian had two liver biopsies. Unfortunately, a few days after the second one, there was some bleeding in the liver. This was very painful. Lilian also had two PET (Positron Emission Tomography) scans. All these investigations were to find out if the cancer had spread. The tests found that the cancer had spread to her liver and to an area under her lungs.
Lilian then saw another consultant at the same local hospital. At first Lilian was given steroid tablets. The tablets stopped her feeling sick but had a bad side effect. Her feet became very swollen and she could no longer wear her shoes. Lilian decided to stop taking the steroids. The sickness returned, so now Lilian takes a smaller dose of steroid, which makes her feel less sick.
There wasnt much the doctors could do to treat Lilian, so she asked if there were any new drugs being tested. She said that she wanted to be a guinea pig; if there was a suitable clinical trial.
At the end of March 2010, Lilian started on a trial of chemotherapy (a phase 1 trial of oral NOTCH inhibitor in combination with gemcitabine). She was four weeks into this treatment when we spoke to her. She goes to the hospital once a week for a series of tests and if her blood count is ok she has an infusion of gemcitabine and a chemotherapy tablet.
The dietician is trying to persuade Lilian to eat more because of her low weight. Lilian also takes omeprazole at night to help her with her digestion.
Lilian told us she has a strong Christian faith, and this was a comfort to her. She was living each day as it comes. She wasnt in pain and could go out and drive her car when she felt like it. She was getting tired, and suffering from nausea at times. She knew she should rest as much as possible.
We spoke to Lilian in 2010