Maureen – Interview 18
Maureen was diagnosed with pancreatic cancer 4 months ago after having abdominal pain and digestive problems. She is having chemotherapy (capecitabine and gemcitabine), which is shrinking the tumour, and hopes to go on to have an operation to remove it.
Two years before we spoke to Maureen, she was having sickness, diarrhoea and stomach pains and was diagnosed with irritable bowel syndrome (IBS). The symptoms continued to affect her for a few days each month but she got on with her life.
A year later she went for a routine private health check and was given a clean bill of health. A few weeks later she felt uncomfortable but put it down to having eaten rich food at first. But then her tummy pains changed and she thought that something was wrong.
Her GP thought she might have acid reflux and prescribed medicine but this didnt help at all. The GP then suggested she had pulled a muscle and that it would heal itself. After a few weeks there was no improvement so she went back and asked to be referred to a specialist. The consultant sent her for tests that showed a tumour on her pancreas and another on her liver.
She couldnt have surgery because the tumour was too close to a main artery, but was told that chemotherapy might shrink the tumour enough to make surgery possible. The oncologist (cancer doctor) looked at the endoscopy result and thought the tumour might be too big. She told Maureen that there was only a one-three chance that the tumour would respond at all to the chemotherapy but that this was her only option.
The chemotherapy consisted of 3 cycles of 21 days of capecitabine tablets taken at home plus intravenous (into Maureen’s veins) gemcitabine on days one, eight and fifteen as an outpatient at the hospital. Maureen had an allergic reaction that caused a rash on her torso and thighs, and side effects causing her hands and feet to swell and turn red. Maureen had the tablets reduced and the intravenous injections delayed.
For the 2nd cycle of chemotherapy she was given steroids and antihistamines before the gemcitabine, which helped, but she had to stop the tablets before the end of the 3rd cycle. After the 3rd month she had a CT scan which showed that the tumour had shrunk. She continued with the treatment but took the tablets for only 14 days rather than 21. She was told that if they could achieve a bit more shrinkage she would be able to have surgery after all.
Maureen was determined to keep going with the chemotherapy. She was using a variety of strategies to manage her side effects but could stop the treatment if the side effects became too much. She set herself a goal of having her surgery before her new grandchild was born.
Maureen has lots of support from friends and family. All her care has been provided privately and funded through a health insurance policy.
We spoke to Maureen in 2010