Last week I operated on a complex Pancreatic Cancer. After completing the 6 hour surgery I was very happy that everything went well and the surgery was successful. I came out of the theatre and called the family and said that the surgery is successful, the whole tumour has been removed with all the lymphnodes etc. Instead of being happy, one of the relatives kept asking me about the recurrence. I was a bit frustated. I do understand the reason for anxiety but the patient was not even out of recovery room.
You have to realize that cancer treatment is not like a cough and cold with about 4-5 days of antibiotics. It is long drawn and involves different types of therapy. It is important to remember that this is a journey and our destination is potential cure. The journey has many milestones exactly like your own journey on a road. When we travel we only look at the milestones, perhaps we cannot even see a milestone which is more than ½ km away. But each milestone, once you cross, takes you closer to your destination and that is exactly how we need to approach the treatment of cancer.
First , during surgery there should not be any unpleasant surprises, the disease should be localized so that the surgeon can do a good surgery. So, successful surgery is the first milestone.
Second the patient goes to the intensive care unit for a day or two, so the second milestone is a shift from intensive care to the regular ward which means that all the systems are functioning normally.
Then the third milestone is discharge from the hospital. The surgeon does a lot of plumbing and joining the intestines and tubes and ducts together. Everything takes time to heal and once it heals the patient would resume on a diet and is discharged so that is an important milestone – Discharge from the hospital.
Then comes the pathological reports which are important for staging of the disease, also gives an information on how the further treatment has to be managed. This is when you can have a detailed discussion on the options of treatment, the usual fear about chemotherapy is unfounded. If necessary ‘Yes’ chemotherapy would be needed for preventing or lessening chances of recurrence. Chemotherapy might involve a little longer treatment on a periodic basis, so one should approach this positively. I had written earlier and will write again as to how you can handle chemotherapy if necessary.
Then comes the follow up of periodic examinations and tests. Generally if a period of 2 years is crossed most of the chances for recurrence come down but in some of the tumours recurrence can be as late as 5 years or even longer. But this is all part of the journey.
Yes it is tough. But anyone who embarks on this journey with a positive attitude, willing fight to reach the destination, has a lot more chance of making it to the destination i.e. complete eradication of the disease.
Remember , “Focus on each milestone and then you will reach the destination.”