このブログでは、すい臓がんを完治するまでの、知識と経験を共有していきます
【Journey 02】 Cancer announcement – from hospital visits to my confusion

Hello, I’m Chico.
In the previous article, I talked about the process leading up to the cancer diagnosis
(from a year of ill health to the cancer announcement).

This time, I will talk about visiting a nearby clinic and asking for an examination.
Begging for testing at the clinic

Appealing for a year of bad condition and begging for an examination

I was worried about the malfunction that lasted for a year from 2018.
I visited several clinics in my neighborhood, but they just said “it’s food poisoning” “just a cold”, or “let’s wait and see”.
Even I had asked them, and they would never have given me a detailed examination.
With such anxiety and dissatisfaction, I finally found a clinic that handles ultrasounds and endoscopes!
Then I said this to a doctor at the clinic.

I will not leave until I get tested.



…
The flow of time speeding up


The doctor seemed a little surprised at my imminent appearance, but she said



Ok, then let’s take a look at ultrasound first.
She gave me an ultrasound the same day.
And from around here
I felt my clock start to turn faster and faster.
Suspected autoimmune pancreatitis diagnosed at the clinic
Ultrasonography revealed abnormalities in the pancreas


🕒 January 24, 2019 Ultrasound examination
I’ve had an abdominal ultrasound, but this time it felt like much much longer than before.



I have a bad feeling..
And my hunch was right.
As a result of the inspection, an abnormality was found,
The doctor told to get an MRI at a nearby imaging center.
MRI results suggested autoimmune pancreatitis


MRI scan at imaging center
I immediately made an appointment at the imaging center and got tested.
🕒 January 25, 2019 MRI appointment at Imaging Center
At this time, the inspection center was quite fully booked, but I managed to make an appointment in the shortest possible time.
🕒 February 4, 2019 MRI examination
Visiting the clinic with the MRI results
As soon as I finished the MRI examination, I went to the clinic with the test results.
🕒 February 4, 2019 Visited the clinic
The test results showed suspicion of autoimmune pancreatitis
After seeing the test results, the doctor made a slightly grim face


and said
Please go to a big hospital because you suspect autoimmune pancreatitis



What is autoimmune pancreatitis?
Referral to a university hospital





Please go to a big hospital immediately, as we can’t treat you here.
Autoimmune pancreatitis is a nationally designated intractable disease. I remember being quite surprised by the diagnosis of such a disease.



I will write a letter of introduction to the university hospital
The sooner the better, so as soon as I received the referral letter to the university hospital , I called the hospital.
🕒 February 4, 2019 Make an appointment at the university hospital
Thankfully, I made a reservation for the next day.
Diagnosed with pancreatic cancer at the university hospital


The next day, I visited the university hospital with the referral letter and MRI results.
Consultation at the university hospital


🕒 February 5, 2019 First visit to the University Hospital



Only MRI images…why wasn’t it taken a contrast agent CT right away…
We need additional inspections. CT and, just in case, a gastroscope.
At the university hospital, they told me to needed a detailed examination immediately.
And they made an appointment for an inspection as soon as possible.
Detailed examination such as gastroscope and CT


🕒 February 12, 2019 Gastroscope
🕒 February 14, 2019 Contrast agent CT
🕒 February 14, 2019 Consultation to hear the results after the examination
Then..
Pancreatic Cancer Announcement


Shocking cancer diagnosis that I would never ever forget.
And after the day of this diagnosis, my life just changed so much into something I’d never expected before.
・・・・・・・



You have pancreatic cancer



What? Cancer?
・・・・・



Anyway, we should start treatment right away.
Can you be hospitalized today because you need other tests?
Hospitalization and Endoscopic Ultrasound Biopsy





No, no, no, I can’t.



I’ve got work to do, preparations to make…
So from tomorrow, please.
I was hospitalized the day after the cancer was announced.
🕒February 15, 2019 Hospitalization
During hospitalization, tests were performed to make a definitive diagnosis and determine a treatment plan.
One big test was “Endoscopic Ultrasound-Guided Fine-Needle Aspiration (EUS-FNA)”.
🕒 February 15, 2019 Ultrasound Endoscopic Birth
A test in which a thin needle is inserted into the tumor to collect tumor cells and perform tissue diagnosis.
The probability of correctly diagnosing pancreatic lesions as benign or malignant is said to be more than 90% at skilled facilities.
Very useful for treatment policy decision.
腫瘍に対して細い針を刺し、腫瘍細胞を回収し組織診断を行う検査。
膵病変が良性か悪性を正しく診断できる確率は、熟練した施設では90%以上といわれ
治療方針決定に非常に有用。
Confusion before and after hospitalization


Just after being diagnosed with cancer, I did not understand the situation very well.
Perhaps my brain was refusing to accept the reality.
The cause, treatments, survival rate, the more I looked into it, the more bad information jumped into my eyes.
For the time being, on the day I received the notification, I went back to my home, submitted an application for high-cost medical expenses, and prepared for hospitalization from tomorrow.
Then, gradually I began to feel the reality.
Am I crying?


I have cancer. I have…
If it’s a drama, maybe I should be crying around here…



So, am I going to cry soon?
I waited for a while, wondering if I would cry like a typical drama scene, but not a single tear came out.
There are so much have to do


More than that, there was a lot of work to be done, and before I could immerse myself in sentimentality, only time fluttered by.
In addition to work arrangements, preparation for hospitalization, procedures for medical expenses, etc.
Anyway, I wanted to find out the identity of the disease, the treatment method, and the hospital as soon as possible, and then think about my next move.
Researching pancreatic cancer during in the hospital


Fortunately, during the hospitalization from the next day, there was nothing to do except examination.
I had time to study pancreatic cancer thoroughly.
What is pancreatic cancer? The reason is? How to treat?
It’s curable, right?
Of course I can live a long life as my plan, right?
・・・
・・・・・
However, when I searched the Internet, all I found was bad information that made me want to close my eyes.
Information on pancreatic cancer was too bad: intractable, low survival rate, etc.


「Cancer on the rise」(増え続ける膵がんの診断と治療|東京医科大学病院)
「Characteristically, the number of cases and the number of deaths are almost equal」(膵臓がん|がん研有明病院 )



・・・・・・・
All that came out was bad information that really made me want to wrap my head around it.



Pancreatic cancer is more common in elderly men, then why did I get this cancer?



How does pancreatic cancer occur?



What is the true cure rate/survival rate? It’s all bad news, but is it actually wrong?
・・・
What should I do now?





How should I live from now on?
Anyway
・・・
First of all, I should find a hospital that is researching this pancreatic cancer and has a lot of treatment experience!



Ha, ha, ha, breathing became labored…
After the cancer announcement, I remember that my mind was spinning at full speed and it became difficult to even breathe.
How to stay calm under this extreme stress…


After a round of thinking and summarizing the information I had researched, my next thought was…
Keep calm
It was about how to keep myself calm.



This isn’t the normal situation. If I get too excited, I’ll go off on a crazy track.
I think it’s time to cool down a little bit.
After I was discharged from the hospital, I went to see Dr. S, the director of a clinic that I used to take care of.
Visiting a doctor you can truly trust


This Dr. S has a warm and humane personality, and is very good at getting close to patients.



Is there any doctor who listens to me and gives me some good advice?
When I thought about this, Dr. S. came to mind.
This doctor should be able to give me tips on how to proceed and how to choose a hospital from his professional perspective.
That’s what I thought.
Advice and encouragement from the doctor
I couldn’t meet him just right away because he was busy, but I’m glad I visited him.



It’s going to be a long road.
Find a specialist you can trust and treat yourself without regrets.
I know it’s hard, but do your best.
I will always listen to you.
Getting advice and words of encouragement when choosing treatments and hospitals,
I was about to take the first step towards the treatment that awaited me.
Lessons learned during this period – Trust my intuition and act


Feeling unwell, cancer diagnosis, confusion after announcement, throughout this period
I learned that sometimes trusting intuition and acting quickly can mean the difference between life and death.
◇ ◇ ◇
A slump since 2018. I thought I should believe the doctor’s words, “It’s not a big deal.”
Of course, we should listen to the words of doctors who are medical experts. But a doctor is a doctor, not me.
◇ ◇ ◇
At that time, I mustered up the courage to say this words to the doctor at the clinic



I will not leave until I get tested.
I felt sorry for being pushy.
But without this word, my pancreatic cancer may have gone unnoticed and gone untreatable.
◇ ◇ ◇
Just like this, at times, listen to the voice of “own intuition” that may influence our future life or life and death.
I felt that I could trust the voice of intuition more.
Especially if that intuition feels “stronger” than usual, it may be time to act quickly.
Conclusion
The first cancer announcement was just so simple…
It felt like it was different from the scenes I used to watch in TV dramas.
And I myself couldn’t even shed tears without being soaked in sentimentality…
Just time passes by in a rush.
I will continue this story in the following article.


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