update : we’ll I had THE meeting with my... - MPN Voice

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update

beetle profile image
21 Replies

we’ll I had THE meeting with my haematologist yesterday with my son supporting me. Our meeting lasted the best part of 2 hours (!) during which we thrashed out many of the uncomplimentary things I had said about him. It never needed to escalate to the level it did if he had explained that Claire Harrison at a big London hospital can access Azacitidine but at provincial hospitals it is not readily available

The results of my BMB showed additionally acquired mutations ( I’ll let you know exactly what when I get my hands on a copy of my results - now agreed) which are found in high risk myelodysplastic syndrome. To cut a long story short he is adding MDS to my myelofibrosis diagnosis in order to access both drugs (ruxolitinib and Azacitidine) which have been researched to act together better than either individually as soon as I’ve had the surgery to replace my port - scheduled for June 13 th

So a result. We could have got there without the anger and angst if communications had been better I think he took that on board and we have smoothed the path for the future

Best wishes to you all and thank you all for your support, Jan

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beetle
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21 Replies
hunter5582 profile image
hunter5582

I am very glad to hear that you worked things out. You proved that assertive patients receive higher quality care. Moreover, this physician learned something that may make him a better doctor. Everyone benefits when patients assert themselves.

Please do let us know what you learn when you see your results and how you are getting on.

saltmarsh profile image
saltmarsh

Excellent. Productive discussion. Good luck as you move forward.

Mostew profile image
Mostew

Welĺ don e Jan, for persisting. So pleased you have a good outcome . Takes a lot of energy but so worth it.

Carolyn

LittleLuna profile image
LittleLuna

so happy you got the outcome you deserve. Happy for you.

Well done on pushing ahead, stressful but you did it.

❤️

Rem31 profile image
Rem31

What a relief! You’ve shown that good communication with those treating us is vital and when it’s not given proper attention by clinicians  the effects on patients can be horrendous. Good on you for finding the strength to push on through.

Blonde25 profile image
Blonde25

Good for you and well done , good luck with your pending operation and future treatment plans .

katiewalsh profile image
katiewalsh

congratulations on getting the results you wanted. You fought and won. But you shouldn’t have had to experience the stress you went through to get to this point. I hope you’ve recovered from the emotional “battle” with your doctor. You’re strong & powerful. As we say in the U.S., “you rock, Jan!” Katie

mhos61 profile image
mhos61

Delighted to hear of this positive outcome. I truly hope ‘lessons have been learned’. It didn’t have to be this way!

Wishing you the best of luck in the next stage of your treatment. Hope your partner is doing ok too! X

JediReject profile image
JediReject

Fair play to you for sticking with it Jan, , it's easy to back down especially when you're not perhaps feeling up to tackling confrontation. And I'm pleased things should now be easier going forward however I'm sorry about your additional MDS. Good luck on 13th.

Regards Chris x

beetle profile image
beetle in reply toJediReject

thanks Chris. It has been a pretty stressful few weeks if the truth be told. My son was wonderful at the meeting and picked up on a few things the haematologist said which made it quite clear that he knew exactly what he was talking about

I just see it all as water under the bridge now and although not looking forward to the treatment I’ve fought so hard for if it works for me and extends my life in reasonable health it will have been worth it.

I hope you are doing well. Very best wishes, Jan x

JediReject profile image
JediReject in reply tobeetle

Jan , , I know I haven't been around on here (feel I need to stress 'on here' coz I've certainly been around the block a few times like a clapped out old banger 😃) much of late but I keep reasonably up to speed and always look out for my contemporaries on the Forum such as your good self. . . Sincerely Jan I hope the combination drugs come good for you because nobody is more deserving of a break than you my friend.

I'm ok Thank You , , still kicking and ticking.

Take good care x

RazB profile image
RazB

thanks for the positive update. The “C” word always wins out….Communication! Well done for standing up to your slightly egotistical sounding haematologist! X

Exeter21 profile image
Exeter21

well done it’s all about money . But like my case they never mentioned Clare Harrison existed or any drug options . So I had to hunt all that out myself &?contact her . I cannot believe these people are health providers & don’t get that we are trying to get best treatment for our health 🙈 Julia 👍

beetle profile image
beetle in reply toExeter21

or that we talk to each other! His reaction when I mentioned a forum wasn’t good that you are able to find support it was “ well that doesn’t put us in a very good light does it”. He clearly doesn’t understand how others interpret what he says! I’m working on him though!😂

Wyebird profile image
Wyebird

thrilled you got answers hopefully things will start to be brighter for you

Anag profile image
Anag

Dear Jan,

Good for you! A great idea to get support, also.

I being a Greek used to thrash out, whenever I felt I was not being taking seriously or was being cheated. Getting older and living in Austria for the last 27 years, I learned to speak slower, lower, clearer and more accented. I also don’t allow someone to cut me off until I’m done. 😉

When the dr told me I had cancer and tried to brush me away after 7minutes, I planted myself in my seat with bolts. I didn’t budge until he explained everything. When I left, I gently told him how his attitude leads to therapeutic failure for most patients. Going out the door, he stopped me and asked me what would I suggest for him. 😂 yay!

Sometimes they need a shaking to remember that they are dealing with a human, a soul and a personality. 🙂

Hope the therapy goes well!

Anag

Bluetop profile image
Bluetop

Well done for challenging. Sounds like a positive outcome.

TheaterCrazy profile image
TheaterCrazy

WOW! What a coup! Exclamation points all around!! Like Hunter has always said: Assertive patients get better care. I double, triple the above congratulations. Whew! I repeat: What a coup!

ritaandscooter1 profile image
ritaandscooter1

Well done with being assertive! I've had a few of these uncomfortable confrontations with hematologists but these situations are always easier if you bring along a family member or friend. My husband goes to every appt. with me and can recall things that were said that I miss. We are a united front.

Had only one hematologist who refused to let my husband attend the appt. (claimed covid reasons) He ended up being the worst of all of them. Was screaming at me on the phone about getting an iron infusion!! I stuck to my guns with repeating that you never give a PV patient an iron infusion......he just screamed louder! Got rid of him pronto! Remember you are your own best doctor. Best to you! Kerry

Solyesh profile image
Solyesh

Jan - excellent outcome even if it came the hard way! Best of luck!!

PhysAssist profile image
PhysAssist

Hi Jan,

Way to go, I hope it works out well for you!

Best,

PA

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