Mesothelioma -My Diary. Chasing my appointment as there was no letter!!!

Oh what a day.

I waited for the postman, he doesnt come until 12 midday and there wasn’t a letter. So I tried phoneing St barts but kept being passed around and having to give my details every time.

Its my own fault I have lost The Oncologists nurses card. I decided to email My oncologist and within 2 hours Peter answered me to say that the Bi-Op been asked for and I should hear tomorrow ar friday so it will most likely be next week.

I was happy with that then tonight after 6pm I get a phone call to say from a Lady who says they have had a meeting and decided to do it by putting the camera up my throat and down my throat and there is only one doctor than can do a bronchoscopy. I said it sounds awful but she said, dont worry you will be sedated.

Who has a bronchoscopy?

There are various reasons for having a bronchoscopy. A common reason is if you have suspected cancer of the bronchus (lung cancer). This may be because you have a ‘shadow’ on a chest X-ray. With a bronchoscopy a doctor can see a growth in a bronchus, and take a biopsy (small sample) to look at under the microscope. Other reasons include: if you have a persistent cough, or cough up blood, and the cause is not clear.

A rigid bronchoscope can be used to remove objects which have been inhaled, such as peanuts.

What happens during a bronchoscopy?

Bronchoscopy using a flexible bronchoscope

This is usually done as an outpatient or day case. The doctor will numb the inside of your nose and the back of your throat by spraying on some local anaesthetic. This may taste a bit unpleasant. Also, you will normally be given a sedative to help you to relax. This is usually given by an injection into a vein in the back of your hand. The sedative can make you drowsy, but it is not a general anaesthetic and does not ‘put you to sleep’. However, you are unlikely to remember anything about the bronchoscopy if you have a sedative.

You may be connected to a monitor to check your heart rate and blood pressure during the procedure. A device called a pulse oximeter may also be put on a finger. This does not hurt. It checks the oxygen content of the blood and will indicate if you need extra oxygen during the bronchoscopy. You may have a soft plastic tube placed just inside your nostril to give you oxygen during the procedure.

The doctor will insert the tip of the bronchoscope into a nostril and then gently guide it round the back of your throat into your trachea (windpipe). (It is sometimes passed via the mouth rather than via the nose if you have narrow nasal passages.) The doctor looks down the bronchoscope and inspects the lining of the trachea and main bronchi (the main airways). Also, modern bronchoscopes transmit pictures through a camera attachment on to a TV monitor for the doctor to look at. The bronchoscope may make you cough.

The doctor may take one or more biopsies of parts of the inside lining of the airways – depending on why the test is done and what they see. This is painless. The biopsy samples are sent to the lab for testing, and to look at under the microscope. The bronchoscope is then gently pulled out.

The bronchoscopy itself usually takes about 20-30 minutes. However, you should allow at least two hours for the whole appointment, to prepare, give time for the sedative to work, for the bronchoscopy itself, and to recover.

So thats it I have to wait for the appointment that will be made on the phone tomorrow or Friday.

We have been looking at the Royal Hospital 

Looks very Impressive.

Ray has painted a painting for his little friend and I cant wait for him to see it as I know he will love the fact ray has put his name on the train.

Hopefully he can pass it over tomorrow but his Granma has a bad cold and that awful cough that is going around again so we will have to wait and see.