At Home with Dr Christian Jessen - 156

The crucial
bottom line

One reader received a surprise card in the
post for his 60th birthday, but this unwanted
and extremely scary missive was to end up by saving his life...

E

very year around 16,000 people
in the UK die of bowel cancer.
But this frightening statistic
could be reduced if only more
people saw their doctor when they first
noticed bleeding from their back
passage, a lump in the abdomen, or
a drastic change in toilet habits. When
diagnosed early, recovery chances are
high. Those most at risk from bowel
cancer are those with a family history
of the disease and anyone over 60...

The test

'Turning 60 was bad enough, let alone getting
a strange package through the post,' says Bill
Joseph, who lives with his wife Penny, 57,
in south-west London. Among the birthday cards
was an invitation to participate in the NHS
Bowel Cancer Screening Programme.
'The letter explained that an invitation would
be sent to everyone when they turned 60, and
again every two years until the age of 75.
I'd never heard of this screening programme
previously, and neither had Penny.
'When I found out what you had to do,
my first thought was to forget it. It was really
embarrassing, collecting poo and sticking it in the
post. After all, there's never been anything wrong
with my bowels - I'm as regular as clockwork
and I've never seen any blood. If it ain't broke,
don't fix it - that's what I thought!'

Taking action

Fortunately, Penny wouldn't let Bill ignore
the letter. She says: 'I believe in taking care
of my family's health. I've always had my smear
tests and mammograms, so it's an excellent
idea to start screening for bowel cancer.
After all, it's the second most common cancer
and, if it's caught early enough, it can be
cured. So I persuaded Bill to do his samples.
He didn't have much choice in the matter!
'A few weeks later we heard from St George's
Hospital in Tooting, south London,' says Bill.
'The test was positive and I was invited
to a consultation with a bowel-cancer screening
nurse. Naturally, I was scared. Did it mean
that I had cancer? I felt so well; surely there
was some mistake. Penny and I plucked up
the courage and went to the consultation.'

The next step

'The screening nurse was called Sue,' says
Penny, 'She has been guiding people through
bowel-cancer screening since the scheme first
started back in 2007; she was kind, thoughtful
and so reassuring. She explained that the stool
test detects minute traces of blood and that
90% of the time nothing serious would be
found. She told Bill that the next step would be
a colonoscopy to inspect the bowel thoroughly.'
She explained the routine so calmly that Bill
wasn't frightened. Screening colonoscopies are
carried out only in specialist hospitals as the
standards have to be so rigorous, but Bill was
lucky enough to be offered an appointment at
Queen Mary's hospital in Roehampton, which
is quite close to where he and Penny live.
Bill goes on to explain: 'The worst part of the
whole procedure was taking laxatives to clean
out the bowel. Sue explained that the bowel
must be as clean as a whistle, but she didn't tell
me I would run out of toilet paper! Everyone
at the hospital was so cheerful and professional
that I felt quite at home, even though it was the
first time I'd been a patient in one.
'I was taken into the endoscopy room where
I met Mr Ian Bloom, the consultant who was
going to do the test. Mr Bloom has undergone
specialist training to do bowel-cancer screening
colonoscopies and has done over 10,000,
so I knew I was in good hands.
'A sedative was given but I was able to
watch as the scope passed round my colon
- which was odd, but painless. It was all over
in what seemed like one minute and I was soon
having a welcome biscuit and cup of tea.'
'When Bill had come round a little, Sue and
Mr Bloom explained the results,' continues
Penny. 'I had a feeling something was not right
and Mr Bloom explained that he had found
a small cancer in the right side of Bill's colon.'
Biopsies were then taken and a scan
arranged to check the cancer hadn't spread.
'I was upset and I could see that Bill was
close to tears,' Penny admits. 'But Mr Bloom
was so patient and calm. He explained that
an operation was necessary but that, if the
cancer was caught in time, then the outlook
was marvellous. So the arrangements were
made and, although it was bad news, we
were full of confidence and hope.'



At Home with Dr Christian Jessen

Table of Contents for the Digital Edition of At Home with Dr Christian Jessen

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