The Laparoscopy My gastroenterologist, Dr O, took a short holiday and my second gastroscopy was delayed for a couple of weeks, beyond the four weeks originally envisaged. It’s a straightforward procedure and I was discharged later the same day. Days later, Dr OE contacted me and said that the biopsy had detected cancerous cells and she arranged for me to see Dr LR, a gastro surgeon, who quickly arranged a laparoscopy, again at Gold Coast Private Hospital. The results were quite devastating – extensive stomach cancer, with evidence that it had spread beyond the stomach into the peritoneum. Dr LR explained that the usual treatment would be to remove the stomach – a risky operation for someone my age but do-able, given my general level of good health. However, it wasn’t practical in my case because the cells had spread and would continue to grow outside the stomach. Dr LR arranged for me to speak with Dr KH, an oncologist, who told me about options to consider. Firstly, intravenous chemotherapy was not an option because it would be too debilitating. Chemotherapy by tablet form was really the only option and Dr KH advised that there was a 30% chance it might extend my life span by a few months – but with some risk of adverse side effects. Left untreated, the prognosis was for 12 months. My eldest son and my daughter both accompanied me to see the oncologist and my own personal GP, Dr o. After speaking with Drs KH, LR and DO, I concluded that I would not embark on any treatment, encouraged by Dr Oo and without any contrary view from either of the other doctors. To be direct – there is no cure and any treatment might add some weeks or perhaps months, to a relatively short prognosis, with a significant possibility of adverse effects. I chose quality of life over a possible brief extension to the prognosis.
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