Sorry this is so late in the thread. As you can see from my signature, I am one of the 'older' members here. Yesterday (April 20) was my 9 year 'anniversary' from my last treatment which was my surgery. In June, it will be 10 years since my diagnosis with rectal cancer.
Here are some tips which I learned long ago...from this board and from others that I was a member of.
1. Get copies of ALL test reports.....colonoscopies, pathology reports, blood tests, etc. Don't let anyone try to tell you that you don't need them. If the doc won't give them to you, go directly to the facility and get a copy of everything.
2. Get a 3 ring binder (I still have mine) and dividers. Make a separate section for: blood tests, colonoscopy reports, CT/PET scan reports and pathology reports. Also, get something like a clear pencil holder (the kind kids get at the beginning of the school year) that has holes for the binder. In it put things like the info card on the port (should tell you what type of port), a list of your meds, etc.
3. If your husband has drug allergies, write on the front of the binder, in permanent marker the allergies. It is difficult, at stressful times, to remember all the allergies if he has them.
4. If you have a GP that your husband has a good relationship with, make sure that the doc is copied on EACH and EVERY test report. That way, if the facility or the onc (for example) give your husband a hard time about obtaining a copy of a particular report, the GP will have it.
5. DO NOT ACCEPT THE DOCTOR'S WORD ALONE ON WHAT ANY REPORT STATES. Too often, we forget exactly what was said and/or the onc doesn't mention everything that was/is in the report.
6. Don't be afraid, particularly with the surgeon and the onc, of getting a second opinion. The onc will be the doctor that your husband will be seeing for quite some time (years) and you want to not only trust that doctor but also feel comfortable with him/her as well. Just because an onc's name was given to you doesn't mean that you need to go to him/her. Talk to friends who may have gone through cancer and see if they have any recommendations.
7. The surgeon is of particular importance. Rectal cancer, particularly in the male, is a more difficult cancer to treat surgically than, for example, than colon cancer. Don't feel pressured to pick the surgeon right now....get through the chemoradiation treatments first but while going through them, be looking for a surgeon. Again, just because a surgeon's name was given to you....it doesn't mean you should go with him/her. IMO, rectal cancer should be treated surgically by a surgeon who is BOARD CERTIFIED in colon and rectal surgery. Keep in mind that all surgeons are board certified in general surgery and you'll find many general surgeons who are qualified to do the surgery your husband will need BUT....they also do other surgery for things like: gallbladder removal, hernias, appendectomies, etc. I'm NOT saying that they aren't good surgeons but, IMO, you need a surgeon that ONLY does colon/rectal surgeries. Verify that any surgeon who are contemplating using is board certified at this link.
http://www.abcrs.org/verify-a-physician-2/8. Try to relax as best as possible and don't go doing a ton of Dr. Googling (easier said than done). The next 5-6 weeks will be helpful and stressful at the same time. Get things like dental appointments out of the way sooner rather than later. Before starting treatment, make sure you get some help here on things for your husband to use/not to use during chemoradiation. It's been my experience over the last 10 years that most rad onc clinics are NOT forthcoming about how to avoid/minimize the side effects of treatments.
9. What has the onc mentioned about chemo during the chemoradiation time frame? IF he/she is suggesting using a port....ASK WHY! Having chemo via a port for 5-6 weeks for either 24/5 or 24/7 (depending if your husband gets weekends off) is not fun and most oncs are now, at least giving a pill form of chemo during this treatment phase. IMO, the pills are MUCH easier to tolerate for 5-6 weeks on end than a port for that period of time.
10. The two of you have to make a decision what type of patient your husband wants to be. Does he want to be the kind that just lets the doctor make all the decisions...basically sits back and doesn't have any input? Does he want to be the kind you asks questions but ultimately let's the doctor make all the decisions? Does he want to be the type of patient who wants to be a member of the decision making team? There's nothing wrong with any of these positions and each patient is different in how he/she approaches his/her treatment. Decide how much involvement your husband wants to have and go from there. Cancer treatments can easily take so much control away from the patient...sometimes the patient just wants to have a little control back.
11. Finally, decide how much of your husband's diagnosis you want to share with your friends. Too often, friends seem to 'dissolve' away during treatment.....not so much because they don't like you....oftentimes they just don't know what to say and so, they just say nothing. Most patients just want to be treated normally and not get 'special 'treatment'. Be aware that your husband may very well feel like that. As I said earlier, cancer takes control away from us.....and people tend to either ignore you or treat you with kid gloves....and it can be really annoying. My advice to you is to be cognizant of this and talk to your husband about being treated normally. While there may be times that he's tired, he may very well still want to mow the lawn, continue working, wash the cars, etc. Let him do all those things that he wants as long as he can.
Rectal cancer takes a longer time to treat and sometimes seems to go on forever! Just be patient.....take it one treatment at a time and don't be thinking too far in advance. Right now, talk about the surgeon that you might be thinking of using. Think about getting a second opinion if that's a choice you want to consider.
Good luck. Let us know how things progress.
Jaynee