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Doctors training notes

Case study: Chemotherapy - The side effects

Three years ago my brother was admitted to hospital for a routine hernia operation. After the operation he was told it was in fact non-Hodgkins lymphoma (the same disease that killed Jacqueline Onassis), and he was put on the conveyor belt of conventional treatment, with chemotherapy, steroids and radiation.

After a routine scan, they discovered he had an aortic aneurysm (caused by the chemotherapy) and his chances were 50-50 of recovery. His kidneys collapsed and for a few months he needed stents to drain them. He became anemic and required several blood transfusions. The doctor confirmed the kidney collapse may have ben caused by the chemotherapy.After months of treatment, he was ready for the heart operation, and the surgeon explained he would use keyhole surgery. I later learned that this is because open heart surgery could cause him to bleed to death, since chemotherapy damages the blood platelets and inhibits the blood clotting mechanism. Another scan revealed he had twisted arteries (due to chemotherapy), so conventional methods would have to be used. His chances of survival were 20 per cent.

Well, he survived, but a week later he turned yellow and was having breathing difficulties and his stomach was swollen. Since then he has suffered a ruptured bowel (twice),which necessitated a colostomy (caused by the radiation yes, the doctors admitted it). A scan revealed a ruptured bowel and his stomach was full of pus.

Both ruptured bowels caused peritonitis and his life hung in the balance for days afterwards. His surgeon admitted "he should be dead." When my brother discovered he'd had a colstomy he was devastated and became depressed. He lost four stone in weight and couldn't eat, and was taking numerous drugs, including anti-depressants.

Eventually, my brother ignored doctor's orders and weaned himself off four and eventually the other two, after which his symptoms disappeared. His is now home, he can barely walk and looks terrible.

Two more patients were admitted into intensive care suffering side effects of chemotherapy. One, a 20-year old-girl, who had burns on the outside of her body, has since died. M T, Hucknall, Notts......



WDDTY Blog Speak

So you think you need . . . a hernia operation - One of the most common bread-and-butter treatments within the surgical profession is the hernia operation. Some 20 million groin hernia repairs are pe...

Keyhole surgery - Recently, minimally invasive, or keyhole, surgery (laparoscopy see ... ...

Blood transfusions: - More dangerous than we thought - The blood transfusion is a standard procedure in our hospitals, and many of us regard it as our social duty to give blood. Around 2.5 million units...

Keyhole surgery - The doctor as video games player - Surgeons are rushing in to try their hand at minimally invasive operations without proper training or understanding of when they are appropriate. ...

Non-hodgkin's lymphoma - A cry for help from a polluted body - The disease that killed Jacqueline Onassis, one of the fastest rising forms of cancer, represents an immune system slowly being poisoned by too many c...

Hiatus Hernia - Can I avoid an operation? - Q:My doctor has recommended keyhole surgery for my hiatus hernia. What is the success rate? Are there any way to avoid the operation. I've tried dr...

Hernia: Keyhole surgery is no better than a standard op - Laparoscopic – or keyhole - surgery is the new, less invasive method that allows the patient to leave the hospital after just a few days.

Case study: Risks of Keyhole surgery - In August 1991 I underwent a laparoscopic cholecystectomy (removal of the gall bladder via keyhole surgery) and shortly afterward experienced pain on...