Gynaecologist

The frustration of dealing with our socialised NHS. If it wasn't that we were sure Jan was cured and further tests were purely a precaution we would be in panic. All the staff seen were charming, but the overall organisation was appalling.

Last Friday we had a phone call telling us to see a doctor at Hertford today, Monday at 10:00. We weren't told whether this would be the dermatologist on gynaecologist as we expect both. A quick Internet search showed the doctor's name was for a well respected gynaecologist.

On arrival at 10:00 the receptionist stated there was no appointment for Jan, we were completely unexpected. After an hours delay the story changed to she was expected at 11:00, but she couldn't be seen before 12:00 as the notes were still miles away at another hospital!

By 12:00 Jan saw the gynaecological registrar, who still had no notes, so Jan explained why she thought she was suffering from a reaction caused by a switch from Tamoxifen to Arimidex. They talked as an ex ward sister talking "shop" to a doctor. Tamoxifen pumps the body with "fake" female estrogens, whereas Arimidex provides none, and stops the body's production of estrogens. So the body has a shock as one goes from excess to very few estrogens, and some effects Jan has experienced tie in with what we could expect from that hormone swing.

He seemed to agree, and was unconcerned by Jan's symptoms, and did not think she had further cancers. He took a sample of the endometrium and wants an ultrasound scan as soon as we return from holiday as a precaution.

He did however state that women who had breast cancer were at higher risk of endometrial and ovarian cancer, hence he wanted to do these 2 tests......... When I look on Google I find no link at all between breast and endometrial cancer apart from that caused by Tamoxifen which is a carcinogen.

Harold Burstein, MD, an assistant professor at Harvard Medical School says: "We know there are relations between breast and ovarian cancer. We also know that the BRCA genes account for this relationship." But Burstein also underlined the other side of the news. "Women who don't have a family history of breast or ovarian cancer and are older than 49 when they are diagnosed with breast cancer have a very low risk of getting ovarian cancer."

So why do the UK doctors claim a link? Is he over simplifying for thick people or dare he not admit the dangerous risk that Tamoxifen causes endometrial cancer? ?

This is the second time the hospital have denied all knowledge of pre-booked appointments, after also losing mammograms and test results. If that record keeping is so poor we question whether we can trust their results of these tests.