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Any non sinister reasons why a non oncology patient is sent to oncology

5 replies

PinkMiniEggs · 20/05/2024 16:45

So Dd who has previously had a pulmonary embolism a couple of years ago had a phone call from a haematology consultant out the blue last week telling her to immediately get to the hospital.

the only contact she’s had with the hospital recently is a gynae appt as she’s waiting for a laparoscopy for possible endometriosis. The gynae dr said they wanted to discuss with haematologist before surgery as Dd is on blood thinners.

But I am worried about the urgency of the haematology appt and he seems to have gone through all her symptoms and issues very thoroughly (nobody else seems to have cared for the last few years) and he told Dd he wanted her seen by oncology within a week. But Dd reckons he said it wasn’t cancer related.

so Dd has been sat in the chemo suite most of today, had various blood tests but she doesn’t know what for. She asked the staff why she’s been sent to oncology and they said she needs to talk to the haematologist, that they don’t know. They sent her home without any results (after she sat there for two hours after the tests because they said she was to wait for the results but then they changed their mind).

The only thing Dd can think of is that he said something about her hormones not being cut and wanting to start her on a drug which normally cancer doctors prescribe.

if it’s just blood tests why send her to oncology? Do oncology see non cancer patients/patients where it’s not suspected.

OP posts:
BreakfastAtMilliways · 20/05/2024 16:57

Well, I do remember my DM (who worked at a leading cancer centre in the 80s) talking about patients coming in for things like radiotherapy for keloid scars (overgrowth of scar tissue, very common with dark skin) and a number of other non-cancerous conditions. So yes, it does happen.

EauNeu · 20/05/2024 17:00

Radioactive dye test of some kind? We had to do this and it was in the oncology wing, nothing necessarily afoot

CulturalNomad · 20/05/2024 17:30

The only thing Dd can think of is that he said something about her hormones not being cut and wanting to start her on a drug which normally cancer doctors prescribe

Sounds like they may want her to start on an estrogen-blocking drug normally prescribed for breast cancer patients. Not because of BC, but because they may want to see if it positively impacts endometriosis.

But I'm not a doctor.

PinkMiniEggs · 20/05/2024 17:36

Thanks, I’m hoping it’s just the oestrogen blocking drug as that sounds possible but strange he hasn’t sent her back to gynae to discuss it.

OP posts:
Greybeardy · 20/05/2024 17:36

It's not at all unusual. Haematologists work with patient's with clotting disorders and haem-onc patients and often have their clinical work space in oncology units. Bet they're just making a plan for managing the anticoagulation perioperatively. They wouldn't have said it wasn't cancer related if it was cancer related.

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