The two oncologists
September first of last year was the first time I interacted with an oncologist. I did not understand what it meant to have two seperate teamns at this point. Was it a second opinion? Did I have to pick one or the other? I don't think what actually happened ever really occured to me, I was so profoundly ignorant that I didn't even know what questions to ask (even though I hadn't yet had a chance to ask the important questions - what is my treatment plan (a phrasing I've only learned recently), what is my prognosis, what does the next month, six months, year, etc., look like for me (and even if it maked sense to ask about some of those timeframes).
I had two oncology teams working together. They knew about each other from day one (even if communication was sometimes slow between them), they were working together (or at least towards a shared purpose). It was a tag-team treatment plan, two courses of chemotherapy then surgery, the whole time. I needed to give positive, written consent at every stage, but other than saying "yes, I want to undertake this treatment, knowing that it has risks, but is also the standard of care and the best/only chance to have anything approaching a normal lifespan. I had little say in things, ie I didn't have to pick one plan or another, because, again, there was always just the one plan.
I wish all this had been made clearer to me back then. Not the specifics about treatment, obviously, or even prognosis, because you actually have to have met your oncologist to learn that information. But if someone had said "you're going to be seeing a doctor in Barrie and a surgeon in Toronto, they'll be working together with you for your treatment" then a lot of confusion would have been evaporated, and I really couldn't stand the extra stress at that point in my life. But maybe it was obvious to most people that they'd work together on a unified plan. I've never cared for hospital dramas, I don't see this sort of thing in media very often.
Now, I sit on the other side of that treatment plan. The chemo part was extremely successful, shrinking the CT visible tumors and getting me to surgery, and if not for the pesky unknown prostate tumor, surgery was on track to be successful as well (its impossible to know, but from the surgeon's report everything else they found could have been attempted, there are still fail states down that path, but that is also where all the success states are located). Sometime soon I'll have to restart chemotherapy, which I have complex feelings about, but at least none of those feelings are the confusion I felt in 2022.
The following was originally posted August 30, 2022
Good news! I have appointments with two different oncologists!
Bad news! I have appointments with two different oncologists.