Jim

Discussion with the district nurse post operatively.

Generally I have been really healthy all my life, but about two months ago I found a lump in my left testicle. I left it a extra couple weeks but it didn't go away so went to my GP, he referred me to the hospital. After having a load of blood tests and I had an ultrasound scan. The scan showed a solid lump so they decided to have a look at it under anaesthetic. I had an operation and they removed my testicle.
When I went back to the hospital they told me that the lump was cancer, it was my worst fear. When I first found the lump I did suspect that that was cancer, but until I actually heard the words ‘cancer’, I never thought that it would happen to me….it always happens to somebody else, doesn’t  it………? I'm only 41! I feel too young to have a serious disease like cancer. As I said up until now I've been completely healthy. It's pretty scary stuff, I try not to think about it too much but it keeps coming into my head. I keep wondering what happens now…..what will happen if they didn't get it all out? It is just the not knowing….

I didn’t think I would miss a testicle but I feel a bit strange …. Sophie and I had already had fertility problems, so you would think that I wouldn’t give it another thought. The wound seems to be healing OK, but I found it difficult to have a look at the scar when I got home after the hospital…. I still feel… well a bit deformed…sort of less of a man. It’s not the sort of thing that you can talk about with your mates. I haven’t been down the pub, I don’t think my friends will know what to say, they know what’s happened but they look so uncomfortable.

Sophie's been fantastic and she's really supported me through everything. I am not sure how she is coping with everything, as she has a very busy job as a nurse and she organises everything for Rosie. We adopted Rosie about a year ago, it has been a tough time as she took some time to settle in. Sophie’s sister, Roberta also needs our support. She has Down’s syndrome. We haven’t told Rosie or Roberta, I am not sure either of them will understand…. how do you start to explain all of this? It would upset them too much.

I hoped that the operation would be the only treatment I would have to have, but the consultant told me at the last appointment that they wanted me to have some chemotherapy. That was another shock, I have heard so many bad things about chemo, like sickness and your hair falling out. I am really dreading it, but they tell me I need to have it ‘just in case’ as there maybe a few odd cells still in me somewhere, so I guess it is worth it.

Sophie understands much more about the situation, more than I do. She has been able to ask questions and wants to know more than I do. She hasn’t told me but I think she has been looking for more information on the internet to check what treatment I should be having and to find out about any side effects. Me…I just want to get on with it, you don’t have any choice do you? I think if you dwell on it, it brings you down even more. I don’t want to know too much, I just take one day at a time.  

One of my main worries is that I am a self-employed accountant, it gives me the freedom to work when I want but it can be quite stressful making sure we have money coming in all the time and I won’t get any sick pay while I am having my treatment.

What about the social and economic impact?

What could the psychological impact of the diagnosis be?

What might be some of the immediate effects of the surgery?

What are some of the risk factors for testicular cancer?

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