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Hi. Have a seat.
2
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My name's Dr Stephens. I know you've previously been seeing my colleague, Dr Iglesias.
3
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Er...Nice to meet you.
4
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Yes, that's right.
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Ah, ... Dr Iglesias. She had a scan done .... for ... gallstones.
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I see. Right.
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So, could you just tell me what has happened since then?
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I just want to get up to speed so that I've got a clear picture of
what has happened up to now.
9
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Well, I had the scan and they rang me a few days later
to say that I needed to come for a second scan,
10
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to get to see everything in more detail, I suppose.
11
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OK.
12
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... and that was ... Tuesday I think. Yes, Tuesday this week.
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I went and had another scan. And then ... then you phoned me, and here I am.
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OK. Good.
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So between the first scan and the second scan,
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was it your doctor who phoned you, or was it
the imaging department who did the scan?
17
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It was the department, actually ...
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a Dr Biswas, I think, who phoned to say that they'd made
another appointment for the follow-up scan.
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And did they give you any idea why they needed to do an extra scan?
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Ah, no, they didn't, actually. I asked, of course,
but they didn't say what the reason was.
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Yeah. I see.
22
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And do you have any thoughts about why they called you for a second scan?
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I suppose it's because they found gallstones and needed a bit more information.
24
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OK.
25
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So, now can you tell me about the symptoms you've been having.
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I do have your scan results here and there is something we need to discuss,
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but first I want to make sure I know what's been happening
and what your symptoms are, before we go into the details.
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Well, I guess it started a few months ago, ah, ...
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with a fairly constant pain, like a stomach ache that wouldn't go away,
so I made an appointment with ah ...
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Dr Iglesias, who decided to have the first scan done. And that was just a week or so ago.
31
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Ah ha.
32
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Then a few days later I got the phone call about the second one.
33
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OK. So do you still have pain at the moment?
34
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Yeah. It's pretty much there all the time really.
35
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OK. Well, as I said, your scan results have come through today
and I'm afraid there is something that is potentially worrying.
36
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Oh. Really?
37
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Yes.
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I didn't expect that.
39
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No.
40
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So, what's worrying about it?
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Well, in the first scan there was something suspicious,
at the top of the pancreas gland.
42
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Suspicious?
43
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Yes. The pancreas is here at the top of the abdomen,
and it's quite close to the gall bladder,
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so, in the first scan they saw this and wanted more information on it,
45
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so they called you back for a second scan, which is a CT scan,
a very detailed one, to see exactly what the situation is.
46
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And this second scan shows that there is definitely
something on your pancreas gland.
47
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Really.
48
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Yes. ... And what we need to worry about is whether or
not this could be some kind of cancer.
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Oh. .... That is a surprise. I wasn't expecting that.
50
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No. ... I'm very sorry to have to tell you like this,
51
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but I felt that it was important to tell you as soon as we received the results,
so that you know exactly what the situation is. ...
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Now, I know, I've just given you a big, unexpected piece of news, ...
53
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Oh yeah.
54
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... so do you have any questions at this stage that I can answer for you?
55
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Ah, ... I don't know.
56
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Ah, the pancreas, ... so if it is a cancer, can they operate,
or, .... how would they treat that?
57
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It depends.
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The pancreas is a gland at the top of the abdomen, as I said, and it controls
some of the fluids and hormones that your body requires.
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Because it's at the back of the abdomen we don't really notice it
at all unless there is a problem of some kind,
60
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which is the pain that you've been experiencing.
61
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But in answer to your question, I don't know what could be done about it.
What we need to do now is to ask the specialist.
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So, ... the specialist can look at your scan today and see
you as well and then see if they agree,
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that they think it could be cancer, and then what the plan of action could be.
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OK.
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Now, I understand that I've just given you a lot of information,
some worrying information and ...
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You bet! I wasn't expecting this at all.
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... I mean, is there someone who could come in with you tomorrow
to chat more after you've had a bit more time?
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Yeah, I guess so. But, ... no, actually, I'll come by myself. That's fine.
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Are you sure?
70
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Yeah, that's fine.
71
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But it is important to say at this stage that we don't
know definitely if it is cancer.
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We have to imagine that it is something like a cancer until we prove that it's not.
73
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So we have to do everything very quickly to find out as soon as possible
and get some answers for you.
74
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Right.
75
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So, let's make another appointment for tomorrow, when we can continue our chat.
76
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You'll probably have more questions by then.
77
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Yes, sure.
78
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OK. I have printed out some information about this type of cancer, ... if this is what it is.
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So, I wonder if you might want to have a bit of a read of this before you come back tomorrow. ...
80
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what this does is explain what the pancreas does and then ...