e tiv or g ty pp rin ni Su a mu C m Co Phone Ovacome’s Freephone support line on 0800 008 7054 SEASON’S GREETINGS Ovacome’s 2016 Christmas cards are now available with four traditional and modern designs to choose from. Proud Robin Message inside reads: ‘Merry Christmas and a Happy New Year’ . Price: £3.95 Size: 127mm x 127mm Adoration of the Shepherds Message inside reads: ‘Merry Christmas and a Happy New Year’ . Price: £3.95 Size: 127mm x 127mm Festive Dove Message inside reads: ‘Merry Christmas and a Happy New Year’ . Price: £3.95 Size: 120mm x 120mm Crafty Christmas Message inside reads: ‘Merry Christmas and a Happy New Year’ . Price: £3.95 Size: 120mm by 120mm 16 ovarian cancer charity www.ovacome.org.uk Freephone helpline: 0800 008 7054 Each one is printed on high quality card, with white envelopes, in packs of 10, which retail at £3.95. On the back of each card it is clearly marked that it is sold in aid of Ovacome. All money raised from the sale of these cards will go towards supporting women with ovarian cancer, so it would be amazing to receive as many orders from you as possible now. Order forms are loose inside this newsletter. How long will the cards take to arrive? We aim to despatch all orders within 48 hours. This is dependent upon stock availability and so we ask that you allow up to 14 days for your order to arrive. You will receive an email when your order is despatched from our warehouse and this will contain details of the delivery method. For personalised cards, please allow 21 days for delivery. What is the latest date for orders? To ensure that you receive your cards in time for Christmas we recommend that you place your order before December 9. How can I pay for my order? Please make cheques and postal orders payable to ‘Ovacome’ and return to: Ovacome, Christmas Cards 52 – 54 Featherstone Street London EC1Y 8RT. If you would like to pay by credit/debit card please call our office 020 7299 6651. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk YEARS OF SUPPORTING THOSE AFFECTED BY OVARIAN CANCER Autumn 2016 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity CONTENTS 3 4 6 8 10 16 Twenty years ago, sitting at her kitchen table, Ovacome founder Sarah Dickinson set about creating a support group for everyone affected by ovarian cancer - sufferers, families and friends. Ovacome invites you to take part in its latest census. Where it all started: Read Ovacome founder Sarah Dickinson’s original letter in Good Housekeeping magazine. Twenty years and counting: Ovacome members share their stories. Say goodbye to Ovacome’s support line nurse Ruth Payne who takes retirement after 20 years. Monitoring for a relapse sometimes does more harm than good. Ovacome’s Christmas cards are on sale today. Ovacome’s Freephone support line number is 0800 008 7054 CONTACT Freephone support line: 0800 008 7054 020 7299 6650 [email protected] Volunteer and information manager: Ruth Grigg: 020 7299 6653 [email protected] Fundraising manager: Lee Priestly: 020 7299 6651. [email protected] Chief executive: Louise Bayne Support services manager: Anna Hudson 020 7299 6650 [email protected] Office manager: Sonia Vig Ovacome has now moved offices to: 52-54 Featherstone Street, London EC1Y 8RT Office hours: Monday to Friday 10am – 5pm. Registered Charity Number 1159682. To register as a member of Ovacome please send your details to the following address or call the telephone number above. Having been diagnosed with the disease herself, pregnant with her daughter Michèle, she knew only too well how alone it could make you feel, despite having a loving husband and wonderful friends. At the time there was no ovarian cancer charity nor such widespread access to the internet to learn about the disease. And it was clear when Good Housekeeping magazine published a letter from Sarah talking about her plans to set up a support group that she was meeting a great need (see page 4). Two decades later and Ovacome has held onto the same ethos, with many of its staff having been affected personally or indirectly by ovarian cancer. Her husband Adrian remains a patron alongside actress Jenny Agutter who came on board after reading Sarah’s letter. While Ovacome’s spirit remains unchanged it has grown into a charity which impacts top level policy, funds research into new treatments for the disease, raises national awareness and teaches the next generation of GPs about its symptoms. Perhaps most importantly though Ovacome is established as the heart of the community for women with ovarian cancer, with its Freephone support line, online members’ forum and annual meet up. Sarah’s family should be so proud. Louise Bayne, Ovacome chief executive. © 2016 Ovacome 52-54 Featherstone Street, London EC1Y 8RT Designed and produced by Popcorn Design, www.popcorndesign.co.uk. Printed by Circularising Ltd. Ovacome is a voluntary organisation and relies on donations. The information gathered in this newsletter is from many sources and is provided for guidance only. Ovacome has made every effort to ensure that it is accurate but, can make no undertakings as to its accuracy or completeness. All medical information should be used in conjunction with advice from medical professionals. Ovacome was founded in 1996 by Sarah Dickinson. Her husband, Adrian Dickinson, is a patron of the charity. Trustees to the charity are: Cathy Hughes (chair), Simon Chantrey (treasurer), Sean Kehoe (medical adviser), Clare Barsby, Noëline Young and Lesley Sage. © 2016 Ovacome A YEAR TO REMEMBER Ovacome has a series of special anniversary activities planned for the next 12 months to mark its 20 years. First up was its celebratory bike ride this autumn replicating its inaugural Richmond to Windsor 29 mile event, where founder Sarah Dickinson launched the charity, with patron Jenny Agutter. Tens of supporters turned up for this year’s landmark occasion, including Sarah Orme and Andrew Treglown in memory of Jennifer Foran, Deirdre Dineen, in memory of the late Brid Carr, Hattie Stephenson, Bridget Hamilton, Lisa Ebdon and Suzanne Cornish. Celebrating (left to right): Louise Bayne, Ruth Grigg, Stephanie White and Lissa Napolitano. From Apricot, the fashion retailer which designs a dress for Ovacome to sell during awareness month for the charity, there was Stephanie White, with her mother Lissa Napolitano, Simona Ciuckaite and her friend Karolina Grigaityte. They joined Ovacome chair Cathy Hughes and staff Louise Bayne, Ruth Payne, Ruth Grigg, Lee Priestly and Juliet Morrison with family members, including Louise Bayne’s husband Duncan and Ruth Payne’s husband Martyn, who completed the harder 37 mile course, alongside Ovacome member Jackie Rose. The riders braved the rain, a runaway bike wheel, failed brakes, youngsters mischievously trying to misdirect cyclists by turning around signposts, and hills which would have brought out a sweat in Sir Bradley Wiggins. It was a momentus day for the charity and everyone who took part had a sense of achievement. Sarah Orme, who was marking what would have been the 40th birthday this year for her friend who died aged 27 in 2004, found being involved cathartic. “I felt it was important to mark her birthday in some way,” she says. “I was very tired the afternoon we finished, but very pleased with myself for having completed it, especially as my brakes rattled loose during the last three miles and weren’t working properly,” she says. Part of team Ovacome (left to right): Duncan Bayne, Martyn Payne, Jackie Rose, Bridget Hamilton, Lisa Ebdon, Suzanne Cornish and Juliet Morrison. of initiatives planned, including a census of its members (see below), an exciting campaign for awareness month with special keepsake merchandise and its biggest push for its Teal Tips nail polish to date. Vital statistics This autumn Ovacome will invite its members to take part in a 15 minute questionnaire, the results of which will be used by the charity to help improve services and treatment for women with ovarian cancer. Members will be asked to take part in the survey of over 40 questions by e-mail and Ovacome’s social media networks at the beginning of November, with the closing date for entries being 1 January 2017. The idea is for Ovacome to measure women’s experiences of diagnosis and treatment across the UK and compare the results with the charity’s groundbreaking survey of 2006, says chief executive Louise Bayne. “Our wonderful 2006 survey remains the most thorough of its kind for ovarian cancer and by getting the results updated this year we will be able to use the information to shape our advocacy when talking to the government and pharmaceutical companies, to inform our services and to help us understand the community’s priorities,” says Louise. “There are already plans for a parliamentary report to be produced on the back of the results and our independent researcher Annie Gilbert will be presenting the findings at our Members’ Day in March.” (See page 9). As part of its 20 year celebrations, Ovacome has a series 2 Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk Ovacome news 3 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity WHERE IT ALL BEGAN WHAT A 20 YEARS IT HAS BEEN This is the heartfelt letter that was published in Good Housekeeping magazine in February 1996 and led to the formation of Ovacome. Such was the reaction to the story of our founder Sarah Dickinson that she knew there was a need for a support group for women with ovarian cancer to ‘talk, help each other and know they were not alone.’ Ovacome’s inaugural bike ride in 1996 with (left to right) Professor Martin Gore, Ovacome founder Sarah Dickinson, patron Jenny Agutter and supporter Kazia Pelka. embraced the internet revolution and has innovated with a private forum for members to support each other online with the MyOvacome site, put together with HealthUnlocked. It was the year that the Spice Girls hit number one with Wannabe. The year that Dolly the sheep - the first cloned mammal - was born. And the year that Fergie and Prince Andrew divorced. 1996 was also the year that Ovacome was created: the first UK charity helping women and their family, friends and carers affected by ovarian cancer. During that time Ovacome has grown from a seed of an idea planted by our founder Sarah Dickinson on the pages of Good Housekeeping (see page 4), to today’s team of six staff punching well above their weight from offices near to London’s Old Street tube. The well regarded team influences policy on ovarian cancer treatment, raises awareness at national level, supports thousands of women, their families, friends and carers and most recently has become involved in researching for new treatments. Appointing a research fellow - Dr Sarah Leonard in 2015 was among the major milestones for the charity. Overseen by Ovacome’s chief medical adviser Professor Sean Kehoe at the University of Birmingham, Sarah investigates aspects of tumour sensitivity to therapies along with trying to understand the impact treatment has on the tumour during actual therapy. This is an area, says Sean, which is not receiving sufficient attention. “All research costs money and presently there is a need to employ a laboratory technician to support the research,” he says. “Any donations are most welcome and can be sent via Ovacome.” Other landmarks for the charity include: Reproduced by permission of Good Housekeeping. 4 Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk The first Members’ Day, which was held at Alton Towers in 1996. This has become an annual occasion with many attending every year. The Ovacome website first made an appearance in autumn 1997. It took a while for the team to acclimatise under the very patient guidance of patron Adrian Dickinson. Ovacome has since Professor Sean Kehoe joined the charity’s trustee board over 10 years ago, having been invited by chief executive Louise Bayne. Sean says: “My reason for joining was not just the honour in being asked, but also because of what Ovacome stood for. “This charity is the oldest and indeed the only ovarian cancer charity in the UK with a specific mandate to support women diagnosed with ovarian cancer along with their families,” he says. “It provides direct access, support and advice for all and has been successful now for 20 years.” In 2010 Ovacome launched the BEAT ovarian cancer campaign highlighting the main symptoms of the disease. This has become the cornerstone of Ovacome’s awareness work and has led to the introduction of an ‘Adopt A’ scheme, in which we ask members to choose a public place to keep topped up with BEAT material. It is also the backbone of the charity’s Teal Tips awareness work in which Ovacome asks women to wear teal coloured nail polish to act as a conversation opener about the symptoms of the disease. Being the oldest ovarian cancer charity, Ovacome has seen the arrival of several other similar organisations, which it has started to work collaboratively with. World Ovarian Cancer Day on May 8 every year - has been a joint venture initiative with charities in the UK and overseas since 2013. Ovacome also worked with the other UK charities to create the 60-page ‘A younger woman’s guide to ovarian cancer’, which was highly commended for a recent award. For younger women, diagnosed under the age of 45, Ovacome holds regular get together meetings. In 2013 the family of a young member who died of ovarian cancer, Lisa Jayne Clark, funded a stepchanging awareness scheme which Ovacome brought to the UK. Survivors Teaching Students empowers Ovacome members to share their ovarian cancer story with medical students. Last year we appointed our first fundraising manager Lee Priestly, armed with experience in raising money to secure projects in the arts. She would love to help you with fundraising ideas if you contact her on 020 7299 6651 or e-mail [email protected] Ovacome news 5 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity 20 YEARS AND COUNTING To celebrate Ovacome’s 20 year anniversary we talk to women who were given a diagnosis in the same year that our founder Sarah Dickinson set about forming a support group to help them and tens of thousands of women after. Mary Mackenzie, aged 67, from Bonnyrigg, near Edinburgh Mary Mackenzie: ‘Ovacome has been a great comfort’. “I joined Ovacome very early on. I received a leaflet at a check-up probably 15 years ago and have looked forward to receiving the newsletter ever since, which I find both comforting and informative. “I had a hysterectomy in 1987 after pre cancerous cells were found in my womb, and was later diagnosed with clear cell ovarian cancer in January 1996 after many visits to my GP and hospital tests. I had my ovaries, omentum, etc, removed in 1996. This was followed by four chemo sessions of carboplatin. “I continued with a CA125 annual test for 14 years. My CA125 levels started to rise again in 2010 from 28 to 140 over two years, but the CT scan showed nothing. It then went back to my normal 28 within a month. During that time I phoned Ovacome and they put my mind at rest. Being able to chat with someone was the main help the charity has given me. Linda Chapman, aged 66, Storrington, West Sussex Linda Chapman: a scare in 2011 proved to be nothing. “It took me seven or eight years after being diagnosed with ovarian cancer to wake up and not think about this first thing. “I was aged 47 when I was told I had stage 1c in December 1996, after being given a hysterectomy, oophorectomy and omentectomy. This was followed by eight cycles of carboplatin. “I initially heard about Ovacome after my treatment in the summer of 1997 when someone gave me a copy of its newsletter and it was a huge relief to read about other people in a similar position and to see that there was support available. “It meant that I no longer felt alone and that there were other people feeling like I was. At the time there was very little information readily available on ovarian cancer: you couldn’t then just type into an iPad and see all the resources. “I’ve always liked the balance of things in the newsletter, between information and properly researched facts supported by medical advice and it did not shy away from the awful reality for some. “In 2014 I started to pass blood in my faeces. Many colonoscopies followed and a polyp was found, but it looked so unusual they operated and removed a large part of my bowel. The polyp baffled the bowel and ovarian oncologists. Eventually they decided it was clear cell ovarian cancer based on endometriosis. I was given six sessions of carboplatin and taxol. “In the early stages I became quite involved in Ovacome, becoming what was then a ‘Phone A Friend’ co-ordinator. When I did the training for this I shared a room with Ruth Payne and we have kept in touch on and off over the years. I now check into the online members’ forum - the modern version of Phone A Friend - from time to time to see what’s going on. “I have had the most wonderful care from all staff at the Western General Hospital in Edinburgh. In particular Dr Melanie McKean, my oncologist, whom I have known now for some time. I am now on six monthly checkups and appear to be doing well. Life is back to normal once again and I rarely think about all that has gone before. “I held a fundraiser in Surrey where I was living and I met the charity’s Louise Bayne who came along. She was expecting her daughter and had a little boy at the time. We had a ‘colour analysis worker’ come along, dressing four women in different colours and talking about how those shades worked for them. There were clothes for sale during the evening and we raised £1,000. “I only wish that all ovarian patients were as lucky as I have been. Once again thank you all for the hard work of the Ovacome team, you have been a great support.” 6 “I had a bit of a scare in 2011 when I had some symptoms which made me wonder if my cancer was recurring. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk However, I had tests and saw oncologists and there was thankfully nothing. “It’s nice to know that Ovacome is always there and has absolutely gone from strength to strength. At 20 years of age it is a respected charity which has a voice in the medical world, lobbies at government level and still supports women diagnosed with ovarian cancer, while raising awareness for others.” Chris Perry, aged 69, Seaford, East Sussex Chris Perry: ‘I feel so lucky to have reached 20 year milestone.’ “I was diagnosed with stage 2b ovarian cancer in March 1996. I was very fortunate in that I had an excellent GP who realised that my symptoms needed further investigation and referred me to Bedford Hospital that day for a scan. “Within three weeks I had undergone surgery and had started a six month course of carboplatin chemotherapy. I feel very lucky to have reached a 20 year milestone. “Thanks to Sarah Dickinson, Ovacome has been there for me since I joined in 1997. “When I was first diagnosed there didn’t seem to be any help available to me other than from my medical team. But then a friend said she had read an article in Good Housekeeping (see page 4) about somebody setting up a support group. It was Ovacome’s founder Sarah Dickinson. I got hold of the article and made contact with and joined Ovacome. “At the time we had moved to Bedfordshire and all my family and friends were in Lancashire or Sussex. It was reassuring therefore to know that if I ever needed to know or find out anything Ovacome would be there to help. “I went to the charity’s first Members’ Day which was held at Alton Towers. I also got involved in the regional telephone service, phoning members in my area to see if they wanted to keep in touch as a local group. One or two people did keep in regular contact. “I also helped Ruth Payne on a Barts stand many years ago. Being involved has helped me. “What the charity has achieved in 20 years due to the hard work and commitment of the committee and members is outstanding. Well done Ovacome and thank you!” Lynda Cook, 66, Wilmington near Dartford Mike and Lynda Cook: ‘We like to continue supporting Ovacome.’ “I still get emotional looking back to when I was diagnosed with ovarian cancer and I really feel for those who are starting this journey. “I was 46 when diagnosed. I knew something was wrong. The eight months before I was having on and off stomach pain which I’d convince myself was because of something I’d eaten. I kept making excuses, and about the weight around my tummy. Then I began heamorraging outside my period and was getting increasingly tired and latterly breathless. “But when I went to my GP she examined me and said that it was my age. My husband was wonderful and insisted that I was given further investigation. I’m not one to make a fuss, having not been to the doctor for 10 years before. My own mother had died of ovarian cancer three years prior and I said to my husband ‘I know something is wrong’. “After various tests and a terrible experience at my local hospital a nurse friend found out that I could be seen at the Royal Marsden on London’s Fulham Road. I had eight hours of surgery and was overseen for the next five years by the most amazing Mr Barton. “It was here that I found out about Ovacome’s founder Sarah Dickinson. There was a note from her pinned on the wall saying she was setting up a support group. I spoke to her several times on the phone, comparing notes on how we were getting on. “I never met Sarah, but I also spoke to her mother in law on the phone who near the end said she had gone for a walk and that things weren’t very good. “I never needed chemotherapy but was told to use HRT patches. All was fine until 10 years ago when I had terrible pains. I was told the pain was coming from adhesions caused by the surgery. I really thought the cancer had returned. Two years later the pains started again and it was the same problem. “I try to do my bit for Ovacome as it is still so important to me. I give one copy of the newsletter to my GP and the other to a neighbour, a nurse: not before I’ve read it myself. “I’ve sent Ovacome little bits and pieces. They published an HRT cake recipe I sent once for the newsletter and I’ve sent in money for some plants I sold. I like to buy things from them too like Christmas cards.” Ovacome feature 7 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity SAY HELLO, WAVE GOODBYE MAKE IT A DATE Ruth Payne (right), Ovacome’s much loved support line nurse, is leaving the charity after 20 years. Ruth is taking retirement, to enjoy her new role as a grandmother among other things, but members will be pleased to learn from her here that she is staying involved. “It can also help to say that I know of women who have been diagnosed with ovarian stage 3 or 4 who have been doing really well years after being diagnosed. “In February 1996 I read Sarah Dickinson’s Good Housekeeping article (see page 4) about her experience of having ovarian cancer and was very moved by it, not realising how significant it would be for me. Four months later I was diagnosed with early stage ovarian cancer. “Ovacome has achieved so much in its 20 years and I feel privileged to have been part of that and the opportunities it has offered: including being interviewed for BBC News, attending events and speaking at functions and, of course, meeting and speaking to the many truly inspirational women I have been in contact with.” “After recovering from surgery and chemotherapy – during which I attended the official launch of Ovacome with the cycle ride that ended in Windsor – I got in touch with Sarah and offered to help. As a practice nurse I was keen to spread awareness amongst my colleagues, but also to help support others affected by the disease. “Ovacome didn’t have a dedicated office then and volunteers would take turns in taking phone calls. In 2000 Ovacome’s first office opened in an old lab in St Bartholomew’s Hospital. Boxes of fact sheets and newsletters were stacked up on old lab tops. “We’ve had seven moves since them, including a stint sharing offices with The Eve Appeal and our recent relocation near to Old Street tube. “Over the years the thing I have enjoyed most has been talking to the probably thousands of women, families, carers and others supporting them through some of the most challenging times. “Often people use the support line to unpack what they have been told at hospital, or to explore their options. Sometimes people have been worried by symptoms they are experiencing – especially if there is something in the media about ovarian cancer. Often they want encouragement as it can be difficult to think about the future when faced with an ovarian cancer diagnosis. “I don’t often talk about my experience – although some people pick up on it. But sometimes if a person’s situation seems similar to mine I might suggest if it would help to know that I was in a similar situation 20 years ago. I remember one husband who broke down in tears in relief. 8 “I have also really enjoyed raising awareness of ovarian cancer and being involved in the younger women’s support group that Ovacome helped set up around six years ago, with Maggie’s Centres, for those diagnosed under the age of 45. “I will continue to be involved with the younger women’s group, as well as speaking at Survivors Teaching Students events and generally lending a hand. INTRODUCING ANNA HUDSON Anna Hudson: has a help centre/charity background. Ovacome looks forward to welcoming you at its Members’ Day, which is for the second year running being held during Ovarian Cancer Awareness Month in March 2017, and again in London. For those members who cannot make the event, the speakers’ talks will be live streamed and available for everyone to view on Ovacome’s YouTube Channel search Ovacome Charity in YouTube. Member’s Day is a free event which gives participants a chance to catch up on the newest developments in treating the disease and to get to know Ovacome staff and other people affected by the disease. It is a friendly day providing members with support and knowledge and a complimentary buffet lunch and refreshments. Members unable to be there on the day can also interact by asking questions on Twitter and live tweeting us using the hashtag #MD2017. And the presentations will also be available to watch afterwards on YouTube. Most of the speakers are still to be decided upon for the event, which will take place on Saturday March 4 2017, from 10.30am until 4.30pm, at the St Luke’s Community Centre, near to Old Street tube, at 90 Central Street, London EC1V 8AJ. Annie Gilbert: will outline priorities in ovarian cancer care. But independent researcher Annie Gilbert has confirmed that she will be giving a presentation on the findings of Ovacome’s 2016 patient survey outlining the main areas it has identified where improvements are needed in ovarian cancer treatment and diagnosis. (See page 3). Anna Hudson is joining Ovacome as support services manager. Anna lives in London and is trained as an occupational therapist. The majority of her work has been in cancer or palliative care services, including local and national charities. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk Notice of Ovacome’s AGM The Ovacome Annual General Meeting (AGM) will be held on Saturday March 4 2017. Only members of Ovacome are entitled to attend and vote at the meeting and notice of attendance must be given at least five days before the meeting. Any motions which are to be raised must be made by members of Ovacome in writing together with a seconder, who is another member of the charity and must be in the hands of the chair of trustees at least 14 days before the AGM. The AGM will be held after Members’ Day at St Luke’s Community Centre, 90 Central Street, London EC1V 8AJ. If you are an Ovacome member and would like to attend please contact the office on 020 7299 6654. Birthday gongs We would like to congratulate two visionaries who have helped many women diagnosed with ovarian cancer. Since 2007 she has worked in PALS, patient information and complaints, staffing a help centre and later managing the service, with some study time out to indulge in her love of literature! Anna says she is excited to join Ovacome: “My new job combines supporting people affected by ovarian cancer in an immediate way, alongside larger-scale campaigning and research promotion. I’m really looking forward to joining the team and contributing to the excellent work of the charity.” To book a place please contact the office on 020 7299 6654 or email [email protected] Everyone is very welcome to bring along a guest. Louise Bayne (far right) was delighted to receive a £36,595.33 cheque from Apricot’s Philip Chaimo for money raised during awareness month. The fashion retailer designs a dress for the charity every awareness month, thanks to member Adele Sewell, also pictured. The outstanding figure was raised primarily from sales of the dress, but also by selling Barry M Teal Tips nail varnish in its stores. In the latest Queen’s Birthday Honours, Professor Martin Gore (pictured above), consultant medical oncologist, who has been involved with Ovacome since its inception, has been awarded a CBE for services to oncology. And Dr Anna Campbell, who has researched the physical and psychological benefits of staying active after a cancer diagnosis, as a director of CanRehab, has been given an MBE. Ovacome and ovarian cancer news 9 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity THE NUMBERS GAME Benefits of monitoring? Dr Marcia Hall There’s been a lot of questions on Ovacome’s online forum recently about whether it’s a good idea to ask for regular CA125 blood tests to monitor for an ovarian cancer relapse. Dr Marcia Hall, consultant in medical oncology at the Mount Vernon Cancer Centre, answers some of your questions. What is CA125 testing? CA125 is a protein that is found in blood and when its levels rise it can be an indicator of ovarian cancer or a recurrence of the disease. A small sample of blood is taken from the arm and sent to a lab where a simple test will measure the level of CA125 in the blood sample. For women who have been treated for ovarian cancer CA125 levels can start rising months or even years before there are any other signs of the cancer coming back. But research shows that the best time to treat an ovarian cancer recurrence is when any symptoms cause women to feel unwell, because starting treatment earlier does not help you live longer. And so CA125 blood tests at each follow-up appointment are not imperative. CA125 monitoring can help in planning of holidays and special events, so that treatment can be arranged before or after. When should women worry? Disadvantages of monitoring? What is your advice? However, the potential benefits of regular CA125 testing have to be weighed against the OVO5 trial showing that women who were treated with chemotherapy on the basis of the CA125 results alone had an extra whole course (six cycles) of treatment than patients who waited for symptoms. To women who are offered CA125 testing in routine follow-ups post treatment I would tell them to consider it carefully and think through how they would react if levels went up – or how they would feel if they weren’t having the tests and simply relying on symptoms. We are all different. The OVO5 trial, involving 1,400 women, found that women who were treated as soon as their blood showed an abnormally high level of CA125 had chemotherapy five months earlier than those who were treated later. However, they did not live any longer than women who were treated later when they had symptoms of cancer, or when doctors could see other signs that their cancer had come back. Finally, I’d say to consider the scenario that their CA125 has consistently risen, indicating that it is very likely that their ovarian cancer has come back, but the doctors are continuing to watch and not offer treatment (as it is unlikely to help). This is theoretically justified, but psychologically can be very difficult for many patients and their relatives. It was also found that women who were treated as soon as their blood showed an abnormally high level of CA125 needed re-treatment for the second relapse of their ovarian cancer five months earlier. Starting treatment earlier did not improve women’s quality of life either. My views are different on CA125 testing during chemo, as we are enthusiastic about reductions in CA125 which generally indicates a response to treatment. But again I try to reinforce that even for this use it is a crude corroborative indicator. The fact that a patient’s symptoms are better is much more accurate and important. So really using CA125 in this way may be actually harmful in terms of mental and physical health. Are CA125 results accurate? There is no right or wrong answer to this. Some women will find it reassuring to be monitored for a relapse at every clinical visit, for others it would cause unnecessary sleepless nights prior to appointments. The other thing to remember is that CA125 results are not entirely accurate. Women can occasionally have heightened CA125 levels even if their ovarian cancer is still in remission i.e. they are not having a recurrence. This can be caused, for example, by some sort of peritoneal irritation – eg abdominal surgery, infection in the abdominal cavity somewhere or residual endometriosis (albeit rare). 10 The number of the CA125 result is not what should be focused on. Anything under 35 is normal – although this only applies to 95% of the population. There are a few women whose normal level is 50ish. Equally, there are women whose CA125 rises within the normal range indicating, together with symptoms, a likely recurrence – for example, six rising to 12 then to 22. Trials that patients kindly engage with require us to measure the CA125 to understand how long patients having that treatment might be in remission - not perhaps really meaningful for the patients individually, but occasionally helpful comparatively across different trials and treatment types. To monitor or not? There are pros and cons either way. Although the OVO5 trial found no advantage in long-term prognosis in treating a patient for an ovarian cancer recurrence before the woman had symptoms, there are other benefits of having an early indication of whether the cancer has returned. What is normal? Conversely, a normal CA125 does not necessarily guarantee there is no cancer back: it is just an indicator. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk Women should only be concerned when they have symptoms as well as a rising CA125. The CA125 results need to be treated as corroborative evidence - as one part in the diagnosis jigsaw. eight hours, which is ‘colicky’, then you should let your medical team know. (See box below for symptoms to watch out for). • Marcia Hall MB BS PhD FRCP is a consultant in medical oncology at the Mount Vernon Cancer Centre and an Honorary Senior Lecturer at Brunel University. Symptoms to look out for which could indicate an ovarian cancer recurrence • Abdominal pain lasting more than four to eight hours, especially if it is ‘colicky’ or intermittent. • Abdominal swelling or feeling a lump. • Change in bowel habit lasting more than a few days without any cause, such as going on holiday or a change of diet. • Needing to pass urine more often or new unintentional leaking. • Nausea, vomiting, diarrhoea, constipation or loss of appetite that cannot be attributed to food poisoning or community infection. • Vaginal or rectal bleeding. • Loss of appetite or weight. • What should I do if I get any symptoms? Cancer is difficult to forget. Once you have finished treatment, you are likely to be more aware of your body and may notice even small changes in how you feel from day to day. If you find you become anxious when you have aches and pains, coughs and colds, remember these are not necessarily linked to the cancer coming back. A feeling of abdominal bloating (especially on waking in the morning or after only a small meal) that lasts for more than two to three days. The above symptoms might indicate a recurrence, although they might have less sinister causes. If a woman develops these symptoms after being treated for ovarian cancer a scan and a CA125 blood test will be offered to establish if the cancer has actually returned. This feature was reviewed by Ros Glasspool, consultant medical oncologist, at the Beatson West of Scotland Cancer Centre. However if symptoms do not go away or you have any symptoms associated with ovarian cancer such as abdominal swelling or pain lasting more than four to Ask the dr 11 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity CUTTING THE GRASS CAN WAIT M y name is Tracey Gleed and I am 53 years old. I am a mother of two grown up children and work as a primary school teacher. In January 2016 I was diagnosed with primary peritoneal cancer. [It is a rare cancer that starts in the layer of tissue that lines the inside of the abdomen called the peritoneum and is treated in exactly the same way as ovarian cancer]. I received the usual treatment of six lines of chemotherapy and major debulking surgery. My scans currently show no evidence of disease. But my world was turned upside down and I cannot express the emotions I went through. Some of this distress was because I felt alone because no one had heard of my form of cancer. I remained in a state of distress for some weeks but several events made me turn my mindset around. My treatment plan gave me a sense of positivity. Something was being done and I held on to the belief that I was going to win this battle. Also my son got engaged announcing that he wanted his mum at his wedding; a sentence that filled me with love but sadness. He had an engagement party and I spent the whole time considering that I would not be at his wedding. The next day I realised that whilst I had spent the whole time worrying about something that may never happen I had spoilt what would have been a very happy day. From that moment on I have viewed everything differently. I live for the day and enjoy it as much as I can. Nobody at that party knows for sure that they will be at the wedding. I have days harbouring on negative thoughts and I hate those days. I view my journey as a tunnel and when I am at the bottom of the tunnel it is far worse to bear than the days that I am at the top. I’ve also realised that when I have really bad days those feelings of anxiety do not last. I have recently returned to work teaching mornings only. I am proud that I returned only 26 days after my last chemotherapy but I wanted to get back to a ‘normal’ life. It has been tough but definitely kept me positive. I was overwhelmed to begin with and conscious that I looked different in my wig. I was certainly taught a lesson when I rather accusingly asked one pupil why he was staring at me. His reply was, “It’s because I’m so pleased to see you Mrs Gleed.” I do not know if or when my disease will return. I have changed as a person. I do not get so stressed any more over silly things such as the grass needing cutting. I have two holidays booked before Christmas. Having things to look forward to and making memories are the important things now. Tracey Gleed, Ashingdon, Essex. 12 BUILDING A FUTURE 20 YEARS AFTER OVARIAN CANCER From the frontline D avid and I knew at the beginning of 1996 that the year would be life changing, but did not know how dramatic it would turn out to be. Helen Fawkes is a BBC correspondent living with advanced ovarian cancer. She was originally diagnosed nearly 15 years ago. Follow her on Twitter @Helenfawkesuk or on her blog: helenfawkes.wordpress.com When your life is totally and utterly shaken up by this horrible disease you often find yourself wishing that things would just go back to normal. You long to go back to BC - ‘Before Cancer’. But nothing is ever the same again, no matter how hard you try. Right now I’m enjoying some time without intensive treatment. What I’d really love is to be able to do the same stuff I could when I was well. Go to the gym, dance, play netball and so much more. It would be wonderful to have the oomph to get up and do some exercise. But instead I spend a lot more time than I’d like stuck on the sofa. I’ve been totally wiped out by the almost continuous chemo which I’ve had since my diagnosis. I get out of breath easily and can’t walk that far. The biggest side effect that I suffer from is chronic fatigue. It means I have to be very careful with what I do with my small amount of precious energy. Despite having cancer on and off for almost 15 years, I still find it very hard sometimes to deal with this new normal. However it could be a whole lot worse. I don’t have any pain and I still have hair. Two things I’m very grateful for. I realise I’ll never have my BC life again. But I know that as a woman with advanced ovarian cancer I’m lucky to still be here, exhaustion and all. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk The year began with me starting the process of redundancy from the American bank where I worked in Cardiff; we were selling our cottage with an acre of land on the mountainside above Abergavenny, and were due to complete on the purchase of a completely derelict farmhouse with three barns and five acres on the side of Snowdon in North Wales. The plan was to completely restore the farmhouse, doing all the work ourselves from the roofing, lime plastering and putting in a water supply, etc, and then open for B&B. Then disaster – in February I was diagnosed with ovarian cancer. Having had breast cancer in 1992, I was not sure of the outcome of the diagnosis of ovarian cancer especially as the swelling of my abdomen was very rapid. The question was – should we still go ahead with the purchase of the farmhouse? What was to be the future for both of us? This had to be a team effort; we had only been together eight years and did not want our dreams to come to an end so after a long discussion, David and I decided to go ahead and buy the farmhouse. Gina Kent: enjoying life at her eco home. I had the operation, came home from hospital and more sad news, one of our Great Dane dogs, Cloe, had to be put to sleep. What else was going to happen to us? acre of land and an acre of beach on the west coast of Scotland and helped with the build of our eco house. We have just taken on two rescue Great Dane dogs again, spent five weeks in New Zealand in 2014 and been to Italy and Germany for three weeks holiday traveling by train. I started chemotherapy and when I felt well enough I helped David start packing for the move. On April 10 David and Bruno our other Great Dane moved into a static caravan in the farmyard 160 miles north, and I stayed in Cardiff with a friend who had kindly offered to look after me. I was close to Velindre Hospital for my treatment and the staff there were wonderful. One of my sons gave me a framed photo of the farmhouse and told me “Mum this is what you have to aim for”. So what is the future for us? Maybe move and build another house – but this time try to build it ourselves, we are only 74 and 72 years young! Life is an adventure and we both enjoy every day. We are both so lucky to be alive. Gina Kent, Ardpatrick, Near Tarbert, Argyll and Bute. In July, I eventually moved up to Snowdonia and even though I was not as fit as I had been, I started to help David take the remainder of the roof off the farmhouse and gradually built up my strength. Get writing... And YES we did achieve the restoration and YES we did open for B&B. So what happened next? David had laryngeal cancer in 2005 and I asked him if there was anything he would like to do. Build a house he said. So in 2009 we bought an Postbag We welcome letters for our postbag pages. Please drop us a line about how you are coping with ovarian cancer, what has helped and inspired you or any concerns you may have. 13 Phone Ovacome’s Freephone support line on 0800 008 7054 ovarian cancer charity Thank you! FROM LEE, FUNDRAISING MANAGER Follow me on Twitter @LeeOvacome and see more thank yous on our website ovacome.org. uk/fundraise/thank-you/ Rotary club Shaved head Trekking To Sue Furby for choosing Ovacome as one of her charities of the year when president of Middleton Rotary Club, raising an amazing £1,500. To Charlene Lane who decided to shave her head before chemo to raise an awesome £2,395.70 and donated her hair to the Little Princess Trust. Two marathons Mini triathlon Bob Burgess who walked the breathtaking 500 miles from Saint-JeanPied-de-Port, in the French Pyrenean foothills, to Santiago de Compostela, in north west Spain, to support Ovacome and raised a really awesome £2,620. Jon Channel for running both the London and Berlin Marathon in great times and raising a brilliant £951.40. To sisters Michelle McDonald and Danielle Stansfield who completed a mini triathlon, 200m swim, 5k bike and a 2.5k run and were still smiling afterwards. They raised a wonderful £550. Old boys dinner To Stuart Fawcett and his son who organised an amazing reunion with former pupils at Sir William Turner’s school, Redcar and raised a fabulous £400. Great North Run Craig McMurrough for taking to Newcastle’s streets and running a half marathon dressed up as a shoe. Craig raised a wonderful £1,320.25 in memory of his beautiful sister Cheryl. SarahFest To Amelia Thornber, friends and family for creating a truly amazing festival - SarahFest - in honour of her wonderful mum Sarah. They raised a staggering £1,875. Skydiving Katelyn MacVicar and Ailsa Hughes who were so brave to jump out of a plane flying at 10,000 feet to raise an incredible £675.49 in memory of their lovely gran. 14 Serenade To Julianne Jennings who organised a beautiful summer concert to celebrate her inspirational sister Rach and raised a fantastic £570.29. 85th birthday To Mavis Uttley who decided to organise a fabulous birthday party with fun and games raising a wonderful £350. Half marathon To Karen Oxley who donned her running shoes and ran the Chester half marathon and her daughter who ran the fun run, bringing in a brilliant £746.25. Year 10 pupils To all the Year 10 pupils of Smithdon High School who put on a multitude of events to raise vital funds and donated a very impressive £285. FUNDRAISING IDEAS DECEMBER 4 Entry includes a free Santa suit for every runner! Afternoon tea Kay Pritchard who arranged an afternoon tea for 100 people with lots of lovely food. Everyone gave generously and she raised an incredible £530. 10K Michelle Wilson who braved the elements and ran the Worthing 10K in memory of her beautiful mum Sue, and raised a terrific £365. Table sale To Jacqui Betteridge who has been fundraising for Ovacome all year at her local church lunch club and has raised a wonderful £157 for our work. Everyone To everyone that has raised vital funds for Ovacome, sorry we cannot mention all events. Follow Ovacome on Twitter and Facebook or visit www.ovacome.org.uk Collection tins Collection tins or collection buckets are an easy and hassle-free way to raise funds. You can place one of our tins in a local store, coffee shop, community centre or other public place. FEBRUARY 26 Annual ball To Michele Chessum and Bailey Trailers who chose Ovacome as their charity of the year for their annual ball and managed to raise a truly outstanding £7,026.32. Santa Run 5km and 10km routes available. 4,000 Father Christmas’s will descend upon London’s Victoria Park. Celebrate and fundraise If you have a birthday, anniversary or another celebration coming up you could support our work by asking your guests to make a donation to Ovacome instead of gifts. Coventry Half Marathon is a single lap run through Coventry city centre and the countryside beyond. MARCH 5 12 12 The Paris Half Marathon is one of the best overseas half marathons for UK runners to take part in! Bath Half The Vitality Bath Half Marathon or the ‘Bath Half’ as it is affectionately known. Vitality North London Half Marathon a truly unforgettable running event, with runners finishing their 13.1 mile journey inside the iconic Wembley Stadium. Would you like to take part in one of these events, or do you know someone who might like to? For more information, T-shirts, running vests, training plans, fundraising packs and a list of events throughout the year please get in touch with Lee Priestly – [email protected] – 020 7299 6651 All types of jewellery and watches We recycle all unwanted jewellery, odd earrings, broken chains, costume jewellery, watches, children’s jewellery, etc, in all materials: plastics, wood, bronze, gold, silver, etc. Each item we receive is individually assessed and recycled to get Ovacome the highest price possible. Just call or email Lee Priestly for the Freepost label [email protected] – 020 7299 6651. Leaving a gift in your will By leaving a gift in your will you can help us change women’s lives. Every single pound has the power to make a difference and help us transform stories of loss into stories of survival. Please consider supporting us in this very special way and help our work continue. Tax rules may mean that if you leave at least 10% of your estate to charity, the inheritance tax rate on the rest of your estate may reduce from 40% to 36%. Contact Lee Priestly on 020 7299 6651 or email her at [email protected] Fundraising | Events calendar 15
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