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"Cancer Journey"

About: Queen Margaret Hospital / Medical Oncology

(as a service user),

During my initial consultation with Dr. One, I was informed that there was no cancer in my lymph nodes. However, a subsequent appointment with another doctor confirmed that the cancer had, in fact, spread to the lymph nodes. This discrepancy was distressing and significantly impacted my trust in the information I was being given by Dr.One.

While I appreciate the demands placed on healthcare professionals, I was also concerned by the appearance of fatigue and disengagement during one of my appointments with Dr. One. I do believe they are skilled and dedicated, but lapses in attention during consultations can lead to lack of confidence from the patient and family.

Also during a consultation with Dr.One, my husband asked a question but received no response. They were also seated across the room, rather than beside me, which was noticeably different from how other doctors engaged with us. When I later asked the same question, it was not addressed directly; instead, I was simply told that all my margins were clear and that this was good news. So no answer to my one question.

While I appreciated the positive update, I left the appointment feeling that my concerns had not been fully acknowledged. Unfortunately, due to all of my experiences with Dr.One this affected my confidence in the interactions and left me feeling hesitant about asking further questions or any further consultations with Dr.One.

Additionally, Dr. Two later misreported the size of my tumour post-treatment. Thankfully, I had written down the original measurements and raised the discrepancy, which was then corrected by Dr.Two. This reinforced for me how critical accuracy and attention to detail are in cancer care—not only for clinical outcomes but for a patient’s emotional well-being.

In another instance, I was told that only one lymph node had been removed, when in fact, all lymph nodes on the left side had been removed, as confirmed by another doctor at a later appointment. This inconsistency further eroded my confidence in the reliability of the information I was receiving from two of the doctors.

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Responses

Response from Murdina MacDonald, Lead Cancer Nurse, Cancer Services, NHS Fife 2 hours ago
Murdina MacDonald
Lead Cancer Nurse, Cancer Services,
NHS Fife
Submitted on 11/08/2025 at 10:52
Published on Care Opinion at 10:52


Dear VARob,

My name is Murdina MacDonald and I am the Lead Cancer Nurse. Thank you for taking the time to share your experience. I’m sorry to hear how distressing and confusing your journey has been.

It’s clear from your account that you’ve faced moments where clarity, attentiveness, and compassionate engagement were lacking. These are fundamental to building trust, and I regret that this was not consistently your experience. We’re grateful for your reflections, which help us identify ways to enhance the care we provide and I want to assure you that it will be shared with the relevant teams for reflection and learning.

Given the complexity of your concerns and the impact they’ve had, I would encourage you to speak with our Patient Relations team, who can support you in exploring these issues further and ensure your voice is heard in a more formal way. They can also help facilitate any follow-up conversations you may wish to have.

Warm Wishes

Murdina

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