Cancer

The call of a blackbird’s full-throated song

Speaking pretty good English, Dr Tayeb came straight to the point. Was I eligible for the ground breaking new cancer treatment? He was afraid not. The radioactive test scan had illuminated the bone tumours very nicely, but the more dangerous one in the liver had remained occluded. So in my case the new treatment – a series of targeted infusions – could have only a ‘suboptimal outcome’. He was therefore not recommending that we go ahead. This was at 8.30 in the morning. I’d been in a taxi since 6.30. I’d hardly slept the night before, due partly to anxiety about what Dr Tayeb might or might not say, and

Britain is facing a cancer care timebomb

As many as 100,000 patients had a cancer that was missed, or had their diagnoses or treatments delayed during the lockdowns of 2020 and 2021. That’s the shocking finding of a recent study by the Institute of Cancer Policy at King’s College London. The experts conclude that some patients will already have died, many still haven’t been diagnosed and others will already have a more advanced cancer as a result of the delays. And it is likely this figure of 100,000 will continue to rise as more data from 2021 and early 2022 is analysed. In other words, there could not be a more important time to fix cancer care

My oncologist has a new weapon in his arsenal

‘We’re at war!’ said the taxi man as I installed myself for the long drive to Marseille. I put a fist to my mouth and tooted my imaginary bugle. But world war three – as he saw it – was no joking matter. My tootling bugle irritated him and his voice rose by a querulous octave. Didn’t I realise? Everything has changed since this morning! European politics had changed! French politics had changed! Who was now going to vote for a political novice like Zemmour, for example? Horizontal in its dashboard holder, his smartphone was showing a three-cornered TV debate on a rolling news channel. He turned up the volume.

Sister, where are you? – Clover Stroud mourns her beloved sibling

‘CERTIFICATE IS NOT EVIDENCE OF IDENTITY,’ the freshly issued death certificate read. In the craziness and shock of grief for her beloved sister Nell Gifford, who died at 4.20 p.m. on 8 December 2019, aged 46 (‘Cause of death: metastatic breast cancer’), Clover Stroud found herself clinging to those capitalised words. ‘Yes, the certificate was wrong… My sister was not the deceased and the very certificate I was holding was telling me that.’ She started searching for her everywhere. ‘Whereareyouwherareyouwhere-areyouwhereareyou’ she asks for one whole page of this book in an enlarged typeface denoting the din in her head. She feels as if she’s setting out into the evil depths

Christina Patterson overcomes family misfortunes

The journalist and broadcaster Christina Patterson’s memoir begins promisingly. She has a talent for vivid visual description, not least: ‘We are a pink and navy family. Two pink girls, a navy boy and a navy wife.’ Her early family holidays in Sweden, where her mother is from, are full of lingon-berries, hammocks and mini-golf. She recounts the story of her parents’ courtship as students and says of their relationship: ‘Love at first sight. Love for nearly 50 years. Love till death do us part’ — ominously pointing out how easy they have made love and marriage look. Most arresting, however, in this early part of the book, is her depiction

Would my scan results be a death sentence?

At the desk I gave my name and showed my Covid vaccination pass and the woman told me to take a seat with the others. I greeted the two elderly couples and the healthy-looking man wearing a three-piece suit and tie and plonked myself down on one of the orange sofas. The tatty oncology department at Marseille now feels like home. The hard-as-nails but sympathetic receptionists. The seatless lavatory bowl. The notice on the wall listing the recognised mainstream religions, designating them with equal disdain as ‘cultes’. Which is a far cry from Torbay hospital, where I was treated for cancer before this. At Torbay hospital the oncology department has

Compassion and a gift for friendship are touchingly evident in Ann Patchett’s These Precious Days

It has to be one of the most extraordinary stories of lockdown — how Tom Hanks’s assistant Sooki Raphael, undergoing treatment for recurrent pancreatic cancer, came to be living in the basement of the American novelist Ann Patchett and her husband Dr Karl VanDevender. How it happened is told in the title story of These Precious Days, Patchett’s second collection of essays. Asked to endorse Hanks’s short story collection, Uncommon Type, and then to interview him on stage during his tour, Patchett first meets Sooki in the wings of a Washington theatre. Hanks, by way of reciprocation, agrees to do the audio recording of Patchett’s eighth novel, The Dutch House,

The downfall of the French middle class

The chesty Corsican taxi driver was giving me his earnest appraisal of the way things were headed in France politically. On the right we were passing the battlefield of Aquae Sextiae where the Roman general Gaius Marius, commanding 37,000 legionaries, massacred a 100,000-strong Teutonic horde thought to be headed for Italy after laying waste to northern Spain. Then, on the left, the church of Saint-Maximin-la-Sainte-Baume with its fragment of Mary Magdalene’s cranium displayed in a spookily lit showcase. Later, turning south, we would pass through the countryside of Pagnol’s childhood, now split by the motorway. And a bit further on — glimpsed through roadside trees at Aubagne — the Foreign

I rather enjoy my chemotherapy sessions

With a French health card everything is free for us cancer patients, even taxis to and from the hospital. ‘This is the longest taxi ride I’ve ever taken in my life,’ I said to last week’s driver, Virginie, on the outward leg of our three-hour round trip to the hospital at Marseille. ‘Your poor French state though,’ I added. ‘Good for us taxi drivers though,’ she pointed out. She was around 50 years of age. Her summer frock revealed a powerful upper back. She wanted to talk about her four girls aged between 13 and 19. The first three had been always obedient and polite, but the youngest was a

Was I the picture of evil incarnate?

Not long after Catriona and I first met, her husband painted my head and shoulders portrait in oils as I sat next to an open window in Provence with my shirt off. The result was an astonishing and rather brilliant study of spiritual depravity. But I was too amazed and humbled to have my portrait painted in oils by a professional artist of international repute to much care about the result. Nor had I expected a photographic likeness. And at the same time I was genuinely delighted that at least I didn’t look like a bourgeois. Later the painting arrived in Devon in the post, beautifully and expensively framed, and

The art of losing your hair

Although fatigued to the point of catatonia, and sitting there like a 19th-century Fang funeral mask, I am glad to contribute to the gaiety of a dinner party by being a good listener. But to be a good listener, even a catatonic requires acting skills. I am learning to lift my glass to my mouth and absentmindedly sip while politely maintaining eye contact. I am learning to leave a dignified or at least sane interval between each visit to the glass and to vary that interval. I am learning to appear interested long after interest has waned or petered out. These skills need polish and I am not yet the

Is the daily drip of Covid statistics still helpful?

It is hard to remember a time when the daily drip of Covid statistics was not part of our lives. Since March 2020, we have been greeted every afternoon with a stream of government released data filling us in on the number of infections, hospitalisations and deaths. But how necessary is it today? With a current seven-day average of only seven Covid deaths a day, the lowest level since 15 March 2020, what do we stand to gain by continuing with this current approach? It is becoming increasingly apparent that the Indian variant is not going to swamp hospitals – and that concerns about fully unlocking on 21 June are over-egged. Even

My best Duke of Edinburgh salute for my oncologist

In the waiting room I thought about the Duke of Edinburgh. In particular, I pictured him saluting the cenotaph on Remembrance Sunday. In 1915 Colonel Maud’huy told his assembled French soldiery: ‘Many men salute correctly, very rare are those who salute beautifully… One could say that the salute is the hallmark of education.’ Maud’hay was an aristocrat-dandy. He would say that. Yet a simple practised movement can be powerfully expressive and every year the Duke of Edinburgh’s respectful, comradely martial salute was a thing of beauty. I looked forward to it. And every year, as he stepped backwards and saluted Lutyens’s sublime pylon, the execution was so reliably superior to

‘Protect the NHS’ is all very well, but when will the NHS protect us?

After refusing to issue my HRT without a blood pressure test, the GP surgery rang to offer me an appointment. ‘I can come any time,’ I said, trying to be accommodating. Having complained about this particular practice before, I felt guilty. They have been very good at issuing me with repeat prescriptions through their online service during lockdown. When a polite, cheerful receptionist said I could not have my HRT without an appointment this time, because my annual blood pressure test was due, I saw that as a good thing, a sign they were doing their job properly. I made a mental note to write about how nice and efficient

Lockdown and cancer: are we getting the full story?

The 10 Downing Street press conferences on Covid-19 tend not to show graphs about cancer care. We see various charts by statisticians and epidemiologists, but the impact of lockdown on patients with time critical conditions such as cancer has been largely ignored. The disruption of cancer services is a global phenomenon, but the suspension of screening services and failure to protect cancer services in the UK has resulted in 40,000 less cancers being diagnosed last year, compared to 2019. The true scale of the cancer backlog has yet to be acknowledged by the UK government, far less prioritised with specific additional funding. Denial could cost lives. Any future cancer strategy

Are we ready for Britain’s looming cancer crisis?

Cancer, cardiac and countless other patients are crying out for help – but are ministers listening?  Over the last year, politicians have been adopting untried and untested policies, the consequences of which none of us can yet fully grasp. The main aim, of course, of these extraordinary lockdown measures has been to suppress Covid-19 in order to reduce pressure on our hospitals. That has been the metric on which Government approval has been judged. Whether or not you agree with every restriction, it is clear that this focus has sucked the oxygen away from other pressing health issues. Covid-19 required a response unlike anything we have seen in modern times.

Why I need to become a French citizen

After weeks of living in the 18th century, going everywhere on foot and encountering few other souls, I drove to Marseille for a hospital appointment and got stuck in a crazy traffic jam. As a reintroduction to the human race, it was a brutal shock. Hooting, shouting, sirens, blue lights, motorcyclists doing wheelies, cars mounting pavements and grass verges, cars forcing a path through the stationary traffic using their bumpers as buffers: utter chaos. In an hour and a half the three-lane queue moved forward 80 yards. The chaos reminded me of a taxi ride I once took from Palermo airport. On the half-hour drive into the city we had

Bad news from my oncologist didn’t spoil my joyous reunion with my grandson

The Moulinards had inhabited the old stone hilltop house for centuries, ekeing out a hard living among the sun-baked boulders. They were peasants. In the winter of 1962 there was one Moulinard left. Henri: old, alcoholic, feeding the furniture into the fire for warmth. A delegation of relations came up the hill to persuade him to go into an old people’s home. When they’d left, old Henri took himself off to a large oak tree and hanged himself from a branch, dangling there for several days before being found. The house passed to a Marseille butcher who sold it on to an English couple who asked us to house-sit last