Archive for the ‘Private medical insurance’ Category

Tattoos after chemo

Tuesday, January 10th, 2012

When I was a little girl I always associated Egypt with mummies. The back-from-the-dead-and-out-to-get-you bandaged variety that I saw in films. Based on the fact that only English actors could read the hieroglyphics and open the pharaohs’ tombs, I also felt a little superior, more sophisticated than this country of pyramid builders. Yet while we Britons were discovering that wood could be used for purposes other than burning, the ancient Egyptians invented the water clock to tell the time (because the sun dial was useless at night), a calendar that had precisely 365 days in a year and the blocks, tackles, tools and moving gear to help construct monuments that are still standing 6,000 years later. Of all their inventions the one I’m personally most grateful for is the tattoo.

Tattooing appeared to be an exclusively female practice, playing a therapeutic rather than cosmetic role. Found on the mummified remains of women, often on their stomachs and breasts, it’s been surmised that theses tattoos functioned as a permanent ‘good luck’ charm to help expectant mothers through pregnancy and childbirth.

Now, of course, tattoos are the preserve of men and women. Many of us have them and for a variety of reasons, but rarely therapeutic ones. However as ‘therapeutic’ is all about beneficial effect, then I’d argue that my recently acquired tattoos definitely are.

In 2004 I underwent chemotherapy for breast cancer and, like most women on my type of drugs, lost all my hair, eyebrows, eyelashes, the lot. Everything grew back of course, although the eyebrows were a bit of a let down. In 2009, at my five-year check up, I found out that I had breast cancer again, so it was chemotherapy once more and, when the treatment finished earlier this year, I knew it wouldn’t be too long before I started to look like me again. Well my hair and my eyelashes returned, but six months later my eyebrows still refused.

You don’t realise how important eyebrows are until they’re gone. They help to shape your face, give it warmth and allow you to show concern. Without them you can also look quite hard. I became quite expert at putting on my eyebrows everyday, and I’m guessing most people thought my eyebrows were actually mine, rather than carefully applied eye shadow. But, in hot weather, I’d often come home with one and a half eyebrows, and sometimes just half; it wasn’t a good look.

I already knew, from seeing music videos of Michael Jackson as well as some of the girls in the Big Brother house, that tattoos were used effectively as semi-permanent make up, and I decided this was now probably the only option open to me. But I didn’t want to look as though I’d been ‘done’, I wanted to look as natural as possible. Here’s what I did next:

1. Do the research
Like most people, I trust personal recommendation above everything, but what do you do if no one you know has had their eyebrows tattooed on? Yup, I had to resort to Google, but it was impossible to make an informed decision, so I called some beauty editors and asked their opinion. The result was unanimous and I was directed to a lady called Debra Robson-Lawrence.

2. Understand what’s involved
Once I’d contacted her office a technician phoned to have a pre-consultation consultation. This was a friendly, reassuring chat about the treatment and what could be achieved as well as to manage my expectations. Then a date was fixed to discuss my treatment plan with my chosen technician (Debra in my case) and have a ‘trial run’.

3. Decide on the ‘look’
I turned up at the Harley Street offices, wearing my usual make up as requested. Debra studied my eyebrows and suggested that a different shape might work better and could she show me. First she used a ruler to take measurements from both sides of each eye up to my brow line; then with an eyebrow pencil sharpened to within an inch of its life, she drew in each hair with light, deft strokes. After only a few minutes she asked me to look in the mirror and I was amazed. By creating a brow line slightly above my natural line she was able to achieve a more-awake, open look. We discussed where we might make changes, but in the end I couldn’t fault her design; we agreed a date for the tattoo.

4. Get tattooed
Two weeks later I was back in Harley Street having an anaesthetic cream applied to my eyebrow area. Debra double checked that I was still happy with the shape and colour, retook the measurements and began work. I’ve never had a tattoo and was expecting to feel some discomfort, but I hardly felt anything other than a little heat now and then. And it only took about 25 minutes max. I looked in the mirror and agreed where tweaks should be made. This was done and I was back on the tube heading home, but not before I’d taken out my mirror in the middle of Harley Street and had another long look. My eyebrows were darker than expected because the skin beneath the tattoo was red from the treatment, but I quite liked that, and the shape was perfect.

5. Perfect the effect
I always knew this was a two-stage process and the full effect of the tattoo wouldn’t be seen until after a second treatment. Some of the pigment used in the tattoo will flake away naturally with the top layer of skin and the overall look becomes softer and more natural. After a month a touch up session is needed to deepen the colour, if that’s what you want, and fill in any gaps.

How long the tattoo lasts depends on your skin type, but I have a colour boost to refresh mine every six months, but that’s all I need to do. Right now I don’t even need to touch them; they’re perfect.

Just like those Egyptian mummies my tattoos have been my good luck charm; they’ve given me more confidence and a feeling of well-being, which is a great pick-me-up after cancer. And, like their tattoos, no one knows I’ve got them – except you and me.

If you’ve got to have chemotherapy, did you know you could have it at home?

Wednesday, July 29th, 2009

One of the perks of my job was private medical insurance; in fact I’ve always had it, but never needed to use it until I was diagnosed with breast cancer.  As you may know, medical insurance cover has many benefits; for me it meant choice as to when and where I had my treatment.  What I have been amazed to learn since then is that many patients can now get the same choices on the NHS!

This choice meant I could have chemotherapy in the comfort of my own home or I could have it in hospital with several other patients, at the same time, in the same room.  Being with others in the same situation can be a real help for some people. You can chat about the changes to your body, exchange views and even have a laugh, though you may still get chance to do this at patient group meetings or when you go for your check-up.  For those who’d prefer more privacy during their treatment, just don’t want to talk, or don’t feel well enough for company, this is torture.  I opted for home treatment.  I’d feel at ease and, more importantly, my children could see chemotherapy in action.  It’s common sense I know, but understanding diminishes fear and I believe that being able to watch me having cups of tea, chatting to my wonderful cancer nurse Elaine, and generally being relaxed during each session was an enormous relief to everyone. Me too.

When the day arrived for my first chemotherapy session, I had no time to be apprehensive, as I had to attend a client meeting that morning. (I had been told to have a very peaceful day before the treatment to prepare my body for the drugs, but circumstances at work made this impossible.) The meeting ran on and I had to race home to be there before Elaine.  We arrived virtually at the same time, and then a procedure began that would be replicated over the next six months.  I would sit in a comfortable chair with a drip next to me, a hot wheat bag, straight from my microwave, placed on my arm to warm it up before the drugs (which had been refrigerated) were administered.  While I was being warmed up, Elaine would ask me all sorts of questions before showing me the drugs and confirming the dosages with me.  She would then insert a cannula into my hand, through which all the chemotherapy drugs would be infused (which means the drugs were very gradually introduced into my body).  First though, a saline drip was set up. This would dilute the drugs as they were injected into my veins; a necessary precaution as chemotherapy drugs are, literally, poisonous and would seriously damage my veins without dilution.  Your veins may be damaged – you’ll know if this has happened because your arm will become too painful for intravenous medication – so you’ll have to change arms.  It did to me and I had to keep changing arms after my fourth treatment.

In addition to the chemotherapy drugs, anti-sickness medication and steroids were also injected, so the whole process would take between two and three hours.  The first session passed off without incident, and the children were home from school in time to see me “plumbed in.”  Once Elaine had left, the children and my sister kept checking that I was still OK.  I actually felt no different, but nevertheless we all waited for me to spontaneously combust.

After my first session, I felt no apprehension or fear.  Of course, I didn’t always feel on top of the world, but I could at least face the world.  And, as this was going to be my regime every three weeks, for the next six months, and it was helping me get better, how could I resent it?

If you’d like to know more about having your chemotherapy at home, you should contact a wonderful organisation called Healthcare at Home (www.hah.co.uk) who looked after me.  Their expert nurses give chemotherapy to thousands of patients each year in the comfort of their own homes, and most of this treatment is actually paid for by the NHS rather than private insurance. Strange but true, drugs administered in the community, in other words ‘at home’, are exempt from VAT, so that alone begins to make home treatment financially attractive for the NHS.  Add to that the resulting reduction in waiting times in outpatients and the pharmacy, the freeing up of valuable nursing staff and fewer patients needing hospital transport, there is no wonder that more and more NHS Trusts are taking home treatment more seriously.

If a home service is not offered to you by your doctor, whether you are an insurance patient or an NHS patient, just ask; there’s every chance that he or she is unaware that home treatment is available.  Your doctor should contact Healthcare at Home, and they will be able to give advice as to what is possible, so that you and your doctor can then decide whether home treatment is the best option for you.