TheJournal.ie uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Click here to find out more »
Dublin: 3 °C Saturday 25 May, 2013

Column: All the warnings of cancer were there, but I ignored them

Former trader Nick Leeson writes about his experience of cancer, and how it taught him the overriding importance of knowing the signs.

Nick Leeson

THERE HAVE BEEN a lot of newspaper reports lately concerning cancer. The statistics are quite clear – in terms of survival rates, Ireland is doing OK but could do a lot better. Survival rates are on a par with Northern Ireland and the United Kingdom but lag considerably behind other developed nations such as Canada, Australia and Sweden. That quite simply is not good enough.

I was diagnosed with cancer at the age of 31, a very young age to be given what many immediately understand to be a death sentence. I’d lived a lot more than many people at that age – travelled extensively around the world, run large parts of a bank’s operations overseas and just spent the last three years in prison – but however you look at it, it was far too young to be contemplating my own death. I had no children so the legacy was going to die with me.

I was as ignorant about cancer as you could be. Other than being able to spell the word and being aware that it was a killer; that really was the extent of my knowledge. Shocking and rather embarrassing when you think that my mother had died of lung cancer and my father was suffering from myeloma. Maybe, like many I had shut myself away from the detail. I remember sitting by my mother’s bedside – a fresh-faced, innocent new recruit to Coutts and Company, the Queen’s bank in the City of London – delighted to hear that the doctor had told her that she would live another ten years. I was twenty; my younger sisters were fourteen and ten respectively. She had been so happy that she would see them to adulthood.

The very next day I was sat at my rather posh desk in Lombard Street and I got the call that said I needed to rush to the hospital. No more than 18 hours after my mother had received her uplifting news, she was dead. I had no chance to say goodbye and certainly no chance to ask why. It’s simply not good enough – and equally, embarrassing – that I didn’t ask more questions.

‘I had a tumour the size of a large orange removed from my stomach’

Just ten years later I had a tumour the size of a large orange removed from my stomach. It had grown to such a size that it had occluded my bowel passage and had led to my lung collapsing. I had an emergency operation to remove the tumour. The tumour at this stage was grade B, bordering on C. Had it progressed to Dukes C, we would no longer have been talking about my chances of recovery, but rather about methods of prolonging a very short life.

Cancer is a very debilitating disease. Once diagnosed, many people succumb very quickly. Your life changes immediately and you have to alter many of the things that you do. I was warned that when my stomach was resected, I could have a colostomy for the rest of my life. I was lucky; very, very lucky, probably for the first time in a number of years; and my diagnosis was ultimately very good. But from the moment that I woke up in a treatment room and faced the kaleidoscope of colours on a viewing screen, faintly remembering a doctor saying ‘It’s cancer’, my life changed.

There had been so many warning signs. The history of cancer in my family should have been the biggest reminder for me to be careful. I was eating as much as I possibly could within the prison but never had enough. I was eating like a horse but putting on no weight. I would have the strangest dizzy spells when I had been sitting and go to stand up, I often had to hold the wall for support or else collapse in a heap. My bowel movements had changed and the smell was awful. These are all signs that something was wrong and each and every one of them ignored by me.

‘Knowledge is power, and where cancer is concerned you can never have enough’

I am 45 this month, and have had regular check ups but even writing this article has reminded me that I have become a little complacent. I have had regular 18-month check ups over that time but am now letting them drag further apart. First thing in the morning I am booking a colonoscopy with my oncologist. We should all know more than we do. Knowledge is power and where cancer is concerned you can never have enough.

What frustrates me though is the seemingly never-ending bias towards research. We seem to be bombarded with TV advertisements looking for us to make donations. All are designed to tug at the heart strings, and losing a loved one is an emotive subject but should our attention be elsewhere? Treatment for various forms of cancer has improved immeasurably but there is still no cure. Personally I doubt that there ever will be – the disease seems to advance, become more aggressive and even more deadly just as fast as research looks for new developments and improved methods of treatment. More often than not, cancer seems to take the lead.

Informed opinion has said that the survival rate for people diagnosed with cancer today could be 10 per cent better five years on if well organised cancer control and prevention systems are implemented – but at the same time cancer rates are expected to rise from 30,000 new cases diagnosed annually to 40,000 by 2020. We all owe it to ourselves to be better informed.

My son will be eight this year, it’s not the time just yet but he will not suffer from the ignorance that I did. The better informed you are, the better prepared.

Will research save you? It has a very important role to play but the answer is probably not! Prevention certainly can help. You owe it to yourself.

For more information on reducing your risk of cancer, see this website.

Read more from Nick Leeson on TheJournal.ie>

Read next:

Comments (13 Comments)

  • Nice article Nick. Check ups save lives. Your story always fascinated me. From the five-eights account to your conquering cancer. Legend.

    Reply
  • Early detection is so important. I was diagnosed with prostate cancer last September at the age of 43. It was a sheer fluke they discovered it, as I was in for something completely unrelated and I wasn’t exhibiting any symptoms of cancer.

    I’ve had the surgery now and I’m on the road to recovery. But I was very very lucky and luck is not something to be taken for granted. I urge all men over the age of 40 to go to their GP for a PSA test – you’ve nothing to lose and everything to gain. Read about my experience at http://www.tommolloy.com.

    Reply
    • Well done nick. Tom, well done one getting thru, my brother who is of similar vintage to you has just come through the same experience in similar circumstances. he had his first day back at work on Friday. We Irish traditionally are not great at talking about health issues let alone doing anything about them. Knowing what our grandparents died from can give some indication of what we should be looking out for.

      Reply
    • I understand your sentiment Tom but the majority of medical expert opinion recommends AGAINST random PSA testing for men. Cancer is not the only reason that a PSA can be raised, and the subsequent investigations can be distressing and unnecessary. I wish you the very best of recovery but unfortunately at the moment PSA is not a very useful test for detecting Prostate Cancer.

      Reply
  • A very honest and informative article Nick thank you for helping to highlight a preventable illness through moderation of lifestyle regular self checks and taking care of oneself better

    Reply
  • Sean, you are quite correct that PSA alone is not a reliable test for cancer and further tests are required. This was all explained to me by every medical professional I came in contact with at the time and I clearly understood it.

    I can only speak from my own experience – that an elevated PSA was the first indication that something was wrong. The PSA test result set in train a sequence of events that led to my diagnosis of and treatment for prostate cancer. Were it not for that initial “random” test, I would still have cancer growing and spreading in my body today. But I would be unaware of any problem until symptoms manifested themselves, by which time it may have been too late for me.

    I did not intend to give an impression that a PSA test is a magic bullet – it’s not. But the statement that expert medical opinion ‘advises against PSA testing’ is a dangerous one in my view and experience.

    Reply
  • Suggested reading on cancer is “The Emperor of All Maladies” a magnificent, profoundly humane “biography” of cancer—from its first documented appearances thousands of years ago through the epic battles in the twentieth century to cure, control, and conquer it to a radical new understanding of its essence. Physician, researcher, and award-winning science writer, Siddhartha Mukherjee examines cancer with a cellular biologist’s precision, a historian’s perspective, and a biographer’s passion. The result is an astonishingly lucid and eloquent chronicle of a disease humans have lived with—and perished from—for more than five thousand years. The story of cancer is a story of human ingenuity, resilience, and perseverance, but also of hubris, paternalism, and misperception. Mukherjee recounts centuries of discoveries, setbacks, victories, and deaths, told through the eyes of his predecessors and peers, training their wits against an infinitely resourceful adversary that, just three decades ago, was thought to be easily vanquished in an all-out “war against cancer.” The book reads like a literary thriller with cancer as the protagonist. From the Persian Queen Atossa, whose Greek slave cut off her malignant breast, to the nineteenth-century recipients of primitive radiation and chemotherapy to Mukherjee’s own leukemia patient, Carla, The Emperor of All Maladies is about the people who have soldiered through fiercely demanding regimens in order to survive—and to increase our understanding of this iconic disease. Riveting, urgent, and surprising, The Emperor of All Maladies provides a fascinating glimpse into the future of cancer treatments. It is an illuminating book that provides hope and clarity to those seeking to demystify cancer.

    There are free pdf downloads on the web.

    Reply
  • The trouble is that there is no reliable test for cancer and there are said to be over 200 different types of cancer.
    I had a PSA test and was given the all-clear. Twelve months later, by accident, I was diagnosed with inoperable Prostate Cancer although I did not show any typical.symptoms. As Nick says, with hindsight I should have been alerted by the family history but hindsight is a wonderful thing

    Reply
  • Definitely agree prevention is better than cure. At the genetic level that cancer originates, you can never be *totally* sure of prevention, but I think having a good lifestyle with a good physical, mental and emotional diet gives people the best fighting chance, both of not developing it, and of surviving it if it does develop. Cutting processed foods radically down, or out altogether, I believe, would lower cancer rates DRAMATICALLY. It’s an extreme view, but I think there is an element within society that wants to make sure that doesn’t happen, as bad foods, the resulting diseases, and the prescribed mediocre medicines to alleviate/manage symptoms rather than cure are BIG business.

    Also, I’ve found that the mainstream of medicine, though well-wishing when it comes to individual doctors, is well and truly in the pocket of big pharma. There are many, many alternative cancer cures to the ‘big three’ (surgery, chemo, radio), some are effective for certain kinds where the ordinary ones aren’t. Many are demonstrably effective. Most doctors don’t know this, and are ignorant and often hostile towards them. (‘alternative’ being a by-word for wishy-washy, which is not always the case). Nick is definitely right, knowledge is power. It pays to do your own research at the end of the day when it comes to health. While it’s good to seek professional/established opinion, it’s also very important to question it.

    Reply
  • PSA may not be an ‘accurate’ test for prostate cancer, but can be an indicator that something is not quite right. I had breast cancer nine years ago in my early 40′s, docs told me that the very small lump was probably only calcification and they said they would leave it alone, unless I wanted them to take it out…well you know the outcome, if I’d listened to them, maybe I wouldn’t be here now!!! We must look after our diets, get checked regularly, trust your instinct and take responsibility for our own health, I personally think is important.

    Reply
  • Great article Nick…it’s a pity you couldn’t do something for Galway Utd FC !!!

    Reply
  • Well done Nick, great to see survivors speak out and raise awareness!

    Reply

Add New Comment