"Painful Condition" David Kato

A 56 year old lady with colon cancer was referred to me by a consultant. The doctor knew that I specialize in depression, also in reducing cancer pain, anxiety and insomnia with cancer patients. He wanted me to reduce her consistent abdominal pain, which she had experienced for the past two months, especially as the pain had been increasing during the past ten days. The cancer was of the annular type in the sigmoid colon. When I consulted this lady she looked in a slightly shocked condition, pallor, hyperventilating, an increased heart rate. Most patients with cancer of course can look just like this, especially if receiving chemotherapy or radiotherapy treatment. Pain was widespread, over the whole abdominal region.

When questioning this lady further, she complained of a referred pain to the corner of her left shoulder, she had not had any bowel actions for some days, although she seemed confused about this. I could of course got on with the directive from the consultant oncologist. However, my instinct was, this lady was having an obstruction. This is quite rare, but occasionally a stricture or tumor that increases in size can cause a partial or complete obstruction, or feces above the obstruction could become impacted. It is this that I considered being the problem. I phoned the oncologist, and on this rare occasion was able to talk to him fairly quickly. I explained I was not happy reducing pain in this patient, and believed that if he examined her, he may palpate an obstruction, although the doctor was not exactly enthralled with this idea. I was surprised that a surgeon phoned me a few days later, to say that after he had examined her later that day, she was taken to theater where they removed a total obstruction of her colon. A colostomy was utilized. Had I continued with the treatment of reducing pain, this lady would more than likely have perforated her intestines, causing widespread peritoneal infection, and even organ failure resulting in her death. It is of course imperative that a hypnotherapist using any technique for reducing pain, knows exactly what he or she is doing, being fully aware of further problems that may be created, by the use of a hypno-anaesthesia. The most important person is the client/patient and their safety is paramount. I believe that the surgeon and his team recognize that we are professionals too.

David Kato DHP MIAH Reg.Hyp C.ht. RN. Clinical Hypnotherapist I Psychotherapist, Bristol Hypnotherapy Clinic The Old Bank Buildings 263 Southmead Road Westbury-on-Trym Bristol BS1 0 5EL 

Websites:  http://www.depression-bristol.co.uk/