Hello, Miss Foster. >> Yeah, you can call me Sarah. Nice to meet you. >> Nice to meet you. >> My name is Kadethra Ramchenra and I'm one of the medical oncologists here. And before we get started, I just want to see if there's anyone else that you would like here with you for your visit? >> No, it's just me today. >> Okay, well, it's nice to meet you in person. I've had a chance to review all of your records and I understand that you were recently in the emergency room. Would love to have permission to talk a little bit more about your health. >> Yeah, I mean, that's why I'm here, yeah. >> Okay, can you tell me a little bit about what was happening in your healthcare leading up to your visit? >> Yeah. >> To the emergency room. >> Right, so I went to the Because of the light headedness that I was really experiencing after my honeymoon. I just got married. >> Congratulations. >> Thank you, but even before that I'd been having some weird health things. So I'd been noticing some blood when I would go to the bathroom or even just in my underwear. And being an idiot I didn't do anything about it because I don't know, I guess, I just thought it would get better. So fast forward, I end up in the And that's where they did the colonoscopy and found a mass. And so now I'm talking to you. So I'm assuming that cancer's in the mix somewhere. >> Well, we did get the results of the colonoscopy and if it's okay, I'd like to discuss it with you. >> Okay, I feel like I know what you're going to say. But all right, let's do it. >> So it looks like the diagnosis is cancer. It looks like it's locally advanced colon cancer. I just got married. >> You're juggling so many things, Sarah. I'm just getting to know you, but going through a wedding and I understand that you have a child. >> Yeah, I don't know what he's going to do. >> This is a lot to take in. >> Sorry, I just, I don't know what to say. >> It's okay to cry, this is very hard news to hear. >> [NOISE] >> Frequently we try to talk about a lot of things at this first visit, including making a plan for your treatment. And I assure you we're going to do all of those things. But I am worried that this is just really hard to take in right now. And I think that it might be better if we just give you a few days and then meet back again to talk through the details. Would that be okay? >> Okay, I don't want to wait any longer. I'm worried it's going to get worse and I already waited too long. >> So I need you to trust me. I need you to trust our team, we're here to take care of you. And I can assure you that waiting a few days will not affect you in any way. And in fact, I think it's going to be better because we're going to be able to gather some more data on our end. And also you'll be able to gather some resources on your end, including your family. And think through all the questions that are on your mind. So that when we come back together, we can really come up with a very thorough plan and how we're going to help you with this illness. >> Okay, okay. >> One of the things that did come up and I think it's important to talk through is if you're not feeling good, this is going to be harder to do. And reading through your records I saw that you've been having some pain. Would it be okay, if we spent a little time and talked about that? >> Sure, yeah. >> Tell me a little bit more about the location of your pain and what it feels like. >> Yeah, it's my stomach. It's just this aching and then I get these stabbing pains in different places. >> Okay, so that's a pretty common symptom and I think we can help you to feel better. There's a medicine called Vicodin. Have you ever heard of it before? >> Yeah. >> It's a pill, would you be okay with trying a pill for pain? >> I mean, if I have to. >> Okay, I think it will be helpful. So I'm going to write you a prescription for Vicodin. You can take one or two tablets every four hours as needed. And I think it'll help you to feel better. >> Okay. >> I think in terms of next steps, my nurse will be reaching out to you. We'll set up a time for us to meet and talk through a plan for your disease. One of the other pieces that I think is so important, especially with how difficult this is and it's difficult for anyone that's going through something this hard is meeting with one of our social workers. They can really think through a plan for coping and come up with some strategies. What do you think? >> A social worker, not right now, I think I just need to be alone. >> Okay, we're here for you. >> Okay. >> And and we'll give you numbers to reach us. And we'll be in touch soon and we'll get back together and we'll make a plan. >> Okay, okay. >> It's really nice to meet you, Sarah. >> It's good to meet you. Thank you I just, I'm sorry. I just think I need to be alone right now. >> It's okay, and you don't have to apologize.
