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Showing posts with label Bone Scan. Show all posts
Showing posts with label Bone Scan. Show all posts

Wednesday, October 29, 2008

Medical Update

So, my doc does not see any change in my CT or in my bone scans, though the images of the tumors seem more "prominant."

He wants me to get a PET scan.

He also wants me to go for a second opinion.

He is perplexed (by the combo of clean liver and lungs, rising markers, prominant bone tumors, and increasing pain) -- he wants a "fresh" opinion, from someone from a different hospital.

It is totally cool that he has no ego about this thing, and is actually eager for a second opinion.

We'll see how quickly I can make all these appointments, and how much I have to "fight" with my kupah (health fund) to cover the PET scan.

Oh, the fun that awaits me!



Please daven (or send happy, healing thoughts) for RivkA bat Teirtzel.

With love and optimism,
RivkA

Friday, October 24, 2008

Medical Update -- Bone Scan, CT, & Chemo

And now for our weekly edition.....

(for those who just want to read the "bottom line", feel free to skip to the end)

Wednesday, 8:30: (accompanied by mom)
1. Arrived at SZ (Sha'are Zedek) for bone scan.

2. Got the shot that makes me glow, and waited two hours for the scan.

3. In a brilliant, last minute coup, (if I do say so myself) while waiting, I went for a follow up visit to the ENT -- I was supposed to go a month ago, but since my ear was no longer killing me, I had not found the time to get around to it... (missed that exciting saga? see here, here, here, here, here, here, here, here, here, and here).

4. I finished my follow up ENT visit (everything is fine), just in time to go for the scan.

5. Results of the scan would be available on Thursday.

6. I was wiped out! On our way out of the hospital, my mom wanted to stop by and say "hi" to her friend's son, TZ, who runs the ER. I was too tired.

7. We went home and I crashed!
(Just before I fell into bed, I told my mom "Hospitals are no place for healthy people!")


Thursday, 8:30:
1. Went to oncology to open my port and get a blood test.

2. My doctor whizzed by, and called out to me: "bone scan - no change."

3. Went down to get my CT.

4. Gave the secretary my referral, and happened to notice that the referral was only for a "chest/stomach/pelvis" CT. It was missing only one, very important word: "head." I had requested that we also CT my head, in case there was some cancer activity sneaking around my brain (which might explain the rising markers).

5. Went back up to oncology, in search of my oncologist, to add the missing link.

6. 45 minutes later, mission accomplished, I returned for the CT.

7. The secretary gave me a plastic "jerrycan" of DISGUSTING liquid to drink. I added two full cups of artificial juice concentrate (lots of sugar and food coloring, no nutritional value!). It did not help much.

8. I had to drink two cups to start, and then a cup every ten minutes. Much to the amusement of all present, when I drank, I held my nose and gulped down the liquid. Then I shivered in disgust. (it makes me shiver, just thinking about it). YUCK!

9. I learned, from M, the woman sitting next to me (whom I recognized from chemo), that there is a video camera focused on the CT waiting area. Apparently, she once dumped several cups of her drink in the garbage bin and planters in the waiting area. The CT staff showed her the video of her crime, asking her to refrain, in the future, from "watering the plants!"

10. Two hours later, I finished the drink and had the CT.

11. Went back to oncology, to find out if I would get chemo. The doctor did not know yet. It was 12:10 and I had been fasting all morning (beside that "CT special," Barium drink). I went off in search of food, knowing that as soon as I sat down to eat, I would get the call to come back for chemo.

12. The oncologist called, I would get chemo... today (for details of the call, see below)

13. Back up to oncology, with my food, to get chemo, and the bone drugs (oops! forgot about that! good thing I showed up for regular chemo!)

14. It was after 4:00 when we finally finished!

15. On our way out, we visited with TZ, who is a very interesting, and very nice person.

16. As we were leaving, my oncologist passed by. This month, in addition to his regular responsibilities, he is overseeing "intake" in the oncology ward (the regular ward, not the day ward). This makes him less available to his normal patients (well, I am not sure you could describe me as "normal," but you know what I mean). Despite his outward calm, I can see that this additional job is streching him to the limit.


Bottom Line:
* My oncologist told me that he wants to "sit" on those images for a few days. He wants to examine the images, bone by bone, which will take a while. And he wants to discuss my case in a staff meeting.

He is also considering sending the images for an outside opinion, from someone not connected to the hospital (it was unclear if he had someone specific in mind, though I know that he consults with an oncologist at Sloan Kettering).

Thursday evening, Moshe and I read the report from the bone scan. It does not look good to me. I will try to stay calm, until we talk with my oncologist on Tuesday.

A few weeks ago, I asked my oncologist where, exactly, is the cancer in my bones. He answered that it's all over my skeleton and that there is not enough time to go bone by bone.

Well, the bone scan report pretty much spelled it out for me:

"... in the shoulders, sternum, the entire length of the spinal column, both sides of the ribs, both sides of the pelvis, hip joints, and femurs."

Meanwhile, I will breathe slowly, and try not to focus on this stuff.



Shabbat Shalom!

Please daven (or send happy, healing thoughts) for RivkA bat Teirtzel.

With love and optimism,
RivkA

Thursday, October 16, 2008

BAMM! BOOM! CRASH!

This post was supposed to be a really positive post, all about the first day of Chol HaMoed (visiting the Shomronim on Har Grizim, then going to Giv'ot Olam, an organic communal farm, between Yitzhar and Itamar), and the second day (at Tel Shilo).

Somewhere along the way, I was also going to mention how I seem to be out of my slump.

But, today, at Tel Shilo, right as we were walking around the area where most archeologists agree that the Mishkan stood, my oncologist called me up.

"Where are you?" he asked.

"I'm at Tel Shilo; where are you?" I responded, trying to be light-hearted.

"I'm at the office. When will you be back in Jerusalem?" he responded, no-nonsense all the way.

"Tonight. Why?" I finally realized this was not simply a friendly call.

"I want you to do a CT on Sunday." BAMM!

"Why?"

"Your markers are still rising...." BOOM!

I look around me, at the serene archaeological site. I want to hang up the phone, but I cannot. CRASH!

"I would really rather not come in on Sunday..." I say, thinking about our plans to spend the day with family and friends.

"We need to get the CT results before you receive your next treatment." He says, slowly, making sure I understand.

I do not understand. Well, I do, but I do not want to...

"I am not scheduled for chemo on Sunday," I remind him.

I suggest doing the CT on Wednesday. He agrees. I mention that I have to come in anyway, for a bone scan. He tells me that I can't schedule them for the same time. My bone scan is at 8:30/9:00. He suggests scheduling the CT for noon. Then I remember that I might need to fast for the CT (I do), and that I need to drink for the bone scan (I think). So we agree that I'll get the CT on Thursday, before chemo....

No pressure there. Can't get chemo until I get the CT. Might not even get chemo, depending on the results of the CT. Gotta go for the CT on the same morning as I am supposted to get chemo, if I even get it....

This is crazy.

Our group is moving on. I do not want to miss the explanations of the site. I get off the phone.

Moshe has questions for me.

I have no answers.

I am all rattled.

My cancer world just crashed down on my every day world -- you know, the one where I ignore the cancer, and just have fun with my family....

I pull myself together.

"Let's deal with this later," I suggest to my husband. He agrees, even though it is hard for both of us.

We gather the kids, and rejoin the group, as if nothing happened....



Please daven (or send happy, healing thoughts) for RivkA bat Teirtzel.

With love and optimism,
RivkA

Thursday, July 3, 2008

Medical Update -- CT, Bone Scan & My Annoying Ear

CT -- shows no signs of cancer spreading

Bone Scan -- ditto

MRI -- LONG story! (maybe I'll write about it tomorrow) Short version: still waiting for an earlier appointment.

Ear --
1. woke up this morning after my first good night's sleep in days; noticed a slight decrease in pain.
2.went to the dentist, to eliminate my teeth as a source of the pain. My teeth are fine.
3. went back to the ENT clinic at SZ for follow up. The doctors noted that there is less pain, less redness & less swelling. I stressed, again, that I am still in significant pain, not to mention the incessant ringing, the relentless pressure, and the pain in my jaw, which makes it painful to talk and eat (two of my most favorite activities!). The very sympathetic and kind doctors again said "those" words: "It takes time. Let's give it a few more days..."
4. I made another follow up appointment for next week.
5. last night I was able to go to sleep without the Percocet (I did take Cod Acamol), and I did not take either of those drugs this morning. (I did continue to suplement the Optalgin with Ibuprofen).
6. the pain is worse now (though not as bad as Sun/Mon). I will take a Percocet soon and go to sleep.


GOOD/HAPPY Stuff:

I did teach swimming today (with the doctor's permission) (I did not put my head in the water)

I went to this month's Laughter Workshop and my daughter, A, came with me!


Chodesh Tov!! ("A Good and Blessed Month")



Please daven (or send happy, healing thoughts) for RivkA bat Teirtzel.

With love and optimism,
RivkA

Wednesday, April 30, 2008

Overly Efficient?

I called to schedule the Bone Scan, and discovered they already made me an appointment for early Sunday morning. (someone "up there" really doesn't want to let me "sleep in!")

Yesterday, Moshe faxed them the referal and insurance forms. Apparently they scheduled the scan right away -- pretty efficient, though it would have been nice of them to let me know.

Good thing I called.


Please daven (or send happy, healing thoughts) for RivkA bat Teirtzel.

With love and optimism,
RivkA