The doctor warned me that this steroid prescription might interfere with my sleep. Two nights in a row now, it’s possible, hm? Its’ also possible that I drink too much coffee, that I’m worried crazy about stuff, that sleeping at the office is so little fun that it seems just as good to sit up in front of the computer doing nothing as to sleep.
This will be a hodge-podge of a post. I just wanted to stay back on top of documenting events. Let me first add a little more detail to the oncologist visit on Wednesday. He explained how the biopsy report indicated indolent marginal B-cell lymphoma. He explained the physical restriction of the airway that the ENT saw visually and that CT scan showed was due to a large mass next to the trachea. He told how the PET scan showed deep involvement of lymphoma throughout the neck area. Not only the mass causing the problem, but in lymph nodes adjacent to the mass and on both sides of neck, and also in the lymph nodes in the groin area on both sides. He explained that this alone makes classifies my cancer as stage 3. Disturbingly though, was cancerous tissue that showed up inside the spine, possibly causing my problems with muscle spasms and numbness, and suggesting that the cancer might be even stage four. He asked lots of questions about my senses and muscle control and I got the impression that he might have been surprised even that I has having so few symptoms. Not taking my word for it, he had me walk a straight line to prove I could do it.
So, a number of things can continue in parallel. No matter what, first treatment will be radiation to shrink the mass that is restricting my airway. I see the radiation doctor on Monday to get measured for fixtures for aiming the radiation accurately, and then I believe daily treatments can start that week as well. To get my body ready for the assault of the treatments, I have two prescriptions. A steroid for controlling inflammation and a…something to help my liver more efficiently process all of the dead stuff that will be coming it’s way. Also, we’ll get the results of the MRI next week, giving more detail than the PET scan, and possibly answering the question of whether the cancer is in bone marrow already, putting me at stage 4.
Next steps will be monitoring the results of the radiation treatment, and if MRI results are inconclusive about bone marrow, doing a biopsy to determine that. If radiation is effective at reducing the mass and all else goes well, the tracheostomy can come out, possibly as early as a month. Wow, that would lift my spirits. The doctor explained that it would also be very desire able if my body didn’t have to deal with the tracheostomy at the same time it was dealing with chemotherapy, which will almost certainly follow radiation. That’s about as far into the future we dare look for now. What-if questions aren’t constructive.
I mentioned in a previous post that went to Harvard Square to get prescriptions filled. Actually they only had the steroid. I would have to return the next day for the liver booster. So I popped the steroid, stayed up all night, and did the MRI in the morning.
I’d love to know more about how the MRI works. <break, read Wikipedia, I’m happier now> The darned MRI was at 530 in the morning, took about an hour, then I walked to Sarah’s for a huge breakfast of comfort food.
Worked all morning, took about an hour’s nap with my head on the desk, worked more, then left a little early in search of filling my antidpressant prescription. Mentioning this prescription to several doctors now, the only reaction I’d gotten was a nod of approval, so I walked over to the Harvard Vanguard where it was originally prescribed. The prescription had expired, my doctor wasn’t in, but I guess this is such a simple and common prescription that they had no problem just getting the duty med person to authorize it. I left with Prozac in my purse for the first time in several months. Just having it there made me happy.
It had been several hours now since breakfast and I needed food. At Stacy’s, found her awake, and talked with her while i made some rice. After rice, Stacy walked with me over to CVS to get my liver prescription and also do some window shopping along the way. I’d agreed to have a big salad later, but after rice, and the sleepless night, and a productive day, I couldn’t hold my head up. I crashed on their bed for a bit. As always, it was noisy, but in addition, there was some terrible stench. I buried my head under a sheet to hide from it, thought about how much protection that offered, how clean the sheet was, and slept lightly. Got up just as Stacy was leaving for work. I collected clean clothes to wear the next day and left too, to spend the night in the less disturbing conditions at my office.
This is where I ended up staying up almost the whole night for the second night in a row. Finally went downstairs to shower around 4:00, showered slowly shaving all over, in bed around 5:00, one precious sleep cycle, and I was up at 6:30 to get out of the sleep room before the morning cleaning crew arrived.
A nice surprise today was getting email from Bliss that she had someone in my position of need a new apartment, and that we might cooperate to share a place. I left work and went straight to her office to make the pleasant discovery that it was Stacy! (not the Stacy with whom I’m currently staying) We shared some our stories and agreed to look for a place together. It could work. Just could–both of us have some serious problems and could make life miserable for the other, but we do like each other, and just might make good roommates. My job will be talking her into spending more money on rent than she had planned, by living closer to Cambridge rather than out in the sticks where she is now. We’ll see.
Just how good could life be, if health, housing, and legal problems all go away over the summer, and I can get on with transition.
Plans for tonight include sleep. Plans for tomorrow include dancing with Lace at RCC.