Last night I got an email from Promedica telling me that I had a new message in their My Chart web site, which is a portal for patients. I logged into My Chart and looked at my messages, but there weren’t any new messages. Then I clicked on the Test Results section to see if the results were in from the blood work that my PCP had requested, and not only were those results posted, but also the results of my CT scan from this past Monday.
Normally the CT and PET scan results just say that the results are ready and that the requesting doctor, in this case my oncologist Dr. Phinney, has to release them to me. In the past, that has always been after I meet with him for a consultation, where he goes over the results with me and we discuss what we are going to do next. Unfortunately, this time was very different, because both of the doctors in radiology actually posted their complete reports. Once I saw this, I immediately began to read the results, with my wife Tina, and we were totally shocked by what the reports had to say. It seems as though my lucky streak of seeing good results from the chemo have come to an end.
The CT scan report for my chest, compared to the CT scan on 4/22/2017, noted that a nodule in my right lung that had previously measured 6 mm is not 11 mm. In the left upper lobe, a nodule that was previously seen as sub-centimeter now measures 6 mm. There is also a new mass in my left upper lobe that measures 3.2 cm. It was also remarked that multiple nodes seen within the right lower lobe have increased in size from previous study. The doctor’s impression was “Diffuse worsening of metastatic disease, now with dominant solid lesion within the left upper lobe.”
The CT scan report for my abdomen and pelvis wasn’t any better. Compared to the CT scan on 4/22/2017, there is a new low density lesion at the caudate lobe of my liver, measuring 1.2 cm. The doctor also remarked that the multiple low density hepatic lesions demonstrates the mild prominence in today’s exam, specifically the posterior inferior right hepatic lobe segment which currently measures 1 cm. The doctor’s impression was “There is interval development of 1.2 cm low density hepatic lesion at the caudate lobe. This is worrisome for metastatic disease.”
So, after 18 chemo treatments with FOLFOX, including 12 with Oxaliplatin, the cancer has decided to fight back. Not only has it spread with new lesions and nodules, it has also made some of the existing ones grow. For now, I have no idea what is going to happen; I don’t meet with Dr. Phinney for the consultation and his recommendations until next Tuesday, August 15th, at 4:30 pm. Until then I need to find a way to keep myself busy and my mind off the obviously worrisome news these reports have brought.
Tonight my sweet granddaughter Ava is coming over, so that we can watch some of the American Ninja Warrior episodes that I have recorded on our DVR. She loves that show and it’s some good quality time that we can spend together, which I love to do. I also have to work tomorrow and Saturday, so that will help keep my mind busy. Fortunately, Tina is also off work for the whole weekend, which is a rarity, and I will have her to lean on Friday and Saturday night, as well as all day Sunday. Until next Tuesday afternoon when I meet with Dr. Phinney, I am going to do a lot of praying and try to keep my thoughts as positive as possible.