Progress Report: Part 2

Got good energy coming in with my brother and family visiting since the weekend – here’s the hyena in his natural habitat with his siblings (Adam on the left, Billy about to grab my ear):

 

Got my scan results and my marching orders for the rest of this round of chemo. Generally there is good progress, and my oncologist will continue through the next infusion (2 weeks from today) and then work on scheduling yet another session of radioembolism — evidently he saw enough promise in the PET scan that going this route is the best way to go at this point. Hey, as long as I don’t have to pay for it… that bill is scary.

He’s also spoken to the powers that be, so I’m not having to wait several months this time just to have the treatment done, this is what took away so much of my progress from last year. While it was nice to be off of chemo and heal, I just didn’t have enough of an effective protocol (or healing energy) to continue the onslaught without meds as we’ve learned from the last CT scan. Because, let me tell you, if you wanna get rid of cancer, you sorta need some meds to do so. I’ve learned that hard nugget of truth the only way you can. But, I’m still hard at work researching what to do when the chemo goes away, and will be employing new tactics when the time comes where I’ll be told i’m all-clear from cancer. Looking at the results below, it’s quite easy for me to visualize that scenario, as it’s the only dream that’s been formed in this thick skull of mine for the last 18 months. I thought I was going to get there by my birthday last year, that was a most optimistic prediction.

But we’re winning here. We’re going to be winning so much you’re going to get sick of it. I’ve not gotten sick yet… a little icky maybe, but that’s to be expected from chemo.

I’ve bolded the phrases below that stand out to me. I admit I tend to look at only the positive stuff but in case someone decides I’m only looking at the good parts, I will point out that they also saw “scattered coronary calcifications”, which is the same plaque they warn you about in health class. While my oncologist doesn’t think it’s an issue, it’s time I ate a little better to get rid of those deposits in my blood vessels.

CT Chest with IV Contrast
CT Abdomen and Pelvis with IV Contrast

Comparison: CT chest abdomen pelvis dated January 3, 2017

Indication: f/u colon cancer, C19 Malignant neoplasm of rectosigmoid junction (CMS-HCC), C20 Malignant neoplasm of rectum (CMS-HCC), C78.7
Secondary malignant neoplasm of liver and intrahepatic bile duct (CMS-HCC)

Technique: CT imaging was performed of the chest, abdomen, and pelvis following the uncomplicated administration of intravenous contrast (Isovue-300, 150 mL at 2 mL/sec). Iodinated contrast was used due to the indications for the examination, to improve disease detection and to further define anatomy. The most recent serum creatinine is 0.7 mg/dL.
3-D maximal intensity projection (MIP) reconstructions of the chest were performed to potentially increase study sensitivity. Coronal images were also generated and reviewed.

Findings:
Chest:
There is a right chest port with tip terminating within the proximal right atrium. The visualized thyroid is unremarkable. There is a four vessel aortic arch with the left vertebral artery arising from the aortic arch.
The heart is normal in size without evidence of pericardial effusion. Scattered coronary calcifications, noted in the LAD. There is no evidence of mediastinal, hilar, or axillary lymphadenopathy.

The central airways are patent. Stable 2-3mm calcified nodule in the right lower lobe anterior segment. There are no suspicious pulmonary nodules visualized. There is no pleural effusion or pneumothorax.

Abdomen and pelvis:
The liver is normal in size. There is capsular retraction and nodular contours in the inferior and anterior right liver, which may be pseudocirrhosis due to treated metastases. Again seen are numerous hepatic metastases, some of which are calcified. There is interval decrease of ill-defined low density metastases within segment 2 (series 2, image 101). The majority of lesions are stable or slightly decreased in size compared to the prior examination. Representative partially calcified lesion in segment 6 measures 2.3 x 3.4 cm, previously measured 3.6 x 2.3 cm (series 2, image 137). Partially calcified lesion in segment 5 measures 2.1 x 2.1 cm, previously measured 2.3 x 2.3 cm (series 2, 2026). No new hepatic lesions identified. There is no evidence of intrahepatic or extrahepatic biliary duct dilatation. There is irregular thickening and nodular enhancement within the gallbladder which is stable and likely due to metastatic disease. The pancreas and bilateral adrenal glands are unremarkable. The spleen is large in size measuring up to 16 cm.

The kidneys enhance symmetrically without evidence of focal renal lesions or hydronephrosis. The urinary bladder is unremarkable. The prostate is large in size measuring up to 4.9 cm.

The small and large bowel are normal in caliber. Redemonstration of small gastric varices. Previously seen sigmoid mass is less prominent. There is interval long segment sigmoid colonic bowel thickening, some of which may be due to underdistention or to treatment effects. The appendix is normal.

The abdominal aorta is normal in caliber. There is interval decrease of lymph node near the gastric lesser curvature, which is subcentimeter  (series 2, image 115). No evidence of abdominal or pelvic lymphadenopathy. There is trace fluid in the pelvis.

There are no aggressive lytic or sclerotic lesions identified.

Impression:
1. Slight interval decrease in size of some of the left hepatic metastases. The remaining hepatic lesions are stable in size.

2. Previously seen sigmoid malignant mass is less conspicuous on the current examination. There is interval long segment sigmoid colonic bowel thickening, some of which may be due to underdistention or to treatment effects.

3. No significant change in a probable metastases involving the gallbladder. 

4. Interval decrease in gastrohepatic lymphadenopathy, compatible with treatment response.

5. Trace free fluid within the pelvis without definite nodularity.
Attention on follow-up.

Look, we’re beating up my cancer like a little bitch. It’s only going to claim me if I decide to quit fighting it altogether, which is not going to happen. The one-sided battle continues and we continue to use the Force. I feel like dancing.

I must believe
I can do anything
I can heal anyone
I must believe
I am the wind (yeah)
I am the sea
I am the wind
I am the sea
I am the sun
I can be anyone
Oh this world is mine (this world is mine)
For all of time (for all of time)
I can turn any stone
Call any place my home
I can do anything
I know I’m gonna get myself together (yeah)
Use the force
I know I’m gonna work it out
Use the force
I know I’m gonna get myself ahead (yeah)
Use the force
Use the force
I can go eagle high
Circling in the sky
Learn to live my life (no)
I don’t need no strife
I must believe (I must believe. I must believe)
I’m a rocket man (I must believe. I must believe)
I’m a superstar (I must believe. I must believe)
I can be anyone

17 thoughts on “Progress Report: Part 2”

  1. Looking good. Keep up the positive. The negative can’t win.
    Thinking of you almost every day! 🙂 Embrace the force!

  2. I’m not a doctor but when I read this it all sounds positive! Thanks for the good news today! We send our love and positive vibes

  3. Eric, sure sounds good! I know the mess are necessary but YOU have the most powerful FORCE within your positive thoughts and beliefs With you all the way!

  4. Correct; me if I’m wrong, but this sounds like some of the better news since you started this ;journey! I’m looking at the things being said that their are no significant changes. This means to me that everything you have gone through has had positive meaning. I also like the second thoughts about another round of the radiowhatyou macallit. Stay positive and feed on your peeps that are in your corner.

  5. “I am one with the Force, and the Force is with me.” Couldn’t be a truer statement in your case, Eric. Such positive news, such positive energy–they go hand in hand and build off each other. Keep fighting!

  6. Eric, that was a lot of information, but all sounded positive. You know we are so much thinking of you & wishing you well. Keep on doing what is needed to get yourself in a good healthy place & we know you will. We love you…..

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