Doctors Category

Monday, April 27th, 2009

More News – Dr. Salloum, Christus Spohn Cancer Center

I have an appointment with a Dr. in Corpus Christi (Texas). Dr. Emile Salloum, of Christus Spohn Cancer Center. Dr. Salloum is Medical Director, Christus Spohn Stem Cell Program. Stem Cell Program. Stem Cell… Chemo kills Stem Cells.

Dr. Salloum is also my Father’s oncologist, and he graciously agreed to look over my reports, to give me another opinion, a 3rd opinion.

I overnighted my complete records (to my Dad) last Thursday, my Dad delivered them to Dr. Salloum’s office on Friday, and Dr. Salloum called today (Monday), and wants to see me on Thursday (April 30). Mom and I will leave Houston early and return Thursday evening after the appointment.

We shall see what he reveals…

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Monday, April 13th, 2009

Chemo Follow-up #2 – Dr. Casimir

Today had follow-up #2 with the oncologist, Dr Casimir of Northwest Cancer Center.

Again, I spent more time with the nurse, Katy, than with the Dr herself.  Again – not much confidence.

I mentioned that I was still experiencing heart issues – palpitations, skipped beats, extra beats, racing.  Katy asked if they had done an EKG on me, I said no.  Nothing else was said about that.

I mentioned that I was still on my vitamin regime.  Katy seemed somewhat surprised to hear this, and stressed that I needed to stop taking vitamins as, according to Katy, vitamins lessen the effectiveness of chemotherapy.

WTH?  Seven weeks into chemo and this is just now being brought up.  I’ve never made a secret that I have, for the majority of my adult life, been on a progressive vitamin regime, and Now I’m told it works against chemo?  Just another reason for me to see chemo as an antiquated treatment and Dr. Casimir’s thinking as confined within “The Box”.

Regardless, I brought an “offering” of sorts for the Dr, a gift… a cute pink shoe/purse magnet set, since she is such a shoe fan.  Hoping, I guess, for some acknowledgment as a patient.

Maybe if I had insurance, maybe if I wasn’t there as a beggar.
And beggars can’t be choosers…

When I asked, I did get official notification that I am a Stage 3B.  About Flipping Time it was mentioned.

I looked up breast cancer stages, and got the following info…

Cancer stage is based on the size of the tumor, whether the cancer is invasive or non-invasive, whether lymph nodes are involved, and whether the cancer has spread beyond the breast.

Stage IIIB describes invasive breast cancer in which:

  • the tumor may be any size and has spread to the chest wall and/or skin of the breast AND
  • may have spread to axillary lymph nodes that are clumped together or sticking to other structures, or cancer may have spread to lymph nodes near the breastbone
  • Inflammatory breast cancer is considered at least stage IIIB.

Lovely.


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Wednesday, March 18th, 2009

Needle Aspiration Biopsy – July 18 2008

I had the Needle Aspiration Biopsy back in July of 2008.  It was not too painful, but Definitely necessary.

I remember when Dr. Keller told me that the pathology report showed a benign cyst and “only” a very bad staph infection. Given my Family history of cancer, I was So Very Relieved.

Looking at the report I don’t see where it says anything about a staph infection at all… obviously I don’t know how to read a pathology report.

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Tuesday, March 17th, 2009

Mastectomy

Up til now I’ve been saying “surgery”.  Knowing full well it will be a mastectomy.  An Amputation.  They will take my breast.  My left breast.

This should not have happened.  I went to my Primary Care Physician, then went to a Breast Disease Specialist as recommended – I put my well being in the “Specialist’s” hands.  This happened on His Watch. And he says I’ll “Be Fine“.

I wonder how he’d feel if he had to cut his testicles off because someone failed on that watch…?

Let’s hope he would be fine.

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Monday, March 16th, 2009

Chemo Follow-up #1 – Dr. Casimir

Today had follow-up #1 with the oncologist, Dr Casimir of Northwest Cancer Center.  This was my first “official” meeting with Dr. Casimir, and it was pretty quick.  I spent more time with her nurse, Katy, than with the Dr herself.  Drs like that don’t give me much confidence.

Dr Casimir and Mom had an in depth conversation regarding shoes.  Shoes?  Excuse me, I have cancer here.  Seems Dr Casimir is a big shoe fan…

One question I had was about a couple of online articles regarding anti-tumor activity in a drug called Zometa that I had found….
Article #1
Article #2

Now, I’m thinking that this drug might be well worth investigating, but Dr Casimir poo-poo’d my query.

I’m just not too sure about such close-minded thinking…

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Friday, March 13th, 2009

PET Scan – Results

Dr Keller FINALLY called with the PET (Positron Emission Tomography ) Scan results today.  Seems there was a miscommunication between him and the Radiologist as to who was to contact me.  I Would have thought it would be Dr. Keller, since he IS my Dr.  But better to get the info late Friday than to have to wait out the weekend.


Despite how I feel cuz of the chemo, it’s not such a bad day for me. According to what Dr. Keller read to us (both me and Mom) from the report, the results show that the cancer has not spread! He said that there was no evidence of the cancer having spread (aka metastasis), that it was all contained within the breast!!!  We Are Sooooooo Relieved!!!  Now I can get a bit more normal sleep!!!!!


Not all good news – a tad of slightly bad – Dr. Keller did say that there were 2 lymph nodes which look to have some cancer activity. Dr. Keller stated that the chemo should address them, they will most probably be removed when I have my surgery and then be hit with the radiation treatment after surgery. He said that I have been staged at a “Stage 2″. YAY!


The most common areas that breast cancer spreads is the brain, the liver and the bones. With a full year of incorrect treatment for a staph infection, I was Very Scared for a negative result. Seems I dodged a bullet, A Big Bullet, so I can sleep a little easier!! And I Will!!


I may have breast cancer now, but I will be a Survivor.


Cancer Glossary:

https://www.breastcancertreatmentcoach.com/glossary.html

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Sunday, March 8th, 2009

Riptide

So much has happened in such a short time, and more to come…I feel like a small fish caught in a big wave, being tossed around without any control.

I’m scared, but grateful that Dr. Keller is on “My Team”, but also pretty mad that it came to this under his watch.  Wondering how this happened.  He’s supposed to be the “Specialist”… Anyway, he sure has stepped up to make sure I am being taken care of, so for that I am “grateful”.

Next week will bring a lot of changes.  I’ll have the port implanted tomorrow morning, Hopefully the PET scan (IF the machine is fixed), the first chemo and Neulasta injection on Wednesday and Thursday.  We’re Hoping that the PET scan comes back with some positive results.

I’m really scared.

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Wednesday, March 4th, 2009

Chemo Learning Class

I had to attend a “class” to teach me about chemotherapy.

“Chemo Learning”… to teach me about chemotherapy.

To educate me about the poison that will save my life.
While slowly killing parts of me.
Then the “potion” that will help bring me back to life.

I’ll have a port-a-cath surgically implanted – to “safely” deliver the poison to my body. If they delivered it directly into my arm veins, it would (most probably) kill, or severely damage, those veins.  The port-a-cath provides access straight into my large vein for the chemo.  Guess the large veins are stronger…

I’ll get chemo at Northwest Cancer Center, off Fm 1960 and Red Oak in Houston.  I will be on 2 phases of chemo, either 3 or 4 weeks each – I’m not quite sure yet.

I have an appointment with Dr. Casimir on Monday, Mar 16, so I’ll get everything cleared up then…
and will have one round of chemo behind me.  Oh Joy.

I learned that I will be given infusions of:
* Adriamycin and Cytoxan in Phase I
and
* Taxol in Phase II

Each does of chemo will be followed by an injection of Neulasta the next day.
The Neulasta will stimulate the growth of healthy white blood cells that the chemo kills off…  this “potion” will help me to recover quicker.

The Chemo Learning Class went over:
* Generic Name
* Other Name
* Drug Type
* What Drug Is Used For
* How Drug Is Given
* Side Effects Of Drug, Including Delayed Effects
* When To Contact Your Health Care Provider
* Precautions
* Self Care Tips
* Monitoring and Testing
* How Drug Works

Lots of info to remember, but the Dr and Medical Staff do this daily for a living, so I am sure that they will remind me of what I need to remember!

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