I'll have a phone meeting with Dr. Feldman to evaluate the combined results of the new labs, MRI and CT Scan next Wednesday. We don't expect this to change the surgical path for Dr. Pommier. As he said, "I'm doing my own scan, the Pommier scan". He will be able to see in person in surgery much of what we cannot see with scans. However we need to look at baselines in other areas that the surgery will not affect. We are looking at the bone metastases in the left iliac crest (hip), the pulmonary nodule and checking the heart and lungs. Dr. Pommier will take care of the primary next Thursday and opinion says all other tumors grow slower when the primary has been removed. Still no formal evidence of that or much else with these P-NET's because there has not been large clinical trails and studies. I'm still just going with my gut after doing as much research as I can. No definitive answer on the right approach.
Dr. Feldman did think it was likely that that the MRI was wrong about the liver tumors growing. It could easily have been scar tissue or different tumors that appear in a different place because of the liver regenerating since surgery.
It took 6 attempts to put in the IV this morning and was very uncomfortable. I was dehydrated due to instructions for the CT scan. The flavored milkshake I had to drink and the IV contrasting material that went in also made me feel sick. I was close to fainting and throwing up but managed not to do either. I did have extreme diarrhea and felt fatigued and sad. As I eat and sleep this will pass. When I feel physically bad sometimes it is hard to keep an upbeat, positive mind set. I'm already back to doing better. If I go read my prayer book I'll feel better. I'm heading out to look for a costume for Kimani - that ought to cheer me up!
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