Thursday, May 8, 2008

An update from George...

George emailed me a thorough update, so here it is:

Donna had the bronchoscopy done on Monday. There procedure went fine with no lasting side effects of other symptoms. We went to Dr. Ostrovsky (Oncologist) yesterday for the results: The pulmonary specialist was not able to find any lesions or tumors within the lungs. A needle biopsy was taken during the procedure and the pathology results for that tissue sample were negative. No cancer. Dr Ostrovsky characterized the results as "completely negative"

So that's good news.

We will see Dr. O again in about three weeks. He changed her medication to include the Decadron
again as Donna started to have bad headaches again and her balance was getting worse. We had started to reduce the Decadron over the past few weeks because the other oncologist thought it might be causing the swelling in her ankles. It is a steroid. However, as Dr. O noted, her headaches and
balance issues and partial aphasia could be due to the lesions in her brain swelling again, hence we will start the Decadron again.

Due to all the different Doctors trying to ease her symptoms with medications, in the future we will coordinate all medications through Dr. Ostrovsky. He reviewed all her medications (anxiety, pain, sleeping, stomach, swelling, depression, etc.) and said that none of them should have any negative interactions with the others.

As for the RSD, Dr O suggested she see Dr. Dolan (Pain Doctor) about resuming nerve block injections for the RSD pain. We also have scheduled a visit with Dr. Schwartzmann next week to update him on all that has gone on since the completion of the initial Ketamine treatments and to discuss coordination of the RSD treatments and the cancer treatments,

We will see Dr. Chon (radiology oncologist) in early June to get a status on the results of the radiation to look for a reduction in the size of the lesions. The radiation takes ~ 40 days to take full effect.

So, at this point, we have no more tests or procedures scheduled for the next few weeks.
We got a walker so she can move around outside and take the dog out. It has a seat on it so she can sit down if she gets tired. Seems to work OK as she went outside yesterday several times with the dog and talked to the neighbors.

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