Health Update: 20 April 2018

Again, we were on the 7:55 Seattle ferry for the scheduled Chemo session.  Just so that everyone is speaking the same language, let me differentiate and clarify the terms signs and symptom.  Signs:  any visible observations such as weight loss, change in skin coloration, swelling and puffiness, hair thinning/loss, etc.  Symptoms:  how the body feels such as fatigue, sleepiness, nausea/vomiting, headaches, peripheral paresthesia, mucosal thinning and ulcer formation secondary to the Chemo agent causing difficulty in eating, G-I irregularities, etc.

General Health: I sense that my muscle mass is weakening, and I think I should start some mild arm and leg strengthening training.  The thinning and development of sores in the mouth make eating, (a significant part of joy for me) difficult these last 3 weeks.  For this reason, Dr. Picozzi reduced the dosage of Irinotecan and 5-FU to 75% of my normal dose.  Hopefully this helps to reduce the discomfort.  Additionally, I am having more paresthesia of my ankles and feet.  I can’t tell if I have socks on or off; sometimes I can’t even tell if I have shoes on!  Also, I lose balance momentarily when I stand up from sitting, or whenever I get out of bed.  This most likely is a side effect of Abraxane, but I don’t want any changes in the dosage of this medication until after we get the result of the CT Scan at my next visit.

Physical Exam:  I appear as a picture of health.

Lab Test:  All values acceptable.

CA antigen 19-9, 2 weeks ago when I was pleased when it was 1076.7u/ml, today it came in at 903u/ml.  Very happy with this trend after a high of 3300u/ml on February 8, 2018.

CT scan at the next appointment 3 May will reveal a lot more; can’t wait!!

Deep heartfelt thanks for visiting and your continued care and concern.  Update after the CT Scan next visit.

One thought on “Health Update: 20 April 2018

  1. Frank! You are a real fighter.
    We pray for you the best result on May 3rd CT scan.
    We had friends who had chemo before and she couldn’t eat anything except soup because of the sore in the mouth. We feel so bad. We know you really enjoy the food. Looking forward to hear good news on May 3rd.
    Love, young

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