Jan 19, 2013 - 8:17 pm
This past Thursday my MO presented by case to the Tumor Board. I asked to attend and was really impressed that around 16 doctors (lost count) were all positioned around the long table and the projector was going through the key PET-CT scan. There was much discussion, questions asked, options reviewed, but at the end the group all agreed to the diagnosis and treatment plan that was presented. There was an awful lot of medical lingo thrown around so I surely did not catch it all but I did not feel there was any measurable objection or questioning of the dx and plan.
On Friday, I had an appt with the MO and he felt good that the board agreed. He said he really wanted to get their agreement that the spots on my lungs showing on the PET-CT were not conclusive so that he could proceed with M0, meaning that they are going for curative treatment rather than palliative.
Given the board agreed spots are non-conslusive, i.e. not cancer for sure, then they sugggest I proceed with pulmonary consult for finding non-cancer source of spots such as valley fever, etc.
Meanwhile, the MO prepared a long list of orders to get the induction chemo series going. Looks like my induction treatment is a bit different the general ones posted here. Rather than 3 cycles at 3 week intervals , he is going to do 4 cycles x 3 week intervals but lower the dosage of the first series by 25% to see how my response is to the drugs. His approach is to try to get me through as much of the regime as possible rather than him me too hard and then have to scale back or out. As we know all these treatments create side effects, some really harsh.
The expectation is the induction reduces the tumor mass(es) allowing for an easier time under radiation. I LOVE that frickin idea since radiation clearly lays waste harshly to most.
So, the anxiety and stress buiding to last week is now behind me and I know there is a clear path forward. Honestly, I did not really understand how close to the edge of no return I was until yesteray and still trying to digest the meaning of going foward with a curative treatment plan.