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	<title>Lymphomartini &#187; surgery</title>
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	<link>http://health.tommusic.net</link>
	<description>Two parts vodka, one part vermouth, and a splash of blood cancer.</description>
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		<title>Antici-patient</title>
		<link>http://health.tommusic.net/2009/07/antici-patient/</link>
		<comments>http://health.tommusic.net/2009/07/antici-patient/#comments</comments>
		<pubDate>Mon, 20 Jul 2009 05:59:38 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Diagnostic Phase]]></category>
		<category><![CDATA[chemotherapy]]></category>
		<category><![CDATA[chest port]]></category>
		<category><![CDATA[diaphragm]]></category>
		<category><![CDATA[paim]]></category>
		<category><![CDATA[spleen]]></category>
		<category><![CDATA[surgery]]></category>

		<guid isPermaLink="false">http://health.tommusic.net/2009/07/antici-patient/</guid>
		<description><![CDATA[Current state of lymph node biopsy: the analysis is &#8220;complex&#8221; and they&#8217;ve sent it to the UW to have more subtyping done. Hopefully I&#8217;ll get a call early tomorrow with results and an invitation to come in and start chemo same-day. I really want to try out this neat chest port! Speaking of chest ports [...]]]></description>
			<content:encoded><![CDATA[<p>Current state of lymph node biopsy: the analysis is &#8220;complex&#8221; and they&#8217;ve sent it to the UW to have more subtyping done. Hopefully I&#8217;ll get a call early tomorrow with results and an invitation to come in and start chemo same-day. I really want to try out this neat chest port!</p>
<p>Speaking of chest ports (and surgery to install them), my steri-strips have all come off. Now I just hope I can clean the adhesive off. The areas around a couple of incisions are real sticky!</p>
<p>More motivation: this morning I got a pretty intense pain in my shoulder. It wouldn&#8217;t go away unless I found just the right position, and breathing in was not allowed. Shallow, uncomfortable breaths.</p>
<p>I suspect this is a result of my enlarged spleen pressing up against my diaphragm. You see, in our very beginning stages of development, our diaphragms are all located very closely to our shoulders. They get linked into the sane nerve networks. Then, as we grow older, our bodies stretch and our diaphragms move further down our bodies. But the wiring still has them connected with the shoulders.</p>
<p>The pain from this morning eventually went away. We went to a movie, then to a friend&#8217;s BBQ. While at the BBQ the pain returned with significant vengeance! Such a buzzkill. And it is still making itself known right! Two percocet have been sent to die for their dear leader.</p>
<p>I am really looking forward to the start of treatment; the spleen returning to normal size, the night sweats going away, less (yaaaaawn) fatigue.</p>
<p>I know it&#8217;ll be like running a marathon. A six-month-long, poisonous marathon. But I&#8217;m still excited to hear the starting pistol, and to turn the first corner.</p>
<p>Bring on the chemo.</p>
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		<slash:comments>3</slash:comments>
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		<title>Something Added, Something Removed</title>
		<link>http://health.tommusic.net/2009/07/something-added-something-removed/</link>
		<comments>http://health.tommusic.net/2009/07/something-added-something-removed/#comments</comments>
		<pubDate>Tue, 14 Jul 2009 03:40:20 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Diagnostic Phase]]></category>
		<category><![CDATA[biopsy]]></category>
		<category><![CDATA[chest port]]></category>
		<category><![CDATA[dr kent]]></category>
		<category><![CDATA[lymph nodes]]></category>
		<category><![CDATA[surgery]]></category>

		<guid isPermaLink="false">http://health.tommusic.net/2009/07/something-added-something-removed/</guid>
		<description><![CDATA[We started early today, with a check-in time of 7:30am. My brother woke up really early and made the trip up to be our designated driver. This weekend we had a moment of doubt; the surgeon (Dr Kent) had recommended that we remove a lymph node from underneath my arm, but the oncologist (Dr Norman) [...]]]></description>
			<content:encoded><![CDATA[<p>We started early today, with a check-in time of 7:30am. My brother woke up really early and made the trip up to be our designated driver.</p>
<p>This weekend we had a moment of doubt; the surgeon (Dr Kent) had recommended that we remove a lymph node from underneath my arm, but the oncologist (Dr Norman) was originally talking about one from the neck. Not knowing whether it was important to stick with the neck, we sent notes and called Dr Norman&#8217;s office to get his opinion. This would turn out to be a good move.</p>
<p>They called me in from the waiting area about an hour before I was scheduled to have surgery begin. They started an IV in my hand and I got a visit from one of the anesthesiologists involved. Do I want to be deep under (non-dreaming), medium under (dreaming, still unconscious), or conscious but loopy. Deep under, please!</p>
<p>Next, Dr Kent came by to discuss the operation. The flight plan that he wrote and I signed last week was about the chest port and underarm lymph node removal. Dr Norman called and chatted with him that morning at our prompting to share his intent. Dr Kent decided to revise the flight plan to allow for taking a neck node if necessary. I initialled, and we were ready to go!</p>
<p>They started with giving me Versed, then wheeled me into the operating room. I remember the operating room very briefly, and I seem to remember them asking me to keep telling some random nonsense story. That story part might be some dream from last night. I can&#8217;t exactly remember. Versed!</p>
<p>Then I woke up, and I was hurting. I had clear dressing bandages, four in total. Two for the chest port installation, one under my arm, and one on my neck just under my jaw.</p>
<p>It turns out that the underarm node was tougher to reach than expected, and they went for Plan B in the neck. It&#8217;ll be a more visible scar, but that&#8217;ll just make me look tough.</p>
<p>It&#8217;s a good thing we expanded that flight plan!</p>
<p>After waiting in the recovery area for awhile, they wheeled me out to where Mike had pulled the car around. They don&#8217;t let you just walk out of there.</p>
<p>We came home, ate food, and napped.</p>
<p>I&#8217;m tender in where I got cut open, but there isn&#8217;t much as far as constant pain. Gotta leave these dressings on for a day or two though.</p>
<p>And they shaved half of my chest and one of my armpits. I feel so asymmetrical! </p>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>This Week&#8217;s Accomplishments</title>
		<link>http://health.tommusic.net/2009/07/this-weeks-accomplishments/</link>
		<comments>http://health.tommusic.net/2009/07/this-weeks-accomplishments/#comments</comments>
		<pubDate>Thu, 09 Jul 2009 17:38:54 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Diagnostic Phase]]></category>
		<category><![CDATA[cancer lifeline]]></category>
		<category><![CDATA[dentist]]></category>
		<category><![CDATA[lymph nodes]]></category>
		<category><![CDATA[muga]]></category>
		<category><![CDATA[seattle cancer care alliance]]></category>
		<category><![CDATA[second opinion]]></category>
		<category><![CDATA[surgery]]></category>

		<guid isPermaLink="false">http://health.tommusic.net/?p=56</guid>
		<description><![CDATA[Learned of possible information-having lymph nodes in my neck Met awesome folks with great advice at the Lymphoma Networking Group Got the ball rolling with SCCA second-opinion scheduling Requested that Group Health send my records to SCCA Scheduled MUGA scan for next Tuesday Scheduled surgical consultation for Friday, and surgery for Monday And now I [...]]]></description>
			<content:encoded><![CDATA[<ul>
<li>Learned of possible information-having lymph nodes in my neck</li>
<li>Met awesome folks with great advice at the Lymphoma Networking Group</li>
<li>Got the ball rolling with SCCA second-opinion scheduling</li>
<li>Requested that Group Health send my records to SCCA</li>
<li>Scheduled MUGA scan for next Tuesday</li>
<li>Scheduled surgical consultation for Friday, and surgery for Monday</li>
</ul>
<p>And now I go to the dentist, where I will not be getting any cancer-related treatment. <img src='http://health.tommusic.net/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>PET Scan Phone Call With Dr Norman</title>
		<link>http://health.tommusic.net/2009/07/pet-scan-phone-call-with-dr-norman/</link>
		<comments>http://health.tommusic.net/2009/07/pet-scan-phone-call-with-dr-norman/#comments</comments>
		<pubDate>Mon, 06 Jul 2009 04:41:46 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Diagnostic Phase]]></category>
		<category><![CDATA[chest port]]></category>
		<category><![CDATA[conscious anesthetic]]></category>
		<category><![CDATA[dr norman]]></category>
		<category><![CDATA[general anesthetic]]></category>
		<category><![CDATA[lymph nodes]]></category>
		<category><![CDATA[pet scan]]></category>
		<category><![CDATA[surgery]]></category>

		<guid isPermaLink="false">http://health.tommusic.net/?p=42</guid>
		<description><![CDATA[I got a call in the early morning from Dr Norman; the PET scan shows an abnormally sugar-hungry lymph node in my neck. He&#8217;s going to call and cancel my upcoming chest port installation surgery and find a surgeon that can do both the chest port installation and remove the lymph node in one session. [...]]]></description>
			<content:encoded><![CDATA[<p>I got a call in the early morning from Dr Norman; the PET scan shows an abnormally sugar-hungry lymph node in my neck. He&#8217;s going to call and cancel my upcoming chest port installation surgery and find a surgeon that can do both the chest port installation and remove the lymph node in one session.</p>
<p>It like it. Plus it means I would be under general anesthetic instead of the creepy-sounding conscious anesthetics. Woo!</p>
]]></content:encoded>
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