September 26, 2024
David had an early oncology appointment this morning with one of Dr. B’s NPs. This was the first time meeting her and she quickly caught up to recent events. We brought along the labs from Tuesday, and she made copies to share with Dr. B. She examined David a bit and we found her to be quite thorough. She said she would discuss the visit with Dr. B and Dr. K since the next Y90 procedure on the right hepatic lobe is scheduled for Monday. He had some labs done today and his hemoglobin was lower than it was on Tuesday but it can take several weeks for the numbers to improve after receiving the iron. He also had a CEA (tumor marker) and it was much higher than we have seen it since the beginning of this. Of course, this is distressing and causes us to wonder if his liver is worse or the colon tumor is active again or both or has it spread even further. He has been experiencing increasing pain at the colon tumor site so this would not be a surprise, I suppose. Still, it is not something we want to see. We would really like to see the numbers trend in the other direction. I will repeat. None of this is fair.
David got a call later today from Interventional Radiology. The nurse said Dr. B and Dr. K discussed it and they would leave the decision up to David whether he felt up to having the procedure on Monday. She said he could decide the morning of and it wouldn’t be an issue to reschedule if he felt that was best. Both doctors suggested proceeding if he felt well enough. He has still been running a fever in the late afternoon and evenings, but he said he actually did feel a little better today after having the iron infusion.
It was pouring rain with the coming hurricane and our part of Georgia is under a Hurricane Warning today. Crazy times for there to be a hurricane warning in central Georgia. We were glad to make it home early. Some businesses were already announcing they would close early in the afternoon.