Billy Bob's Wild Ride: Prometheus and the Eagle of Zeus

Thursday, September 13, 2007

Prometheus and the Eagle of Zeus

Each day, Prometheus would be tormented by Zeus’ eagle as it tore at his immortal flesh and tried to devour his liver. Each night, as the frost bit it’s way into his sleep, the torn flesh would mend so the eagle could begin anew at the first touch of Eos (the Dawn).
Isn't it strange how an ancient civilization knew of my potential healing power? Who were these Greeks, and did they have baklava and calamata olives back then? It is funny that the magic substance in the movie 'My big fat greek wedding', windex is ammonia, the bane of Bobby's brain. But Bobby and Sharon have adjusted by eating much more

vegetables around here. The health food store Whole foods is getting all the money the liquor store used to. They do have bakalava, and 100 types of calamata olives. Every week, Sharon and Bobby go and stock up on dried fruit, salt free corn chips, the best gyoza in the world, (and that includes the little yakitori shop Iseya in KichiJoji , Tokyo), and the yummy low sodium organic peanut butter cereal. Bobby first found these cereals because Ardis needed gluten free everything. But this cereal rocks. Mister stomach loves it.
Now if we could find a way to keep Spleen Mcqueen quiet. Then there would be some peace around here. Yeah I know, my capsule is not blameless, but the racket with the big ol noisy spleen, the noggin, mister colon,
well it's just a rowdy mess. Speaking of which, these Greeks have morphine named after their God, Morpheus, the God of dreams. Hmm...Maybe this is all just a dream.

1 comment:

may said...: since you're getting a little healthier, let me ask you a favor. ask bobby to stop thinking he needs to explain himself everytime he leaves a comment in my blog. tell him to stop implying i don't believe him when he says nice things, because i do believe him and accept his thoughts.

if he still thinks i have ill feelings towards him for expressing his thoughts in the comments section in one of my posts a long time ago, he is wrong...i totally understand now where he was coming from and i consider it forgotten. tell him that i appreciate it that he reads my blog and takes time to comment.thank you.

you take care and enjoy bobby's new lifestyle :); September 14, 2007 at 10:57 PM

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Solitary plasmacytoma

Solitary plasmacytoma is a large solitary focus of plasma cell proliferation.

This tumor has a median patient age of approximately 10 years younger than multiple myeloma.

Pain is the most common symptom. However, if the myeloma occurs in the spine, it will usually present with fast developing paraplegia and gibbous deformity due to the vertebral collapse.

Complete Information on this Tumor

Introduction and Definition:

Solitary plasmacytoma is a large solitary focus of plasma cell proliferation. This tumor is extremely rare and is found in the proximal femur, vertebral bodies, and pelvis in order of descending frequency. Solitary plasmacytoma occurs 70% of the time as an osseous lesion, and the rest of the cases are non-osseous lesions usually found in the upper respiratory tract. Approximately 70% of the patients with solitary plasmacytoma develop multiple myeloma.

Incidence and Demographics:

This tumor has a median patient age of approximately 10 years younger than multiple myeloma, and affects men more than women.

Symptoms and Presentation:

Pain is the most common symptom. However, if the myeloma occurs in the spine, it will usually present with fast developing paraplegia and gibbous deformity due to the vertebral collapse.

X-Ray Appearance and Advanced Imaging Findings:

Radiologically, solitary plasmacytoma appears identical to multiple myeloma.

Differential Diagnosis:

Most authors agree on a strict diagnostic criteria for solitary plasmacytoma. There may be no other radiological identifiable lesions, and bone marrow at another site must have no abnormal plasma cells. There may be no serum abnormalities and no Bence-Jones proteins in the urine. Some authors believe that the diagnosis can only be made if no other lesion is found for a period greater than 1 year.

Preferred Biopsy Technique for this Tumor:

Bone marrow biopsy

Histopathology findings:

Microscopically, solitary plasmacytoma appears as well to poorly differentiated sheets of plasma cells. These cells produce the same osteoclast stimulating factors found in multiple myeloma.

Treatment Options for this Tumor:

Treatment of solitary plasmacytoma includes radiation or en-bloc surgical resection. If abnormal serum or urine findings are present then the patient must be treated as if they have multiple myeloma with chemotherapy and bone marrow transplant 2.

Outcomes of Treatment and Prognosis:

Patients with solitary plasmacytoma have a better prognosis than patients with multiple myeloma, but 70% of solitary plasmacytoma patients develop multiple myeloma, and usually die within 5 years.

Graduation Day

LINAC U

You'd think that 25 radiation treatments wouldn't amount to much of anything. It doesn't sound like a lot.

...25 trips to the hospital. We were wrong. We started the week before Thanksgiving after a month long delay because of a bad bad flu like cold I developed. They wanted a commitment, with as few absences as possible, so we waited. The coughing up blood and fevers subsided, then we started, and got our groove. I say WE because Notbillybob's wife, Sharon drove most days. I was just along for the ride. Well, after 10 treatments, the tiredness set in. Especially for her. Like a new part time job. Notbillybob feeling like a roast ham most days. Kind of like a sun burn inside your guts. He made a big mistake in eating jalapenos one night. Ooh, the burn. So, they asked the doc if the stomach was getting radiation. They said "lets pull up your treatment plan... Yes, see here, inside this red line. The treatment plan showed that it was. The innermost red line is the most radiation, the outer one is the least. The green one is in the middle. A good part of the stomach is even inside the blue line.

The pain was accounted for. They told us that they were also concerned with his platelet count. It was going down again. Down to 37! (Low is 150) It has since stabilized at 40. The thing is that the white cells, red cells, hematocrit are all low. Way low. Bilirubin is elevated. INR is elevated. Not billybob began wearing a mask to treatments. Don't need cooties at a time like this.

Then the really cold weather set in. I know, I know- it doesn't really cause colds and "death of pneumonia" like our moms used to say, but when you have cancer of the immune cells, and then your white cell count goes in the toilet as well...

Notbillybob is going to stay a hermit for the foreseeable future.

But SMILE!

New Years eve was treatment number 25. Graduation day! Graduation from LINAC U!

(LINAC is a Linear Accelerator, an IMRT radiation therapy machine)