Wednesday, June 15, 2016

Biopsy Day-(Thank God it's not a LIVER biopsy...)

Today is the long awaited, dreaded biopsy day. NOTBILLYBOB's Ortho-Oncologist Dr Shark requested this back in January, but complications as well as second opinions and consultations  as well as a bad cold and hyper volemic crisis(water in the lungs) have delayed it. But no more. The procedure will involve an early morning lab test to see about clotting factors and platelet count. This happens around 9:00 am and will give the team time to do a blood platelet/plasma transfusion. If the platelet count is under 50, then they will add platelets and plasma. Normal is 150-500. NOTBILLYBOB usually has a count in the 35 to 45 range. Whether or not this is really low depends upon which doctor is weighing in. A Hepatologist routinely sees patients with platelets in the 50s. 
  A blood cancer doc sees patients down in the teens, and wont panic until they go below 10. A primary care doc, pain specialist, pulmonologist, cardiologist, etc is freakin out under the 100 mark.  The dentist... well we'll just leave him out of this equation. You need only mention the phrase "Hemophilia" and they run.
So, another mystery. Is the tumor in NOTBILLYBOB's Ischial tuberosity benign... or another plasmacytoma,,,


The PET CT scan last week showed the same cancer in the left rib cage...Not entirely gone. It showed that the tumor in the pelvis had grown, but only slightly. Surely they will say that it is within the "margin of error, and call it totally stable. Only it doesnt FEEL stable. Yeesh. Bobby's wacky liver... signin out. Roger. Wilco. See ya.

No comments: