Billy Bob's Wild Ride: DEEP BREATHS

Friday, August 18, 2017

DEEP BREATHS

YESTERDAY...

After kissing Princepessa goodbye---mmmmWAH!     (you never know,    y know?
   he went for a ride through coriders, hallways, to the O.R.....

Deep breaths
Just take some deep breaths for me...

Frrreaking out on that operating table... 7 or 8 folks all busy each doing somthing different it seemed,The temp in there felt
like a walk in cooler. CCCCcccolddddddd!
The surgeon they call THE SHARK getting ready to freeze a section and cut away a piece of him he had lived with his whole life.Yeah, it was a 4x4 inch section
of bone, it was inside, he had never met it. but still, it belonged to him...BUT the bone was totally destroyed......

eaten away by a clump malignant plasma cells, all with the same face!!!!! Clones. A CLONE WAR right there in his upper arm. and pelvis...and scull...and shoulder blade. Lot of clones!!!!!!!!

We need Jedi knights!!!! Call Anakin Skywalker and Obi-Wan Kenobi !!!!

Call DELTA SQUAD !!!!!!!!

Anway, back to earth, back to this operating room,where he was hoisted

onto this hard little table with a little rubber Donut for his head and pillows for under his legs.....like four feet off the floor...it was l a long way down... There were four nurses all trying to make him comfortable at the same time- how are your legs like this?? The anesthesiology resident trying to jam this cushy mask over his face trying to jam it tight to make a tight seal... her doing that put him in a complete panic mode. The Mask smelled like the gas used for his eye surgery when he was 12-yrs old -- back in the seventies- I believe back then it was halothane or ether or even chloroform but

they all smell the same like brake fluid or dry cleaning fluid Auggggggggggggggg!!!!!!!!!!!.

      He finally said Cant she just knock me out now-PLEASE- put

me to sleep now I'm starting to feel -PANICKY- I can't swallow throat's too dry-STOPPPPP!!!!

       -- right then-----somebody ----JAMMED---- the corner of a wet washcloth into his mouth

and he calmed down a bit. At least they were listening to him... another nurse suddenly slathered his lips with a very slimy lip balm...----felt like that geletin that you see on a canned ham.CANNED HAM LIPS!!! HAHAHAHAHAHAHAHA......and he HATES greezy lips. Just ask Princepessa!!

      Then the anesthesiology attending- which is someone who has completed their residency- (although this was nothing like the TV show Grey's Anatomy. he and Princepessa used to wach it on netflix no one in there looked like Yang or George or especially Mc) put the mask back on and said okay here we go take some deep breaths fill your

lungs with oxygen we're going to give you some medicine in your IV you're going to feel a burning

sensation over your whole body and then you're going to wake up after your nap yikes , it WAS a tingling BURRRRRRNINNNNNGGGGG sensation. YOwwWwwww going dowwwwwwwwnnnnnnnuhhhhhh----------------------------------------------------------------------------------

then, just                     nothing.

---------------------------------------------------Are you having any pain, Mr Aragon... -----------------------------------Mr Aragon says is ISit done?--------------

yes sir , its done
Mr Aragon says "ill give you a hundred bucks for a drink of water."

AS FAR AS I KNOW........HE'S STILL WAITING.

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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)