Sunday, September 3, 2017

Fired

 

DISCLAIMER:

 FOR TEN PLUS YEARS BOBBY HAS BEEN SEEING DOCTORS AT C.U. FOR END STAGE LIVER DISEASE AND NOW AT THE VERY HIGHLY HIGHLY ACCLAIMED CANCER CENTER FOR BONE MARROW CANCER.

99 PERCENT OF THE PEOPLE WE RUN INTO

ARE 110 PERCENT EXCELLENT IN EVERY WAY. IT IS A SAD THING WHEN WE STUMBLE INTO THE ENVIRONS OF A DOCTOR WHO IS A:

SELF AGRANDIZING SOLIBSISTIC WHIRLING DERVISH OF EGOCENTRIC OBNOXION,

BUT IT DOES HAPPEN FROM  TIME TO TIME.   WE CALL HIM :DOCTOR 'NO'

                       -PRINCEPESSA

 

 

Notbillybob went to see his hematologist/oncologist on Friday,with his lovely Princepessa and nephew Tate. We'll call the oncologist Doctor "NO"'.  He seemed very nervous because he knew that he had blown it. He dropped the football, and the other team recovered, and ran it in for 3 touchdowns.  He committed an error on a short fly ball, giving the opposing team a 3 run victory.
   3 runs...     3 tumors...


            three.....tumors...
            -------BRAIN TUMOR-------

------RIGHT SHOULDER---------

--------LEFT  UPPER ARM---------

  THREE PAINFUL TUMORS.

----------------------------------------------------------------

WHEN NOTBILLYBOB FIRST  MET THIS DOCTOR FOR THE FIRST TIME LAST SEPTEMBER, HE SPECIFICALLY ASKED HIM TO LEAN FORWARD, BE SUSPICIOUS OF ANY FINDINGS, SEE ANY SUSPECT LESIONS AS CANCER UNTIL PROVEN OTHERWISE, 

                      DON'T DROP ME

              THROUGH THE CRACKS,

                          HE SAID...

      --------------------------------------------------

He dropped Notbillybob right through the
Cracks------------------------------------------

Cracks-----------------------------------

 

------------- CRACKS-


When we entered the exam room (it was very unusual...a nurse usually takes vitals and asks all the usual questions- any changes in medication, any pain? have you had any falls etc ,but not this time)

DR. NO! was already in there. sitting at the computer trying to pull up Notbillybob's chart, films, etc

 His body language was hilarious... arm flying all around, and he was squirming in his chair hunching over .


                  after surgery,with 

           titanium nail

 

 

Let me explain the cracks in detail--- The tumors in the right scull base, and left humerus came out of nowhere.  

 No one saw  them coming, 

but the tumor in his right shoulder was spotted by a radiologist back in October and represented a third tumor. Tumor number THREE!!! Multiple tumors, thus the name of this evil disease-                                                        MULTIPLE MYELOMA. 

 

 CLICK HEREIn the past, the disease wasn't diagnosed until a patient already had end stage organ damage. The thinking nowdays is that patients can have a much better outcome if it was caught early and treated early.

There is an acronym for the signs for     MultipleMyeloma
                      CRAB
         CRAB stands for=
C___high calcium in the blood.
R___renal failure, (dialysis) caused by high calcium
A___anemia
B___bone lesions,tumors,bone pain
 Part of the new criteria stated that if a patient
had more than one focal lesion on MRI that is at least 5 mm or greater in size, it would be considered a "myloma defining event"  and  the patient would be diagnosed as having multiple myeloma. At the time back in October, Notbillybob had one tumor measuring 20/13mm and had one removed which measured larger than 3 inches. These tumors were were in his body at the same time...but doctor "NO" didnt see it that way. A ridiculous argument.

Notbillybob had a tumor in his pelvis which had cracked when they did a biopsy in June 2016,


 and rib.
The shoulder tumor, if taken seriously would have put him way over the set criteria.  But the doctor didnt see it as a threat. It was only SUV max 3.5  suv=(standard uptake values) Now  the bone is SUV max 8.5 and has fractured through and through. Totally destroyed. Causing severe pain. It hurt terribly and prevented lifting all winter long. He knew there was a lesion, had asked the doctor to start chemo therapy, but his answer in October was    "NO!!,

"Why not ??? 

"because I'm the boss!!"     Seriously, he actually said that!!!


 "If I diagnose you with multiple myeloma I'll have to start chemo on you. If I start chemo now you'll be on it the rest of your life."

Notbillybob's primary care doctor drafted a letter asking for the doc to start chemo. Immediately.
   
Doctor "NO" said "NO"!

So, on Friday when Notbillybob pointed out the massive error the good doctor had made, he squirmed and responded with "What do you want me to do about it now?"

"do you still want me to be your doctor?

Can you guess the answer?

  Not billybob said '"NO" and fired the doctor.
You see, the doctor thought HE was the boss. 

But he was wrong. He was very very wrong.



                                   People,  sometimes we are 

intimidated by our doctor, 

 

               Sometimes with reason...

 but it is important to remember...

they didn't hire you.

                        You  hired them. 

           


            YOU CAN FIRE THEM

                

              Stay tuned!!!!

                                      

 

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