Andy and I went to meet with my radiation oncologist this afternoon to get her opinion on my scan results. It couldn’t have been more different than the medical oncs. As far as she is concerned not only is it way to soon to make pronouncements about whether the treatment has succeeded or failed, she also feels that we can’t really tell right now whether there has been disease progression or not. It’s complicated (of course) by both the radiation treatments (past and most recent, both short term and long term side effects), and my particular tumor which when read in a ct-scan kind of melds in with the muscle tissue making it imperative that each person is measuring the exact same thing. Apparently what the med oncs were assuming was growth, had to do with the radiologist measuring the part of the tumor pressing into the spine, not the growth of the whole tumor itself. I won’t get into all the physical details, but she showed us everything on the actual scan(s) and explained it all to our satisfaction.
Bottom line, she feels that we are progressing just fine and that the increase in symptoms has explanations in my particular case. All the things Andy and I mentioned to the med oncs on Wed. were right (about how long the rad takes to work, the high dose of the rad, the effects from previous rad, etc,). That’s because we’d been listening to the rad onc explain all this stuff to us this fall, we had a crash course on cyberknife that they didn’t get.
So the plan for now is to continue with the steroids and weaning off of them, continue with pain management, and get another scan in 8 weeks. This time we’ll do a PET and can compare to the Sept. PET (this last test was a CT that was compared to the August CT). I know it’s frustrating but as I have mentioned before, scans are not these magic tests, so much is up to interpretation, each test has their strengths and weaknesses, etc. No absolutes, especially in my topsy turvy cancer journey.
So, more patience and NO CHEMO for now, yeah!! I am so sorry to have upset everyone with my previous news. I know it’s not my fault, but I still hate that anyone was upset by it. I am so happy though with the outpouring of love and support I have gotten from you all. It means an enormous amount to me and has helped keep me calm and centered throughout this craziness.
And I got a good haircut out of the deal 🙂