A Double Doctor Day!

Yesterday morning Lee and I drove up to Tucson to visit with Dr. Z, the Interventional Radiologist (IR) that was “out of network”, and the only IR in southern Arizona that utilizes the latest technology for dealing with nasty liver tumors. After lunch we visted my oncolgist, Dr. P.

We had a very good meeting with Dr. Z.  She indicated that based on the position of the tumor I was an excellent candidate for Selective Internal Radiation Therapy (SIRT) using the radioactive isotope Yttrium-90 (Y-90).  In this procedure they inject microscopic resin beads (1/3 the width of a human hair) containing the Y-90 into the blood stream feeding the bastard tumor. Yes, that’s right boys and girls….they’re gonna nuke that fucking tumor. The drinks are on me!!!!!  Woo Hoo! They block the blood flow out of the tumor to isolate it from the surrounding tissue. So they kill the bad guys and leave my good liver tissue and adjacent organs unscathed. This is outpatient surgery, arrive in the morning and leave in the afternoon…usually. Other than the “glow in the dark” aspect, side effects are normally mild. It is not a given that it will work, overal SIRT success rates are about 60%.  But based on the location of my tumor, Dr. Z is thinking more in the 80% chance of tumor annihilation. Oh I like the sound of that, let’s say that again…tumor annihilation.  

But before we all get too excited, this does not cure me, it is not killing my cancer. By eliminating my biggest and natsiest tumor it will buy me more time. I will still have Stage IV cancer, tumors can pop up any where. I’ll gladly take the additional time, after all, my public demands it. Everyday I remain alive is one day closer to an immunotherapy cure.

Before the procedure I’ll have another PET/CT scan and an angiogram. Then a week before the actual procedure, they will do a dry run to find the best route to the tumor site and to identify all exits to block any seepage. During this process there is a slight chance they will discover problems that will cause them abort the procedure.  
After the PET/CT scan we will have more information regarding the effectiveness of my current chemo, Lonsurf.  If it’s still working, a decision will have to be made when to resume it based on the SIRT. Lots of tests and decisions yet to be made, but at least we are moving forward.

And now for something completely different…

Ziva is always running around, with her tongue wagging in the front and her tail wagging in the back.
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14 thoughts on “A Double Doctor Day!

  1. just so excellent. however not fun all the testing and procedures are, it feels good to have something new to do to fight the bugger. how good you knew what to say to whom to get this treatment course rolling. (my British mum would be horrified to see me say bugger. guess it is obscene in England. oh well, so is cancer.)

    Liked by 1 person

  2. Great news, Jim! I can offer top reviews for Y90. It’ll go after not only the big tumor but any tiny undetected ones hiding out. You’re going to rock this one! I am really happy for you, and send my prayers and positive energies that all goes as I expect.

    Liked by 1 person

  3. Let’s do it. You have more books to write and more people to inform. You are the man for the go. Between your duck and you, the world needs, no – the world demands to see more. Waiting to see and hear more. Hugs, Jim. Earline

    Liked by 1 person

  4. Hi Jim and Lee,
    It sounds like you’re heading in a positive direction with your new Dr.Z. The sound of an 80% result sure sounds good to me. All my best to you. Sandi

    Liked by 1 person

  5. A toast to Dr. Z to nuke the the little bastard tumors. Fantastic to have another realistic option. Will be back in AZ Thursday. Will have to share a glass of vino when I get there. Love the painting. Have a good week.

    Liked by 1 person

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