My scan on Monday was good but not perfect. The "brightness" of all the lymph nodes had deceased. That means how metabolically active the disease is. The brighter the more active it is i.e. likely to spread. The lymph nodes in my left shoulder and neck disappeared. There also was no new cancer activity. Which is good.
The lymph's node under my arm did grow in size (though less active). There are several reasons this could happen, the main one being that as the cancer cells die it can inflame the lymph nodes. They are going to want to radiate this section after the BMT to be sure all the cancer is dead in the lymph nodes. This means I will have to do another round of ICE chemo starting tomorrow. This is not uncommon but they don't want to do more than 3 rounds. I'm not excited about this but if it improves my chances of recovery then I'm all for it.
On other news: I meet with the BMT team and got a better understanding of what the process looks like going forward. There are a lot of "if the tests show this then we will start this"
I still have to:
- Get a Bone Marrow Biopsy
- Major Blood Work (drugs, Alcohol, nicotine, random blood diseases)
- Tests on my heart, and lungs
- A full dental work (cavities can cause infections)
- Some sort of psychological test. To see if I can handle the BMT. (I don't know how they could fail anyone.
- You're not psychologically fit for this treatment you will be better dying)
- Stem Cell Prep
- Stem Cell Collection
- BEAM Chemo
- Stem Cell Replacement
- 4-6 weeks in the hospital.
- 2 weeks with a caregiver watching me.
That is about all for now. In other good news the "official" deposit if Medicaid does not come through will be $85000. We will be reimbursed for what ever the insurances company pays.
Thank you, Arlo