In my post ‘the 3rd cycle‘, I wrote the following –
Today starts the 3rd cycle of chemotherapy; it is the half way point. I will have chemotherapy today and prior to my treatment will meet with my Oncologist. Next week I have an appointment with my Urologist and my hopes with these visits I will have more of an idea of what to expect after my chemotherapy treatment has ended.
In today’s post, I write the following –
Last Friday I met with my Oncologist Dr. D. and I asked questions basically about what comes next once chemotherapy is over. I very much like Dr. D. because she takes the time to really listen to me and is sincere but more importantly she is honest and does not hide the truth from me and will not sugarcoat the facts. It is still too early to know what will happen once chemotherapy is completed, as she indicated to me there are 100’s of outcomes and time will eventually tell us what comes next. She indicated once the chemotherapy is completed, imaging tests will take place to determine the effectiveness of the chemotherapy. More than likely the imaging tests will involve another PET Scan to help determine the possible outcomes including complete removal of the cancer in my body, the partially removal of cancer or no effect at all.
This past Wednesday I met with my Urologist Dr. P. and I also asked him questions about what I might expect once chemotherapy is over. As with Dr. D., I very much like Dr. P. because of the same reasons and I feel I am in good care with him on my team of doctors. Dr. P. indicated he would wait until the imaging tests would be completed by Dr. D. to determine the next steps in my treatment. The future surgery ‘Radical Cystectomy’ is still a valid option depending on the outcome of my tests.
Per Google –
Radical cystectomy is the removal of the entire bladder, nearby lymph nodes (lymphadenectomy), part of the urethra, and nearby organs that may contain cancer cells. In men, the prostate, the seminal vesicles, and part of the vas deferens are also removed.
This is a major surgery that will be talked about again with Dr. P. in the coming month. We did discuss if this takes place, most likely it will occur immediately after the first of the year in January.
In my post ‘The lab experiment‘, I wrote the following –
My oncologist Dr. D. ordered the PET Scan that my urologist Dr. P. had requested. The PET scan took place this past Monday and will serve as a ‘starting point’ and at the end of my chemotherapy another will take place to see any differences. These scans should help to determine if the nodules on my lungs are cancer or not. The nodules are small, therefore cannot be biopsied and these scans should help with this determination.
In today’s post, I conclude with the following –
Just a reminder to all that I have Stage 4 bladder cancer and a previous PET Scan indicated there are nodules on my lungs that could be cancer and a future major surgery is a possibility.
At this time there is a wait and see approach.