These are very rough days. Finishing whole brain radiation tomorrow (Friday), have completed one week of liver radiation and have one more week to go. Immediately after I complete those (Christmas week) I will go back to systemic IV chemotherapy. The Y90 SIRT procedures to the liver are not able to be done right now because the brain mets needed immediate attention and we couldn’t afford to have the 6-7 weeks of full Y90 procedures afterward while the rest of the body went untreated.
It is possible since we are only radiating the right lobe of the liver right now that we will later Y90 the left lobe if we can get some stability after radiation and chemo but that is to be determined. You always have to be willing to adjust to what the day brings and what the best new course of action is.
For now I have side effects of being wobbly, absolutely fatigued (unable to walk well or move), dehydrated, pain and nausea. It hasn’t gotten to the worst point it will and we are managing medications each day to deal with each days’s issues. My palliative care doctor and my medical oncologist as well as radiation oncologist are all monitoring me closely.
I have been at MSK for IV fluids and magnesium 4 days this week, radiation for five days this week, and tomorrow I will even then need to head down to NYC for platelets for clotting and red cells to combat my anemia. We need these numbers to be up so I can continue radiation and then get right into chemotherapy again.
I’m not functional for the most part and the days are very tough. But I know this is what needs to happen before I can get my strength back and the cancer under control. These are important weeks and months.
That’s all I have energy to report for right now, thank you for the support.