Whelp, that went much better than I imagined. My faith in Dr. B. is restored. My confidence in Mina is unchallenged – she is tough, much tougher than the chemotherapy and all the things that go along with it.

The VIMP budgies but one ...

The VIMP budgies but one ...

Here’re the highlights from the discharge report:

  • Physical exam: bright, alert, stable weight, tiny popliteal lymph nodes, no other nodes palpable.
  • Weight stable at 48.3 pounds
  • CBC: normal WBC count (11,400), normal HCT (39 percent – not anemic), normal platelets – adequate for chemotherapy
  • Brief Abdominal Ultrasound: Spleen appears normal size and texture with no masses, nodules, or mottled pattern. There are some slender mesenteric lymph nodes visible but not enlarged or irregular. Small intenstinal tract measures normally with no focal GI masses or obstructions. Stomach wall measures normally and is contracting well. No gastric masses or polyps seen. Colon measures normally.
  • Vincristine was administered in the right cephalic vein today (0.37 mg IV).

Here are Dr. B’s notes about Mina’s gastro-intestinal issues:
Intermittent gastrointestinal upset (vomiting, diarrhea) – cause open. Possibilities include chemotherapy side effect, inflammatory bowel syndrome, diet related, stress, other. Dr. Birnbaum does not feel tht GI lymphoma is likely due to lack of severe GI signs and normal appearance of intestinal tract on utrasound. Cannot completely rule out microscopic cancer in the GI tract without a biopsy, however.

That said, Dr. B does not feel that a biopsy is necessary. I consider that last sentence the standard medical disclaimer.

On the diet related front, it’s possible that changing what Mina eats all the time causes her stomach a little trouble. This week, she’s eating a little chicken and is totally enamored of Yves Tofu Dogs. I have to come up with something else that’s yummy for her. Any ideas out there?

Allyson did apologize for the confusion and distress caused by Team Grim Reaper’s “different style.” They were wrong, plain and simple. She reiterated that Dr. B and her team know Mina because they’ve been treating her for four months now and they’re more familiar with her reactions to drugs, etc. I wonder if they rather resent the trouble caused by one poorly written, arrogant, and rude e-mail message?

Anyway, it’s a good report and Dr. B. is very pleased with Mina’s progress. Now to get through Vincristine week without any major problems!

s.

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