This past Tuesday, November 19, included two doctor appointments. The first one at Texas Oncology answered several questions, the main one of which was, “are all the counts shown in the blood tests going in a good or predictable direction”. The answer was “yes”. Although white cell and red cell counts are below normal, they are as expected with Ibrance treatment. Actually, a few rose a tenth of a point or so. The really good news was that the liver enzymes are now in the normal range. Yay!
This appointment also included a discussion with Nidia and Dr. Herrada about the possibility of spot radiation to address pain in the left hip. The feeling is that this would be a last resort if pain management treatment (topicals and nabumetone) ceases to help. Radiation stops healthy marrow in the area from growing, and I need all the white and red blood cells I can get. Next, I got my end-of-cycle Xgeva shot and had the port flushed.
After this visit, we headed over to the West Texas Pain Management Center for a follow up on the hip shot earlier this month. This time, instead of Dr. Lopez, I met with the Physician Assistant, Claudia Martinez. Like Nidia, she is personal, professional and knowledgeable. We were impressed. She reviewed the data from my shot and understood that it had not had the lasting effect as hoped. So, I now have a shot scheduled next month in the back. We have to see which medication works and in which area to provide hip relief. She also pulled up Xrays I had done after seeing my family doctor, Dr. Pai. She had ordered these just before the trip to Cape Cod when I went to her for upper back/shoulder pain. They showed seven broken ribs (six are slowly healing and the lowest one is totally separated)! At least an answer to the cause of that pain problem is now clear.
…and life goes on. Overall, believe it or not, I’m feeling quite good! Newly posted pictures show a successful trip to Cape Cod earlier this month.