Exam passed, time for more homework

I was waiting at the stop for the struggle bus this morning, but decided not to get on it.  I have two solid tumors that I can palpate and they're definitely following directions of worse before better.  Even though I know this is expected and a good sign, it was a little rough this morning to think for a moment that progress was going to the wrong way.  But...it's not!  

Today's interstitial treatment was way easier than last week.  The tumor on my back is responding really well to the topical laser treatment, so further direct prodding is unnecessary for now.  It's located superficially, which is great on one hand, but on the other hand, it's where there are many more nerves.  It was actually much more reactive last week and a little painful this morning, so I was happy to hear that we weren't going to poke at it more today.  What was cool though, was in treating the liver today, I could still feel the other tumor responding even though it was indirect.  

The approach to the liver is through my ribs, which sounds bad, but actually isn't.  Yay lidocaine!  Because that was the only site treated today, I could lay on my back, which was much more comfortable.  The laser treatments are 20 minutes for each wavelength, and I do two different wavelengths.  Being in a comfortable position to hold very still for about an hour was a very pleasant change.  The doctor was super happy with the response from last week, as well as how today went, which is very encouraging!  

I luckily (?) had a solid distraction, too.  One of the photosensitizers can cause some muscle cramping in the arm with the IV.  I had it at the beginning of last week and it wasn't too bad--helped a lot with a heating pad on my arm.  Then I had 3-4 days of a different photosensitizer, then today went back to the original one.  Holy cow...my arm was ready to throw in the towel.  I've never had the pleasure of experiencing so many different muscles in my arm cramping, but now I know about all of them!  It's a pretty long duration for that IV, about 2 hours, so there was plenty of time for the cramps to move up and down my arm and back again.  I'd have some random moments of relief, but I'd nearly take getting poked in the liver over the arm cramping.  I appreciated the bag of tricks to try and help ease the discomfort, but I think ultimately it's a tough it out situation.  

It was a long day at the clinic, so the evening has been pretty quiet--catching up on the Championships in Herning and letting my body work on homework.  So much homework!


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