I reported in the previous blog: A Beautiful Colorado Day, But… about a month ago that the bladder cancer has recurred. It’s very important to treat this cancer quickly, so the procedure is scheduled for Wednesday, July 29 at 7:30 AM. I have to be at the hospital by 5:30 AM!
The procedure is to scrape the inside of the bladder to remove all traces of the cancer. Since this was done already about a year ago, they have to scrape an extra layer of cells from the bladder lining. This can be a bit dangerous as the deeper they go, the higher the likelihood of puncturing the bladder.
I had the pre-op meeting last week. Since I have carcinoid cancer, extra precautions have to be taken when I am under anesthesia to prevent carcinoid crisis. I reported here: Busy Cancer Day , about my pre-op meeting last year and my preparations for it with information for the physician’s assistant who met with me. I was prepared again with all that information since I did not know who I would be meeting. It turned out to be the same PA and she had already looked up all the information that she had scanned into my patient record last year. She is trying to get the same anesthesiologist since he already knows the protocols for trying to prevent carcinoid crisis. If he cannot be scheduled then we have to make sure the anesthesiologist assigned to me has all the information and is prepared a week in advance. The large amount of octreotide required in the protocol needs to be ordered from the hospital pharmacy at least three days in advance because they do not carry it in stock. Obviously, having a cancer is pretty inconvenient and fearful. Having a cancer and a second, rare cancer is even more so especially if that rare cancer wants to kill you when you get anesthetized.
The bladder cancer procedure is said to be a “day surgery”. In fact, the patient is scheduled for one night in the hospital. In my case, I will be scheduled for one night in the Intensive Care Unit (ICU) because of the carcinoid crisis danger. Some of the intensive care nurses and I already know each other by name and sight; I have been there 4 times in 4 years already. They say that I am the only patient that gets discharged directly from ICU to go home rather than to another ward or worse (that’s happened twice; once the staff applauded).
If you can, think kind, gentle, healing thoughts and/or prayers about me Wednesday, July 29 at 7:30 AM.
Namaste (I bow to the divine in you),