Another Cancer Treatment

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),

Cy

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Another Cancer Treatment was last modified: March 8th, 2018 by cy

8 thoughts on “Another Cancer Treatment

  1. Wishing you the best possible surgery later this month. Which hospital is treating your bladder cancer? My husband has had several unpleasant tests but appears to be okay.
    I just read your longer post on the history of your “journey” with carcinoid. Very enlightening. I keep forgetting that we are all unique in our condition and therefore, our treatments. Still your treatment brings up questions I would like answers for.
    One question for you, has anyone made a connection between the NET and the bladder cancer? I understand the heart connection, but I seem to surmise from blog, Facebook , etcetera personal accounts, I wonder about connections. There seem to be many dual cancers.
    Keep us informed of your progress!

    1. Anne,
      Specialists in NETs say that a patient with neuroendocrine cancer is no more likely to develop a different cancer than anyone else (except maybe thyroid cancer). As you may have seen in my blog, I insisted that the bladder cancer be biopsied to insure that it was not carcinoid. The urinary surgeon said that carcinoid cancer in the bladder was so rare that he did not want to order an additional biopsy plus he “knows regular bladder cancer when he sees it”. I insisted anyway and he had the biopsy done. It turns out he was right but I believe that a person with carcinoid cancer should have any tumor they develop biopsied just to make sure. Neuroendocrine cells exist throughout the body and any of them could become cancerous.

      From:
      http://www.cancer.org/cancer/cancerbasics/lifetime-probability-of-developing-or-dying-from-cancer

      These probabilities of developing cancer of any type during your lifetime:
      Male: 43.31 %
      Female: 37.81 %
      I believe that this probability does not change once you have a cancer, so you have the same probability of developing another. Those percentages are pretty high so when some people develop two different cancers, it should not be a surprise.

      I did not realize the probabilities were so high until I researched your question.
      Thanks,
      Cy

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