Bad News: My disease is progessing

July 7, 2009

Hi, so sorry to hear this, please remember anxiety causes acidic blood > inflammation and that makeseverything worse, worrying makes it worse. I don't know your history but I too have been seriously ill, it helped me to ;

go on a total yeast and sugar free diet with only vegetables, little fruit, some dark chocolate a tiny bit or organic honey as well as organic yogurt - making dips from the yogurt adding loads of things to this for dipping crudite and

chips - you can have those. But generally not the nightshade family bar strawberries. ACV (organic with mother) after or with food *Delicious w salad too) and plenty lemon juice in water- much walking in parks, mediation,

and some fermented foods. as well as the superfoods, please calm, and if you don't know him there is somegood free stuff at evernewjoy.net, loveNamaste

On Tue, Jul 7, 2009 at 12:39 AM, dorrnancy <dorrnancy wrote:

I got my CT written report today and I can not understand why the oncologist suggests that I have small-to-none changes in my lungs. I was so upset that I got in my car and drove around in a daze and then my car overheated. Fortunately, it was just a lack of coolant which I was able to get around the corner at Jiffy Lube.

I am enclosing my written CT scan report. I have included definitions at the end of the report to clarify medical terminology. Please note that the general impression from the radiologist states disease progression and possible mets to the liver. I have tried to simplify the report by numbering each point (#1 - #14) in relation to the study and the CT images (Images 11, 22, 24, 25, 29, 30, 36, 37, 38, 46 and 47). His IMPRESSION notes are at the end of the report.

My summary of the CT scan report:

#3/Image 22 shows the tumor has grown from 12 x 11 mm to 12 x 14 mm since 3/16/09. That is just 2 1/2 months.

#4/Image 37 states that I have airspace disease or pneumonitis. This would explain me aspirating water and throwing up and inhaling particles into my lungs. It could also be fluid building in my lungs due to the lung mets.

#6/Image 36 details possible additional nodule.

#10/ Images 46 & 47) discusses more evident areas of liver nodules, possibly metastases.

Here is the actual CT report:

5 mm images were obtained through the chest during intravenous infusion of 100 mL of Omnipaque 300 without reported complication.

FINDINGS:

Left Lung:

1.)Image 11: Vague area of parenchymal density noted in the left upper lobe on image 11 again noted. This does not possess signal central mass density and has an appearance more consistent with scarring. This area is unchanged.

2.)Remainder of the left upper lobe appears stable and unremarkable.

3.)Image 22: Noncalcified pulmonary mass reappreciated in the sperior segment of the left lower lobe on image 22. On the exam today, it measures 12 x 14 mm, previously measured 12 x 11 mm.

4.) Image 37: An area of soft tissue density reappreciated anteromedially at the left base on image 37 unchanged. This area measures 4.5 x 1.5 cm. Previously, two tiny nodular densities were demonstrated at the left base. Currently, the patient has no evidence of airspace consolidation at the left base and uncertain if these have changed. There is also subtle air disease more superiorly in the left lower lobe.

Right Lung:

5.) Image 38: The right lung redemonstrates a 4 mm nodule in the lower lobe on image 38 which is unchanged when compared to image 38 previously.

6.) Image 36: Possibly additional tiny nodule anteriorly at the right base measuring on the order of 3 mm on image 36, which I cannot identify with certainty on previous study.

7.) Image 29 and Image 30: The vague nodular density noted laterally at the right base previously noted on Image 29 appears similiar on Image 30.

8.) Image 24 and Image 25: The nodular density noted in the right middle lobe previously seen on Image 24 is reappreciated on Image 25 and appears similiar.

9.) Axillary and subcutaneous soft tissues appear similiar to previous study. Hilar and mediastinal soft tissues similar to previous exam. The bony structures appear similiar to previous study.

10.)Images 46 & 47. The images of the upper abdomen redemonstrate several hypodense areas within the liver. Many of these were present on previous studies going back to at least 2007. However, some of the areas appear more evident than on the prior studies. In addition, there are two soft tissue nodules measuring on the order of 6 mm in size which are demonstrated within the subcutaneous fat just ventral to the left lobe of the liver on Images 46 and 47, likely representing small lymph nodes.

IMPRESSION:

11.) Disease progression within the chest with slight enlargement of a nodule in the superior segment of the left lower lobe. (#3 Image 22)

12.) At least two tiny nodules noted in the right lung which I cannot appreciate on previous study suspicious for disease worsening. (#6 Image 36)

13.) Interval development of left basilar airspace disease. Consider pneumonitis most likely.

14.) Patient has combination of hemangiomata as well as benign hepatic cysts but also some new low densities in the liver when compared to recent studies and findings are worrisome for developing hepatic metastases. There are also a couple of probable lymph nodes demonstrated in the subcutaneous fat adjacent to the liver which I cannot appreciate on previous studies.

Definitions:

Basilar ---at the base of

Airspace disease - . Little small nodules that have more density then the rest of your lungs. You can see it in an X-ray. Usually is caused by blood or fluid in the alveoli. Airspace disease is most commonly seen in infection or aspiration (swallowing something into your lungs by accident) and in pulmonary edema (fluid in your lungs). Less common causes include smoking, COPD, emphysema and malignancy.

Pneumonitis - refers to inflammation of the lung tissue

Causes: hypersensitivity to inhaled agents; radiation therapy; pneumonia

Hemangiomata - a benign lesion

July 7, 2009

Nancy,

How long have you been taking oleander?

Bob

-

katbarker katbarker

oleander soup

Tuesday, July 07, 2009 1:39 PM

Re: Bad News: My disease is progessing

Hi, so sorry to hear this, please remember anxiety causes acidic blood > inflammation and that makeseverything worse, worrying makes it worse. I don't know your history but I too have been seriously ill, it helped me to ;go on a total yeast and sugar free diet with only vegetables, little fruit, some dark chocolate a tiny bit or organic honey as well as organic yogurt - making dips from the yogurt adding loads of things to this for dipping crudite and chips - you can have those. But generally not the nightshade family bar strawberries. ACV (organic with mother) after or with food *Delicious w salad too) and plenty lemon juice in water- much walking in parks, mediation, and some fermented foods. as well as the superfoods, please calm, and if you don't know him there is somegood free stuff at evernewjoy.net, loveNamaste

On Tue, Jul 7, 2009 at 12:39 AM, dorrnancy <dorrnancy wrote:

I got my CT written report today and I can not understand why the oncologist suggests that I have small-to-none changes in my lungs. I was so upset that I got in my car and drove around in a daze and then my car overheated. Fortunately, it was just a lack of coolant which I was able to get around the corner at Jiffy Lube.I am enclosing my written CT scan report. I have included definitions at the end of the report to clarify medical terminology. Please note that the general impression from the radiologist states disease progression and possible mets to the liver. I have tried to simplify the report by numbering each point (#1 - #14) in relation to the study and the CT images (Images 11, 22, 24, 25, 29, 30, 36, 37, 38, 46 and 47). His IMPRESSION notes are at the end of the report. My summary of the CT scan report:#3/Image 22 shows the tumor has grown from 12 x 11 mm to 12 x 14 mm since 3/16/09. That is just 2 1/2 months.#4/Image 37 states that I have airspace disease or pneumonitis. This would explain me aspirating water and throwing up and inhaling particles into my lungs. It could also be fluid building in my lungs due to the lung mets. #6/Image 36 details possible additional nodule. #10/ Images 46 & 47) discusses more evident areas of liver nodules, possibly metastases.Here is the actual CT report:5 mm images were obtained through the chest during intravenous infusion of 100 mL of Omnipaque 300 without reported complication.FINDINGS:Left Lung: 1.)Image 11: Vague area of parenchymal density noted in the left upper lobe on image 11 again noted. This does not possess signal central mass density and has an appearance more consistent with scarring. This area is unchanged.2.)Remainder of the left upper lobe appears stable and unremarkable. 3.)Image 22: Noncalcified pulmonary mass reappreciated in the sperior segment of the left lower lobe on image 22. On the exam today, it measures 12 x 14 mm, previously measured 12 x 11 mm. 4.) Image 37: An area of soft tissue density reappreciated anteromedially at the left base on image 37 unchanged. This area measures 4.5 x 1.5 cm. Previously, two tiny nodular densities were demonstrated at the left base. Currently, the patient has no evidence of airspace consolidation at the left base and uncertain if these have changed. There is also subtle air disease more superiorly in the left lower lobe.Right Lung:5.) Image 38: The right lung redemonstrates a 4 mm nodule in the lower lobe on image 38 which is unchanged when compared to image 38 previously. 6.) Image 36: Possibly additional tiny nodule anteriorly at the right base measuring on the order of 3 mm on image 36, which I cannot identify with certainty on previous study. 7.) Image 29 and Image 30: The vague nodular density noted laterally at the right base previously noted on Image 29 appears similiar on Image 30. 8.) Image 24 and Image 25: The nodular density noted in the right middle lobe previously seen on Image 24 is reappreciated on Image 25 and appears similiar.9.) Axillary and subcutaneous soft tissues appear similiar to previous study. Hilar and mediastinal soft tissues similar to previous exam. The bony structures appear similiar to previous study. 10.)Images 46 & 47. The images of the upper abdomen redemonstrate several hypodense areas within the liver. Many of these were present on previous studies going back to at least 2007. However, some of the areas appear more evident than on the prior studies. In addition, there are two soft tissue nodules measuring on the order of 6 mm in size which are demonstrated within the subcutaneous fat just ventral to the left lobe of the liver on Images 46 and 47, likely representing small lymph nodes. IMPRESSION: 11.) Disease progression within the chest with slight enlargement of a nodule in the superior segment of the left lower lobe. (#3 Image 22)12.) At least two tiny nodules noted in the right lung which I cannot appreciate on previous study suspicious for disease worsening. (#6 Image 36)13.) Interval development of left basilar airspace disease. Consider pneumonitis most likely.14.) Patient has combination of hemangiomata as well as benign hepatic cysts but also some new low densities in the liver when compared to recent studies and findings are worrisome for developing hepatic metastases. There are also a couple of probable lymph nodes demonstrated in the subcutaneous fat adjacent to the liver which I cannot appreciate on previous studies. Definitions:Basilar ---at the base ofAirspace disease - . Little small nodules that have more density then the rest of your lungs. You can see it in an X-ray. Usually is caused by blood or fluid in the alveoli. Airspace disease is most commonly seen in infection or aspiration (swallowing something into your lungs by accident) and in pulmonary edema (fluid in your lungs). Less common causes include smoking, COPD, emphysema and malignancy. Pneumonitis - refers to inflammation of the lung tissue Causes: hypersensitivity to inhaled agents; radiation therapy; pneumoniaHemangiomata - a benign lesion