So Pofi had his CT scan today and his paperwork says he was a very good patient for them today. The (sort of) good news: there are no clarion clear signs of remote metastasis to lungs or lymph nodes. There are some bright white light points in the lungs that are calcification – osteaomas – and are not a worry. There are just 3 or 4 less bright tiny spots that don’t seem to be blood vessels, but could be the same sort of process that results in the osteomas. Or could be very, very early mets. Just not nearly conclusive to say anything and way, way to small for biopsy. And while lymph nodes could be a bit large, they aren’t really large and it is not only the ones located near the cancer. Seems impossibly preposterous to the oncologist that there could be metastasis to all of them at such distance. So not particularly indicative of cancer. There is one he was able to aspirate and that is off to pathology: for good or for bad, this could give us something more definitive…or the same fuzzy, wispy, not at all sure view my expenditure procured today.
Really, it is more good than bad. I have lest existential angst than I did before (I am never completely without existential angst, that’s just how I roll). For now, radiation therapy is still a future decision. Perhaps a CT in 4 to 6 weeks (this was discussed) and meanwhile, we will up the chemo game. Adding Piroxicam to the cocktail for the anti-inflammatory benefit in Metronomic approach, skipping the Doxycyclene. And seriously considering Palladia. We would stagger the Cytoxan and Palladia (at new, lower dosage protocol) trying to inhibit cancer in different ways. We will likely start on it this week after giving his system a day or two to recover from today’s GA.
A funny note, the veterinary oncologist asked me what my job was today and when I said I was a Project Manager in the Finance industry, he asked if I had any sort of science background because I am following and taking in everything he was explaining so well. I said, “No, just critical thinking skills honed as an English major and Philosophy minor”. Score one for the too frequently maligned and disregarded Humanities BA degree!!
To lighten the mood and remind us all to live in the moment, here is Pofi living large at the dog park yesterday: