Friday, July 20, 2007

Another doctor's appointment

This evening we went for a family doctor appointment. All four of us went back to our old neighbourhood (Paris XVth) to see Dr. Girard who we've known for years.

Jessica went first as she was then heading off to Brittany for a bit of holiday with a friend. Alexandra followed, then Desney and then me. I take the longest...

Most of his comments were how pleased he was that I had regained my original weight and I was looking healthy. We started by going over the results of my last visits with Dr. Hagège and he was pleased. We went over how the visits should be twice-yearly as of next year, rather than quarterly, depending on my CAT scans and then perhaps annually after 5 years. I had mentioned that my goal was to reach the magic figure of 5 years when I would be considered "clean". He smiled and then got very serious. "We used to consider that after 5 years the cancer had been eliminated. We no longer make that declaration. It could come back in 7 years, in 10 years, in 15 years or at any point. Every year you go without cancer the less likely it is to come back. But it is always a possibility and we will have to be extremely careful and vigilant for the rest of your life however long that may be."

Well that host my hopes down and was pretty much an emotional shot to my optimism...

I then brought up what has been bothering me and which I did/do not know is related to the cancer or not. Often, not every time but often, when I need to pee I have to go then and there. I can't wait long. I will not go in to too many details but it's a definite urgency. He went in to great details in his question (flow rates, in the night or not?, timing before and after, ...). I had always thought that it was just because I drink so much water and so constantly now. He is now sending me off for sonographies of that whole area (bladder and prostate), blood tests, urine tests... the works. I'm really looking forward to it... not!

He then examined me fully... when he looked in my throat he immediately said my tongue was still very "hairy". I told him that it basically always has been since the treatment. He said we had to continue to treating it so as to avoid fungus (mushrooms), infection and such. As my mouth is dry, and lacks saliva, it is much more susceptible to infection and problems. He now is going to have me gargling with bicarbonate of soda after every meal and then brushing my tongue with Fungizone twice a day. Something else to look forward to...

I then asked him when we could remove the catheter port in my chest. He said that normally they would think of removing it 2 years after the end of treatment. For me that would be December 9th, 2007. He also said that often people just leave it in for the rest of their lives. *IF* the cancer ever comes back it's one less intervention to not have to put the catheter port back in. I told him I would prefer to have it out as it bothers me both psychologically and physcially to have it there. He said we'll go over the possibility again after my next PET scan results (October) and before the Christmas holiday period.

I explained that my allergies had come back and he gave me a new prescription for the same old tablets.

Next step is to go through all of the various tests (sonographies, blood and urine tests, ...) and to go back to see him to go over the results. There is always a risk of prostate cancer or bladder cancer... but I should't worry...

Yeah... right... me worry?

;-(

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