Monday, August 4, 2008

"Doctor, doctor, Give me the News" Moon Martin made famous by Robert Palmer

Couched in our indifference,
Like shells upon the shore
You can hear the ocean roar
In the dangling conversation
And the superficial sighs,
Are the borders of our lives.

Simon and Garfunkel
Day 33+ 

Clinic visits are getting more routine. Almost perfunctory. Which I take as a reflection of just how boring a patient I have become. A few pustules here and there, the rare double you up stomach cramp, and many naps make my total clinical story. My labs remain rock solid with no change for weeks. My flow cytometry (fancy blood test to drill deep for clonal B cells) found NO CLL IN MY BLOOD. This is great news. 

Thursday I should have the critical engraftment studies results. This will anything but boring! Should be celebratory. As long as my donor numbers are climbing, all is going as according to plan, and there is no reason not to expect that to be the result. Then these new cells just have to clean out any residual cancer that might be hiding in my nodes and bone marrow. That could take a bit longer. CT scans and bone marrow biopsy measure that march towards cure. Again, it is the trend that counts.

Chronic GVH may yet raise its ugly head. So far it is missing in action. Life remains sweet.

4 Comments:

Blogger Wendy S. Harpham, MD said...

Boring is beautiful!

I remember rounding with an attending physician during my residency days in internal medicine years ago, and he said, "You don't ever want to be an interesting patient."

It was easy to see why. It seemed the more specialists consulting on the case, the worse the patient's prognosis and the less likely the physicians knew what to do to get the patient better.

Now sometimes "interesting" patients had inexplicable complete recoveries, which just added to the interesting label. But if given a choice after undergoing a transplant, I'd prefer to be perfectly boring.

Here's yawning (and smiling) at ya.
With hope,
Wendy

August 5, 2008 at 9:48 AM  
Blogger Judy Cleri said...

Dr.K,

Woo Hoo.......man that's fantastic. I can hardly wait to get the results of the engrafment tomorrow.

How do you remember all these old songs......As soon as you write them I remember them, but man if someone asked me I'd just stand there and give them the old blank stare. Is this what old age is all about?

Congratulations! keep up the good work.......we need and want you back in DB.

J

August 5, 2008 at 11:35 AM  
Blogger rpassananti said...

Great news, NO CLL. You are on your way to getting the monkey off your back.

August 5, 2008 at 12:39 PM  
Blogger YWCA Pasadena-Foothill Valley said...

Routine is good.
Boring is better.
No gvhd is the best.

August 5, 2008 at 3:47 PM  

Post a Comment

Subscribe to Post Comments [Atom]

<< Home