Dino had another bout with a bowel obstruction and got readmitted to Alta Bates on Saturday. He'd been attempting to stay hydrated as well as keeping up with the prune juice/stool softener regimen, but it just wasn't enough to stay ahead of the constipation effect from the Dilaudid pills. Actually, we're all somewhat comforted that he's back in the hospital because we know he's getting immediate attention and that all the bases are covered.
Speaking of which, there's a couple of future bases we're seeking to get covered ASAP. First, the installation of a spinal pump which will circumvent the need for all the pill taking and which doesn't have the nasty constipation side effects. Today will be Day #6 in the wait for Blue Cross to approve this. We're not anticipating a problem with the authorization - it's just that they're obviously not on the same time frame we are.
Second, we're looking to start Dino's first round of chemo also ASAP because there is some evidence that the tumor may be growing back. Though it's not crystal clear yet (they can't see it on the latest CT scan), a combination of factors seems to be pointing in that direction. If it is growing back, we don't know at what speed or how large, but everyone agrees that this type of tumor responds well to chemo and so it's time to get on with the program. Dr. Cecchi, the Alta Bates oncologist is unavailable until Thurs. so we're hoping that Thurs. may be the start date.
As for Dino's spirits, he's awake and conversing and very much wanting to get this thing going as he has been all along. Those of you that have experienced similar health issues know that sooner or later the "roller-coaster effect" can begin to appear (one day up, next day down, hurry up and wait, etc.). We're kind of in the middle of that right now, but once we get the first round of chemo started, things hopefully will become a little more predictable (and comfortable). That's not to say that the chemo doesn't carry with it its own associated problems, but at least we'll know that a program is finally underway to start knocking back that tumor.
Dino loves hearing your comments so keep 'em coming. Don't know when he'll start doing his own blogs again (he asked me to bring his laptop to the hospital today and I'm doing so, but don't know if there's a WiFi setup there). If he doesn't jump back on the blog, I'll keep you posted on the progress of the pain pump install and chemo startup. As always, we love you and thanks for being there.