Rick was at the hospital for almost eight hours yesterday. His platelets remain about the same at 63K, which means we had to further dose reduce the Inrinatecan down to .50/sm, down from 1.25/sm where it started. The tradeoff is getting enough chemo to fight the tumor versus his clotting and immune system being clobbered.
He had a couple of what we think might have been mini-strokes last week that could be related to moi-moi syndrome, which is a condition where the arteries are smaller than they should be feeding the brain. Doctors have to revisit what the course of action will be, as this could be very serious. He can’t take aspirin daily which would be the standard protocol due to the Avastin, but if he ends up having a major stroke, it could be catastrophic. So another trade-off has to be made here too.
He got pretty nauseous at the hospital, on the way home and we had to leave dinner at the Chinese restaurant early. It was a pretty hard time, but he remains positive and upbeat. His fortune cookie read: "The quality, not the longevity, of one’s life is what is important." Certainly very meaningful words to keep in mind as we move forward.
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Hey Bill, just stopping by to see how Ricky is doing, we will be keeping him in our prayers, Mike and Chris Witham
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