IMRT Setup Visit Completed - a couple of surprises I didn't expect

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/21/2009 11:58 AM (GMT -6)   
Reported to the radiation center at 0900 this morning.  After undressing, they took me to one room, where they made a form that covererd from the back of my thighs to my ankles.  Took them awhile to get that right.  Yes, there was a mix up, the doc. didn't mean to tell me not to drink water on the phone call.  So I had to drink 1/2 liter, and some waiting time to let that pass through to my bladder.  Gee, I was only doing what the doctor told me herself.  Next, it was off to the IMRT machine, impressive looking, pastel yellow and white and they said it cost 5.5 million USD.  Took them a lot of attempts to get the seven marking dots in place.  A higher up came in and made them take them off and start all over again.  Then a bunch of runs through the machine for alignment.
 
Next, we went to the CAT scan room, and can honestly say, never had that many done at one time.  Halfway through, they got me back out of the machine and casually said "Now we have to put a catheter in you", and I went nuts, and put a halt to the whole procedure.  Told them what I had been through, and how nothing was ever mentioned about this.  So after a wait, my new rad. oncl. herself came in, and  told me why they needed to do it, and how they would etc, and that it would only be temp.  In the end, the only way I agreed was to have the doctor herself insert it, which hurt like hades (it was a rigid metal one), and they pumped some kind of contrasting isotope up me, and then put a clamp in the end of my weiner to hold it in.  More scans were done.
 
Finally, they tatooed the temporary marks.  I didn't know nor was I told that they were literal real tatoos.  BTW, I don't have any, nor never desired to have one.  So now I have 7 black freckles in my lower regions that I never had before.  The first 6 didnt hurt much, but the operatory jerked on the 7th and it tore into my inner thigh, still throbbing from that one.
 
I am scheduled for the first real zap on Monday October 5, said it will take the rad. oncl. that long to examine all the scans and determine a final plan, but still looking at 35-40 zaps, somewhere in the 70-75 gy area, so if there are no delays, could be all over a day or two before thanksgiving.
 
I don't like surprises, made that abundantly clear to my new doctor.  Tell me in advance, not as you go along.  Too gun shy after all the  torment I have been through in the past 10 months.
 
Now, off to my Uro/Surgeon, to let him know that his last laser mini-surgery isn't working well, barely a month since his attempt.
But  that's a whole other issue.  Prostate cancer is the most fun I have ever had in my life, and thus is continues.
 
David in SC
 
 
 
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/21/2009 12:14 PM (GMT -6)   
Hi David,
Thanks for the memories. I have recalled a few from your post. I am happy to say the radiation went well for me and it was tedious but uneventful. More over, I am distressed about the paragraph. When are you going to catch a break? You are way overdue...

Tony
 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4833
   Posted 9/21/2009 12:20 PM (GMT -6)   
Give em heck David. I'm not big on surprises either.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 9/21/2009 12:43 PM (GMT -6)   
David, Thanks for sharing and I would suggest changing your online name. It seems like you have been through more the just purgatory with your battles.
Will they have to do the cath every time you get a radiation treatment?

Larry
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Age at diagnosis 54, PSA 5.1
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/21/2009 1:33 PM (GMT -6)   
Larry, no, won't need another "C" word in order to conduct the radiation treatments. But, now my uro/surgeon and the rad. oncologist are comparing notes about inserting one in for the duration, and save us both a lot of trouble.

Thanks, Steve.

And Tony, I know I don't have it as bad as some, but if you add up a whole lot of annoying and painful episodes, it does get old.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4180
   Posted 9/21/2009 2:51 PM (GMT -6)   

David...dude...it just keeps gettin' better and better doesn't it?  Man, you need to get a break one of these days.  I remember one of your old posts wherein you said you were a pretty compliant patient.  I guess PCa has brought out your assertiveness genes!  Good for you...glad to see you take control as much as you can given the circumstances.

Anyway, I'm thinking of you and hoping for a successful series of radiation visits and hope you don't have the blockage problems.

Take care,

Tudpock


Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 9/1/09.  6 month PSA  1.4 and my docs are "delighted"!

dsmc
Regular Member


Date Joined Jul 2008
Total Posts : 149
   Posted 9/21/2009 3:02 PM (GMT -6)   
Hi David,
Glad you got it all lined up! I just had 3 tats, right in the middle and 1 on each hip, I guess different docs and procedures. Tony I think he will catch a break with this RT, knocking out this stuff. The hard part is getting to the center everyday or it was mine anyway. I had 51 zaps everyday. I told my main girl that I would have 1938 in all and she cracked up and said I was the first one that had ever counted, lol. Surprising what goes thru your mind while you are laying there. At any rate, good luck and I will be lurking about to see whats up.

David
Age 54
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....
FINISHED 01/14/09 YEA!
05/14/09
1st PSA after Salvage RT <0.04..... Another YEA!


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 9/21/2009 3:30 PM (GMT -6)   
David,
Sorry you had to go through another catheter scenario. You are definitely overdue for a brake. With all the problems you have had it reminds me of the story of Jobe in the old testement. I hope the final result is for you to be free from PCa and live happily ever after.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/21/2009 4:04 PM (GMT -6)   
Bro. Tud, thanks for your kindness. Actually, its pain and the fear of pain thats been making me less passive than normal through this entire PC ordeal. I was compliant today, only after my main dr. was summoned, came in and talked to me calmly and rationally and explained the why and how on the temp. cath, didnt make me like it any more, still hurt, but at least I understood. She was pro enough to know I was on the edge, and that I would only allow her to make the insertion, of which I should add, she was gracious and as gentle as possible doing it.

dsmc - trust me, once i know the final number of treatments, the final gys, etc, my accounting brain will have it all broken down before the first zap. the dr. did say they would be shooting from 7-9 positions each time with the machine.

EdC - thanks, but I am hardly a Job, not of his caliber. I just wish one part of this PC process could go "normal" if there is such a thing.
Todays fiascos were mostly because I was not properly informed in advance of what was to take place. It was all left up in the air last week, and when they casually said the "C" word to me, they had no idea that they were sitting with someone where that word alone makes me cringe and come unglued. I was polite but firm with the technical staff, that nothing was being put up my weiner by them, and t hat's when they went and fetched my doctor. She was smart, first thing out of her mouth was, David, you can get up right now and live, we can abort the process for now if that would make you comfortable. Sounded neat, but I sure didn't want to have to start over at square one, lol.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 9/21/2009 4:36 PM (GMT -6)   
David, man I feel for you. I don't have near the experiences you have, but have read many of your posts. You above all that I know deserve a huge break on this stuff. You have been so supportive of me through my process and you need to know that we will be doubling our efforts with prayer and blessings.

When it comes down to it that is all that any of the rest of us can do for you. We can feel for you but not feel it for you. I told my wife a hundred times that if I could have I would have taken all of the treatments she had to go through for her. In the end all I could do was support her and be there with her and do anything else that I could.

You are supported my new found friend, you are prayed over and there is still a light at the end of your tunnel.

Sonny
60 years old
PSA November 2007 3.0
PSA May 2009 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

Surgery done on September 17th by Dr. Menon, Vattikuit Urology Institute, Henry Ford Medical Center, Detroit.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/21/2009 5:20 PM (GMT -6)   
Thank you Sonny, I feel the same way in reverse to you and my other brothers here. We are all so different, but so very much alike in many ways. My wife went through a serious medical malady about 8 years ago, it took one year of experimental trial injections to save her, and I think it hurt me more than her, I think I gave her about 50 of the 52 weekly shots in her stomach, it tore me apart. She in turn, has been there 100% of the time for me in my travails.

My experiences are all that remarkable or special, they are just different. Each of us in the PC journey have our own personal battles and demons to fight. I do wish I have one simple procedure done without complications. Believe me when I say I am a very cooperative and compliant patient as a rule.

I am so happy your experience so far is going so great, you deserve that yourself. Hope you continue that path through all of your recovery steps.

David in SC (5th day of rain now)
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 9/21/2009 6:20 PM (GMT -6)   
David,

Thank you.

Sonny
60 years old
PSA November 2007 3.0
PSA May 2009 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

Surgery done on September 17th by Dr. Menon, Vattikuit Urology Institute, Henry Ford Medical Center, Detroit.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/21/2009 7:08 PM (GMT -6)   
A bit sore tonight, and feel strange with all the aborigine looking markings on me and my new black tattooed freckles. At one point, there were 6 people in the CT room, 5 women and 1 man, and 1 of the women casually took pics with a digital cameral of my fully exposed and pitiful looking private areas, claiming they had to have it for identification purposes. I asked her jokingly, that not to post any of them on the net. She simply said, Don't worry, no chance of that. Not sure how to interpet that remark, lol. For any of us that have been with PC any length of time, you have to rid yourself of shame and being exposed. I am long past that point.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 9/21/2009 11:26 PM (GMT -6)   
Hi David, glad to see things are progressing.
 
I remember when my wife delivered our son, talk about no modesty. Hospital staff even watched her go to the bathroom!

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 9/22/2009 12:05 AM (GMT -6)   
Hi David,

Sonny said we can feel for you, but can't feel it for you. He's right, of course, but I come close to feeling physical pain when I read your posts.

Blessings,

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  


Franchot
Regular Member


Date Joined Jun 2009
Total Posts : 130
   Posted 9/22/2009 12:40 AM (GMT -6)   
David,

Your posts have lots of humor in them. It goods to see that you're still retaining a good sense of humor about all this, but what else can you do? It's like an absurdist play and you're the main character. Good luck and I hope there are no more surprises in store for you.

IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 9/22/2009 1:07 AM (GMT -6)   
Hi David,
 
I'm so sorry to hear about your continuing adventures.  I truly hope and pray that you'll find healing in your IMRT treatment.  You've been through enough for several people to go through!
 
Keep holding your head high.  You are giving others a lot of courage hear as we follow your fight.
 
Take good care.
 
Barry (a.k.a. Idaho)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/22/2009 8:15 AM (GMT -6)   
Squirm - when they were putting in the cath for the procedure, the doctor was working the cath, a man was hollding my foreskin open and another tech was assisting the doc. Thats 3 people all having a field day with my very frightened weiner. Now add 2 misc. women that I saw out of the corner of my eye (one really hot looking) come in, take a look, and left the room without a coment. When the mob around my weiner was through, the final humilation was a fairly good looking woman holding a pink digital camera getting two shots of the weiner, for identification purposes. All the time, I am sprawled out on the CT table, gown shoved up to my waste, and my briefs pulled down, pleasant site. BTW, no sexual thoughts were going on at the time.

Sheldon - I am sure you can relate, because in our own seperate journeys, we go through our own brand of fear and pain, thanks.

Barry, not sure its courage, perhaps I am just too stupid to say know to what goes on to me, lol.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 9/22/2009 10:32 AM (GMT -6)   
I remember when my cousin got operated on around his crotch reason (don't remember the kind of operation). At any rate, he was telling me all these positions he had to do to help facilitate the procedures. This went on for a few months. Of course there was a good looking nurse there too.
 
But as he said, what can you really do?

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/22/2009 12:07 PM (GMT -6)   
squirm, under normal conditions admiring the good looking nurses and women doctors would be a sporting event to me, least we know I couldn't make any of them pregnent, lol. but under yesterday's conditions, i was just this pitiful looking sprawled out old man being poked and prodded.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 9/22/2009 12:32 PM (GMT -6)   
David,

I know there's a lot more courage involved than stupidity! tongue

We're here for you and would be there with you, running interference for you if we could.

Barry

Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/07 <0.04; 12/07 <0.04; 03/08 <0.04;
06/08 <0.04; 12/08 <0.04; 06/09 = 0.06 (hmmm...);
Latest PSA 09/09 <0.04 (back to undetectable)

Post Edited (IdahoSurvivor) : 9/22/2009 11:36:32 AM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/22/2009 1:45 PM (GMT -6)   
My wife is experienced enough as a nurse to give my doctor some good grilling if I we don't like where it's going.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9

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