Major, Significant Change for the Worse

I am suddenly very, very ill. Over the past five weeks, I've gone from feeling pretty darn well, to being essentially bedridden.

My problem is in my abdomen. I've been to the emergency department twice, had an MRI, three stool cultures, multiple blood tests and blood cultures to look for blood infection. I've seen 12 doctors in total. They have no idea what has happened to me.

I do have some ideas. Based upon my rapid decline, one naturally thinks of Richter's Transformation. I am a prime candidate because I foolishly listened to Dr. Weirda and had four cycles of FCR. The combination of a purine analog (fludarabine) with a potent alkylating agent, is a recipe for disaster. This ups the risk of Richter's, as well as secondary myelodysplastic syndrome, which is quickly fatal.

Based upon troubling new symptoms, other possibilities must be considered. The most likely problem based on these new symptoms involves the pancreas. Pancreatic cancer, unfortunately, comes up all of the time when I analyze my overt symptoms.

I will say it could be curable, whatever it is, but it doesn't feel that way. I think many, if not most of us, have a sixth sense when something is very, very serious. That's where I am at right now.

I am going down to UCSD next week to have more of a work-up, though not too many people seem willing to go very far to get this done soon. So what I am thinking of doing, based on advice from a community gastroenterologist here in Sacramento, is to get everything looked at, not just a scan. I'm thinking of going to the emergency room right after (or before) the colonoscopy, and see if I can get admitted.

That's really the best option. The docs here in Sacramento revel that they don' think much of the medical community in this city, and I have to agree with them. That's why I go out of town for pretty much all of my cancer care.

To be honest, I will do my best to keep everyone posted as to my condition, but I may not want to share things about my body and the developments in the case.

I have no idea what this means for the CAL-101 trial. It does not seem possible that that drug could be responsible for my pain and anguish, but I guess we may have to look at everything if something doesn't pop up soon, which I think will come next Wednesday.

I do belong to a church, and the kind folks are praying for me. They will be a support network for my wife once I depart this failing planet. And she will be very well provided for once I am gone.

I'd like to make it to Christmas. We will see.