Monday, March 08, 2010

Spike

An intermedulary rod is a bit more technical sounding, but spike is clearly more endearing. I'm referring to the piece of titanium in my left humerus which is keeping the elbow and shoulder connected. Most such connections are solid. Mine just happens to be a swivel joint with a lot of slop. The techy term is malunion. Being a south paw fixing this would be a dream come true.
The plan developed with a couple orthopedic oncologist' at the Cleveland Clinic is to pull the spike out, fill the hole with cement, jam in a new spike, screw it all together and then paint some bone growth goop on the broken spot. All this to be followed by several months of chemo-free healing.
That brings me to the techy chart on the right and how to blast away a bunch of MM cells. The stable seesaw has been going on for over a year now (My MM has been hovering around 15 times normal values, a 75% reduction, ever since that rapid response over the first 4 cycles on Revlimid and Dex). On Monday after about a half an hour my team decided on weekly Velcade infusions. Just before getting up to leave I inquired as to why on earth someone should "tell your doctor if you have blood cell problems such as multiple myeloma, or leukemia" before taking Viagra? I have never seen an MM warning on any medication - ever.  He said because the manufacturer has not obtained FDA approval for myeloma use. There are a few published clinical observations claiming efficacy of  Sildenafil (Viagra) in myeloma patients. He turns to Lu and asks, "Should he try it?" An overexcited Lu beams, "You bet, four times a day!" He turns to me, "She is trying to get all the golden eggs in one go... by killing the goose." The patient's quality of life should be fine though.
Just call me Spike.

3 comments:

Margaret said...

Here's to stable seesaws! I know the feeling. :-)

Don said...

So the goose dies happy! That is VERY interesting - I'm going to do a little more web research on sildenafil and myeloma. You have my attention. And Sunshine's.

Anonymous said...

Hey Spike , enjoy the cheap sex. Though 4x daily may up the bill a bit. Your insurance Co. may try to regulate your fun too. Our Docs said no reason for concern.