So yesterday afternoon was a one-two set of appointments with my family doctor and her clinic’s pain management team; and then the radiation oncologist over at the hospital re: hip met #2.
Basically I am now on a slow-release sort of pain medication, with additional pills for breakthrough pain and/or activity planning. There is a box of things also delivered to the apartment with subcutaneous morphine and some other things, that we will look through with the new CCAC case manager/nurse tomorrow. Pros: I am gritting my teeth a lot less. Cons: I may doze off in the middle of things. (possibly, you may even notice).
The radiation oncologist was kind enough to bring me ‘backstage’ and show me the item generating the pain, on-screen, in the CT images.
My ‘new’ hipster lesion is a 3 by 3.5 by 1.5 cm hole in the rear of my right ilium. There are small fractures/holes in the cortex of the bone, around the outside of this hole in the bone. It is the pain from these tiny fractures that has apparently been the problem for me, post-surgery, as my post-surgical pain (basically like quad muscle/exercise pain) is improving with movement, but my throbbing/aching hip/low back pain has been getting steadily worse.
So off I go this afternoon for a planning session for more radiation. The radiation technicians will again measure me, tattoo me, and put me through a very slooooow CT scan, to set the dials to zap both the painful rear hip lesion and the front/femur area from which the other lesion was surgically removed. The goals: prevent further spreading/growth from cells in the front/femur; stabilize and reduce pain from the lesion in the back. Pain reduction is successful about 70% of the time. Possible side effects: nausea, fatigue, diarrhea (hey, old friends); short term increased pain flare to the radiated area (hey, breakthrough meds, let’s see how we manage?).
I was somewhat surprised to find out the significant size of this new item. But it’s a kind of relief to know that there’s a reason, and potential relief, coming.
Today’s musical accompaniment brought to you c/o Masaki Batoh aka Ghost. https://www.youtube.com/watch?v=k79QUd2yzyQ