At University Hospital Feb. 2011

At University Hospital Feb. 2011
February 11, 2011 at University of Utah Hospital

Friday, February 11, 2011

A tiring day . . .

Last night I asked Phil how much information he wanted me to share on the blog. He said, "All of it. You never know if it might help someone."

After the ultrasound this morning (described below), we went to breakfast in the hospital cafeteria and stayed there till it was time for Phil's injection of radioactive tracers (11:00 a.m.). I had to wait outside the restricted area and grew more and more anxious when the procedure that was supposed to take "a few seconds," took nearly a half hour. Turns out they couldn't get a good vein so Phil was poked and poked and exhausted by the time they got it done.

We spent most of the next three hours sitting in the hospital foyer outside Starbucks. They had a grand piano and for awhile, a young man played beautiful renditions of "The Shadow of Your Smile" and "Autumn Leaves," among others. We were happy to see a few familiar faces from home. We saw Lila Redd and her son Brett from Grand Junction--turns out President Lem Redd came for an office visit last Tuesday and ended up in ICU. Later we saw Lem and Lila's daughter Kathryn & her husband Rob Wilcox. Our prayers are with President Redd and family.

We also visited with Norman and Margie Lyman. Norman was there for tests which turned out great, and we're so happy for them!

Then my sister Wendy came and fetched us for a brief visit to her office in the Education Department--she works on scholarships and financial aid for med students. That was a highlight!

When we reported back to Nuclear Medicine, I wasn't allowed to be with Phil during the bone scan, but he described being wrapped tightly around the torso with his arms secured against his body to prevent movement. Phil was too wide for one scan so special accommodations (which I didn't completely understand) were made to get pictures of both elbows. Fortunately, Phil was able to sleep part of the time. Should have results by Monday.

Three down (CT scan, ultrasound, bone scan), two to go. Phil's colonoscopy will be Monday at 2:00 p.m. and liver biopsies are scheduled for 9:45 a.m. on Tuesday.

Although we're getting very homesick, and Phil is extremely anxious to get back to work, we feel very blessed to be treated at Huntsman and University Hospital.

Here's to a quiet Saturday . . .

More follow-up . . .

This morning we arrived at the University Hospital's Radiology Department at 6:45 a.m. for Phil's scheduled "ultrasound-guided liver biopsy." Not sure where the miscue occurred, but biopsies were not scheduled--only ultrasound. After the tech shot 82 pictures of Phil's liver, spleen, and left and right kidneys, a very congenial radiologist, Dr. Dan Sommers, visited with us. He explained 1) Phil has four lesions on his liver, 2) it is customary to do ultrasound first to determine if biopsies are needed and the lesions accessible, 3) he is confident he can safely do the biopsies, 4)it's necessary to have a team present (pathologist and lab) whenever biopsies are performed, and 5) it looks like Tuesday may be the first available opportunity.

Whatever it takes, that's what we'll do!

Now it's on to Nuclear Medicine where Phil will be injected with a small dose of radioactive material and wait three hours for the scan. During that time, the radioactive tracers circulate through the body and accumulate wherever they find abnormal bone metabolism. These areas are called "hot spots."

Time to go . . .

Thursday, February 10, 2011

Getting close to a diagnosis . . .

Arrived at Huntsman at 9:00 a.m. and left around 3:00 p.m. Phil had labs and we spent the morning filling out paperwork, being interviewed by a very nice intern, and then meeting with the medical oncologist. I had a major (AND I DO MEAN MAJOR) meltdown when it looked like we were being put off. Finally things started happening!

Within an hour, our scheduler, Judy, worked magic and got Phil a CT scan that afternoon at Huntsman. As it turned out, he had just 10 minutes to get upstairs and start drinking the barium smoothie (one dose every 15 minutes for the next two hours) for a scan that took all of 10 minutes!

Judy also scheduled Phil for a bone scan at University Hospital tomorrow. At 11:00 a.m. he will receive an injection of radioactive dye, wait three hours, and then have the scan.

Scheduling the colonoscopy was not that easy. The first available date--April 25! But Judy wouldn't give up and eventually landed us a 2:00 p.m. appointment on Monday at University Hospital. TRIPLE CROWN!

Judy said, "Someone is watching over you!" This just doesn't happen. (We know . . . It's an answer to prayer.)

About an hour after we left Huntsman the doctor called. The CT scan showed spots on Phil's liver and they need to be biopsied. He asked if we could come back tonight or tomorrow morning. Of course. His nurse called next to inform us that Phil is scheduled for liver biopsies at 7:00 a.m. tomorrow at University Hospital.

Off to bed . . .