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18<br />
At 11 AM, I have an appointment for follow-up <strong>with</strong> Dr. Flam. They do lab work which<br />
shows no abnormality. After about an hour and 20 minutes of waiting time, I finally get to<br />
see Dr. Flam. He has read the journal articles which I gave him. However he does not<br />
know very much about the virus associated <strong>with</strong> <strong>Merkel</strong>'s. He gives me his e-mail<br />
address and later on in the day, I e-mail him some references. I have an appointment to<br />
see him again in about two months.<br />
Gary has been doing some interesting research on the association of <strong>Merkel</strong>'s and the<br />
polyamovirus. I will post his information later.<br />
I am still feeling fine apart from some discomfort in the region of my incision, and some<br />
numbness in the region of my left ear. I'm in good spirits. I plan to work tomorrow all day,<br />
half the day Friday and then play bridge in the afternoon, and then work three afternoons<br />
a week during the early part of my radiation therapy unless I become too fatigued.<br />
Monday. July 5 2010.<br />
I have a piece of good news from Dr Nghiem. One of the blood tests done was a very<br />
sensitive assay for circulating <strong>Merkel</strong> cells. There were no such cells found in 7 cc of<br />
blood. They don't know what this means as there is little experience <strong>with</strong> this test long<br />
term but it is the best possible result. I am interpreting it to mean that my immune system<br />
is eliminating circulating merkel cells and this is a good prognostic indicator.<br />
Posted by docshu at 11:34AM (-07:00)<br />
Baseline Photos Before Radiation Treatment<br />
Saturday, July 24, 2010<br />
<strong>My</strong> <strong>Battle</strong> <strong>with</strong> <strong>Merkel</strong> <strong>Cell</strong> <strong>Cancer</strong>
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