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58<br />
He gives me the wonderful news that I can go home. I will be able to leave the hospital<br />
about 48 hours after my surgery.<br />
Here are a few other things that I did not mention above,<br />
I was given two intradermal injections of Lovenox in the abdominal wall. I believe that<br />
this is a drug designed to reduce the incidence of thrombophlebitis and pulmonary<br />
embolism.<br />
I received another intravenous iron infusion.<br />
I had to wear a device that goes around the foot that regularly is inflated and deflated,<br />
also designed to reduce the incidence of pulmonary embolism. This device kept coming<br />
off of my feet, and I discarded it.<br />
A hybrid stock/slipper was also given to me to be worn. It kept coming up, and it was not<br />
much fun reaching down to my foot to put it back on.<br />
The intravenous device which was being used had a loud, shrill alarm system which<br />
would go off when the device detected increased resistance to flow, or when the volume<br />
of fluid remaining became low. Somehow, the nurses did not pay attention to this alarm,<br />
and frequently I would have to use the nurse call button. I would then place the<br />
microphone of the call button up to the alarm to let them know that the alarm was going<br />
off.<br />
I was in room 322 of Clovis Community Hospital. I have to give kudos to the nursing staff<br />
and all of those people who helped take care of me during the two days that I spent in<br />
room 322 following surgery. I rarely had to wait any significant amount of time after calling<br />
the nurses. They went out of my way to be helpful and to answer all of my concerns.<br />
Whenever complaints I expressed above, I do not have any complaint about the nursing<br />
care that I was given.<br />
Late Friday morning, I leave the hospital. I have to say that there is no place like home.<br />
However, I developed an unexpected complication of back spasms. These are relieved<br />
quite well <strong>with</strong> a heating pad which I alternate from my left upper abdomen to my lower<br />
back. I continue to be successful passing gas, but have not had a significant bowel<br />
movement.<br />
Two quiet days have passed. <strong>My</strong> abdominal pain has substantially decreased. However<br />
there is still a small amount of residual discomfort in the left upper abdomen particularly<br />
on coughing. I have returned to a relatively light diet.<br />
I continue to use the breathing device. I now quite easily get the marker up to the 2500<br />
level.<br />
Today, we were visited by our friends, Ray and Andrea Schwartz. Our dog, Rocky was<br />
visited by their dog, Joey, a full size poodle. They have been very encouraging to me.<br />
Many years ago, Andrea was diagnosed <strong>with</strong> breast cancer and was given only a short<br />
period of time to live. She is a shining example of what can happen when you stand up<br />
and fight your disease. I plan to emulate her example.<br />
Posted by David Shuster at 05:04PM (-07:00)<br />
I have my Pathology Report<br />
Tuesday, March 29, 2011<br />
The tumor is reported in a two page dissertation describing the specimen grossly and<br />
microscopic <strong>with</strong> multiple special stains.The bottom line is that the lesion is an ulcerated<br />
and necrotic focus of metastatic <strong>Merkel</strong> cell carcinoma, extending through the bowel wall<br />
and involving the serosal surface. The small bowel margins are clear. 6 lymph nodes in<br />
the mesentary have no <strong>Merkel</strong> involvement.There is no involvement of mesenteric fat.<br />
The entire specimen measures 10.5 cm in length and up to 4.5 cm in diameter. The<br />
tumor is described as ulcerating and fungating involving 85% of the small bowel<br />
<strong>My</strong> <strong>Battle</strong> <strong>with</strong> <strong>Merkel</strong> <strong>Cell</strong> <strong>Cancer</strong>