Both palliative care and hospice care provide comfort. But palliative care can begin at diagnosis, and at the same time as treatment. Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness.
Hospice care is most often offered only when the person is expected to live 6 months or less.
copied from:https://medlineplus.gov/ency/patientinstructions/000536.htm
今天第二個腫瘤診所有個醫生客戶臨時取消預約 打電話來問我能不能去
阿屁骨癌在轉移到肺 又到肝(產生腹水) 後 決定在徵詢第二意見 找了一間專門看癌症的 約的時候竟然約到6/22 (生意好啊 也就是說癌症病患多啊)
我請小姐幫我排候補 果真 今天臨時通知
阿屁從有骨肉癌以來 一直"喜歡" 我柔她肚子
這幾天覺得她肚子特別大 昨天忍不住硬是插隊看醫生 感謝Anstasia 的大力幫忙
醫生發現是腹水 趕快加x-ray 及腹部超音波
確定有一邊肝臟腫大 感謝的是腹腔組織看起來都正常
所以作細針穿刺取樣肝臟 及排腹部積水 外加積水送檢
Osteosarcoma in cats is relatively rare in the animal kingdom and lung mets in cats is even rarer.
是啊 沒錯 說是這樣說 可是阿屁碰到了
意思就是說阿屁肺部有兩粒小小的NUDULES
這兩粒小小是在第一次個療程化療做完第一個 follow up check 照到的
在第一次化療後 阿屁的肺部還是出現了兩個小小點
跟三個醫生討論癌症醫生的治療方案後 (對三個) 開始了第二階段的化療
在第二個化療療程的第四次化療其實已經有看到兩個點其中的一個小小長大
第二階段的化療上個月結束了 最近一次回診 醫生抽血照胸部X光 還是有一個小點小小長大
於是醫生開了口服抗癌藥 醫生是預期我3/10開始給阿屁服用 (每星期一三五服用) 我 我 我 還在研究 打算下星期再開始
what next?
is it a time to make changes? or
it is THE time to make changes!
my life looks like not affected by the VIURS a lot but............................
1/21/2020 是阿屁第二次針灸
1/14/2020是第一次針灸 很意外的她竟然 全程安安靜靜趴在診療台上 讓醫生下針
整這15分鐘連動都不動 有啦 就是聽到門外有狗的聲音 轉頭去看而已
Histopathology full
histopath report
right hind limb: two sections of distal tibia are examined. locally extensively replacing the medullary cavity and segmentally infiltrating and replacing the cortical bone of the distal tibia is a densely cellular, poorly demarcated, unencapsulated, infiltrative mass composed of dense haphazard bundles and streams. Neoplastic cells multifocally border irregular spicules of hypocellular homogenous eosinophilic, variably mineralized material (osteoid). The cells are plump and spindled with indistinct cellular borders and a small to moderate amount of wispy eosinophllic cytoplasm. the nuclei are oval to elongate with finely stippled to hyperchromatic chromatin, and zero to three variably distinct nucleoli. Anisocytosis and anisokaryosis are moderate, and there are 8 mitotic figures in ten 400x fields. there are occasional scattered multinucleate neoplastic cells with up to 6-8 nuclei (osteoclasts). The infiltrated cortical bone is segmentally discontinuous, scalloped, and fragmented, where it is bordered by the mass or osteoclasts (osteolysis). The disrupted cortical bone is multifocally bordered by anastomosing trabeculae of woven bone (periosteal new bone), intermingled with periosteal fibrosis and edema.
right popliteal lymph node: two sections of lyph node are entirely processed and examined. there are hyperplastic primary and occasional secondary cortical follicles which mildly compress the surrounding thin fibrous capsule. The medulla and subcapsular and paratrabecular sinuses are expanded by moderate to large numbers of foamy macrophages, with fewer hemosiderophages, erythroctes, neutrophils, plasma cells, and lymphocytes. The medulla is mildly edematous.
Microsopic findings: right hind limb, distal tibia: osteosarcoma
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