Thanks everyone for your concern. Yesterday, I saw my oncologist and another surgeon who is going to insert my chemo port (probably next week). The oncologist explained to me that my detectable cancer is all gone and we will use a treatment to ensure any other cells in my body are starved from what is feeding them. As women have male hormones, men also have female hormones, estrogen and progesterone are produced in small amounts and larger amounts as we age. These small amounts are what the breast cancer specific cells feed on. My chemo will target any existing cancer cells (short term) and then target the hormone production over the long term (5 years).
I will have two specific chemo drugs. The first will be given once every two weeks for a total of four doses (8 weeks of treatment). The 2nd will follow on a similar schedule for the next 8 weeks. At the end of those treatments, I will take a hormone controlling medication for the next five years. I should be through with chemo around the end of Jan 2014, then go on the hormone therapy.
My oncologist explained that it was best to do a port on the chest for the chemo since any port in the arm for long term is limiting and not normally successful. He sent me next door to see a surgeon who works closely with Texas Oncology to do these ports. As it turns out, I also have a mole on my chest that needs removal and one on the back of my left leg. Both go for long periods of time not causing problems and then they start itching like crazy. After my surgery, the mole on my chest has been driving me crazy. The doctors both said it would be best to remove that and get a pathology report to be on the safe side. The delay seems to be that I take Plavix and baby aspirin daily. The surgeon wants me to stop taking those for five days before surgery. My mastectomy was done without stopping them, but this surgeon does not want to take a chance on bleeding problems when he installs the port.
Tomorrow, I have to go to Chemo training. I think this is just a one-on-one session where they go over the details of the chemo and what to expect (like hair loss). It seems a bit dramatic to do all of this, but I have an EKG scheduled for surgery prep and it can be done at the same appointment, and get both out of the way.
So over the next four months, I'll be making a trip to Wichita Falls, TX every two weeks for my chemo. Along about February, they will remove the port and I'll switch to a hormone therapy with daily oral medication for the next five years.
My oncologist has not seen the results of the PET scan I took last Thursday in Decatur, TX. He is requesting those results from my local surgeon's office as soon as they are available.
Finally, between Medicare and my supplemental Tricare for life from the military, I've not had any expenses or copays. My oncologist told me everything was fully covered by those plans. What a blessing it is to have such good coverage and availability of great local facilities for my treatment.
Thank you everyone for your concern. I'll keep you up to date on my journey back to full health. Your thoughts and prayers are forever appreciated.