Yet More

Fall and the Rosh Hashanah Moon

Piling on. Saw Dr. Gidday yesterday. Follow up on the c.t. scan from Monday. A new nodule on Kate’s lung. Will have to be assessed for malignancy. Dr. Gidday also prescribed a burst of steroids to possibly help with her shortness of breath. Since we have no diagnosis for her interstitial lung disease this is what physicians call an empirical treatment. Basically, making an educated guess.

Kate reluctantly agreed to a lung biopsy, a procedure that will be both painful and dangerous, but is the only way to definitively diagnosis which of two basic types of interstitial lung disease she has. The treatments for the two types are very different, and a pathology defined diagnosis is the only way to know the difference.

We got the name of a cardiac-thoracic surgeon whom Dr. Gidday trusts. The biopsy will happen sometime in the near future. Kate’s new pulmonologist, whom she likes, is unavailable, off for two weeks. He’s at National Jewish, the U.S. hospital for respiratory disease.

A lot. More than we need right now, but this stuff doesn’t honor fatigue or worry. It just keeps coming. Kate’s done well, keeping her spirits up mostly, but a steady stream of new matters to consider makes that difficult.

I’m doing well. Did a six-minute walking distance test (self-administered) yesterday. Walked as far a healthy person my age, something like 1580 feet. Means my exercise capacity is still in the normal range. That’s a good sign for life-expectancy with COPD. I’ll take any good signs I can get right now.

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