Results 

The bone biopsy came back 100% confirmed they got it in the right spot and it is NOT CANCER. It is normal bone and bone marrow. I will repeat the MRI in 3 months as a precaution but she said continue on tamoxifen and I am good! Ahhhhhhh. Good lord what a stressful and sleepless month. 

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Bone Biopsy

So today (well technically yesterday since it’s 1:30am) was my bone biopsy.  Dan and Nina came with me. I have been a nervous wreck over this for weeks. I was excited about the IV drip though. It was supposed to put me in a twilight state and included fentanyl (which is like morphine), dilaudid and versed. They had to give me the max dose because my eyes just wouldn’t shut and I was awake for the whole thing. The drill was repetitive for an hour. The actual procedure itself was supposed to last 30 minutes but it ended up lasting an hour. The radiologist was wonderful. An extremely smart and acccurate man with a nice “bedside manner”. 

He got 3-4 good bone samples, in the lesion and some right around it too. We will know results by Tuesday after the samples take 40 hours to decalcify and they run pathology.  

Recovery was rough though. I was SO HOT even though I was freezing beforehand and everyone else was freezing around me. I was very nauseous but didn’t throw up until I got home and got out of bed after a while. The spot where they drilled into my bone is swollen bruised bleeding and throbbing. They gave me pain medicine and I’ve been asleep since my appt was over. Hopefully tomorrow (technically later today when I wake up in the morning) will be better. 

The procedure basically involved me laying on my back completely still while they dropped continuous drugs through an IV and had me hooked up to heart monitors and blood pressure devices. My heart rate was 45 again. Not sure why it won’t climb out of he 40’s. They drilled a giant needle into the middle of my upper sternum which stayed there. It was way higher than I was expecting, pretty much right below my neck. Then they would electronically move me in and out of the CT machine while they were behind closed doors to get images. Then the radiologist would come back and do more drilling. I was alert and talking and watched the whole thing. They said the versed drug was supposed to make me not remember or realize what was going on bu for some reason that didn’t work. It wasn’t painful and the drugs were great nonetheless, at least until the end when everything was maxed out, which is why they added the third drug dilaudid. Not sure what that is. I had to stay in recovery a long time. The nurses said they gave me ton of meds which for them would’ve put them in a coma jokingly. I have the tolerance of a train apparently. 

Resting now. Going back to bed. Looking forward to seeing my mom on Sunday. Love all of you!!  And thanks to my family for their help yesterday!  After all that Aidan still had tutoring and they both needed picked up from school. What a day that I’m glad is behind me. 

Radiologist Called

The radiologist called to answer questions before my appointment tomorrow. He answered a ton of my concerns. I will try to keep this short and just highlight the key points. Basically tomorrow we can encounter three possible outcomes. A tumor that is cancer, benign tumor, or something else like focal fat, a granuloma (old infection).

He said he is a little concerned that it wasn’t seen on prior MRI images because that is the main thing that they look at (whether or not it is new).  Since it is new and in the sternum, this causes him concern. He said the sternum is a bone that does not change very often unless due to trauma, which could’ve been my fall but I don’t think I fell that hard. I asked him about the granulomatosis disease and the spots they found on my liver spleen and upper abdomen and I asked if that could be what this is as well and he said it is a possibility.

I will be sedated with Ativan and Fentanyl and then will be guided into a CT machine where they will stick a drill into my sternum and pull out a core 4 to 5 mm deep and 2 to 3 mm wide of bone tissue. From there we wait on pathology which I should have results by Tuesday or Wednesday.

If it is cancer then we reassess with Dr. Kessler and probably proceed with radiation surgery. If it is definitely benign, then we are done. If it is inconclusive, we revisit in three months to see if there is change or growth and retest.

Biopsy Likely Tomorrow

Biopsy will probably be tomorrow and they aligned it to the CT scan so now it’s CT guided instead of MRI guided. Not sure the significance of that. But “guided” means since they can’t see or feel the spot in my bones and therefore don’t know where to stick the needle, they need imaging to assist. I will be sedated. Nina is driving me probably. 

Bone biopsy 

MRI guided bone biopsy has been ordered. Waiting on insurance authorization and scheduling of procedure. 

Blood Work and Biopsy Update

The blood work that I was concerned about over the weekend, since it was sent to me without explanation and showed five tests outside normal range, was confirmed today that there is “no concern” with the “whole picture”. 

The radiologist who may or may not be doing a bone biopsy was tied up all day with patients so no answers or updates there.  Again they say “hopefully tomorrow”. 

But some good news 

I think my heels are healed (pun of course intended) finally as well as my arm. So I think I’m cancelling the 8 physical therapy appts they made for me at the lymphadema clinic. 8 less appts. Fhew.  I should still go but don’t want to so I’m not.