Today's dex headline:
I had a little trouble sleeping last night, awakened early and laid there with my brain buzzing most of the time. Otherwise the Sunday morning after Friday night's dexamethasone (dex) is uneventful. I feel fine, and not so hopped-up as yesterday.
Analysis of test results:
Here is a little table of some of the important results, with the "bad" ones first, then the "good":
|Test & units||Dec 26||Mar 7||Comments|
|M-Spike g/dL||2.05||2.70||I don't quite believe it, see below|
|BMB Plasma cells %||6.7||5-10||Another result showed 22% - ??|
|Calcium mg/dL||10.0||10.2||Above Mayo normal range of 10.1|
|FreeLite mg/dL||4.67||5.88||Gives credence to the M-Spike|
|PET Scan||Pos||Showed up VERY clearly|
|Bone Survey||Neg||Pos||Vague area of lucency in scapula|
|All CBC values||Lo RBC||OK||No anemia or any "penia"|
|Creatinine mg/dL||1.0||0.9||Lowest ever, test difference?|
|Albumin g/dL||4.2||4.5||Best in 18 months|
|Beta-2 M mg/L||1.89||Lower than a year ago|
Long-term historic values from many tests are displayed graphically and numerically on separate pages, see "related Links" below.
- The M-Spike reading may be high because of laboratory differences. In any case this test, while important, is not altogether reliable.
- The normal CBC, albumin, creatinine, and stable B2M values indicate that my soft tissue organs are not being harmed yet.
- The high calcium, the bone scan, and especially the PET scan clearly indicate damage to bones. Dr Lacy toggled through the entire computerized PET scan from my head to my knees and those active areas showed up very graphically.
- Damage is thus far limited to both scapulae (shoulder blades) and the T10 "spinous process," which I believe is NOT the load-bearing part of the vertebra.
- I do not feel pain in any of those places, but I sure am curious if that's the same vertebra that DID hurt five years ago and which led to the myeloma diagnosis. I will try to find out.
- Click on the little graphic to see the written PET scan report. Click "return" to get back.