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I hope you are able to see this reply. This is the link (which you can save in favorite / bookmark);
The above link has a box where you can write the question directly and also tells online / offline status.
Quite a while since we spoke but we have had so many problems, anyway the one that's important is this. Some time ago Andy had a urine test and they called him back and said a bit of blood was in the urine but nothing to worry about and so they did nothing. Tonight the urologist called him and said he would like him to come in for a test because the blood in the urine shows that something may be wrong. We are both so upset. What do you think.
I am now dealing with a broken wrist from a fall then this problem????
Nice to talk to you again. Regards
Hey Stella,I am so sorry about these issues (broken wrist and Andy's blood in urine). Blood in urine may not be necessarily anything serious. Though, it would need further investigations like a urine culture, an ultrasound or a CT scan / MRI.
In Andy's age group the most likely cause is enlarged prostate obstructing the inside of bladder which predisposes for urine stagnation in bladder and secondary infection. This infection may not cause any other symptom and may only be revealed by the routine urine exam. Just called by the doctor for further evaluation is not worrying and it is a routine screening. There is nothing to indicate of anything serious. Believe me, most of the time it is not significant.
The other common cause of blood in urine is a small stone in bladder. Again this may not cause any symptoms except blood in urine on the routine exam. This too can be treated easily as the infection or the prostate enlargement.I am online to answer your all other concerns.When did you fell? How is your wrist now?Dr. Arun
Hello Dr. Arun:
Thanks for your reply. Of course I am a total wreck because had prostate cancer now we are wondering what next. I had to take a tranquilizer. Now for other problems, when you don't hear from me for a while just think Stella maybe having problems.
My fall was a stupid one. Andy and I were standing at the door looking at my daughter in law's new car I turned around to answer the phone and my foot caught into Andy's foot and I fell and pulled Andy down with me. Trying to break my fall I pressed on my right hand when I fell (nothing happened to him - he just laughed at me) so I thought the next day it was just a slight pain from pressing on the hand but the pain was so severe I could not go to the computer or write anything so I used some ice to get the swelling down and heat. The pain continued but I still did not go to the Doctor until a few days ago, he x rayed it and found the wrist was fractured so he had to put it in a cast. NEXT PROBLEM - we went shopping and when I got home Andy said he felt like he could not bear the weight of his own feet he felt so weak he got so pale I immediately took him to the doctor - he checked him over thoroughly and found nothing wrong - he said he must have been dehydrated - Andy don't drink water - he went to the cardiologist and he gave him an echogram and an EKG and found nothing wrong he said the same as the doctor DRINK WATER - but he okay now. I am the one suffering from all these mishaps and now this call from the urologist add to all the problems. Then I hurt my back - I told Andy I need to be blessed (smile). He is having lots of problems with the macular degeneration and the shots he is taking in the eyes - both - so its been quite a trying time - and then the last problem was that my computer was picked up a virus and had to have Dell fix it but it is still giving problems up to today I again had to have it fix.
How is your daughter doing in your new home? Does she like it and is she happy there? Again, thanks for your reply.
Stella & Andy
Thanks Stella for sharing all this. I feel privileged to know you. I understand these are trying time, but this will pass off and both of you would regain good health. You and Andy have been always very strong. I am not sure, if Diagnosis of prostate cancer is confirmed because it needs following investigations;1) A blood test called PSA (prostate specific antigen)2) An ultrasound3) A digital rectal exam (DRE).4) A Prostate biopsy.If these are not done, it would not be cancer and enlargement would be benign (non cancer) which occurs due to aging (as the greying of hair or formation of cataract in eyes). Also an important thing to understand is that prostate cancer has a very good prognosis usually and is easily treatable.Actually the Just Answer TOS prevent me to send you the messages, so I cannot answer you till you send me some type of query.
My daughter is very Happy in San Fransisco. Thanks for asking.Regards,Arun
Andy did have prostate cancer about 6 years ago. I forgot to mention that and he also had colon cancer about 7 years ago. So that's why he is so worried. Thanks again for your help. We do feel that you are such a good friend that we always want to share our problems with you and look to you for help. Again thanks a lot for that opportunity.
I think I did pay you - I can't remember
Good Morning Dr. Arun:
Just to bring you up to date. The urologist called Andy this morning to let him know what he is expecting to do - that is to check his bladder and he has an option of either numbing the area of putting him out - he said numbing - the doctor said it would take about 4 minutes. Now Andy is so worried that they will find something wrong with the bladder or area. He always had such an optimistic view of everything - now he is thinking not optimistic and with that it gets me worried. Anyway we have an appointment for Thursday. Will let you know further.
Thanks Stella for the update. I very much appreciate it. Ask Andy not to worry. Blood in urine does not mean a cancer or serious things. Just an outpouching of bladder (called diverticulum) can cause it. I am very sure, there would not be anything significant.
Thanks for being so concerned, however, Andy is not have it until this Thursday Dec.5 - the doctor had too many appointments so he had to cancel until Thursday. Will definitely let you know what's going on.
Andy just got back from having the procedure - and the results are:
A spot was found on his bladder, the doctor said it happens sometimes after you have had radiation it backs up (what that means I don't know, but he had the radiation 6 years ago) and he will have to go into hospital so that the spot can be removed - 1 day only in the hospital - but his urologist doctor told him before he left that he did not like what he said he saw - so its best for Andy to get it out as soon as possible - the other doctor told him no rush it is not life threatening and he can wait until after the holidays, so what do you think?
Thanks for sharing this with me. This is a good news.The spot is likely to be scarring due to radiation. Though this is unlikely to be worrisome, I would recommend to get it removed, earlier. The reasons are;1) It will play on the mind till is removed.2) The admission for it is quite small, so no reason to wait, I feel.That way you can relax completely.
Please let me know, if you have any further questions.
Andy has a problem. From the time he came home he has been going to the bathroom incessantly he would like to know if that is normal he is wondering if it is going to keep awake tonight.
Also I think he is thinking of not going to get this spot removed - he is so frustrated. Normally he is always very optimistic - one doctor told him he heals himself, and I think he does, but this time he seems doubtful I really don't know why.
I know you are off line now, but will check before I go to bed to see if you replied. Thanks a lot.
You are very welcome, Stella.The increased frequency of urination for couple of days after the procedure is normal. This may subside on its own. Many times a course of antibiotic may be needed (if has not already been prescribed). He can get the spot removed later. The spot forms which we term as radiation cystitis scar (an inflammatory spot). I can understand his frustration. It can be removed later. There is absolutely no hurry.Have a great evening.
Thanks a lot for your prompt reply. Andy says he really appreciates it and he is so sorry that we only know each other by this communication - and I was lucky the day I chose you to answer my first question. We feel so disappointed that we have never met in person. As Andy says we are worlds apart but we feel very close.
Hope you have a good day and again thanks a lot.
Dr. Arun: This is really, really early for me to be up but I had to talk to you before you go off line.
I am having awful pains across my eyes - in the afternoon around four to five o'clock I feel so weak and get so light headed and my nose gets all stuffed the only thing to help me for a while is a hot cup of tea then I take 2 tylenol and a benadryl. I did go to the doctor and he told me to take claridin but the benadryl and tylenol helped better than the claridin. During the day I am okay until afternoon. This morning it woke me the pain across the eyes and I feel just terrible. How much tylenol and benadryl can I take - is there something else that can help. What do you think? Andy says good morning and to apologise to you for me bothering you so early in the morning.
Hope you are having a good day. Andy just got the appointment for his procedure it will be on Dec. 24 (Xmas eve how do you like that??????) at 11:00 a.m. now because the doctor said they are doing a biopsy of his bladder he is all upset again - they may find cancer and keep him in the hospital - but the doctor said it is just a one day in an out procedure. Just thought I'd keep you up to date. Have a nice day.
I am up two hours so that I can get you before you go off line. Andy has a question. He said he noticed that he has been going to the bathroom to urinate quite often - more than usual - since they checked him and his urine burns - now that worries him what should he do? He goes on Tuesday to the hospital.
Don't know if you are in but I sent a message before and not sure if you got it, please let me know. Thanks.
Stella,I am sorry for the delay. I was offline and could not know about the question. I apologize for your wait. His symptoms are likely due to bladder infection. This may come up many days later after the cystoscopy (the procedure he underwent). He may need a course of antibiotics. Usually Cipro or Nitrofurantoin would be recommended, so you may consider contacting your primary care physician. Meanwhile following may help;1) Plenty of fluids.2) Avoid caffeine drinks.3) Pyridium (over the counter) if burning is significant.4) Cranberry juice.
Just saw your email - nice vacation - did your wife enjoy it. Its a beautiful place . Hope you got my e mail about the procedure.
Oh Dear I sent you a long e mail about the procedure where did it go to. Anway here it goes.
Xmas Eve as you know Andy went at 7:30 a.m. for the procedure, everything went well, the doctor came outside and told us he was in the recovery room but it looked at if it was just infection from the radiation backup (as you said) but he will still wait to get the biopsy done. About 2:00 he went home and everything was going fine trying to sleep off the anesthesia but then he suddenly stopped utinating and awful pain and this happened just an hour after the doctor called to see if he was resting. Anyway Xmas Eve the offices are all closed but he will open his office and we should bring Andy down in about half an hour. (I really thought that we so nice of him he could have told us to take him back to the hospital, but he wanted to take care of him in his office) after checking Andy over he inserted a catherer (?) which gave him some relief immediately so he went home and he called about hour after to see how he was doing but he was sleeping off the anesthesia but he was better I had to be up all night to empty that bag he had attached and all yesterday but he wanted to see him this morning he said he was better so he took it out and told him to get back to his office in 6 hours, we wanted to check for infection, which he did and he said so far Andy is doing better now and he will be okay he will see him in two week. But he lost quite a lot of weight and I have to try and give him something to get back his strength and immune system he is very weak and I am a total wreck - no sleep and worry and no XMAS - Anway I would like to wish you and your family a very happy holidays and hope you will have a very happy, healthy, peaceful and prosperous 2014.
Andy sends him best and he said thanks for all your information.
Again happy holidays.
Thanks so very much for your reply. I forgot to mention that the doctor did give him the same antibiotics you mentioned he also gave him a pain killer and a tiny brown pill I think the nake is pyradium which has helped a great deal.
Did your wife buy any silks from Thailand - they have beautiful silks some years ago I got some from there and they were georgeous. But that was a nice vacation you went on, we are planning Alaska - maybe you can come and we will make the trip together that would be fun!!!!!!!!!!!!
Yesterday I was so out of it I could not remember if I paid you - would you let me know if I did.
I am having lots of problems now I just don't feel well, I get very lightheaded at times and the only thing seems to help is tylenol and benadryl or a hot cup of tea what is wrong I don't know - during the day I am find but from about 4-5:00 in the afternoon I take a benadryl. In the morning after my breakfast about 2 hours after I do feel it a bit and I take some tea and about half an hour after I am okay and can get out. But I really don't know what this feeling is - could alergies make you feel this way I don't know?
Have a nice day.
Sorry I am late with this but I have been trying to get over a real HANGOVER - however, a Very Happy, Healthy and Blessed New Year to and your family and the very best to your daughter and her husband.
Hope you had a nice holiday.
I know you are not online now but I am sending this so that you can get it early.
Andy went to the doctor today for the results of the biopsy and we don't have such good news. He has bladder cancer the doctor said it is a tumor and he wants to get it all out so he is going to have surgery again on the 28th. Of course I don't have to tell you how Andy feels, but he wants you to know this and as usual I will keep you updated with everything. He will be happy to hear all of your comments - good and bad.
Thank you so very much for your detailed reply. Now after reading all of that I would like to ask you which you think he should have - acupuncture or therapy? which would give him some quick relief.
Hope you got my message as I have not heard from you, regarding Andy's best treatment acupuncture or therapy. If you did not receive it let me know.
Sorry for taking so long to let you know abou Andy's surgery, but I had quite a busy time and this is the only moment I have free.
He had the surgery on Tuesday, but it was a terrible day, he had lots of pain after the surgery that was because he had to have a catacer (I don't know how to spell it) they gave him Pyridium (?) and an antibiotic and a pain killer in the hospital. When he came home I had to be clearing the attached bag which I am still doing until Monday. Anyway the doctor said the operation went great and last night he called and said he was very pleased with the results of the biopsy. He had to stop the antibiotic because it gave him very, very bad diarrahea (?) but although he stopped the antibiotic on Wednesday evening today he has diarrhea very badly and his still is extremely black I don't know if that is bad or it should be that way or what? everything was okay this morning but this started around 11:00 this morning and he has been going steadily. He also is taking Iron pills but as he said his still is never this black. He has to go back to the doctor on Monday to remove this tube and bag. I will try and get a copy of this biopsy and send it to you later, but as of now he is anxious about this other problem.
Me, I am a wreck and very tired as I have to be up during the night to empty this bag and all day, so I am simply exhausted. This is just to let you know what is going on. Sorry, for the dealy in letting you know but I was waiting to get as much news as I can to let you know. Andy sends his regards XXXXX XXXXX said to tell you he feels like HELL. Regards
Thank you so very much for your nice reply which was accepted. I did give Andy an imodium a few minutes ago, hope that was oaky. He would not take the Pepto and he is miserable when I try to give him something but he took the imodium, lets hope that will work for the night. Dr. Arun I am so tired that I can't walk fortunately I have Philip and his wife they are such a big help but I think what I need is sleep, and with this cold weather we are having its not helping any. Again thanks a lot for your encouraging reply (smile) which I appareciate.
Today was a very bad day so I did not go with Andy to the Doctor to remove that tube, Phil was there and he went home with the biopsy report in his pocket so as soon as I get it from him I will send it to you. However, Andy has to go for some therapy for six weeks (once a week) I think he will have some medication injected into his bladder and he has to try and keep in for at least two hours then he has to drink lots of water to pass it out - I really don't know what it is all about - perhaps you know. Philip did explain it to me but all I know is that he has to have therapy to avoid the caner coming back - is that correct?
Now, I need your advice - Andy is extremely weak what can I give him to strengthen him up - his appetite is very poor he eats half of what I give him and never hungry - he like anything in the fish area - not too fond of meat - cereal he takes every day, he loves milk and ice cream - don't forget the cake - lots of bananas and I give him a vitamin C and D - can you help me what else gives energy and build up his resistance I think - I would appreciate your advice here.
With all of this bad weather we are having hope your daughter is enjoying the warmth of California and you are okay. Regards
1) Omega 3; Fish oil capsule and flaxseed oil capsule.
2) Ginkgo Biloba
3) Zinc 30 mg.
4) Vitamin C.
These are the foods which can be eaten if he has lost some weight. These have high calories but are healthy;
1) Dry fruits; a cup of mixed dried fruits totals up to around 335 calories, while one fourth cup of dried raisins is 108 calories.2) Natural Yoghurt With Honey, Greek Style, one 150g pot has 243kcals.3) Nuts and seeds; they are rich in calories and good fat. These also contain antioxidants. Half a cup of almonds contains about 400 calories, while the same amount of macadamia nuts is closer to 475 calories.4) Bananas5) Mangoes6) Peanut butter: just one Teaspoon/10g carries 62 calories. 7) Avocados are high calorie with good fat, 8) Breakfast Cereal 50 gms can give your around 180 calories and is healthy. 9) Canned coconut milk.10) High calories protein shakes.
Following is a usual meal plan (above all can be added including what he likes);
Breakfast;1 Cup Cooked OatmealOmelet (3 Egg Whites, 1 Slice Cheese, 1 Cup Broccoli)Green teaOrange or appleLunchLight Tuna one canOrange or Apple 3-4 slices of whole wheat breadWater or Diet SodaSnackBrazil nutsDinnerOne cup whole wheat pastaTwo chicken breastsOne cup of cooked cauliflowerHalf Cup Marinara SauceWater
Andy will have bladder instillation therapy to prevent the recurrence. This is very effective and almost all tolerate it well. Though I can understand that going for it to the hospital is tedious.
Please take very good care of yourself.
I remember both of you very frequently. Convey my regards XXXXX XXXXX Phil and your daughter in law.
Wishing you all the very best,
Thank you so very much for your extensive reply. I try to give Andy things to put on weight because he is not heavy he weighs about 150 lbs. so I allow him the ice cream.
He would like you to tell him how this therapy is done and how much pain would he feel and would he get or feel sick from it. He said he has gone through so much pain so he is hopeing this would not be too bad.
Sorry Stella,I forgot to describe the procedure of the bladder instillation therapy. This is an outpatient procedure.Doctors ask not to drink or eat for about 2-4 hours before the procedure so you do not have an early urge to void.
A tube (catheter) is first inserted into the bladder, and a medication is infused through it so that it can coat the inside of the bladder for a short time (usually 2 hours or as much as can if there is an increased sensation of voiding before 2 hours) . The procedure is quick and relatively painless.BCG (Bacillus Calmette-Guérin) is a vaccine used against tuberculosis which is made of a weakened strain of the tuberculosis bacteria. It is shown to be effective in treating bladder cancer, when instilled into the bladder. It is the more commonly used immunotherapy drug for bladder cancer and acts by stimulating the body’s immune system to destroy tumor cells. Some doctors ask the patients to rotate or turn around on the bed, so medication coats the bladder walls all around. Muscle relaxants or bladder relaxants may be given to some patients who are apprehensive or who are unable to hold it for even very short time.
Thank you very much for your reply - hope it relieves Andy's mind a bit. Again thanks so much. Stella
We are having such bad weather I could not get the biopsy report, but will try and do so as early as possible, weather permitting.
Andy is urinating very often and when he goes its only a bit and he is also constipated (which he never was) he is worried about these problems and would like to know if it is normal or should he tell the doctor. Please, your reply will be greatly appreciated.
Hello and welcome, Stella.Constipation and urinary symptoms are not unusual after this surgery. Medications too may play a part in constipation. I would not be worried unless these are too annoying. In any case, these do not point to anything significant. Having said that, for constipation, following measures may help him;
2) Fruits (especially dried fruits)
3) Cereals like whole wheat, bran or oatmeal
5) Grainy breads, such as whole wheat, rye or pumpernickel
6) Legumes, such as chickpeas, baked beans and lima beans
7) Dried plums (prunes), and prune juice
You can try ground flaxseed sprinkled on salads, cooked vegetables, and cereals. Andy may also consider any over the counter laxative which suits him. Small strolls in the house would also help facilitating the bowel movements.
The urinary irritation (frequent small amount of urine) can get better by increased fluids, vitamin C and Cranberry juice. If there is burning and pain associated, he may need Pyridium (over the counter). Any fever or increase in severity of the symptoms would warrant call to the urologist.
Thanks so much for your answer. Now I noticed he goes to urinate like every hour and more and to me I don't think that is much but I have to tell you this. Andy is very vain with his body, he still think he should weigh the same as when we got maried (l35 lbs.) if he think he put on a pound he gets worried he is getting fat, his waist got an inch or two bigger he asked the doctor if something is wrong - if Andy sees a mark on his face he wants to go the dermatologist - so I told him today if his body is not as he wants it something is wrong and he gets worried and worry me too. Everything you say Dr. Arun I have been telling him but he wanted to hear from you - I try to give him all the wheat cereal every day, he eats lots of fruit and nots, chick peas he loves and baked beans so I give it to him, but Andy expect that things should not go wrong with him and only you he believes so thank you so much for sending him all these detailed replies, I greatly appreciate it and for my sake. We have been housed up for about a week, the weather is so very bad and the snow storms are killing us, the plows can't keep up with clearing the snow and another storm is due again over the week end - this keeps us in and we cannot get out and I told him that in no way helps.
Again thanks a lot. So sorry to be such a bother to you. Regards
We have been having such horrible weather that it was difficult to get out and Andy having to go to the doctor and for his therapy it was real difficult, fortunately Phil's car is a Jeep that can handle this kind of weather, at the moment we have about three feet of snow piled up here in front of the house, anyway this is the report:
Bladder, left posterior, transurethral resection:
Ulcerated urothelium with acute and chronic cystitis, focal necrosis and calcification, and reactive urothellal changes, see comment.
No residual carcinoma in situ identified.
Detrusor muscle is present. ( what does this mean???)
Negative for invasive carcinoma.
Comments: Immunoperoxidese stain for CK20 shows patchy urotheial positivity. (not so good?????) CD4< shows diffuse urothelial staining. Multiple levels were examined.
Case reviewed intradepartmentally with agreement on diagnosis.
Preoperative Diagnosis: Carcinoma in situ, bladder
Postoperative Diagnosis. Same
Operative Performed: Systo, TURBT
Received in formalin labeled bladder tumor left posterior are two irregular fragments of tan-red partially cauterized rubbery issue measuring 0.4 and 1.0 cm in greatest dimension. The specimen is entirely submitted in one cassette.
I do hope I have everything correctly, anyway he went for his first therapy treatment yesterday and if went well - no problems and he said very little pain, no after effects and today he is okay. However I had to go to the doctor in that awful weather yesterday, I was feeling real sick - he said I picked up the flu virus, he did not give me antibiotics he said they make you more sick than anything else, just a cough mixture with codene, and he said it will have to run its course - but my body aches so much and I feel so weak, I am taking tylenol for the aches fortunately we have Philip and Vivan they are doing all the run around like the drug store etc. Hope you are well. Regards XXXXX XXXXX of us.
Thanks a lot Dr. Arun:
Andy just wants to know if the bladder is clear of all cancer and he has six treatments to take if that will do for future reoccurence.
Hello Dr. Arun or I should say Good Morning Dr. Arun:
Just like to bring you up to date on Andy. He will be going for his second therapy tomorrow (Thursday) but I don't think he is as tense as he was for the first treatment, because it did not turn out as bad as he thought it would so that is good. He is feeling much better but would be better if he could be not as weak, he seems to tire quickly, but I am giving him vitamins and hope that would help - and lots of ice cream which he loves, his appetite is very poor.
Now I have a question. As I told you before I have been feeling really blah, but the doctor said I had a little virus and did not think he should give me anythig. But I am feeling no better my body still aches as if you are getting a cold - I don't know if it could be the allergies and the asthma, I take a benadryl and feel better but for the last two days I notice I have a little palpitation not for long and don't know if it is a part of all this feeling - what do you think? Would love you get your opinion.
Hope you are well and everything is okay in your area. Regards
Thanks for your reply and compliment and you are the best and we consider you our dearest friend and someone that we feel we can talk to at any time we appreciate this and also your friendship.
I think I paid you not sure please let me know.
I had to take Andy at 3:00 a.m. to the emergency - I just got back home (10:00 a.m.) and would like you to know what is going on.
He could not urinate and when he did it was all blood and very big clots so I called the doctor and he said to get him to the emergency which we did. They took a complete blood test but said they did not know othe cause, however on the report here I see it says something like 'HEMATURIA' they left a cath: in and gave him nothing to take but that he should check with the doctor in two days. In 2 days we expect another foot of snow so we will have to do it in maybe 3 or 4 days. Anyway he is home I gave him his breakfast and now he is sleeping (I took a tranquilizer). They said the blood test was okay. I have it but don't understand it. However, what you can tell me will be a great help you know that. I will try to get some sleep in a while.
Sorry Stella for the delay in answer. I was offline as I had couple of surgeries to do. I apologize for your wait.Hematuria (hem=blood, uria=urine) is blood in urine. This is likely due to bladder infection, or due to delayed bleeding from his previous surgery (which is though rare after so mcuh duration). Bladder instillation therapy occasionally may also cause delayed hematuria.This is unlikely to be anything serious, I am sure. They are likely to remove the catheter in a 3-4 days (when the weather is better there). Occasionally a cystoscopy is required if the blood in urine recurs or urine tests show microscopic blood.
Thank you Dr. Arun:
Since that last question to you we had to take Andy again to the emergency. the cath: was not in properly and it was making a terrible mess. Anyway the doctor wants him to drink a lot of fluids and they flushed out the bladder when he was there because he had too may clots, after they did that he said he felt so much better.
He wants to know if this is anything serious like going through another surgery - he has quite a lot of burning so I gave him a Phenozpy....... which is supposed to help with the burning.
You seem to have had a busy day. Hope I would not have any more problems to disturb you.
Thanks for your reply. I had a long chat with the doctor on the phone about a half hour ago. He explained the same as you did, I called the emergency and they wanted me to bring him back, but I said we live so far from the hospital and when I spoke with the doctor he said that wasn't necessary. He said they could take out the catherer but then he may have other problems and he asked if the hospital gave him any antibiotics but they didn't, they gave him nothing. It is making an awful mess because the catherer was not put in properly, so he told Philip to wrap some gauze around where the cath was inserted that would keep it from spewing it, also if it is going into the bag that is good. But he is still urinating blood, and the burning is awful but let's hope that will gradually go away as the urine clears up. He said he is on his computer trying to get the results of the urine test, I told him the hospital gave me but he said that wasn't wanted he was looking for - he said he will call back later which was very nice of him. Thanks a lot for being there for us in all our problems wonderful having you. I hope I get some rest tonight, I am exhausted but nothing like a big drink to make me feel better. Again thanks a lot for everything.
Here I am again. Andy had a friend come in and put us both in a nervous state, some people don't think - he told Andy and he thinks his colon cancer is back because this bleeding and diarrhea happens when you have colon cancer. He had it in December 2007 is this possible, please let me know what you think. Thanks.
Andy went to his doctor today as he did not see him over the week end. He took out the catherer and he thought it might have been an infection, however, he said they don't give any antibiotics because then you hide up the problem and he is right back where he started. He said see how things go between now and Thursday. So far his urine is the normal color and he drinking lots of water. BUT he is complaining he is very tired he said in all his years he has never been tired but he is so tired now he went to bed. Do you think that could be from all the up and down going to the bathroom? I don't know what to give him really, I thought if he got some sleep that may help and no more water for the night? Please let me know what you think. Thanks a million for your help.
Did you know that this treatment (BCG) that Andy is taking the side effect is this bleeding he had - now I wonder if to expect this every thursday when he goes for therapy.
Thanks a lot and sorry to bother you.
Good Evening Dr. Arun:
Just to keep you up to date - Andy had his treatment today, so far, he has been drinking lots of water and his urination is okay, we are only hoping that there will be no side effects, these things happen on the week end when you can't get the doctor - so let's hope nothing will happen, so far he drank 60 oz. of water and it is now 8:10 p.m. (our time) do you think that's enough water for the night? How was your day - not too busy I hope. Andy sends his regards.
Thanks for your reply. I guess you must be tired - I know its not easy working so many hours in the hospital - my brother and my sister also used to come in so tired they just dropped in a chair. So I can imagine how you feel when you get home, then to be bothered with my questions!!!! and you are still always there to answer them - you are so conscientious and I know dedicated and we both thank you so much. This morning Andy seems much brighter ready to go out but that is difficult unless he has a bathroom in the car so, I think if he stays home another day that would be fine - I told him I can do the shopping without him and it gives me some time to get out. Have a nice day and try not to get too tired. Regards