Tuesday, July 31, 2007

Meeting Dr. Latinis

I saw Awadh and Dr. Latinis today. They had gotten my labs and Lung CT scan from 2 weeks ago back. My labs indicated that the prednisone had caused a drop in the inflammation etc even after only the 4 days I was on it. My lung CT showed 2 nodules / cavities in my right lung. They had showed my lung CT to a pulmonolgist who recommended I have a CT guided needle lung biopsy. They want the biopsy to be certain that I don’t have some sort of infection in my lung before they put me on immunosupressents and secondarily to confirm the WG diagnosis. They said it is wouldn’t be uncommon for me to have WG and still have some sort of infection or even fungus in the necratized lung cavity. If they start the immunosuppressents when I have an active infection, they could obviously make me very very ill. I am fairly opposed to an open or even VAT lung biopsy, but I comfortable with the needle guided one.

My needle lung biopsy will be on 08/01/07 (Wednesday) and then I will return to get my treatment plan with Dr. Awadh on 08/06/07 (Monday).

Assuming I don’t have an infection in my lung, I will probably start Cytoxan at that time.

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