Thursday, October 28, 2021

If It's Not Your Ass, It's Your Elbow

If It's Not Your Ass, It's Your Elbow

More Bad News

July 29, 2021

My father once told me that getting old wasn't for sissies.  My mother complained that she had reached the point where, "if it's not your ass, it's your elbow."  I have reached this point.  Here is an email I sent  to my brothers today:


"I had a CAT scan last week and have been cleared of all evidence of my cancer.  So that is cause to celebrate.


However, a lesion was discovered on my pancreas. It is pre-cancerous and I have already seen an oncology surgeon.  I am being put on a registry which will follow up with me every six months to be re-evaluated.  I am going for a second opinion next week and I am confident that all will be well.  However, I didn't want to sit on this information as I think we have reached a point where all of this potential cancer information has to be shared with all of us.

I told Patricia yesterday, as she is my primary care nurse.  She, of course, consulted with her boss so Kathy was on the phone with me until about midnight last night.  I am going to tell Sharon tomorrow as she just had treatment yesterday and she has a big GD event today.

I will keep you posted.

Bridget"






Ned Z. Carp, MD at 7/27/2021 11:00 AM

Patient ID: Bridget E Kelly DOB: 7/9/1955
MRN: 000010362193
 
Visit Date: 7/27/2021
Encounter Provider: Ned Z. Carp

Chief Complaint: Consult
 
Bridget E Kelly is a 66 y.o. old female presenting today for evaluation of a 9 mm cystic lesion of the head of the pancreas. She is being treated for endometrial cancer. She had a hysterectomy followed by radiation. She had a follow-up CT done July 20. Showed a 9 mm probably sidebranch IPMN. She comes from a family that is BRCA positive. She herself does not have the BRCA gene but is getting further genetic testing. She is here for evaluation.
 
Assessment/Plan 
Problem List Items Addressed This Visit
 
None
 
 
I discussed the findings with her. We will do an MRI of her pancreas in approximately 6 months time. We will put her on the pancreatic registry and alert our nurse navigator. If her genetics comes back positive we will rethink this and intervene with an endoscopic ultrasound earlier.
No follow-ups on file.
 


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