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MRI last thursday was a pain: the infusion needle didn't go in well at first, and took a while to settle. In the midst of the MRI the contrast infusion blocked, so part of the MRI had to be redone.

1/
(Needle) angst and heat radiation made me sweat like crazy and the stoma prolapse moved itself out of my body very far both before and after the procedure.

Monday the results will be clear during my surgery appointment to prepare for friday surgery.

Loads of questions...

2/
I am still scared for the liver/gallbladder part, but I think I found out why.

If this does not work well, which they will only find out during surgery, I will have far more metastases than detected now, and require at least a new liver soon.

3/
All in all the upcoming week will be stressful, so keep your fingers crossed they do a great job friday around noon (CET, UTC+2) when they start the procedure:

- inspect liver metastases
- remove large parts of the liver
- likely remove gallbladder
- repair the stoma

4/4
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More from @jpluimers see all

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Jeroen Pluimers
@jpluimers
@archer_rs The utter stupidity is fitting.
@archer_rs Note that I find French a beautiful, but tough to learn language. This has to do both with dyslexia and autism. I still try. Which leads to odd and humorous situations.

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@archer_rs A long time ago, I traveled from the 25th W116 anniversary meeting near Frankfurt to a marchingband gig in Northern France.

(It's 20+ years ago, so I forgot the exact city and Google is not of help, so think a city like Lille, Tourcoing, Roubaix or Valenciennes).

2/
Read 20 tweets
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Jeroen Pluimers
@jpluimers
Too much to let sink in, not just about the hospital results and upcoming surgery, but also about Cindy and @danny_thorpe who just lost their house in the California forest fires, despite it being on the humid side of the Santa Cruz mountains.

1/
If you can help anybody affected by the
#CZULightningComplex, please do. Many families there are going through a rough time for the foreseeable future especially because of the combination of fires and COVID.

If you are in that area: be careful, be safe.

2/
For me it is mixed emotions time.

The chemo did make the cancer operable. Some tumors have shrunken, a few small ones are invisible, probably because of the chemo-induced hepatic steatosis, and no new tumor were found.

3/
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Jeroen Pluimers
@jpluimers
Today was a tough day: MRI scan and pathology results, treatment plan, and trying to fix the stoma base plate leakage.

Pathology was mixed: previous biopts indicated high grade dysplasia, but no detectable adenocarcinoma. Full pathology of the removed tissue was worse:

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a still present adenocarcinoma (bummer) with the excision having clean margins (yay) and one of the 32 lymph node being contaminated (meh).

Some metastases are already suspected in the liver (and maybe other places) because of CT-scan, so the MRI was really important.

2/
MRI indicated 4 or 5 visible tumor regions in the liver, which (given the means of spreading) means there easily can be more (even outside the liver) that are not visible on the scan resolutions.

3/
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