Cancun Vacation 2/14/26 to October 2026

 

October 13, 2026. Notes from Doctor Appointment. 17 years 9 mos

 Mallory FaceTimed for appt.  Her notes.🙏🏼🙏🏼🙏🏼

Update from Dad’s Appointment with Dr. Kathleen Dorritie (Oncologist)

• Dad will continue with 2 more cycles (about 2 months) of his current DPD regimen:
Darzalex, Pomalyst, and dexamethasone (steroid).

• After those 2 cycles:

◦ Darzalex will continue monthly.

◦ Pomalyst will continue daily (21 days on, 1 week off).

◦ Steroids (dexamethasone) will be stopped. When this happens, Dad’s energy may dip until his body adjusts.

• January 8th: Dad is scheduled for a PET Scan.

• Good news: Dad’s Myeloma is responding well to treatment.

◦ His Kappa-Lambda Light Chain Ratio is back to normal (his Myeloma is “Kappa” type).

◦ His M-Spike has dropped from 1.0 → 0.3 since starting this treatment.

• Long term: Dad will stay on Pomalyst until the Myeloma becomes resistant, but there are other treatment options for when that time comes.

• Labs: Request Myeloma labs monthly instead of every 2 months when Dad gets treatments.

• Other medical notes:

◦ Ask PCP for a referral to Cardio-Pulmonary Rehab.

◦ Talk to Dr. Sun Scolari (cardiologist) about adjusting Lasix dosage. Dad’s lungs are clear, swelling is not significant, and kidneys are tolerating the medication, but frequent urination is bothersome.

To-Do List

1 Continue 2 more cycles of Darzalex, Pomalyst, and dexamethasone.

2 Mark January 8th PET Scan on the calendar.

3 After 2 cycles: transition to monthly Darzalex + daily Pomalyst (21 days on/1 off), stop dexamethasone.

4 Expect possible lower energy for a bit after stopping steroids.

5 Request monthly Myeloma labs during treatments.

6 Ask PCP about Cardio-Pulmonary Rehab referral.

7 Talk with Dr. Sun Scolari about Lasix dosage concerns.

Notes

• Oncologist: Kathleen Dorritie

• PA Oncology: Tina Waters

• Cardiologist: Sun Scolari

• Pulmonologist: Roy Semaan

• PCP: Dr. Hart

Latest Plan

Update from Dad’s Appointment with Dr. Kathleen Dorritie (Oncologist)

• Dad will continue with 2 more cycles (about 2 months) of his current DPD regimen:
  Darzalex, Pomalyst, and dexamethasone (steroid).
• After those 2 cycles:
• Darzalex will continue monthly.
• Pomalyst will continue daily (21 days on, 1 week off).
• Steroids (dexamethasone) will be stopped. When this happens, Dad’s energy may dip until his body adjusts.
• January 8th: Dad is scheduled for a PET Scan.
• Good news: Dad’s Myeloma is responding well to treatment.
• His Kappa-Lambda Light Chain Ratio is back to normal (his Myeloma is “Kappa” type).
• His M-Spike has dropped from 1.0 → 0.3 since starting this treatment.
• Long term: Dad will stay on Pomalyst until the Myeloma becomes resistant, but there are other treatment options for when that time comes.
• Labs: Request Myeloma labs monthly instead of every 2 months when Dad gets treatments.
• Other medical notes:
• Ask PCP for a referral to Cardio-Pulmonary Rehab.
• Talk to Dr. Sun Scolari (cardiologist) about adjusting Lasix dosage. Dad’s lungs are clear, swelling is not significant, and kidneys are tolerating the medication, but frequent urination is bothersome.

To-Do List

1. Continue 2 more cycles of Darzalex, Pomalyst, and dexamethasone.
2. Mark January 8th PET Scan on the calendar.
3. After 2 cycles: transition to monthly Darzalex + daily Pomalyst (21 days on/1 off), stop dexamethasone.
4. Expect possible lower energy for a bit after stopping steroids.
5. Request monthly Myeloma labs during treatments.
6. Ask PCP about Cardio-Pulmonary Rehab referral.
7. Talk with Dr. Sun Scolari about Lasix dosage concerns.

Notes

• Oncologist: Kathleen Dorritie
• PA Oncology: Tina Waters
• Cardiologist: Sun Scolari
• Pulmonologist: Roy Semaan
• PCP: Mark Knestrick