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
- Continue 2 more cycles of Darzalex, Pomalyst, and dexamethasone.
- Mark January 8th PET Scan on the calendar.
- After 2 cycles: transition to monthly Darzalex + daily Pomalyst (21 days on/1 off), stop dexamethasone.
- Expect possible lower energy for a bit after stopping steroids.
- Request monthly Myeloma labs during treatments.
- Ask PCP about Cardio-Pulmonary Rehab referral.
- 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
No comments:
Post a Comment