Tuesday, March 21, 2006

6 of one, half a dozen of the other

Today's visit to the Jewish was informative; we learn new facts by the day, or see them from a different angle in any case. We were greeted by Dr. Schwartz who examined Gilly. He reiterated what we've heard repeatedly, but added new vocabulary to my list; The tumour is inoperable because it reaches into the pons (a very important part of the brain). Standard radiation has not been proven to prolong life, but it may control the tumour to some degree. He said that grade II is slow growing, and does not tend to 'melt away' as a result of radiation treatment.

The term 'pons' was introduced as because it explains why Gilly would not be a candidate for the study, which involves radiation and Temodal. I questioned this, because Dr. Souhami had said that Gilly was eligible to take part in the research study. Dr. Schwartz explained that it is the location that excludes him; apparently this is evident in the fine print he just read.

He completed his examination and left the room to consult with Dr. Sultanem, the radio-oncologist. Dr. Sultanem did some homework before making his entrance. He called Dr. Souhmai at the MNI and will now contact Dr. Fisher (the doctor in charge of the study who is located in Philadelphia) to see if he will agree to waive the slight deviance (the tumour is extending a little bit into the pons) and allow Gilly to be 'on-study' (yet another new term). In this way, Gilly will be followed closely, and this is desirable.

Tomorrow, Dr. Kavan will see Gilly at the MNI (as was previously arranged), and by then he may know if Gilly can participate. He will be the medical oncologist no matter what, whereas we would need to make a decision between Dr. Souhami (which will send Gilly to treatment at the Montreal General) and Dr. Sultanem (which would send Gilly to the Jewish instead). The treatment would be identical. Both doctors are personable, and seem competent. The Jewish is closer to home, so for the 6 weeks of radiation therapy (5 days a week for 15 minutes each session) it may be more convenient. We'll have to make 100% sure that the technology they use is of equal quality.

We're off to get Liylah (Yaron favours this spelling??? We are trying it out for a day or so) her Cote St. Luc license and see if the vet can give her whatever she needs to make a country visit safe. She loves her new doggie bed, bowls and leash, and behaved very well while we were gone.

Next stop: Dr. wise at 3:15. Wish us luck that he can help Gilly to see better!

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