Don't Go Breakin' My Heart or You're so Vein

 Entry 1         9:26 a.m.

Jenny seems okay this morning. More resilient.

Entry 2        10:04 a.m. 

The cardiologist PA called and suggested that the visit was pointless, because all we would do is schedule a stress test.  So, I didn't go in.  Stress test on August 19.  I hate Kaiser. They could have just scheduled the stress test, and I would have had it sooner.  

Entry 3         11:43 a.m.

Jenny seems okay this morning. More resilient.  She is in the yard sobbing uncontrollably. 

Entry 4        11:58 a.m.

Reading her med record, I learned that they are considering the new chemo "3rd line."  I am supposing

because they alternated between two different regimens for 48 weeks, those were considered lines 1 and 2.  That is disturbing news. because it really means the options are drying up. The palliative care doctor told us there is always another chemotherapy that Dr. P can go to, but the question will arise about efficacy and quality of life.  I'm relieved we aren't there yet, but it seems we are inching closer to that time.  This presumes that each level of chemo we move to is less efficacious than the last, and more akin to the proverbial "Hail Mary" pass.  

Also reviewing the record, it reports, but we did not learn, that the superior mesenteric vein (SMV) has been severely narrowed.  Her main tumor encases the superior mesenteric artery, and is growing into the SMV, presumably restricting blood flow, and potentially stopping it altogether, which could cause necrosis in an area such as the bowels. Fun stuff.

Jenny started talking in her sleep this afternoon.  It was amusing the other night, when she was all jacked up with her night time meds.  Less amusing in the daytime, when she has barely any drug or no drug at all on board.  Today she began telling me where to find an ice cream scooper, so I didn't have to use a fork to scoop ice cream, she explained when questioned.  We don't have any ice cream.
Entry 5        2:26 p.m.

Jenny is with Amy Lanum moving boxes over to the house. She is very stubborn.  She is so weak that she said she felt like throwing up when moving a large box, but refuses to let the movers just move the rest. 

Entry 6.   8:28 p.m.

I was packing.  Unfortunately, Abby went to the 🏠 house and realized she was essentially out of gas.  So, I got a gas can, a gallon of gas and am now at the new place, waiting while she assembles something downstairs.  She still isn't close to packed at home and caravan of cars arrives at 9 tomorrow, thanks to Jenny's callout for help.  Jenny was here today, having moved a load with Amy, but is completely wiped out. Her energy level is markedly decreasing.  She planned on returning home to pack more, but has been essentially unable to move since she arrived back home from dropping off and unpacking the first load. I am getting nervous.


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