Friday, April 20, 2018

Cryotherapy

In spring 2015 I went in to see my urologist for a checkup of all the parts connected to urinating.  The doctor ordered a cat scan of my abdomen and areas related to urinating.  When the cat scan came back it showed a small growth in my right kidney. It was only two centimeters long.  We decided to keep an eye on it to see if it grew any. Many times these growths don't need attention but you need and want to keep your eye on them. 

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We checked it 6 months later in the fall of 2015 and there was no change in the size of it so we left it alone. I went back to my urologist in the spring of 2016 for catheter troubles.  We decided at that time to do another cat scan on my kidneys. This time the cat scan showed minimal growth but my wife and I decided to have the growth removed anyway.  I'd never had a surgery of any kind in my 58 years.  I'd always been fairly healthy. So this was going to be a new experience for me. The next week my wife Doris and I met the surgeon and he went over the options that could be done to get rid of the growth.  We chose a procedure called Cryotherapy.  

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What is Cryotherapy?

Cryotherapy kills cancer cells by freezing them. It can cure small, early stage kidney cancers. See how and when you may have it. 
Your doctor puts small needles through your skin into the cancer area. The needles use liquid nitrogen to freeze the cancer cells. These cells fall off and normal cells can replace them.
This treatment is also called freezing therapy, cryosurgery or cryoablation. It is sometimes called percutaneous cryotherapy. Precutaneous means that the freezing probe is put through the skin. 
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Who has Cryotherapy?
Cryotherapy is used to treat small, early stage kidney cancers less than 4cm across. For some people, it can cure the cancer without a kidney being removed. So it's used for people who are not fit enough for surgery. 
You may need to have the treatment again if the cancer comes back, or if cancer cells are left behind.
The specialist urological cancer multidisciplinary team assess you for this treatment. It's mainly available in specialist hospitals. Your doctor will explain the possible risks and benefits to you 
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What happens during Cryotherapy?
You can have cyrotherapy treatment under local or general anesthetic.
The surgeon finds the cancer using an x-ray or ultrasound scan. They make a cut in the skin over the kidney or use keyhole surgery. Keyhole surgery uses smaller cuts and the doctor uses a camera (laparoscope) to see inside the body.
The surgeon may take a small sample of tissue from the cancer. Then they put one or more Cryotherapy needles through the skin. These go into the kidney close to the cancer.
Once in position, the needles use liquid nitrogen to freeze and destroy the cancer cells.
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Side effects of Crotherapy
The treatment area can be painful after the anaesthetic wears off. You will probably need to take painkillers for a few days.
Other problems after surgery can include:
  • bleeding around the kidney, requiring a blood transfusion
  • urine leakage
  • temporary weakness caused by a nerve being damaged
  • injury to the tube that carries urine from the kidney to the bladder (the ureter)
  • ===============================

Complications

In research studies there have been no major complications in patients treated with cryotherapy through a cut in the skin (incision).
Complications in people who had cryotherapy through keyhole surgery are very rare, but have included bowel injury, breathing difficulties and an abnormal heart rate.
** Information from Cancer Research UK - kidney cancer
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This is my definition of Cryotherapy and I'm no doctor. It is a procedure where growths are frozen. Then the growths shrink and eventually the growth goes away! During the surgery my surgeon took a small sample of tissue from the growth to check for cancer.  My growth came out pre-cancerous so it could have grown into something more major.   

After checking in which took an hour I went in for the surgery. I was laid on a gurney and had two nurses and an anesthetist prepping me. I'd never had a surgery before. The anesthetist put a mask on me and said take a couple of breaths which I did. That's the last thing I remember until the nurse woke me up. I'm assuming the surgeon came in next wielding his laparascope.  Once inside me he froze the small growth.  The actual surgery only took 45 minutes to an hour. When the surgeon finished I had 4 tiny holes by my right shoulder where the surgeon went in with his laparascope. I wish I could be more detailed but I was gassed.  I stayed overnight at the hospital and was watched closely by nurses.  


After one month I went in for another cat scan to check on the growth. It was smaller.  Six months later I had another scan and again it was smaller.  Then this past week another cat scan was done which was one year after the surgery. The growth is still shrinking. The growth is still in my liver but it's getting smaller. I was able to see the cat scans and my little growth.  I'll do another cat scan in a year to make sure the growth continues to shrink or is completely gone. Anyway, that was my good news and I'm happy!!  



                                         Scooterjon - Christmas 2015


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Wednesday, April 18, 2018

Fatigue/Heat Intolerence  

According to the National Multiple Sclerosis Society, 80% of people with MS have fatigue. MS-related fatigue tends to get worse as the day goes on, is often aggravated by heat and humidity and comes on more easily and suddenly than normal fatigue. 

Medically speaking, fatigue is not the same thing as tiredness. Tiredness happens to everyone -- it is an expected feeling after certain activities or at the end of the day. Usually, you know why you are tired and a good night's sleep solves the problem.
Fatigue is a daily lack of energy; unusual or excessive whole-body tiredness not relieved by sleep. It can be acute (lasting a month or less) or chronic (lasting from one to six months or longer). Fatigue can prevent a person from functioning normally and affects a person's quality of life. 

What's the best way to fight MS related Fatigue?

The best way to combat fatigue related to your MS is to treat the underlying medical cause. Unfortunately, the exact cause of MS-related fatigue is often unknown, or there may be multiple causes. However, there are steps you can take that may help to control fatigue. Here are some tips: 
- Avoid extreme temperatures. Extreme temperatures may worsen your symptoms of Multiple Sclerosis.

- Avoid exercise on hot and humid days, and never exercise to the point of fatigue.

- Use air conditioning. If hot and humid conditions worsen your MS try to stay in cool and dry areas as much as possible. A home air conditioner may be tax-deductible for some people with MS so talk to your doctor about that. Some people use a cooling vest on extremely warm days.

** ABOVE INFORMATION FROM THE NATIONAL MS SOCIETY WEBSITE   


For me fatigue is a major problem. I'm not the best night time sleeper anymore and I generally wake up in the mornings still tired and sleepy. I'm retired so it doesn't affect any job performance but I generally do my daily activities and they can exhaust me. My daily activities are showering, working out, eating, surfing the internet for information and typing on my computer. Usually by 3pm I'm tired enough to lay down and sleep for 30-60 minutes. Then I get up and seem to be recharged for more inactivity! lol Nowadays, I generally lay on my couch at 6pm to eat and watch TV until I go to bed.  


I was used to working hard because I owned a carpet cleaning business at the time. However, the feeling I was having was just total exhaustion and this was only
Personal story of mine regarding fatigue. Back in 1991 I went with some friends to northern Minnesota for a fun weekend. This was before I was diagnosed with my MS.  About halfway to our destination we stopped in a small town to pick up some ice and food. I walked into the store and all of a sudden I had this feeling of being totally exhausted. I hadn't experienced this before and I remember sitting down on some cases of pop to catch 




I sat on the pop cases for about 15 minutes until my friends were ready to go again. I remember walking slowly to the car a little woozy wondering what was happening to me.  
I wasn't driving so I sat in the backseat and closed my eyes.  I stayed like that for about 20 minutes and bingo...when I opened my eyes the tired feeling had left!  In hindsight, I remember the temperature were rising and it was getting humid out.  I know now that those are two of my worst problems that can lead  to more tiredness. 





















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