When you anesthetist, works at the hospital and find that you have a lymphoma in the middle of the night shift, it is normal that the process diagnosis is a little 'different than usual ...
The first review I did after the chest x-ray, in fact, had nothing to do with what I said in my previous post.
The radiology technician gave me the plate fateful. I switched from internal connection of the emergency room that I had prescribed examinations, and he understands everything on the fly. I recommend especially to find a person who follow me, follow me, and always with her. I would not recommend anyone ... I am a bit 'dazed and tired, it's midnight, I had a caesarean and more, I'm going back to the ward.
I find the nurses, who are concerned about now, but frankly they can do nothing. And my colleague. What he sees as the plate starts to worry and he understands very well what it is, and that just can not "do" something. Then he began to look for alternative diagnoses that could explain a widening of the mediastinum in chest un'rx ... "And if I had an aneurysm of the aorta?".
Damn, I'd rather lymphoma! But I know he says it as a joke, or rather to play down a bit '... He insists want me to do the CT scan now, maybe even calling the radiologist (who can be found at night and must get at home). But what changes, do it now or tomorrow? It is an urgent CT scan! I balks.
Then ... then we ask the cardiologist to un'ecocardiogramma! So rule out other things!
Alright ... The cardiologist was still awake, very kind, and I did an echocardiogram, which clearly said that my heart and my aorta were fine.
So I greeted my colleague and I finally went to sleep ... I thought
echocardiography examination was unnecessary, but all in all the hematologists were pleased to have him. Since some drugs that are cardiotoxic chemotherapy are in, be sure that the heart is in place it is a safety feature. I do not know but if they do routinely, especially in younger people, because I did it in a somewhat 'incredible.
Morning comes. And as far as my primary.
My colleague tells him what happened to the patients admitted during the night: X has held up well ... Y has had some trouble breathing, I did so and so ... came the bacteriological Z, I put this drug ... and then there ' Claudia is not a pretty glass.
The head is displaced. Eh?? The
we see the famous X-ray. Before even taking his eyes from the plate part primariale the order: "The chief of radiology has already arrived, I saw his car in the parking lot, go to get to the TAC." Orders!
Nurses are in fibrillation. The nurse called me and "imposes" one of them to accompany me: you'll want to not go alone? You can not be alone at times! I agree with the company (because I just can not refuse! ^___^)
The primary radiology and other radiologists are very kind, especially after seeing the plate. It worried them, too. They are people I work with every day, and even if sometimes we can have discussions, "professional" we love. And like everyone else, do what they can to help. And their "can" is the TAC, and while there are also an ultrasound of the neck. The primary
takes 20 minutes on the medical reports of mediastinal lymphoma TAC ... 11 x 13 x 7 cm, which compresses the vena cava and displaces the trachea. Of course I was swollen neck and the jugular and it was hard to sleep lying down! I planted a cake in the middle of the chest and did not know!
I'll be back on the ward and found the head: "I phoned the primary hematology of ... (a nearby hospital, we hematology there is not), is waiting." Orders!
The nurses tell me that, a fortiori, I can not go alone to another hospital, in the car, and then to talk about things so important. So I find myself even with the stock ...!
I went to talk to the primary of Hematology, looked at the tests and confirmed the possibility of lymphoma, I was reassured that the lymphoma has a good prognosis and brought back the next day to meet the doctor in charge of lymphomas and then took me to care. From there, my process has become more "normal" following the usual reservations and times.
But in "my" hospital, between "my" colleagues, I made a few hours in the blood tests, chest X-ray, echocardiogram, CT scan and ultrasound of the neck, and I had my first encounter with a hematologist, without ever being been left alone. It may seem like favoritism. But we work together for hours, and eventually becomes a bit 's family. And family members help one another in times of need.
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