Throat Blog — Too little or too much?

Cardiologist fitted me out with a monitor that I'll wear for a month. I mentioned my fast heart rate and he said that he has the exact same thing. And, he is a bicycle rider. Like me, his heart rate runs 20-30 beats faster than other people he rides with. Confirmed that it is really just a trait, not a condition.

Anyway, I've got a monitor stickied to my chest for the next month. The nurse placed it horizontally, but when I go to bed, I sleep on my side, which made the contacts for the monitor "scrunch up" and lose contact. Which made an alarm go off. Well, I have enough problems sleeping without having this, too. So, I repositioned it vertically. Had to shave a bit of chest hair off to accommodate that. Made the mistake of doing it half asleep while looking in a mirror. I shaved the wrong side. Wore it like that for several days without noticing. Supposed to be just left of center of my chest for best pickup. Well, the app says that it has good signal, good contact, so I'm keeping it where it is.

Before the holiday weekend, the decomp smell got worse. I have gone completely "nose blind" to it, but someone mentioned I needed to clean my car and find out what had spoiled. I realized it was me. I've been accused of being spoiled in the past…well, now I actually am. I emailed the Dr to see if there was anything I could do about it. Also mentioned that my fever remains >101 most of the time. His office responded that I should come in again for a check (I just saw him last week).

I also have been having issues with the skin under the trach tube flange being very red and painful. I am pretty sure it is because I just can't keep it dry…it is constantly covered with mucus that comes from the stoma if I cough.

So, return visit to the ENT/Oncological Surgeon. He said that it is probably dead tissue, but could also be live tumor or infection. No way to know at this point but based on the fever he wants me on antibiotics for a couple of weeks to kill any infection that might be present. Great, my gut was just about normal from the last round of antibiotics.

He also me some specialty gauze to put under the flange and around the stoma to help with the skin issue. A couple of days in, the reviews are good. Virtually resolved the skin pain and it appears to be clearing up.

The nature of the radiation treatment I got is that there is a fairly narrow window of ideal therapeutic radiation dosage. Too much kills functional tissue (muscle, tendon, etc) and can require surgery to remove, well, pretty much everything. Too little and you still have live tumor. No way to know right now. The PET scan will provide some clarity. A high-res CT scan might also help diagnostically, so he ordered one up for me. Got in same day for the CT. Still awaiting the reading from that.

January has gone from no Dr's appointments until the very end of the month to starting with multiple visits per week…speech/swallow therapy, hematology, and likely back to the ENT/Oncological Surgeon to review the CT…all in the first week of the new year. Meanwhile, I am able to spend some time in the office and some time at my home office…well, couch…getting some things done for work.

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