Lisa had a very bad night with a lot of pain and coughing.  She's spent a lot of this morning and part of this afternoon sleeping.  Lisa has been off of prescription pain medicine for a few months now, but today she has to take some again because steroids and over-the-counter pain medicine hasn't provided any noticeable relief.  Within 90 minutes after taking the pain meds (which includes hydrocodone), she was feeling noticeably better.  Lisa did pretty well through the evening until around 9pm when she took another dose, but by 10pm she was in a lot of pain again... and then by 10:30 she was considerably better. It seems strange that both times it took a full 90 minutes to bring down the pain level, and we may have to plan for that in timing the doses.

Tomorrow afternoon Lisa is scheduled for a routine chest x-ray and an appointment with the oncologist as a precursor to her scheduled chemo treatments Tuesday, Wednesday and Thursday.  If it happens, Tuesday is the all-day one, but the doctor has said that he may change things to spread it out more evenly over the three days this time.

In addition to Lisa's coughing and pain level increase, we're seeing more swelling on the right size of her body, including her arm and leg.  It's possible that this is due to pressure on the heart arteries and veins on that side (SVC Syndrome) that started coming back in December, but of course could have other causes.  We're going to try to reschedule to see if we can do the x-ray and get in to see the oncologist in the morning, to leave time for other possible tests if necessary in the afternoon.