This afternoon, Lisa was experiencing additional symptoms similar to early in her diagnosis:  ear pain, and swelling in her neck.  The swelling can be from the known constriction on her 'superior vena cava'  which can slow down blood return flow from the upper body (SVC Syndrome), and the ear pain is often a 'referred' pain from pressure by tumors in the chest along a nerve bundle that routes up along the neck and ears.  Besides trying to shrink down the tumors with chemo, the main treatment would be higher steroid doses as anti-inflammatories.

As of this evening, a second dose of steroids has helped and Lisa is feeling somewhat better.