Monday night I experienced some shortness of breath when I went to bed. This was a new symptom for me so I called my oncologist on Tuesday. He examined me and everything seemed fine, but wanted a CT angiogram of my chest to make sure the shortness of breath wasn't being caused by a pulmonary embolism (I've lost count, this was either my 3rd of 4th of these for that reason). There was no pulmonary embolism, but the CT scan showed a new, small pleural effusion (fluid around the lung) on the right. It also showed continued growth of multiple nodules in both lungs as well as the liver and adrenal metastases.
The shortness of breath when lying down hasn't been bothering me since Wednesday - I don't know why - so I'm back to my baseline symptoms with shortness of breath after minor exertion, well-controlled pain and only occasional, controllable nausea. My activities haven't changed, just my knowledge of the scoreboard. Right now my cancer and I hold each other at bay and I'm very thankful for that.
Next week I go back for Zometa and Gemzar (who knows? maybe it's slowing things down and it doesn't bother me much so we'll keep it up). The leaves are starting to change but there has been no real nip in the air yet. Everyone is busy and enjoying life.