It was 95F outside. Yet I was at Kaiser, where the AC was on, in the morning as well as in the afternoon. In the morning I went for a liver ultrasound and in the afternoon I went back for my first experience of an upper endoscopy. Both were for the follow up of the CT I took before the Japan trip to exam if I had varices, swollen vein, around my stomach.
The varices around a stomach is a secondary problem of a liver disease, which blocks the blood circulation in a liver, such as cirrhosis, according to a GI doctor. He denied the connection of the varices and cancer or side-effects of chemo.
The blood test I had prior showed an improvement of AST, an enzyme that indicates abnormality of a liver, with other results, which were all in normal range. AST was increasing while I was on T-DM1, but now it started decreasing after I changed the regimen to Herceptin and Perjeta this February. Though the number is still a little higher than the standard, it makes me think that the reason of high AST is not a liver disease but a side effect of T-DM1.
The ultrasound took longer than usual and I wondered if there were any suspicious problems, but the endoscopy was done while I was sleeping. I think that the doctor said there were novarices and he would order a liver biopsy, but I am not sure because I was affected by the sedative, though I remember I was craving for food: I was fasting from the midnight until after 5 pm when the exam was done.
I ate big packed lunch (or dinner), some donuts, and fruits, and then slept again on a couch until after 10pm. When I woke up, George was already in bed.
Well, I have to wait for the morning to ask him if the doctor really said to me that there were novarices and next exam would be the biopsy. Without him, I am always short.