In early April 2018 - pain in the lower neck
End of April - vomiting
10.05 - First visit to a gastrologist - syrups for reflux For a week the vomiting increased and was 2 - 3 times a day
07.06 - Second visit to gastrologist, urgent referral to hospital
07.06 - In hospital head CT scan - result brain tumor
08.06 - MRI, surgery to remove tumor, ICU
13.06 - Surgery 14.06 - wound leakage and sutures
14/15.06 (night) - vomiting
15.06 - ICU
17.06 - lumbar ventricular drainage
19.06 - Department of surgery, histopathological examination result: malignant neoplasm, stage IV, medulloblastoma
21.06 - Broviak central puncture and bone marrow collection
24.06 - Removal of drainage, in the afternoon visual disturbances appeared
24/25.06 (night) - CT scan, dilatation of brain ventricles (test result)
25.06 - drain placement procedure, ICU, pharmacological coma, bacterial infection
27.06 - magnetic resonance imaging of the spinal cord
28.06 - Disconnection of ventilator, independent breathing
02.07 - removal of the drain
03.07 - transfer to oncology
04.07 - MRI of the head and lumbar puncture 05.07 - fluid leakage and placement of sutures on the head, operating theater
06.07 - lumbar puncture
July 11-13 first cycle of chemotherapy
13.07 - Introduction of a sanitary regime (bacteria)
17.07 - Lumbar puncture, correction of central puncture
19.07 - MRI and lumbar puncture - no progression of disease
21.07 - lumbar puncture
23.07 - lumbar puncture
25.07 - hair began to fall out, return of fever
30.07 - MRI, , bone marrow collection, at night procedures for placement of ventricular drainage, ICU
31.07 - disorders of vision, movement
01.08 - return to hematology
3 - 5.08 - second cycle of chemo
09.08 - drain removal
10.08 - Consilium on further treatment plan. Proposal for megachemotherapy
14.08 - MRI
19.08 - hand twitching, whole body tension high heart rate, elevated temperature
20.08 - tomography
22.08 - sacrament of the anointing of the sick
27.08 - Removal of external drainage, insertion of ventriculo-peritoneal valve, all night convulsions and b. high heart rate
28.08 - ICU, removal of valve, drainage, put into pharmacological coma
29.08 - MRI
31.08 - Bacterial infection of brain fluid, antibiotics
(Valve insertion)
7.09 - MRI
17.09 - computed tomography
20.09 - extubation
21.09 - transfer to oncology
25.09 - Chest ultrasound
26.09 - MRI
27.09 - computed tomography
3-5.10 - third cycle of chemotherapy
4.10 - Removal of drain, insertion of second valve
9.10 - Transfer of treatment to the Infant Jesus Pediatric Hospital in Rome
10.10, 16.10, 25.10 - computed tomography
12.10 - EEG
19.10 - MRI, transfer to neurology
24-25.10 - evoked potentials
26.10 - lumbar puncture
2.11 - Lumbar puncture, removal of stitches, transfer to pediatrics
10.11 - transfer to oncology
11-17.11 - Chemotherapy according to the Italian protocol (stage one of the cycle)
18.11 - The result of the histopathological examination of the tumor slice (medulloblastoma desmoplastic type)
19.11 - transfer to pediatrics
26.11 - confirmation of bacterial infection
27.11 - insertion of enteral probe
4.12 - Removal of valves, placement of drainage
5.12, 14.12, 31.12 - computed tomography
3-4.01 - removal of stitches
23.01 - Removal of drainage, obstruction of the flow between the third cerebral ventricle and the spinal cord
25.01 - computed tomography
27.01 - Removal of enteral probe, independent swallowing of food
4.02 - evoked potentials
11.02, 15.02 - magnetic resonance imaging of the head and spinal cord
21.02 - transfer to oncology
23-24.02 - Chemotherapy according to the French protocol (stage two of the cycle)
8.03 - EEG
9.03 - discharge
12.03 - check-up at the day ward
19.03 - return to hospital, oncology
20.03 - Chemotherapy according to the French protocol (stage three of the cycle)
21.03 - discharge
27.03 - Decrease in white blood cell levels, inclusion of immunotherapy
12.04 - Follow-up examinations in the day ward, MRI, removal of stitches
18.04 - return to hospital, oncology
19.04 - Chemotherapy (Etoposide), ECG
20.04 - EEG, blood transfusion
21.04 - discharge
23.04 - check-ups in the day ward
26.04 - Day ward check-ups, surgery to replace central entrance with dual
29.04 - check-ups in the day ward
30.05 - Stem cell separation, chest X-ray
1.05 - stem cell separation
3.05. - check-ups in the day ward
9.05 - Follow-up examinations in the day ward, MRI, brain fluid examination
10.05 - ophthalmological examination at the Gemelli clinic
17.05 - hospital admission, oncology
18-20.05 - megachemotherapy (Thiopeta)
23.05 - stem cell transplantation
25.05 - blood transfusion
28.05 - initiation of therapy with a factor that stimulates the growth of white blood cells
29,30.05 - platelet transfusion
31.05 - blood transfusion
1.06 - platelet transfusion
3.06 - Chest X-ray
4.06 - discharge
28.06 - check-ups in the day ward
5.07 - hospital admission, oncology
6-8.07 - megachemotherapy (Thiopeta)
11.07 - stem cell transplantation
16.07 - White blood cell growth factor therapy, blood transfusion
17,19,22.07 - platelet transfusion
21.07 - blood transfusion
24.07 - discharge
26,30.07 - Check-ups on the day ward, drip irrigation
2,5,8.08 - Check-ups on the day ward, drip irrigation
20.08 - magnetic resonance imaging of the head and spinal cord
28.08 - hospital admission, neurosurgery
29.08 - surgical placement of a valve
4.09 - computed tomography
6.09 - lumbar puncture
10.09 - discharge
16.09 - Starting neurological physiotherapy in a rehabilitation center
7.10 - start exercising in specially cast orthoses
21.10 - ECG
22.10 - heart echo
23.10 - EEG
4.11 - mental age test
5.11 - heart echo
6.11 - Removal of broviac-type central input, receipt of specially fitted postural wheelchair
7.11 - hospital discharge
8.11 - return flight to Poland
22.11 - MRI in Rome
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
2.12 - evoked potentials at a clinic in Bialystok
4.12 - dermatological consultation
11.12 - pediatrician visit (antibiotic)
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
13.01 - Physiotherapy consultation at the Neurorehabilitation Center 14.01 - dietary consultation
27.01 - neurologopedic consultation
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
4.02 - oncology outpatient clinic, endocrinology outpatient clinic
10.02 - neurology outpatient clinic
24.02 - follow-up visit in Rome: blood test, IV, ECG, EEG, cardiology, endocrinology, oncology, neurology consultation
26.02 - follow-up visit in Rome: blood test, MRI, X-ray, valve adjustment, neurosurgical, oncological, neurological consultation; follow-up visit in Palidoro: physiatrist consultation
28.02 - follow-up visit to the Gemelli clinic in Rome: ophthalmology consultation
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
2.03 - psychological and pedagogical counseling center: psychologist
4.03 - psychological and pedagogical counseling center: educator; neurosurgical consultation
granting by the psychological and pedagogical counselling centre of a certificate on special education and an opinion on early development support
Return to rehabilitation in the last week of April after a break due to the pandemic
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
21.06 - departure to Rome
23.06 - EEG
24.06 - MRI, blood tests
26.06 - heart echo, consultations: neurology, endocrinology, dentistry and physiatry
28.06 - return from Rome
Rehabilitation 5 days a week (NDT-Bobath physiotherapy, sensory integration)
3.07 - Pre-diagnosis ahead of September collaboration with vision therapists at low vision center
6.07 - dental consultation
7.07 - Extraction of four upper teeth under general anesthesia
Rehabilitation 4-5 days a week (NDT-Bobath, SI)
5.08 - ophthalmic consultation
24.08 - neurological consultation
26.08 - dermatological consultation
1-12.09 - rehabilitation 4 days a week (NDT-Bobath, SI)
1.09 - start of the school year at an inclusive kindergarten
7.09 - WWR (tylphedagogue and vision therapy)
14.09 - neuro-rehabilitation starts in Palidoro, Italy
16.09 - fundus examination
17.09 - blood tests, speech therapy consultation
18.09 - consultation of an orthoptist
22.09 - ophthalmological examination
23.09 - EEG, endocrinology and ophthalmology consultation
24.09 - Thyroid ultrasound, evoked potentials
25.09 - Fitting new orthopedic shoes with insoles
28.09 - hospital discharge
30.09 - return to Poland
Rehabilitation 4 days a week (NDT-Bobath, SI), early developmental support (tylopedagogue, vision therapy), pre-school education and work with specialists in an inclusive kindergarten (rehabilitator, speech therapist, psychologist, integration sensory)
15.12 - ophthalmic consultation
21.12 - neurological consultation
28.12 - consultation of a rehabilitation doctor
Rehabilitation 4 days a week (NDT-Bobath, SI), weekly classes in early development support (tylopedagogue, vision therapy), pre-school education and work with specialists in an integrated kindergarten (rehabilitation therapist, speech therapist, psychologist, sensory integration)
as of 27.01 - a series of 10 weekly rehabilitation classes at the University Children's Hospital in Lublin (psychologist, speech therapist, occupational therapy)
15-26.02 - A series of 10 daily physiotherapy classes at the University Children's Hospital in Lublin
26.02 - Departure to Rome for a 10-day quarantine period
Rehabilitation 4 days a week (NDT-Bobath, SI), weekly classes in early development support (tylopedagogue, vision therapy), pre-school education and work with specialists in an integrated kindergarten (rehabilitation therapist, speech therapist, psychologist, sensory integration)
8-11.03 - check-ups in Rome (blood, MRI, EEG, physiatrist, dermatologist, neurologist, endocrinologist, cardiologist, geneticist, oncologist)
12.03 - return to Poland
as of 17.03 - a series of 10 weekly rehabilitation classes at the University Children's Hospital in Lublin (psychologist, speech therapist, occupational therapy)
Rehabilitation 4 days a week (NDT-Bobath, SI), weekly classes in early development support (tylopedagogue, vision therapy), pre-school education and work with specialists in an integrated kindergarten (rehabilitation therapist, speech therapist, psychologist, sensory integration)
28.04 - ophthalmic consultation
25.05 - consultation of a rehabilitation doctor
18.06 - consultation at the Neurorehabilitation Center
NDT-Bobath physiotherapy, sensory integration, psychological classes, neurologist, hand therapy, individual physiotherapy, vacation trip at the end of August
3.09 - departure to Rome
6-8.09 - check-ups (blood, MRI, endocrinologist, physiatrist, neurologist, ophthalmologist, oncologist)
10.09 - return to Poland
5.10 - Admission to the hospital emergency department in Lublin (high fever, vomiting), diagnosis of sepsis, CT scan of the head, ultrasound, X-ray
6.10 - Surgical removal of the valve tip from the peritoneum to the outside
7.10 - computed tomography of the head
8.10 - Operative placement of central access, removal of ventricular valve and placement of external drainage, detection of Pseudomonas bacteria in cerebrospinal fluid
10.10 - transfer to intensive care unit
13.10 - return to surgery department
14.10 - head MRI, neurosurgical consultation
15.10 - Meningitis, change of external drain to portable type, discharge on demand from hospital, transport by ambulance to airport, flight by medical plane to Rome, admission to Bambino Gesu Hospital in Rome, covid tests, neurosurgical consultation, head CT scan, blood tests, cultures, ECG, further fever and vomiting
16.10 - Specialist consultation, abdominal ultrasound, chest X-ray, EEG, insertion of gastric probe, intrathoracic antibiotic administration
18.10 - EEG, surgical replacement of drainage and central input, neurosurgical and ophthalmologic consultation
19.10 - removal of the puncture, central entry on the thigh and catheter
21.10 - gastric probe replacement, abdominal X-ray
22.10 - cardiology consultation
23.10 - endocrinology and neurosurgery consultation
25.10 - ECG
27.10 - EEG, evoked potentials, abdominal ultrasound, change of room, ophthalmology consultation, head CT scan
28.10 - MRI
29.10 - neurosurgical consultation (consultation)
30.10 - Surgical placement of the fourth ventricle drain with a port (use of neuronavigation)
31.10 - computed tomography of the head
During the entire hospital stay in Rome - rehabilitation with a physiotherapist
4.11 - Neurosurgical consultation, drain tip replacement, rehabilitation specialist consultation
6.11 - endocrinology and neurosurgery consultation
9.11 - change in blood pressure medication, CT scan
11.11 - MRI
12.11 - Operation to replace the drainage system from the lateral chamber
13.11 - ECG
18.11 - heart echo
23.11 - removal of the gastric probe
26.11 - MRI
29.11 - medical consultation
30.11 - Surgery to remove the ventricular drain and insert a ventriculo-peritoneal valve
During the entire hospital stay in Rome - rehabilitation with a physiotherapist
2.12 - computed tomography
9.12 - evoked potentials, EEG, CT scanner
11.12 - Abdominal ultrasound
13.12 - consultation of a nutritionist, endocrinologist, epidemiologist
14.12 - hearing test
16.12 - termination of intravenous feeding
22.12 - Abdominal ultrasound
23.12 - MRI, head X-ray, valve adjustment, consultation with geneticist, neurosurgeon and oncologist
24.12 - discharge from hospital, departure to Poland
During the entire hospital stay in Rome - rehabilitation with a physiotherapist
25.12 - home
27.12 - vaccination
3, 5, 7.01 - sensory integration and psychological activities
12.01 - departure to Rome
14.01 - MRI, valve adjustment, X-ray
18.01 - Oncology consultation, hospital discharge
19.01 - departure to Poland
20.01 - vaccination
24.01 - Resumption of vision therapy as part of Early Development Assistance
25.01 - return to kindergarten
31.01 - resumption of psychological and sensory integration therapy
15.02 - check with an ophthalmologist
Regular rehabilitation (sensory integration, psychological classes, physiotherapy, vision therapy, hand therapy, neurologist, group and individual classes with specialists in the integration kindergarten)
31.05 - check with an ophthalmologist
6.06 - physiotherapy consultation
7.06 - departure for inspection in Rome
8.06 - MRI, head X-ray, thyroid ultrasound, abdominal ultrasound, blood tests, neurosurgical consultation
10.06 - Heart echo, EKG, consultation of specialists (endocrinologist, physiotherapist, dermatologist, oncologist, cardiologist)
13.06 - receipt of medicines, discharge from hospital
14.06 - departure to Poland
23.06 - end of the kindergarten year
27.06 - 5.07 throat and ear infection
15-21.07 - family music and nature trip to the mountains
21.08 - Control at CZD due to infection
29.08 - Day stay at endocrinology in Lublin, start testing growth hormone levels
27.10 - Testing of growth hormone levels at the endocrinology department in Lublin
28.10 - commission for disability adjudication
5.12 - check with an ophthalmologist
16.12 - vaccination
14.01 - consultation with a physiotherapist
16.01 - consultation with an orthopedist and a speech therapist
23.01 - consultation with an educator
24.01 - consultation with a psychologist
5.02 - departure for inspection in Rome
6.02 - Blood tests, MRI of the head and spine, valve adjustment, X-ray of the head
8.02 - Consultation of dermatologist, neurosurgeon, endocrinologist, oncologist, collection of medicines, discharge
9.02 - arrival in Poland
14.02 - Starting weekly WWR classes with a psychologist
15.02 - vaccination
23.02 - recruitment for special kindergarten
14.03-01.04 - consultations with endocrinology departments at IPCZD and USD Lublin
04.04 - appointment with an ophthalmologist
31.07-2.08 - examinations at the psychological-educational counselling centre
29.08 - consultation with a physiotherapist, vaccination
04.09 - starting a special kindergarten
13.09 - Orthopedic consultation, selection of orthotics
21.09 - functional vision diagnosis
2-5.10 - Flight to Rome for follow-up - blood tests, MRI of the head and spine, EEG, ECG, head X-ray, valve adjustment, consultations: endocrinology, cardiology, dermatology, neurology, neurosurgery, oncology
24.10 - Day stay in the endocrinology department, start daily administration of growth hormone
7.11 - Day stay in the hematology department, immune testing
1.02 - consultations with specialists: physiotherapist, orthoptist, speech therapist, psychologist
6.02 - Day stay in the endocrinology department: check-ups, supply of another supply of growth hormone
8.03 - Visit to orthodontist, ordered braces
5.04 - visit to the dentist
7-12.04 - Oncology follow-up in Rome - blood tests, MRI of the head and spine, EEG, ECG, head X-ray, valve adjustment, consultations: endocrinology, cardiology, dermatology, neurology, neurosurgery, oncology
18.04 - visit to the dentist
24.04 - visit to the psychological and pedagogical counselling centre
15.05 - Day stay in the endocrinology department: check-ups, provision of growth hormone supply
13.06 - appointment with an orthodontist
9.07 - visit to the clinic, vaccination
15.07 - WWR activities
17-19.07 - trip to RYV, psychological consultations
23.07 - consultations at the Avalon Foundation
31.07 - start weekly therapeutic classes with a psychologist (until 28.10) and with a speech therapist (until 8.10) at the Avalon Foundation
1.08 - starting therapy with a physiotherapist (twice a week - until 26.11) at the Avalon Foundation
26.08 - Dog therapy (5 sessions every 2 weeks) at the Avalon Foundation
27.08 - Individual psychological therapy (weekly meetings throughout the school year)
2.09 - start of the school year at a special kindergarten
13-18.10 - trip to Rome for oncology check-up - blood tests, MRI of head and spine, EEG, ECG, head X-ray, valve adjustment, consultations: endocrinology, cardiology, dermatology, neurology, neurosurgery, oncology
24.10 - Examination of functional assessment of vision in a specialist clinic; visit to a rehabilitation doctor
23.12 - appointment with an orthodontist
10.02 - appointment with a neurologist
27.02 - appointment with an orthopedist
8.03 - ultrasound examination of the thigh
9.03 - Consultation before possible biopsy (only ultrasound was performed, without biopsy, because the lesion too vascularized to perform the procedure outside the hospital), visit to the ED
12.03 - X-ray of spine, lower limbs and femur; consultation with oncologic surgeon, blood sampling
13.03 - commission on disability
14.03 - CT scan of lower extremities; receipt of disability certificate
16.03 - departure for Rome to Ospedale Pediatrico Bambino Gesu
17.03 - Hospital examinations and consultations, blood draws and transfer of records (X-ray/CT) and discussions with doctors about further diagnostic and treatment steps. Increased pain and lack of appetite; administered pain medication and anticoagulant injections. Marysia has not walked for several days (risk of damage with weakened bones).
20.03 - tumor biopsy and port placement, a tumor biopsy was performed and a vascular port was placed to prepare safe drug administration. A PET scan was scheduled, and the result of the biopsy was expected by March 26. It was initially communicated that treatment could take 8-12 months; it was advised not to walk at all.
28.03 - starting treatment in the ward, Marysia began inpatient treatment in the oncology department.
31.03 - Chemotherapy: methotrexate (first administration, infusion of about 6 hours) and post-chemotherapy shielding treatment and monitoring were implemented. A daily routine of parameter monitoring and the first exercises with a physiotherapist have emerged. This is the beginning of a longer treatment cycle with stays in the ward.
03.04 - follow-up examinations and additional diagnostics, tests were performed (including hearing) and blood was drawn for genetic diagnosis (also from the parents). The cause of the ear complaints (fluid in the inner ear) was signaled. At the same time, the „green light” for the next stage of chemotherapy was confirmed.
06.04 - Pain escalation and pain management, sil pain in the leg and a more difficult time in the ward; the need for more intensive pain treatment (including intravenous), heavy physical and psychological strain, and waiting for further decisions and services (including transfusions).
07.05 - severe neutropenia occurred (neutrophils dropped to zero), which involved isolation and anti-infective treatment. Protection against infection and stabilization of parameters to continue therapy became a priority.
28.05 - prolonged hospitalization and delays in treatment, prolonged hospital stay (about a week) and rescheduling due to fever and difficulty recovering from chemo. X-rays of the lungs were unchanged. In parallel, organizational activities (conditions of the family's stay and logistics in Rome) continued.
18.06 - Change of plan: skip cycle and prepare for surgery, Due to delays and strain on the body, the decision was made to skip the next (6th) cycle of chemotherapy. Marysia went out for discharge to catch strength and prepare for the next decisions. Day Hospital was announced and a conversation about the surgery plan was held.
20.06 - Consultation: recommendation of amputation as a life-saving procedure, After Day Hospital and a conversation with the oncologist, information was given about the high malignancy of the tumor and the bone involvement. Amputation of the right leg was recommended as a life-saving procedure. Urgent orthopedic-traumatology consultations were announced and surgery was scheduled for the coming days.
23.06 - A short preparation path was established: a psychological consultation, followed by tests and entry into the ward. The operation was to take place on Friday, as a matter of urgency.
25.06 - admission to traumatology/orthopedics, Marysia was admitted to the traumatology department. An amputation date of 27.06 was confirmed, and formal and medical preparations for the procedure began in the background.
26.06 - The day before the operation: clarifying the scope of the surgery and the „what's next” plan, It was confirmed that a hip debridement (full removal of the limb) would be necessary. Perioperative risks and possible stay in the recovery room or intensive care after surgery were discussed. A further plan was outlined: healing, continuation of oncology treatment in cycles, and subsequent preparations for prosthesis and rehabilitation.
27.06 - Amputation of the right leg (hip replacement)The operation began at 10:30 a.m. and was expected to last several hours. The procedure was performed in a life-saving mode, as planned in advance. After the operation, an intensive period of post-operative care and parameter monitoring began.
28.06 - After surgery: justification for amputation and direction of further treatment It was conveyed that the cancer had taken up the entire femur, and amputation was necessary. It was emphasized that this is not the end of treatment - cancer therapy is to be continued. Organizational preparations have begun for adaptive rehabilitation and prosthetics.
01.07 - Early convalescence: drains, catheter, psychological support, difficult, intensive postoperative period (drains, anesthesia, multiple tubes), with port and catheter remaining. Psychological counseling is being provided, and the family is retrofitting a wheelchair to enable proper sitting position. In parallel, activities are starting in terms of prostheses and rehabilitation.
16.07 - leaving the hospital; post-operative result and plan to return on 21.07, Marysia left the hospital, remaining in Rome. A very important result of post-operative material evaluation was reported: about 92% of tumor cells were dead, which was presented as a favorable response to treatment. A return to the hospital on 21.07 was announced (Day Hospital and ward mode again); further treatment was estimated at 6-12 months.
22.07 - Day Hospital and resumption of chemotherapy, blood tests, pain consultations and wound healing control and physiotherapy were performed. There were no contraindications to continuing treatment, so another cycle of chemotherapy (cisplatin + adriamycin) was started. In parallel, post-amputation adaptation continues, including phantom pain work.
13.08 - Hospitalization with fever and diagnosis of infection, There was a high fever (up to about 39°C), which led to hospitalization and intensive diagnostics. Imaging studies (CT scan, ultrasound) and consultations were performed, looking for the source of the infection. In the background, there is a suspicion related to fluid in the amputation area.
17.08 - transfusions and further tests before deciding on discharge, improved appetite and at the same time the need for transfusions (platelets and blood). Further imaging studies were scheduled to help decide whether it would be possible to return home before the next chemo.
20.08 - Suspected fungal infection in the lungs and treatment in the hospital, CT scan showed suspected fungal infection in the lungs, so that the discharge was canceled. A procedure under anesthesia (cleaning the lungs and collecting material for culture) was scheduled, and antifungal treatment was started. Resumption of oncological treatment was made contingent on control of the infection; in parallel, it was conveyed that „no cancer was seen.”.
16.09 - Day Hospital, good results and preparation for lung surgery, After a prolonged period of relative stabilization, a check-up was performed in the day ward, with good blood results. An MRI was scheduled for 17.09 and hospitalization for oncology surgery. A surgery date was set for 19.09 (lung lesion retrieval/excision for analysis).
22.09 - Post-operative period and follow-up examinations, After the operation, follow-up examinations (including imaging and cardiology) were performed and the general condition was assessed. The entry emphasizes the slow return of strength and the anticipation of a decision on discharge after stabilization of bodily functions.
27.09 - rehabilitation and prosthesis schedule, After leaving the hospital, intensive rehabilitation was implemented. Day Hospital 02.10 was announced, and if there is no further hospitalization - the first fitting for the prosthesis on 16.10. In parallel, the results of the analysis of the lung material were pending.
17.12 - Day Hospital: examination package and preparation of follow-up (including PET), A package of examinations in the day ward has been performed and organization of follow-up examinations, including PET, has begun. The entry describes the „logistics” of the day of testing and waiting for the results, which determine the next steps. A discussion of the results (PET and CT scans) has been announced for 22.12.
22.12 - discussion of the results of follow-up studies (PET and CT)
Scheduled consultation to summarize imaging results and further treatment decisions. This is a key checkpoint closing an intensive year of treatment and complications. Commencement of the next stage of treatment on 29.12
29.12 - first cycle of new stage chemistry