“Sit-Rep” .. No.50

Well .. the PET Scan results were definitive. In layman’s terms, it looked like this:

PET Scan Results 10.April 2026

These PET scan results indicate the presence of multiple, highly active (avid spots within your bones, primarily in the ribs, spine (thoracolumbar), pelvis (iliac bones, sacrum), and hip joints (acetabulae), with additional faint spots in the upper legs (proximal femurs) and ischium.

1. Key Terminology

Radiotracer Avid Osseous Lesions: The scan detected multiple areas (lesions) in the bones (osseous that absorbed high amounts of the radioactive tracer (avid). This generally indicates areas of increased metabolic activity.

• SUV Max (Standardized Uptake Value): This is a quantitative measure of how much tracer the cells are consuming. A higher SUV generally indicates a more metabolically active, fast-growing, or aggressive process.

• Numerous: The report notes widespread involvement rather than a single spot.

• UT MD Anderson

2. Analysis of Findings

• High SUV Levels (42.4 to 73.8): SUV values above 15 are generally considered

"very intense," and values in the 30-70+ range are significantly elevated, suggesting high metabolic activity.

• Location: The lesions are located in the bone marrow-rich areas: ribs, spine, and pelvis.

• Implied Meaning: high uptake in a cancer-related PET scan is highly suspicious for cancer that has spread to the bones (metastatic bone disease).

• Significance of SUV 73.8: The T7 vertebral body spot with an SUV of 73.8 indicates a very metabolically active spot in the spine

• 3. Next Steps

• Correlation with Other Tests: Your doctor will compare these PET results with CT/MRI scans to determine the structure of the bone (e.g., if the bone is being destroyed, which is called lytic, or if new bone is forming, which is called blastic.

• Biopsy/Histopathology:

These findings require urgent follow-up with your oncological team to discuss the treatment plan.

🤔 Bottom Line: Me and Mini-Me have some work ahead of us!

“Dr. Y….” wanted to see the Lab results before we did anything else. Labs were completed on Thursday, 23.April. He called that night. 😳

The PSA had dropped significantly … that’s positive but my PSA has been all over the place since the very beginning. He said we should pay more attention to results of the PET Scan.

Best plan of action would seem to be “Hormone Therapy” … Lupron is off the table!🫤 That didn’t go so well last time.

Eligard is similar and when accompanied by “Aberaterone”, it should slow the Metastasis and eliminate the need for Opioids in the pain-management area.

There are side-effects and other annoying regimens 😤 that will need to be observed but …!🤷🏽‍♂️

At this point, it’s really hard to tell you what goes on in your mind during this whole process. I keep telling myself … I’m okay.

On the one one hand, all this writing is positive. The attempt to convert my book into a screenplay has been helpful.

First off, I’m learning an awful lot and it keeps me really busy. Secondly, as I go back through the chapters, I can’t help wondering how I got here. I not only see where I’ve been and what I’ve done and … without wanting to sound vain, I really am “okay”!

I can look back and have no regret about decisions made. Sure, I wonder “what might have been” had I chosen a different course at a few of the crossroads, but I don’t regret the choices I made.

So… I will close “Sit-Rep” .. No.50 with more words from that poem that I have spoken about so often that some of my players got tired of hearing it…🥴 … but if they listened … they learned!

“If you can make one heap of all your winnings.

And risk it on one turn of pitch and toss;

And lose, and start again at your beginnings,

And never breathe a word about your loss!”

Plain text….

Make a choice .. put everything you have behind that decision .. If it doesn’t work out… “Next Play”

#usarmy #cancer #basketball #lifetimefitness #coaching

#usarmy #basketball #cancer #lifetimefitness #booktok #11thacr