Paul, don't forget the whole vagus issue. Your breathing is compromised and one very good thing is "stacked breathing" on an ongoing basis. Keep an eye on serum chloride, O2 sat and CO2. The chloride can indicate long term CO2 exchange issues from shallower breathing and O2 sat/CO2 from the lungs is the best place to measure that early, much like reticulocyte counts for (immature) red blood cell production from the marrow. Load up on grass fed lamb marrow or wagyu marrow for the CLA punch you need for healthy marrow. It's the tastiest source.

Maybe a baseline lung capacity study via spirometer would be in order? Breathing issues can creep up and the lungs and/or kidneys can easily be the casualties long term. Very little of this is understood beyond neuromuscular breathing specialists such as those used by ALS patients.

Your Friend,

Tonto.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023