So my CT scan that I was hoping would come back all clear, came back not so clear. My lab results show that the chemotherapy worked in killing all the cancer, it left behind some benign tumors on some lymph nodes about the level of my left kidney. This was a surprise to my oncologist, who didn’t think it would get that far in 4 months and after 3 months of chemotherapy. Matter of fact, he was so elated about the lab results he called me a day early when I was supposed to call him just to have a bit of good news.

So now, I have an appointment on September 22nd with Dr. Richard Foster in Indianapolis. Dr Foster is a specialist in urology in the Testis Cancer Program at the IU Simon Cancer Center (the same people who treated Lance Armstrong). He is considered THE expert in the surgical management of testicular cancer.

The surgery I will most likely be having is called an RPLND, or a Retroperitoneal Lymph Node Dissection. This is a 6 hour procedure where they open up the abdomen along the midline, lift out the intestines, and remove the fatty tissue behind them that contains the lymph node packets. I will have to be staying overnight for a few days there at IU. I’ve only been there one time, dropping off a patient when I started as a paramedic. There is a 30% chance of risk on all kinds of abdominal complications including infertility, but they use what’s called a “nerve sparring” technique where they push the nerves out of the way. That should keep damage to the nerves that control my man parts to a minimum.

This is a paper by Dr. Foster and Dr. Richard Birhle (also an Associate Professor at Indiana University) on the current state of surgical management of testicular cancer.

Like and post to my Facebook Page

This is a video by a Canadian that had an RPLND showing his scar and talking about one possible complication post-op.


Category: Cancer

About the Author

Russell Stine is a firefighter/paramedic in a large urban system. He has been employed for 6 years as a street level provider and has delivered care as an EMT and a paramedic across the urban, suburban, and rural settings. He has been in emergency services for 15 years.

  • http://sixlettervariable.blogspot.com Christopher

    Good luck to you sir, we’ll be pulling for you!

  • http://lonelyemt.blogspot.com Hilinda

    I continue to be impressed by your positive attitude. Keep fighting the good fight! You keep running into bumps in the road, but I’m sure you’ll kick this in the end.

  • Meri Kassner

    praying for you brother.  hoping they can take care of this and that you have a quick recovery.

  • Lighthousefan64

    Positive thoughts

  • http://emsbasics.com/ Brandon Oto

    Best of luck.

  • http://twitter.com/Jeramedic Jeremiah Bush

    I’m not happy with this news. I know you van get through it, and beat this thing, But its a road i wish you did not have to go down. Thoughts are with you from the west coast. Be strong, Buddy.

  • http://twitter.com/Jeramedic Jeremiah Bush

    I am not happy about this news. I know that you are strong and will beat this thing, I just wish you did not have to travel that road. Get well soon, Buddy! I

  • Too Old To Work

    Other than wishing you the best of luck with the procedure and afterwards, I’m speechless. So, I’ll just wish you the best of luck.


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