1. The lady with the locally advanced breast cancer welcomed her fifth grandchild on New Year's Eve. February will be the second anniversary of her diagnosis.
2. Rad Rage: The guy with asbestosis (ridiculously abnormal chest x-ray with new pneumonia) got the CT of his chest, which was negative for anything really scary (ie, cancer.) There was bibasilar consolidation read as "either acute or chronic" that was probably what was read as the original infiltrate. But...it also showed left hydronephrosis*.
So...I had to call him back in to tell him about it; get a CT of abdomen and pelvis and refer him to urology. I steeled myself as I walked in the room. He was worried too. (We've known each other a long time; he can tell when I have something to tell him.) As soon as I said "Kidney" he said, "The left one? I was wondering if that stent was still working." Turns out he had stones (all my chart said was "nephrostomy 1978") twenty years before I met him. We still have to go work it up, but he's not the least bit worried; and he totally made my day!!
3. I haven't heard back yet from Urology about the guy with gross hematuria, but I tried asking about him when I called about the hydronephrosis guy I'm sending. I was told, "He doesn't work Fridays." Nice work if you can get it.
*Swollen kidney and ureter, presumably from obstruction. Possible stone, bladder or ureteral tumor, or something else. Plan: "punt."