Post-cancer update: Heart and Mind

I had a check-in with my oncologist yesterday morning and she continues to be happy with my progress.

At our last meeting in July she switched me from tamoxifen (which works by blocking estrogen from binding to receptors in the breast) to Arimidex (which limits the production of estrogen altogether.) Tamoxifen is known to be an additional risk factor for blood clots and for uterine cancer, while Arimidex increases risks of osteoporosis and muscle and joint pain. In light of my pulmonary embolisms last February, my doctor (and I) felt the risk trade-off was logical.

I’m staying on Coumadin until and unless I become more physically active on a steady basis, at which point I could be switched to low-dose aspirine instead.

I will get my final MUGA heart scan in three weeks, and since all previous ones have been satisfactory, I don’t expect bad news. I will also be getting an MRI this fall, which will keep alternating with mammograms every six months for the foreseeable future (one of each a year.) That’s because of the dodgy genetic profile that suggest increased risk.

So no cancer-related health problems right now, and side effects are being monitored. I feel well cared-for, as usual. 

RPG a Day: Treasure

Fate World: Loose Threads

24. Share a PWYW publisher who should be charging more.

I confess, I don’t know many publishers who only use the pay-what-you-want (PWYW) model. However, I know that all of Evil Hat Publishing’s PWYW offerings are high-quality books they would certainly be in their rights to charge good money for. In fact, I think all their products are under-priced. (Disclaimer: I write and do project management for Evil Hat as a freelancer.)

Then there are the periodic Bundle of Holding offers for ebook collections. You get stunning value for PWYW bundles, and if you pay more than the threshold price for that bundle, you unlock even more goodness. It’s a great place to round your game collection without busting either your budget or your shelves. I’d say all publishers who agree to release a bundle that way are deliberately under-charging.

#RPGaDay2017