So a little postscript to my living my life with metastatic melanoma: I realized the symptoms I'd started to develop that worsened after my increased dosage of Keytruda last Wednesday as I was starting my 6 week protocol were likely due to an enlarged thyroid (swelling, tenderness, difficulty swallowing). I made the right decision to call after hours RN triage line at Mayo and was seen by an onc PA yesterday who agreed it was likely acute thyroiditis so she sent me to the ER that was the only way to get into radiology. I'd never had an issue with CT dye before but first time for everything; suffice to say I'm glad I was there and had the expert care of the Mayo team who not only confirmed the thyroiditis diagnosis but stabilized me promptly and provided excellent management.

I'm going to request going back on the reduced dose 200 mg/3 wk schedule for at least the next few infusions especially as we're headed out of the country after one I'd scheduled and my husband is getting nervous. I think I'd better look into medical coverage while traveling also. Curious if anyone has had to do that?