Merry, thank you for your informative reply. You have given me an understanding of what I am dealing with. Questions: Was your first cancer diagnosed as multifocal or did that diagnosis come 10 years later with the development of multiple nodules? How much time between treating one nodule and another in the last ten years, and the size/characteristics of the nodule when treated? I am having to deal with an additional health issue and what to do depends on what will happen with my other nodules for the next six months. At the beginning of December, I learned I had both a lung problem and a severe coronary artery blockage. I did not do a stent because, I knew the blood thinning dual antiplatelet therapy required for 3-6 months would not allow me to do surgery on my lung. It was a good call! And recent studies show that in general management with medication and doing a stent have similar mortality rates. I had my VAT wedge surgery at end of Dec and it was 3.1cm moderately differentiated acinar adenocarcinomas. My 3 month CT scan showed no change with 1 nodule in left lung and 3 in the right lung (one in each lobe). The one in the left lung is the one that will be next for treatment, now too soon because if I do radiation they would want to do needle biopsy and that carries risk of lung collapse so I wait until there is a change and they can do radiation or even surgery without the needle biopsy. The other three nodules are smaller (2 are part/sub solid and the 3rd all groundglass). Since I am already a patient at Mayo for multifocal, I thought it best to have a cardiologist at Mayo as well to assure communication and coordination of treatments between my "competing" medical issues. I continue to have shortness of breath even though I have exercised almost every day for the last month. And if I walk indoors with an N95mask I am breathing through my mouth heavily. With exertion and a mask I am gasping for air. This is possibly a heart issue so now Mayo has scheduled me for an angiogram which will measure the blood flow and actual narrowing of the artery especially because it is in a place where if I had a problem it would be quite serious. Unfortunately three months ago in the other hospital they identified the blockage as meeting the threshold to put in a stent, but did not measure more. That is key piece information to help me decide whether to stay on medication or do a stent. So this all makes me very anxious as I don't have an obvious answer. Cardiologist talked to Pulmonologist and he says multifocal is slow growing cancer. So 3-6 months without being able to do surgery is OK. My next CT scan is end June, six months from VAT wedge surgery. I am calm about the multifocal lung cancer because I see that it can be managed - look at you - but the heart thing puts a twist into it. Mayo said I had the option to stay on medication, but then Mayo encouraged me to do the angiogram to measure blood flow and narrowing so I will do it. I don't like options when I need recommendations because I know I lack knowledge to make best call.

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