New wrinkle this time...after complaining about what he thought was a muscle strain in his shoulder for a few days, we noticed on the evening of July 3 that Rusty had a swollen area on his left shoulder at the base of his neck.  Saw our local doc and he communicated with Melanoma doc in Houston.   She advised that Rusty be seen by her at his regular two week appointment on July 11.

Today was that appointment and the team feels that the swollen lump is either a new melanoma or an inflammatory response to the medications Rusty is on.  A biopsy will be definitive and Rusty is scheduled for the ultrasound biopsy on Thursday, July 13. It should take 2 or 3 days for results.  Rusty has been having increasing discomfort  and dull pain at the site and they prescribed a pain med.  Today he had his immunotherapy infusion as usual.

We have been advised to just go home after the biopsy on Thursday rather than wait here for the results of the biopsy.  We had tentatively planned on doing a two day show at a Summer Market in Kerrville in the Hill Country.  Rusty still wants to do that...to leave here Thursday afternoon and go directly to Kerrville.  We packed for such an eventuality, but we'll see how Rusty's feeling.  Nurse Ratchet (me) gets the final say....sometimes...

Photos are back at the camper after a long day.