Spl25

Your hospital should have a nutritionist, although their weight gain recommendations arent always great because they have to worry about cholesterol etc. more than a patient might really care. milkshakes are easy on the stomach, never get old because there are so many combinations of flavors, aren't that bad for you (if you get natural ice cream and milk) and best of al TASTE GREAT. 

Cheeses (like the "fancy" ones) can have a lot of fat and calories in a small package.

Outside of dairy, egs with double the yolks will put on pounds and isn't hard to eat, as can anything with lots of peaunt buttter. 

Obviously, don't go crazy with this off the bat. 

So what was the trial they were considering for “sticky” TIL? Wishing you great luck, was glad to connect a few months ago when going over tx options!

And just to add, Celeste has some great posts on intratumorals on her site – some intratumorals are in trial stage, but nevertheless have good supportive data, or work well systemically and intuitively make sense as intratumorals. Please update if you’re able to get injections in the mediastinum, as I’m having some similar issues in the chest and haven’t heard that brought up by my doctor. 

Sorry to hear about the results, but it sounds like you are in good shape to move on to the next therapy if need be.  There are definitely other options out there. the problem may be one of “cold tumors” (not much t-cell infiltration for the checkpoint inhibitors to amp up). PV-10 or an oncolytic virus or T-Vec may be the way to get your immune system to start noticing the melanoma cells. Good luck

It’s possible that these are non-cancerous lung nodules, although I’m not sure how likely those are while on Keytruda. A pretty significant number of healthy people have lung nodules that are benign. I would ask your doctor If there’s a way to confirm that these are in fact cancerous if you are otherwise having a positive response to Keytruda.