Cliff here...
So, as mentioned in the last post, my team of doctors, known as the Tumor Board, met on April 12 to discuss my treatment plan. On April 13 I talked with my nurse and learned the basics; that thanks to my response to the chemo, the remaining three chemo treatments would be postponed, and my liver surgery would be moved up. The rest of the story would come today.....
We met with my liver surgeon, then with my oncologist. This is where the twists and turns come in. The liver surgeon says my liver has responded extremely well and is in prime condition for resection (that's where they cut out the bad stuff and sew up the good stuff). He went on to say that more chemo at this time may actually be detrimental as it does cause some damage to the liver. If we were to do the remaining three treatments now, it is likely we would not get the optimal results that surgery now would provide.
The oncologist, on the other hand, would have preferred to do all eight chemo treatments before any surgery. When you understand their varying perspectives, it makes sense. The liver surgeon is all about preserving a healthy liver. The oncologist is all about eradicating cancer not only from your liver, but from your whole body. His plan now gets sidelined, so the treatment preferences can certainly collide. You quickly learn to accept that even though they are experts, the science still isn't perfect. We are still 150% confident in the surgeons/specialists attending to me.
So the plan is liver surgery on April 28, just ten days from now. They will be cutting out 60% of it. Even though the tumor has shrunk significantly, margins will be based on its original size, to be more certain he gets all the bad stuff. In case you didn't know, your liver regenerates. They say mine will grow back to adequate size within three months. Liver surgery is kind of like a timing belt, you know, where they soak you for a new water pump at the same time? With liver surgery, in most cases they rip out your gall bladder because it's in the way, probably somewhat diseased anyway, and is expendable. Then they don't bother to stuff it back in. So odds of me getting gall stones in the future pretty much go to zero! So there's a silver lining for you :)
The bummer is this pretty much kills my ability to go to my darling niece Ashley's wedding, and a short family trip we had planned. Cancer is pretty indiscriminate. It likes to dictate what you do and don't do.
I'll be hanging out at Huntsman Cancer Institute for 5-7 days following surgery. The food is pretty good at The Bistro if you want to stop by. Lots of crossword puzzles scattered all over the place too if you need a challenge. After that fun time I will be home recovering for something like 4-6 weeks. Shoot me now. They mentioned having the strength to go to the grocery store at about 4 weeks post-op. Thankfully they never mentioned EVER having the strength to go to Wal-Mart.
What happens after liver surgery appears to be up for debate again. The plan is a radiation regimen of 25 treatments, starting after liver recovery, then a few weeks of rest, then colon resection. The oncologist wants to squeeze in at least three more chemo treatments, either before the radiation or concurrent with it. That's the part that will get sorted out later.
So there you have it. The twists and turns of cancer. Certainly there will be more to come.