Ox Fall Down

Just off the phone with Delaney. Lots of information that slips away as I write. No treatment tomorrow. No radiation for a while. I have another scan on Tuesday morning. An empty and therefore shrunken stomach will tell us definitively how large the margin is.

In the meantime I'll prepare to go see Dr. Brennan and Dr. Singer in NY.

Dr. Yoon showed Cambria my latest scans and apparently resection is feasible. Delaney thinks the common hepatic artery is already attenuated (thinned or squashed by the tumor) so the body has already started to find alternative sources for the liver. "Collateral circulation." It's started to act as though the artery wasn't there.

Delaney notes the confusion of taking such risky surgery when I'm feeling ok, except for the radiation side effects. Caniff springs to mind, "The leukemia patients come in feeling like shit and we make them feel better. They love us. The sarcoma patients come in feeling great and we make them feel like shit. They're afraid of us." But this surgery will be tricky now. If we wait it most likely won't be possible. Elvis in the background singing, "It's now or never."

No decisions until the vascular study on Tuesday morning is read.