June 14, 2024
David saw Dr. B today for blood work and discussion regarding the recent PET scan results. They flushed his port while we were there also. The longer the port goes without use, the harder it seems to get a blood return. It took a little bit but the nurse got it going. Ports move around so it is not uncommon to have issues like this. Just more of an inconvenience. Dr. B said he wouldn’t say we would not ever do the colon cancer chemo again but since it was not as effective as we wanted, he was hesitant to go that route again. He mentioned the possibility of trying a different chemo protocol that is used for neuroendocrine cancers instead of the regimen used for colorectal cancers. He explained there were two types of chemo combinations that could be used. One would be if the cancer in David’s liver had neuroendocrine receptors which his does not. The other could be attempted for the cancer in David’s liver that Dr. B still believes to be the same adenocarcinoma that is in his colon but with neuroendocrine features. He said this protocol (Carboplatin & Etoposide) was used for high grade and single cell cancers. He said it was given for three consecutive days every three weeks. Dr. B wants to allow Dr. K time to treat David’s liver following the ablation but wanted to mention this as a possibility. He said we would continue to watch the new lung nodule and he noted it was small. We have a follow-up in six weeks.
David’s shirt today: Avoid negativity.
(Ask David, he can explain it to you)
