I sincerely apologize for not staying up to date on Billy-Jo's progress. With this being his third major surgery in just over 4 months I have felt a bit overwhelmed. I have heard a few people are upset that I have not updated recently and for this I truly apologize.
Billy-Jo's last surgery went well. We were expecting a total nephrectomy of the right kidney, however, the surgeon was able to save approximately 40% of the right kidney. We are very pleased with that. The nephrologist estimates his total kidney function between both kidneys is approximately 43%, so dialysis is not needed at this time. They consider him to have moderate to severe kidney disease due to the loss of kidney volume versus kidney pathology, which the doctors say is a good thing because the remaining portion of the kidneys are healthy.
The oncologist states that there is a approximately 20% chance of recurrence within 5 years. However, this statistic is based on patients with cancer in only one kidney. They do not have statistics for someone who had bilateral kidney tumors as well as a Neuroendocrine tumor in the small intestine. All in all, we are keeping a positive outlook with this news. The oncologist is going to be monitoring for recurrence with CT scans every 6 months.
Since the surgery, Billy-Jo has been significantly anemic which has caused him to be severely fatigued. The nephrologist is not sure if the anemia is due to surgical blood loss or as a result of the decreased kidney function. He on iron supplements and his latest lab work shows some improvement. Due to the moderate to severe kidney disease he is no longer allowed to take NSAIDS (Non Steroidal Anti-Inflammatory Drugs) such as Ibuprofen. 
Billy-Jo is anxious to get back to work in December as long as he continues to improve. He especially misses his colleges as well as his patients.
Thank you for all the support and kindness that has been shown.