On Friday, Aug 10, Joan and I went to see a specialist at the Markey Cancer Center. All good news. He said that proposed treatment at Baptist Hospital (BH) in Louisville is the best recommended treatment. He also explained to us that the NET cancer is not the same as NET cancer found in the Lung and Liver. They are small cell cancers, spread very rapidly and must treated aggressively. My cancer is a large cell cancer, spreads more slowly and is partially dependent on the Adenocarcinoma (common colon cancer). There is a treatment specifically for the NET but he said if they treated me for both, it would kill me (lethal combo). And since the Adeno is the more aggressive and primary cancer, they treat that. And, as previously stated, one of the components of the Adeno treatment is effective on the NET cancer. It sounds funny, but as we were leaving the doctor said he hopes to never see me again. If all goes well and I don't have any recurrences, that should be true. So I also hope to never see him again.
I meet with the BH doctors again this coming week to finalize treatment plan and have a port inserted into my chest for the chemo and blood tests. Based on previous conversations, it will involve about six months of treatment. Ten weeks of chemo followed by six weeks of radiation and chemo followed by ten more weeks of chemo. Based on my current health, the doctors say I should have minimal side effects.