Today Amy and I met with Dr Carr in oncology.  He is a pancreatic cancer MD PhD and part of our oncology team.  We received some good news and some challenging news. Some things are well controlled, the mass in my pancreas, liver and lung have not increased.     Dr Carr is very pleased with my vitality and also noted a steady improvement in a cancer marker.   These are all positive trends but I have some spots on my spine they think are most likely new.   We talked through options and we are choosing to begin a new chemo regimen that will be three weeks on and one week off.  The new chemo may better treat the entire system differently than our current treatment.  We have been blessed by amazing caregivers at Mayo, and I mean every single person from Valet to wheelchair assistants, nurses, techs, doctors, cashiers, everyone.   Joe was a tremendous companion yesterday during my tests plus driving both car and wheelchair!!!!   Cherished time with my son!  

So we remain focused on joy and gratitude, embrace the chaos, and trust always in our amazing and healing God. Now we take our next step.   Next scans will be in mid June.