In short, the news isn't good. We met with the doctors this morning to receive the results of the blood test and the scan. Unfortunately, the cancer has spread in my lungs and further into the bones of my pelvis. Chemotherapy has already started and will run initially for three months. On the positive side, this regime is taken in tablet form but sadly it is going to be tougher than last time. For this reason I am going to have two weeks on the tablets and one week off. Not the best start to Christmas celebrations, but it can't be helped. For 25% of patients this regime will shrink the tumours. For a further 25% it will just keep the cancer stable. For the other half it will do nothing at all. If I end up in the latter scenario, they will factor in a stronger drug introvenously to run alongside the first regime which should
up the chances of there being shrinkage/stability. This other drug has tended to cause shrinkage in 40% of cases and stability in 75%. After that, if I am one of the unlucky 25% for which it does 'hee haw,' then they swap the second drug with a third one. If that doesn't work ...we'll cross that bridge at that point.
Mary and I were both very aware that the doctor mentioned my death for the first time, during his explanation of the treatment, and although we have known for over a year that my demise is a foregone conclusion for the medical staff, it still felt a bit raw. Our faith is still there, however, not in any triumphalist sense, but we have always accepted that I can survive this if God chooses. I think I have said in the past that we would never say it it is certainly going to happen, and I think all Christians are allowed a degree of doubt. However, we do believe that it is one possibility alongside all the other grim ones.
The list of side effects runs from inflamed hands and feet, through to mouth ulcers and vomiting and finally ends with death! He emphasised that this was a list of possibilities and not expected effects. For those of you who believe in prayer, as well as praying for the obvious, I really want to get off lightly as far as the side effects go, because if I don't it is going to lead to all manner of questions from Naomi, who worries that every sneeze and cough is caused by my illness and is therefore a sure sign of deterioration. I really don't want the children to know at this point what the stakes are.
We are just quietly taking all this in for the moment and I am sure we will surface again soon. That said, we are not hiding away and we will be very happy to see/hear from you as usual. I am pretty determined to keep life as normal as possible and who knows, perhaps in three months things will be looking much better. I feel a poem starting from somewhere, so watch this space.