Today we received bad news from the doctor. Alison's cancer is spreading. The lesions in her liver that were present in the last scan are bigger. There are more of them now to boot. The main tumor is still the same. Her needing blood so badly a week ago indicates that her bones are following suit. I never knew that cancer could mutate and adapt to chemotherapy. He said it's more likely to adapt when there are more cancer cells to be afforded the time to change.
So what now... We're going to follow up with Dr. Morse at Duke, to see if his proposed regime has passed protocol. We're going to continue to press with chemotherapy and biological therapy. We're doubling her
Sandostatin injection. But it's time to see what options are out there and go for them. The doctor was right today when he said Alison is better now than she was in July. She is. That's why it's important to act now.
He also said that the ground on which we tread will be new, because her case is unique, unlike any other. This cancer is supposed to be slow-growing. Not many people have Neuroendocrine tumors at all, so there is less knowledge about what's effective out there. ... We may change the frequency of chemo, going to weekly. We may even change the drugs. If we do, or if we raise the dosage of the drug we haven't raised yet, it'll hurt Alison more. Her hair will go. I guess her hair to me has been like a battle flag. It's still there and pretty, saying to me that everything will be okay. But battles aren't pretty, and I guess it's better to carry a gun than a flag.
So after the news we went for some
Mozzarella sticks and Cherry Cokes from Sonic, and drove to the boat landing. We sat and ate, watched the water, and chatted. I watched the water pass under the dock, noticing the light and shadow illuminating the water underneath a green emerald. It reminded me of Lake George as a kid, laying on the dock with my best friends, looking through the planks at the water underneath. I used to imagine my life as a fish, perusing through the seaweed. I mentioned to Alison that I'd like to stay there a lot longer, and not go home. Home represented reality, where phone calls bearing bad news would go out. I liked the sun and the water, and pretending that everything was right in the world.
She looked great today, sitting next to me with her red sweatshirt and jeans, her face full of color and her hair reflecting the sun. My revelation for the day was that we can find happiness in such simplicity, even in the worst of times.
So tomorrow I'll get to work on the options, and as always, I'll keep you posted.