Yesterday I met with both the surgeon, who did the resection, and my oncologist. I saw Dr. Ansari first thing in the morning and she had the pathology report from what she removed. No earth shattering news, it was what we’d all suspected, adenocarcinoma. In my case that means metastatic esophageal cancer. On the upside Dr. Ansari was happy with how I was doing and said she wished all her patients were like me. She also made very sure I understood if I needed anything at all to give her a call. An incredibly sweet woman. I’ve been incredibly blessed by all of the doctors I’ve had work on me.
Now, if I could only find a car mechanic with as much concern and integrity as my doctors.
In the afternoon I saw Dr. Pishvaian. He really didn’t have an answer about the tumor. Based on a bunch of gastric issues I’m no longer dealing with (since the surger) I think the tumor’s been there for a while. I asked about the CT scan I had back in June to see if it showed up then. His comment was even the most recent scan barely showed anything. They only knew something was there because they could see the blockage occurring in that location. The tumor may very well have been there for some time and it was only in the last 2 months that it had restricted around the small intestine causing the obstruction. In any case he wants to take a conservative approach with the chemotherapy and is discontinuing Folfox as my chemotherapy. While the tumor in my lung hasn’t grown he’s just not sure of it’s efficacy and wants to move on to using either Paclitaxel or Docetaxel. There is also the chance of getting on another clinical trial but the one he wants me on has no available seats. He’s contacting the pharma company to see if he can get them to release a couple of additional slots for the ongoing study at Georgetown. So we’ll see.
Given chemotherapy doesn’t let the body heal very well I’ll be taking a break for the rest of the month in order to let my incision heal. So, YAY ME! I get a month off of chemo. I’m scheduled to see Dr. Pishvaian again on the 26th to start my next phase of treatment – what ever that may be.
Overall I’m doing well and I’m once more a bit more upbeat after seeing Dr. P. He’s always been very straight with me and seeing his positive attitude with me yesterday has once again helped bolster my own spirits.