Reporting back in. Had a scan on Monday which showed a 2cm liver met, up from "too small to characterize" 3 months ago, plus a few other still-small liver thingies. Guess I'm not a strict Olymphian anymore. My CEA has taken a big jump for the first time ever. They found nothing to explain the pain I am having in my mid-to-low back and left inguinal areas, but my lymph node mets and the cancer that spills out around them never show on CT (barely show on PET) and I'm pretty sure some of that LN mess has grown to where it is pressing on places it shouldn't be. So in just two months I've gone from feeling pretty darn good while hiking above tree line in Colorado to taking pain meds in order to sleep.
I have appointments lined up with the head of the research center in Dallas, my regular oncologist, and MD Anderson (with traveler001's doc -- thanks for the recommendation) in the next couple of weeks. There is a vaccine trial in Dallas that has had good results that I want to look into; I wasn't eligible before because one has to have a big enough liver met to dissect and do magic stuff with and then reinject the cells... one of those kind of trials. Well, I have got one of those mets now.
I will be talking to the regular doc and the MDA doc about what standard treatments are available and what might be expected from them.
When I declined chemo for life, I said I would consider chemo when I needed it to control symptoms (not being a believer that chemo cures and knowing there are only so many bullets in the gun, I didn't want to fire them off too soon). Now the time is coming to make a big decision -- what am I willing to do, at what dosage, and for how long?
Do I regret taking the uncharted road? For me, the very personal decision to try a vaccine trial before standard treatments had failed is one I don't regret. I got to have well over a year of very good living with no cancer side effects and no chemo blues. Did the trial drug extend that good quality time? I'll never know, but 6 months with no rise in CEA was a good run for me.
And now the journey/kidnapping continues... I thank you all in advance for your understanding and support!