Hi all. Been gone for a while. Chemo took it's toll. As an update I have finished 4 rounds of chemo after a single dose of Keytruda in early December. Latest PET-CT showed almost all tumors (liver, nodes) have shrunk and are metabolically inactive save for one node (peripancreatic) which still has some activity, although weaker and smaller. I guess this is a good result so I will take it.
I am at the crossroads. My local onc who is my main doctor suggests to continue chemo. My onc in Singapore thinks the response is mainly due to the Pembro and suggests I switch back. I am MSI high. I trust them both and the fact that they have their own biases for the particular treatments they are suggesting is not lost on me. In the end I am choosing to take a risk at trying Pembro again for the better quality of life it offers. Hopefully it will work its magic. Still hoping against hope for a cure.