Super helpful. And yes, I am scheduled for pump placement in January. Assuming there is no spread outside the liver. There are a couple of lymph nodes (which I think is also accounting for CEA rise to 68) but Dr. Kingham says those come out along with the gall bladder. My procedure was postponed due to blood clots. I need to safely be off blood thinner for a bit before they can do surgery. In the meantime I'm doing Folfoxfiri, which is lower my liver enzymes, so I think it's working. We just to do everything we can to keep it from breaking out of the liver.
1/8/19 DS Stage 4 with Liver Mets; Successful Colon Resect
2/18/19 Started Folfox -- CEA 70
5/8/19 - BRAF mutation -- switch to Triplet Therapy: Encorafenib, Binimetinib, Cetximab
6/13/19 - CEA dropped from 214 to 22
8/29 - CEA jump to 30-- scans reveal liver spread, though still confined. triplet therapy abandoned; some concern about PIC3 mutation interfering with BRAF treatment
9/1 - 10/4 -- no treatment
10/4 -- folfoxfiri to stem further progression; pump placement in January (hopefully)