Looks like DH will finally come home today. Phew! It was a challenging few days - his ostomy is working fine, but he threw up several times, had difficulty keeping any food down; was bloated and uncomfortable after eating even tiny amounts of solid food. This is slowly resolving. Surgeon thinks all the treatments he’s had these past 4 years probably contributed to making his intestines very sensitive. They will continue to monitor closely, and he could always receive outpatient IV.
He’s very gassy (ostomy bag noisy!) but I assume this will improve with time. Losing weight but he’d gained a lot this past year, so he’s actually happy about that.
We’re meeting with oncologist on Thursday but given pathology report I’d be surprised if he’d recommend adjuvant treatment (he’s pretty “hands off” to start with). I read the 2022 ASCO guidelines for stage 2A and there’s no factor that would make DH a candidate for additional chemo (no perineural or perilymphatic invasion, high grade tumor, 16 clear lymph nodes, etc).
I suppose the next step will be discussing reversal with surgeon. He already told DH that the tumor was quite low, so DH knows it will be challenging, but, one day at a time!
Wife of Dx 04/18 (51 yo). MSS, KRAS G12A, no primary
Lytic met L4 vertebrae, EBRT 04/18, SBRT 02/19
Resect small intestine 05/18 (no cancer - Crohn's)
Failed adjuvant Xelox ; Folfiri + Avastin 03/19 to 01/20
6.7 cm left adrenal mass 03/19, successful resection 02/20
Multiple small lung nodules (03/19) now gone/calcified
L3-L4-L5 fusion surgery and partial corpectomy 05/20
CEA since 03/19: high 81.1, low 3.2, now 66
MRI 2/11/22: rectal adenocarcinoma pT3 pN0 stage 2A
LAR surgery April 11