I’ve heard back from Dr. Esquivel’s office and he wants me to have six more cycles of chemotherapy. I’ll be changing from the FOLFOX regimen to the FOLFIRI regimen. The difference being that instead of oxaliplatin, I’ll be getting irinotecan. I’ll still have the 46-hour 5FU infusion. Yippee. I should have fewer neurological side effects, but more diarrhea. (Yikes.)
This is really disappointing. I was looking forward to being done with this part of the program and getting on with the whole “chemo washout” and preparation for more surgery part.
In addition, Dr. E. would like me to have a second opinion consultation with Dr. Marshall at Georgetown. (Well, actually, the man himself or one of his associates.) Apparently, Dr. Marshall is another world-class expert kind of guy. My impression is that Dr. E. knows him and, this is really good, it turns out that my oncologist at Kaiser also knows him and did her fellowship under him. All good! My impression (optimistic, as always) is that since my situation isn’t dire enough to require immediate surgery, they want to mess around with chemo drugs a bit to see whether they can get any effect from them on the goo attached to my liver and the other little blobs of goo elsewhere.
Anyway, so that’s the plan. Dr. Marshall is not a Kaiser Permanente doctor, so we’ll be paying his bill ourselves (and I expect it to be a whopper of a bill.) Thank goodness for savings — and for insurance that’s covered the rest of my care. And thank goodness we live in an area where there are a lot of REALLY good doctors.
I’m considering canceling my participation in holiday concerts. I had expected to be off chemo and feeling better by December, but that’s not going to be happening. I expect to be feeling worse. (More diarrhea than I’m dealing with even now and definitely more fatigue.) So… it may turn out to be a very very low key winter for me.