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Friday, 2 July 2010

Keeping it Real

I had the CT Scan yesterday and it is now down to the Multi-Disciplinary Team meeting this afternoon to decide what they are going to do with me.

There has also been another letter giving a summary of Monday's appointment and it is stated that further treatment is either radical or palliative.  It is also stated that the situation is serious.

Whilst I can assess what the different parties have told me and the correspondence I have received the only true marker I have is my ability to eat and how I feel.

On the eating front things have deterorirated noticeably since chemotherapy finished, but are no worse than before chemotherapy.  The pragmatist would observe that isn't a good place to be after over two months of heavy toxic treatment designed to get the disease under control.

Of course that isn't the full picture.  The tumour that affects the eating is only part of the equation and it is the nodal disease (i.e. outside the oesophagus) that is just as important.

The best that I expect is to start over with either more of the same chemotherapy or a combination of radiotherapy and chemotherapy.

None of this holds any fear.  Any anxiety is founded in the possibily that the results of the scan show the disease to be too aggressive to cure and that treatment will be palliative (care not cure) from here on.

We will find out on Monday.

Meanwhile life continues as normal.  Off to the gym at lunchtime and ice-skating tomorrow with Italian Clan Man and Boogle.

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