Yesterday found us with more bad news...the cancer has spread even more. James is no longer a candidate for the proposed surgery. There is cancer above the diaphragm which wouldn't be covered in the surgery. We don't really even ask where or what size anymore. We just know it is alive and well. Yesterday, James was simulated for radiation. He may have the place in the chest done or his entire abdomen. Dr. L was going to study his case a little more before deciding. Dr. C started him on the maintenance chemo he was on last year with an extra drug to attempt to starve the cancer cells and prevent them from reproducing.
James has grown very tired and lacks energy. He doesn't have much of an appetite. He relies on pain medicine round the clock to keep comfortable. This road just keeps getting rougher and rougher.