The reason for the somewhat cryptic title is that I know a lot of people are wondering if Sara’s news from the oncology appointment today is good news or bad news. I have decided that instead of “labeling” it, the news is just news. And with this information she can move on to the next steps. When I talked to Sara today she was very clear that she wanted me to put this information out here (i.e. on her blog).

The doctor confirmed that she has Stage IV colon cancer, which has metastasized to the liver. The cancer lesions on the liver are on both nodules of the liver, which means that surgery is currently not an option. The plan is to start chemo soon, with the aim of reducing the volume of liver mets and improve the chances of future surgery in the area. As the liver is vital to the functioning of the body, this aspect of her treatment will take priority for the moment. This is not to say that the colon cancer itself will not be treated; the chemo targets colon cancer, regardless of where it is located. Further genetic testing is being done on the liver mets to see if it is a type of mutation which will respond to a targeted chemotherapy, and the results should be available within a few days.

After her appointment, Sara was shown around the chemo area to meet some of the staff and get an idea of what to bring to make herself comfortable during the treatment. She also has an appointment on Friday for a more detailed introduction and explanation of the what to expect and the procedures which will take place during chemo. Right now it is planned that the chemo treatment itself will start next Monday (10/26).

In the meantime, Sara’s “homework” is to rest, eat (she lost a few more pounds since her hospital stay, due to continued pain and nausea) and hopefully a new medicine that the doctor has prescribed will help to improve her appetite.

Again she expressed her gratitude to everyone who has reached out to her and her family during this difficult time.

Picture of our mother, an avid equestrian, wearing riding clothes – Sara likes this picture a lot (sorry it isn’t in great shape)

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