July 27

Well, ordinarily today would have been Mark's chemo day, but it was held today. We met with Dr. Farmer on Friday afternoon. She had talked with Dr. Bartlett's PA, Heather, who feels that Mark's cancer is back as they see seeds through the abdomen like before. The good news is nothing is in the lungs or liver. The colonoscopy was clean as well. His CEA was higher at 32. Heather feels that Dr. Bartlett would be open to do another surgery on Mark in Pittsburgh. He is out of town now and should be back this week sometime. They probably won't use the heated chemo again, but would do more of a debulking surgery where they go in and get out everything they see and then we hit it hard with chemo again. We will have to change chemos since this one is not working well.

Mark has (or will have) been off of the oxaliplatin for more than 6 months by then and we can try this again or go to third line therapy.

We have to hold chemo 5-6 weeks before surgery since Mark has been on the Avastin again and that makes him less likely to heal. We hope to hear an answer from Pittsburgh this week when Dr. Bartlett returns. So much is up in the air right now.

Mark got a terrible virus yesterday and his temperature went up to 104.5. He got shaking chills and felt awful. He wouldn't go get looked at, but wanted to wait it out. He was actually better this morning and the fever is gone. I guess it was a good thing they cancelled chemo because they would have had to hold it anyway.

We haven't told the kids much about any of this yet. We are waiting until we know more definite plans before we break the news to them. I know they will be devestated about all of this, so I think waiting is better for now.

Keep praying for Mark as always. God bless!!!!!!!!!!!!!