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Here we go again!

On 1st June I had a blood test that reveal a raised CEA marker. At an appointment with Clinical Cancer Nurse Sue Roberts, she told me that the CEA number was 15, up from 3 in January. A CT Scan was expedited undertaken at Southlands Hospital.

At an appointment with Mr Baig, colorectal consultant I learnt that there were multiple peritoneal deposits. An appointment with Dr Webb, consultant oncologist followed on 21st July, and he ran through the scan images. Starting with the liver he showed that none of the deposits were affecting the organs. The 'deposits' shown on the scan were in the lower abdomen.

Dr Webb said that there would be an optimal window that had not been reach from the information available in July. As he said the chemotherapy makes patients feel unwell for little benefit.

A colonoscopy was next on 9th August and that showed a health colon with the resection scar that had healed very well.

A blood test on 22nd August showed a further rise of the CEA marker, up to 33. A phone consultation with a member of the Oncology team on 25th August brought the advice that chemotherapy should start. The treatment regime indicated by the profiling of the tumor is Folofiri, a combination of two infused drugs. This requires a PICC Line to be installed as the second drug is infused by pump over 46 hours at home.



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Blood Test Results

 The pre-treatment blood test is important to ensure that patients are capable of with standing the toxic effects of the chemotherapy drugs. My neutrophil and Alt levels have cause deferment over the past few months. This weeks blood test results are ok so Monday's infusion will go ahead. That's Monday morning at 9:30 am definitely early! 

Chemotherapy Cycle 20

My 20th infusion occurred on August 23rd a week later than expected due to last week's abscess. Blood test was on Mondayand while the Neutrophils were in the normal range at 2.6, the Liver function test ALT was high at 131, up from 89 four weeks previously. This result need Dr Webb, my consultant's approval before the chemotherapy could go ahead. Drugs can only be ordered from the hospital Pharmacy once approval has been given so there was a two-hour delay befor ethe drugs arrived. All went well and I was discharged only around 45 minutes later than expected. Just needed Corsodyl mouthwash in the way of drugs this cycle. The next step on this journey is pump removal on Friday and CT scan on 29th August.

Oncologist consultation

 I have a quarterly appointment with my oncology consultant, Dr David Webb or one of his team every three month. Last week my appointment was with one of his team and two Mcmillan nurses, Sue and Jo. The oncologist asked how Iam coping with the treatment having had 20 chemotherapy infusions. I told her that I continue to tolerate the drugs very well and am managing most of the key side-effects well and continue to search for solutions for the others. She then told me that the recent CT Scan showed that the two growths remain stable, and the Blood CEA marker has recently fallen to 2, the lowest since November 2021. Most pleasing. She then asked if I wished to have a break, which I declined an ordered a further 12 infusions.