The train schedule has been refined. The surgeons assistant has never seen a 21k hormone level. My level was 14k in November where it jumped up from eight hundred a year earlier, and where through surgeries I had gotten it as low as 400. It did drop to 19k from the tests last week. All my liver functions went up and she would let the doctor better explain the timetable.
He called me an hour later, and basically said I have a 51% (probable) to live six months. He thinks the three to six month time frame is probably highly probably, but at anytime the liver could quickly deteriorate. He also said there could be some time beyond six months, but each patient is variable.
I thanked both of them for their efforts as part of the 11 surgeries which started with a diseased gall bladder being removed until my last stay at Northwestern for a chemo liver emoblization. I said I was deeply grateful for the extension of the four years of quality in my life, and I would let them know if the oncologist was aware of any targeted immune therapy, but he warned if the liver declines much more even a target therapy could not reverse the liver damage or the timetable.
So there it is. A doctor said I could make it to six months, but the most likely time period will be three months to six months. Now after years of battling and not giving up, I must simply accept the cards as they have been dealt as all cards are now on the table. I emailed the kids and told them I look forward to spring break, but the doctor warned that I will soon have a hard time getting out of bed, and my appetite will decline, with more itching, weight loss, mental confusion, bleeding, and bruising. We will return to Illinois at the end of March and I will never return. Fortunately, we had great results from our pros on the project, and before I pass I think I may have given my wife many options.
We take neighbors out to dinner Tuesday, and I will be emailing two groups of poker buddies that I will try to schedule a game in April. Again, as strange as this may sound, I have never been happier in my life, and only get sad when I see the reaction of the wife and kids. I do not have to act upbeat. I am upbeat. Six months is forever.