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Did you know that it is not only acrobats, gymnasts, divers, skiers, proponents of parkour (urban free-running) and fearless kids that can do back flips? During our visit to the oncologist today it became apparent that medical specialists can do them too!

Despite all indications to this point, the possibility of liver surgery has now been taken off the table. The reason is simple, the specialists comprising the Multi-Disciplinary Team, upon forensically reviewing all available scans and data, discerned that in addition to the liver tumors Sue has at least one tumor on her peritoneum (the continuous transparent membrane which lines the abdominal cavity). A lever resection as was being discussed is only indicated where there is no evidence of the cancer outside the liver. End of consideration.

We are simultaneously significantly relieved and slightly discouraged! The fact that we are no longer needing to contemplate a significant period away from home and all that goes with major surgery is a great release and relief. On the other hand, the identification of the additional tumor, combined with the heightened activity in the liver tumors is a reminder of the reality of this disease. We really do live in a 'both-and' world where opposites can be true together at the same time don't we?

All that is left now is to recommence chemotherapy. The plan is to do this 'immediately' and to start with a cocktail similar to that which Sue had previously. After a couple of rounds of this, there will be more scans to determine whether it is having any positive effect. If not, the chemical cocktail will be changed to a 'second line' of attack.

Sue is not especially looking forward to recommencing chemotherapy, especially as she is feeling quite well at present. Our hope and prayer is that the anticipated side effects will not kick in quickly or severely so we can all enjoy the lead into Christmas.

In this, as in all things, it is what it is...... and we will relax into it.