You have my full attention

• Appointment with Dr. T at Siteman South County

NP S came in and talked with Hector and I first. We covered a lot of things, in about 30-40 minutes. And after she discussed things with Dr. T, the four of us all sat together.

The Guardant blood test done earlier this month shows that I definitely have active cancer cells again. Some bits that have shed off from the tumors (based on DNA analysis) are in my bloodstream and that, is not great news. It is hard for me to explain it all, but I think this video does a good job: http://video.cnbc.com/gallery/?video=3000505715.

Putting together all of the information that we have, liver lesions on CTs/MRIs, blood work, CEA test results (up but still considered normal), the Guardant blood test and how I've been feeling, it all points to a recurrence that needs attention.

Dr. T is going to present my case to the tumor board on Thursday morning. From what I understand, it is a meeting of knowledgeable minds to talk through available options. And in advance of that meeting, another radiologist will read all of my scans as well. (Another set of eyes is always a good thing.) I'll also be hearing from a couple of surgeons about meeting with them to talk through options.

Since it might not be surgery though, my maintenance treatment scheduled for next week remains on the calendar for now. Many things still TBD.