We are back at chemo today and surprisingly Jon's bloodcounts are good enough to move forward with chemo. His WBC are up because he actually voluntarily accepted Neulasta injection last week and although his RBC, hemoglobin, and hematocrit are below normal they are still good enough to receive chemo.

The only good thing I will say about Jon feeling so crappy is that he is actually much more cooperative and compliant than his normal self. I guess even cancer and chemotherapy can have some positive side effects.

I've been diligently researching our surgical options and have contacted all the major cancer centers throughout the US. So far the best intervention we've found is a combination of radiation and surgery called Intraoperative Radiation. It is a procedure where all cancer that can be surgically removed is extracted and then any inoperable tumors receive a high dose of radiation directly to the tumor. The question are 1. Is Jon a candidate due to large tumor in the liver abutted to the vena cava? and and 2. Can the radiation treat a larger area than ablation which has already been ruled out due to the size of the tumors. Originally I discovered this procedure at Sloan Kettering in New York but found this morning that it is also offered at Seattle Cancer Care Alliance (UW and Fred Hutchinson). I have phone calls in to the local surgeons who perform the procedure and am awaiting their return calls.