Thanksgiving

This is the month when we celebrate Thanksgiving Day, and today for Marlene and me is a special day for giving thanks. We met with Dr. Batts, our oncologist, this morning for the results of my CT scan, which followed my final regimen of chemotherapy. His words included phrases like: “the scan showed nothing suspicious,” “there is no evidence of cancer,” and “the cancer is in remission.” We thank God for this good news and thank you for your prayers and other expressions of support.

The next steps are to get lab work done in three month intervals and have a CT scan in six months.

We share the following devotional from Charles Spurgeon (1834-1892) as an expression of our thanksgiving.

"I will praise thee, O Lord." 
Psalms 9:1

Praise should always follow answered prayer; as the mist of earth's gratitude rises when the sun of heaven's love warms the ground. Hath the Lord been gracious to thee, and inclined his ear to the voice of thy supplication? Then praise him as long as thou livest. Let the ripe fruit drop upon the fertile soil from which it drew its life. Deny not a song to him who hath answered thy prayer and given thee the desire of thy heart. To be silent over God's mercies is to incur the guilt of ingratitude; it is to act as basely as the nine lepers, who after they had been cured of their leprosy, returned not to give thanks unto the healing Lord. To forget to praise God is to refuse to benefit ourselves; for praise, like prayer, is one great means of promoting the growth of the spiritual life. It helps to remove our burdens, to excite our hope, to increase our faith.

It is a healthful and invigorating exercise which quickens the pulse of the believer, and nerves him for fresh enterprises in his Master's service. To bless God for mercies received is also the way to benefit our fellow-men; "the humble shall hear thereof and be glad." Others who have been in like circumstances shall take comfort if we can say, "Oh, magnify the Lord with me, and let us exalt his name together; this poor man cried, and the Lord heard him." Weak hearts will be strengthened, and drooping saints will be revived as they listen to our "songs of deliverance." Their doubts and fears will be rebuked, as we teach and admonish one another in psalms and hymns and spiritual songs. They too shall "sing in the ways of the Lord" when they hear us magnify his holy name. Praise is the most heavenly of Christian duties. The angels pray not, but they cease not to praise both day and night; and the redeemed, clothed in white robes, with palm-branches in their hands, are never weary of singing the new song, "Worthy is the Lamb."

1) Psalm 34:2

2) Psalm 34:3, 6

3) Psalm 32:7

4) Psalm 138:5

5) Revelation 5:17

Blessings

I’ve been blessed by having two weeks off from chemotherapy treatments. And, they have been a great two weeks, especially the second week. There were very few side effects during the second week, only a little fatigue. During week two, we traveled to New Jersey for the wedding of our nephew Greg Braunius and to Chicago for a Commissioned Pastor Advisory Team meeting. In addition, my appetite has been good and I’ve been able to be active in some Church Leadership Center meetings and a variety of projects around the house.

While thankful for the blessings of travel and work, I’m especially blessed by a caring family, church, and medical community. Tomorrow begins what is planned to be the final three weeks of chemotherapy.  The chemo should be followed by a CT scan. Our hope is that the CT scan will show no evidence of cancer. I look forward to updating you in about four weeks.

The song “Blessings” by Laura Story has been good for me recently. The words are below. Click on the following link for the Youtube video. https://youtu.be/1CSVqHcdhXQ

We pray for blessings

We pray for peace

Comfort for family, protection while we sleep

We pray for healing, for prosperity

We pray for Your mighty hand to ease our suffering

All the while, You hear each spoken need

Yet love us way too much to give us lesser things

Cause what if Your blessings come through raindrops

What if Your healing comes through tears
What if a thousand sleepless nights 
Are what it takes to know You're near
What if trials of this life are Your mercies in disguise

We pray for wisdom

Your voice to hear

And we cry in anger when we cannot feel You near

We doubt Your goodness, we doubt Your love

As if every promise from Your Word is not enough

All the while, You hear each desperate plea

And long that we'd have faith to believe

Cause what if Your blessings come through raindrops

What if Your healing comes through tears

What if a thousand sleepless nights 

Are what it takes to know You're near

And what if trials of this life are Your mercies in disguise

When friends betray us

When darkness seems to win

We know the pain reminds this heart

That this is not, this is not our home

Cause what if Your blessings come through raindrops

What if Your healing comes through tears

And what if a thousand sleepless nights 

Are what it takes to know You're near

What if my greatest disappointments

Or the aching of this life

Is the revealing of a greater thirst this world can't satisfy

And what if trials of this life

The rain, the storms, the hardest nights

Are Your mercies in disguise

Next Steps: From Glory to Glory

We had a consultation with Dr. Batts yesterday. This followed a week in which I was receiving hydration and potassium infusions every day, either at the Cancer Center or Holland Hospital. Our conversation with Dr. Batts focused on next steps for my cancer treatment. Because I was only able to tolerate 3 of the 6 scheduled chemo treatments, the final two treatments have been cancelled.

We will now take two weeks off for recuperation before resuming treatments: 3 weeks on, 2 weeks off, 3 weeks on. That tentative schedule begins on September 8 and ends on October 26.

The doctor said that he feels that Burt's cancer was pretty aggressive, and without any further treatment it could easily recur. Hopefully, the next two weeks will result in increasing stamina and appetite, with lessening of the side effects of the latest chemo buildup.

That's the latest at this point in our journey. We continue to be grateful for the medical community and the faith community, who are our staunch companions on the way! In fact, the level of care that I have been receiving has caused me to focus on the biblical phrase, “from glory to glory” (2 Corinthians 3:18). The full Scripture verse reads, “But we all, with unveiled face, beholding as in a mirror the glory of the Lord, are being transformed into the same image from glory to glory, just as by the Spirit of the Lord.”

Being hooked up to IV bags, pumps, and heart monitors does not seem very glorious. But there is even a beauty to the experiences of this life. There is a glory to cleanliness, compassionate nurses and doctors, caring family and friends, and treatments that fight sickness, brokenness, and discomfort.

There is great hope in knowing that this glory of the present is a foundation and preparation for an even greater glory that is to come. Though we may struggle with some aspects of the present, join me in celebrating lives that are moving from glory to glory.

Moving Forward With Confidence

This is a brief update to my last blog. That blog talked about dealing with conflicting recommendations from our medical oncologists. We have decided to move forward with the course prescribed by our local oncologist, Dr. Batts. This will involve weekly chemotherapy infusions for six weeks, then two weeks off, and then six more weekly treatments.

Even though there are pros and cons for differing approaches, we proceed with confidence. Note however, our hope and confidence transcends that which is offered by the medical community. Following is my paraphrase of the writing of Thomas a Kempis on the topic of confidence.

In you, O Lord God, I place my whole hope and refuge; on you I rest my suffering and sorrow; for I find my life to be frail and fragile; however, I continue to hold on to you.  

Many have offered to help: loyal friends, caring councilors, and compassionate pastors. However, unless you assist, help, strengthen, counsel, instruct, and guard; everyone’s good intentions will fall far short.

You, O Lord, are the culmination of all that is good, the height of life, the depth of all that can be spoken. To hope in you is my strongest comfort. 

To you, therefore, I lift up my eyes; in you, the Father of mercies, do I put my trust. Protect and keep me from the dangers, difficulties, and diseases of this corruptible life. 

By your grace, direct me along the way of hope and peace in this life and in the journey toward being at home with you in the place of everlasting brightness and joy.

The Certainty of Uncertainty

Some may remember that today was our scheduled visit to the University of Michigan Cancer Center. We had appointments with two doctors. The first was with my surgeon, Dr. Nathan, for a one month surgery follow-up. The second was with Dr. Veenstra, a medical oncologist, to discuss chemotherapy options.

Dr. Nathan affirmed good progress with post-surgery healing. I can now drive, and I did so for most of the way home from Ann Arbor. I like being in the driver’s seat. It is necessary to wait the normal two more weeks before lifting objects over five pounds. In all areas of life, I like heavy lifting, and I look forward to the physical stuff.

Dr. Veenstra discussed chemotherapy options with us. She first reviewed the recommended approach of our Holland doctor, Dr. Batts. Then she laid out four different protocols and described the rationale for her own preference. Her approach seems more intense than that of Dr. Batts. Because of the differences between the two doctors, we need further discussion with Dr. Batts. I will update this blog after we meet with Dr. Batts on Monday.

Experiencing the differences between the two doctors has helped us to appreciate the importance of being able to live with uncertainty. The norm should be: accept uncertainty while being certain about who God is, who we are, and how we should live. There is strength for facing an uncertain future in the words of Jesus:

“Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes? Look at the birds of the air; they do not sow or reap or store away in barns, and yet your heavenly Father feeds them. Are you not much more valuable than they? Can any one of you by worrying add a single hour to your life?

“And why do you worry about clothes? See how the flowers of the field grow. They do not labor or spin. Yet I tell you that not even Solomon in all his splendor was dressed like one of these. If that is how God clothes the grass of the field, which is here today and tomorrow is thrown into the fire, will he not much more clothe you—you of little faith? So do not worry, saying, ‘What shall we eat?’ or ‘What shall we drink?’ or ‘What shall we wear?’ For the pagans run after all these things, and your heavenly Father knows that you need them. But seek first his kingdom and his righteousness, and all these things will be given to you as well. Therefore do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own” (Matthew 6:25-34 [NIV]).

I Don’t Care !?!

I don’t care. There seem to be experiences, feelings, and thoughts about which, to a degree, I don’t care…. and yet, at the same time, to a degree, I do care. And, there are moments when caring and not caring appear to be present, side by side, overlapped, and paradoxically integrated. 

Before going further, the BIG news is that I was discharged from University of Michigan Hospital Cancer Center today. Whoo! Hoo! We left at around 11:30 AM and Marlene got us home by 2:30 PM. How sweet! 

While the surgery was major (liver resection and gall bladder removal), God was with us in so many ways, making this an amazingly successful process. I am still in the early stages of recovery and ask for your continued prayers dealing with nausea, fatigue, and the return of normal digestive functions. Thank you for caring about these things as Marlene and I continue on this journey. 

Now for a few thoughts about caring and not caring.

There were a couple of days when I felt so badly that I didn’t care that family members and work colleagues had driven three hours to visit me. I just wanted them to leave, and I told them so. How strange… not caring about the caring of caring family and friends. And yet, deep down, I did care but I couldn’t bring myself to accept their expressions of caring. Thank you, friends, for loving me in spite of my weakness.

Not caring, took on another face on Saturday night: this one was a beautiful and blessed surprise. I was walking the halls, doing my exercise laps. Off in the distance was the music of a group singing the hymn, “Great is Thy Faithfulness.” Was I imagining this? Was this the sound of Jesus calling me home? I had to know.

As I got closer to the music, it was coming from a patient’s room. About 10 individuals were squeezed in the room singing… nice looking people, men in suits and ties, women in finery. A young man (early 20’s) saw me, stepped out of the room, and said, “We sing to people. Would you like us to come and sing to you?” 

This hit me like a tsunami. Of course I’d love you to sing for me. (Is the Pope Catholic?). Moments later they were in my room, singing “Great is they Faithfulness” and having a word of prayer. I cried a little, sang a little, and praised God a lot. 

This is where the, “I don’t care” part comes in. On that Saturday night, I didn’t care about the denominational orientation of this group. Their historical, theological characteristics didn’t matter to me. All that mattered was that they loved Jesus and chose to minister to the sick through song and prayer. They were not like people in the churches that I’ve served and, you know, I don’t care.

He Did Good

The doctor's first words to Marlene and Stephen were, "He did good."  We know that God guided the surgery and the "good" is also in response to the prayers of many.

The surgeon reported that the spot on the liver way very small, so small that he would have missed it if he hadn't known it was there. The tissue surrounding the spot was all healthy, and an ultrasound of the liver and the rest of the abdomen revealed no additional concerns. The gall bladder was also removed. The previous colon incision showed no scar tissue to cause bowel blockage.  

I am already up and walking and freely moving from bed to chair. Pain is very minimal. I am sleeping well and have started on clear liquids.

Many thanks for your continued encouragement and prayers. God did good.

Ann Arbor and the Promised Land

We now have specific information about my upcoming surgery this coming Monday, the 15th. Our schedule looks like this:

11:30 AM – Check-in at the University of Michigan Cancer Center,

1:30 PM – Surgery for removal of spot on the liver and removal of the gall bladder.

This is a new experience for us. It feels very different to be going out of town for surgery. This is likely because of our lack of familiarity with Ann Arbor and being hours away from supportive family and friends. Our son Stephen will be in the waiting room with Marlene during the surgery. While I’m in the hospital, Marlene is staying at a nearby hotel that provides shuttle service to and from the Cancer Center.

When thinking about going to a new place, I am reminded of the story in Numbers 13. Moses sends twelve spies to explore the promised land of Canaan. When the spies return, all agree that it is a land of milk and honey, a beautiful and bountiful place. However, they are significantly divided in whether or not to possess the land.

Most of the spies said no: “We can’t attack those people; they are stronger than we are… all the people we saw there are of great size… we seemed like grasshoppers” (31-33). Caleb said, yes we can, or in his words, “We should go up and take possession of the land, for we can certainly do it” (30).

The story of the spies and the Promised Land reminds me that there are contrasting ways of viewing the challenges that are before us. We can approach these situations from the perspective of fear or of faith. We can see opposition or opportunity. Put me down as a faithful follower of Jesus who is looking forward to a new opportunity for healing and strength.

Many thanks to all who read this for your continued encouragement and prayers.

Working the Plan

This week involved two significant meetings with doctors. The first was on Tuesday, June 2 with Dr. Batts, our oncologist in Holland. We will not be doing anything further with chemotherapy until after liver surgery, and then it is anticipated that the chemo mixture will be adjusted. 

The second meeting was yesterday, June 4 with Dr. Nathan, the surgeon at University of Michigan Cancer Center. We have scheduled surgery (removal of a small spot of colon cancer on the liver, as well as removal of the gall bladder) for Monday, June 15 at 10:45 am. This will involve a 5 -8 day stay at the hospital in Ann Arbor.

The plan between now and June 15 is for me to exercise, eat well, rest, and generally build up strength in preparation for the surgery. Talking about eating well, when in Ann Arbor, you should visit Zingermans Deli (422 Detroit Street). They have some of the world’s best sandwiches. We had a Ruben, described as “voted as best in the nation.” It is without peer.

It is wonderful to begin enjoying food again. My taste for Starbucks is also coming back (What would they do without me?!).

This blog seems to be lacking in drama. Perhaps my situation, at this stage, is referred to by the medical community as “unremarkable.” Nonetheless, what I am experiencing is remarkable. And it includes:
 -A closer walk with God through Jesus Christ, the Great Physician.
 -Deeper relationships with family and friends. Marlene and I celebrate our 49th anniversary on June 9. Our love for one another has grown in ways that were previously unimagined.
 -Having a greater understanding of what it means to live one day at a time.
 -Appreciation for colleagues who have stepped up to cover areas of responsibility with Church Leadership Center.
 -Many evidences of progress and a plan, God willing, for becoming cancer free.

Up My Nose With A Rubber Hose

"Up My Nose With A Rubber Hose" is one way of thinking about this past week. A more medically correct phrase would be to say that I have been connected to a "nasal - gastric tube." since Monday night.

Following is an overview of the last several weeks..
- a. Third chemo treatment was administered, May 4 - 6.
- b. When we went in for the fourth chemo treatment on May 18 - 20, I was severely dehydrated and had significant nausea issues. Chemo was cancelled, hydration administered, with directions for continuing hydration. The situation only got worse throughout the day.
- c. At 9:00 PM, Monday evening, the on-call Doctor told us to go directly to the Emergency Room of Holland Hospital. We were  immediately admitted, sent to intensive care, and fitted with a nasal - gastric tube. The tube rapidly released over 3 liters of fluid and I have remained connected. 
- d. Since admission on May 18, I have been hooked up to hydration, nutriment, and other "meds in bags."

Good progress has been made, overall. It is possible that I will have the nasal - gastric tube removed tomorrow and be released.

The next steps are for consultation with the liver surgeon on June 4 and surgery on June 15, both at U-M Cancer Center, Ann Arbor.

We are blessed by your prayers. Remember: The God of the mountains is also the God of the valleys!

Timeline

A timeline is a linear projection of directionality that includes the accomplishment of a number of short term goals that move a participant or organization toward the achievement of a larger long term goal [my definition]. We have been working on developing a timeline for my cancer treatment.

After meeting with doctors at the U of M Cancer Center last week and with our own physician today, we’re projecting a timeline for treatment. This is, of course, subject to change. God may intervene at any time. Medical tests and discoveries vary. And, only God knows what is really going on in my body.

Here’s the tentative timeline.

April 20 - 22	Chemo treatment	Holland
May 4 - 6	Chemo treatment	Holland
May 18 - 20	Chemo treatment	Holland
Late May	MRI	Holland
June 4	Surgery consultation for removing spot on liver	Ann Arbor
Late June	Liver Surgery	Ann Arbor
Late July - November	Resume chemo: 8 treatments over a 4 month period	Holland

We know that there will be additional dates for consultations and treatments, but they should all fit within the above timeline.

While I’m thinking about planning and goals, here are a few of my favorite quotes.

It's not hard to decide what you want your life to be about. What's hard . . . is figuring out what you're willing to give up in order to do the things you really care about.

Shauna Niequist

If you don't know where you are going, you'll end up someplace else.

Yogi Berra

What would you attempt to do if you knew you could not fail?

Robert H. Schuller

Cat: Where are you going?

Alice: Which way should I go?

Cat: That depends on where you are going.

Alice: I don’t know.

Cat: Then it doesn’t matter which way you go.

Lewis Carroll

Everybody has their own Mount Everest they were put on this earth to climb.

Seth Godin

Begin with the end in mind.

Stephen Covey

Cancer Center Visit

We would never have anticipated that our first trip to Ann Arhor, Michigan would be for appointments at the University of Michigan Cancer Center. But, that was our journey yesterday, Thursday, April 17. Marlene’s sister and her husband, Jerry and Diane Antoon, provided wonderful support by joining us.

Our consultations were with Surgical Oncologist, Dr. Hari Nathan, and Medical Oncologist, Dr. Christine Veenstra. We were richly encouraged by these gifted physicians, their staffs, and the entire culture of the Cancer Center.

Their recommendations are consistent with those of our current Oncologist, Dr. Eric Batts. However they are suggesting a few modifications that make sense to us. As a result of the appointments, Marlene and I have a better understanding of the current situation and the proposed future direction. The doctors spoke positively about the probability of being “cancer free” as a result of a planned liver surgery and continued chemotherapy.

Many thanks for your continued prayer during coming chemotherapy treatments and for future liver surgery. On Monday I receive my second round of chemo. At that time, we will also meet with Dr. Batts to make decisions about the recommendations from Drs. Nathan and Veenstra.

Marlene and I live on a little lake and have a small sandy beach. Yesterday the landscapers added fresh sand to the beach. This morning I went outside in bare feet and made footprints in the sand while reflecting on the following story.

Footprints in the Sand

One night I dreamed I was walking along the beach with the Lord.

Many scenes from my life flashed across the sky.

In each scene I noticed footprints in the sand.

Sometimes there were two sets of footprints, other times there were one set of footprints.

This bothered me because I noticed that during the low periods of my life, when I was suffering from anguish, sorrow or defeat, I could see only one set of footprints.

So I said to the Lord, "You promised me Lord,

that if I followed you, you would walk with me always.

But I have noticed that during the most trying periods of my life there have only been one set of footprints in the sand.

Why, when I needed you most, you have not been there for me?"

The Lord replied, "The times when you have seen only one set of footprints, is when I carried you."

Mary Stevenson

Second Opinion

Upon receiving the news that the spot on my liver is cancerous, I talked with the Dr. Batts about getting a second opinion.  He agreed and recommended University of Michigan Cancer Center, Ann Arbor. (You've heard the old second opinion crack. Patient to Doctor upon getting news of his/her illness, "I'd like a second opinion." Doctor to patient, "OK, you're not only sick, you're also ugly.")

Monday afternoon we received a flurry of calls from Ann Arbor. W are scheduled for two appointments for this coming Thursday: one with a chemo doctor and one with a liver surgeon. We are thankful to get the ball rolling before the next chemo treatment, which is scheduled for this coming Monday.

I am apprehensive about the next chemo treatment. The side effects from the first have been significant: fatigue, mouth sores, sensitivity to hot foods and drinks, decreased appetite, a bit of nausea, both constipation and diarrhea. We may need to modify the mix or dosage.

As I reflect on the coming days and making connection with new individuals in the medical community, the prayer of St. Francis comes to mind.

Lord, make me an instrument of thy peace.
Where there is hatred, let me sow love;
Where there is injury, pardon;
Where there is doubt, faith;
Where there is despair, hope;
Where there is darkness, light;
Where there is sadness, joy.
O divine Master, grant that I may not so much seek
To be consoled as to console,
To be understood as to understand,
To be loved as to love;
For it is in giving that we receive;
It is in pardoning that we are pardoned;
It is in dying to self that we are born to eternal life.

Further Developments

Over the Easter weekend, we were waiting for results from the liver biopsy that I had on Good Friday. Dr. Batts called with the news this noon that the small spot that had showed up on the CT scan and the MRI is cancerous. 

This moves us into a new area of discussion, testing, and treatment. The situation now includes the following.

Yesterday, Monday, I was hooked up to a chemotherapy pump. After a four-hour infusion in the cancer center, I went home with a continual infusion of the chemotherapy for the next 46 hours. The infusion pump will be removed tomorrow, Wednesday. It's a portable thing that can be fit in a sport jacket pocket. It just means that I'm dressed better than most when I'm out and about. We are currently planning on this for the next three months--or possibly six months.

At the three month point, liver surgery will likely be recommended to remove the spot. At that time. we will also be able to see how the spot has responded to the chemo, or if there are other spots in other places.

Because the liver has become involved, we will be working with our local oncologist in getting a second opinion. This will be as soon as possible through the University of Michigan, Ann Arbor, where we will seek recommendations on treatment options.

As we look at the developments of these past months, we are surprised at how rapidly the situation has escalated. From a routine colonoscopy at the end of January, to colon surgery on March 3, to multiple tests (CT scan, MRI, ultrasound, fine needle biopsy), to the first chemotherapy treatment this week, and now toward possible liver surgery. 

We remain grateful for the fine medical and spiritual support we are receiving. In going through this journey, we find help in Scripture, prayer, music, and the support of family and friends. The following quote about attitude has been on my mind today.

“The longer I live, the more I realize the impact of attitude on life. Attitude, to me, is more important than facts. It is more important than the past, the education, the money, than circumstances, than failure, than successes, than what other people think or say or do. It is more important than appearance, giftedness or skill. It will make or break a company... a church... a home. The remarkable thing is we have a choice everyday regarding the attitude we will embrace for that day. We cannot change our past... we cannot change the fact that people will act in a certain way. We cannot change the inevitable. The only thing we can do is play on the one string we have, and that is our attitude. I am convinced that life is 10% what happens to me and 90% of how I react to it. And so it is with you... we are in charge of our Attitudes.” 
Charles R. Swindoll


  

A Quick Update

A quick update:

Monday's MRI did show the "spot" that the CT scan had originally revealed; however, it was impossible from the MRI to indicate whether that spot is merely a benign cyst or cancerous. The next step is a fine needle liver biopsy, which is today, Friday, at 11:30 AM.

We're assuming that it will be Monday or Tuesday before we find out the results. Meanwhile, you thoughts and prayers are appreciated.

Bible passages on which I have been reflecting lately are:

Consider it pure joy, my brothers and sisters, whenever you face trials of many kinds,  because you know that the testing of your faith produces perseverance. (James 1:2-3)

Rejoice in the Lord always. I will say it again: Rejoice! (Philippians 4:4)

My Health: An Introduction

Welcome to the reactivation of my old "Blogger Burt" site.

I've decided to use this site to record personal information about my/our journey in dealing with colon cancer, including insights from Scripture and examples of expressions of support from friends and family. There may also be occasional posts about work, travel, and family.

Beginning with a colonoscopy in January, we have been on a journey that has moved from a routine colonoscopy to the discovery of cancer cells and related surgery and chemotherapy. 

On January 22 I had the colonoscopy (Dr. Bruce Fletter) during which a cancerous polyp was discovered.  

This led to colon surgery (Dr. Fletter) on March 3. The doctor removed about 1/3 of my colon along with 26 lymph nodes, 2 of which contained cancer cells. The discovery of cancer cells led to the recommendation for consultation with with an Oncologist, Dr. Eric Batts, on March 17. Dr. Batts recommended a CT and scheduled it for March 23.

The CT scan revealed a spot on the liver. They could not tell from the CT scan if the spot is cancerous or just a cyst, so an ultrasound was done on the liver and related organs on Thursday, March 26. 

While waiting for the results of the ultrasound, I had outpatient surgery (Dr. Fletter) to install a port for beginning a 6-month regimen of chemotherapy on March 27. Chemo was to begin on Monday, March 30. It is administered in three day blocks, every other week for 6 months. 

At the March 30 appointment, we learned that the spot on the liver was not detected by the ultrasound. This could mean that the spot is not there (many friends were praying for healing) and was a technological error in the CT scan or that it is present but not visible to ultrasound. 

Dr. Batts recommended that we do an MRI to look at the area more closely. Consequently, chemotherapy has been delayed for a week. The MRI is scheduled for Monday evening, March 30.

If there is no cyst or if there is a non-cancerous cyst, the treatment protocol will still be for six months but labeled as "curative."  It there is a cyst and it is cancerous, the treatment protocol is referred to as "palliative," requiring a more extensive level of care.  

While we're not sure what is the outcome of the MRI nor of my tolerance to the first round of chemo which is now scheduled to begin on Monday,April 6, we are sure of God's grace, faithfulness, and healing mercies. 

Your prayers are especially appreciated for the MRI tonight at 10:10 PM and next Monday at 9:45 AM when I begin chemotherapy. I am so grateful for Marlene's love and support. She is alongside me each step of the way.