Cutting Edge Medicine

Dave’s regular oncologist ordered a relatively new test for him.  Basically a biopsy sample is sent off to a company called Foundation One.  They look at the specimen for genomic alterations which may help identify therapies to which your cancer might respond.  Apparently the test is quite expensive and likely be declined by our insurance.  Dave’s oncologist assures us that this will not be an issue.  

Dave’s results came back –

6 genomic alterations

3 therapies associated with potential clinical benefits

8 clinical trials

The three therapies with potential benefits are not FDA approved for metastatic colon cancer but are approved for other tumor types.  There are 8 clinical trials available in phases 1 and 2 currently.  Only one of them is geographically close to us.  So, is this expensive test worth doing?  I think so.  Having options is a very good thing.  When we have talked to other about this test, the words “cutting edge medicine” inevitably come up.  While I appreciate being on the cutting edge, I just wish it was a little further along.



Highs and Lows

At the dinner table, we have a tradition in which each person tells about their highs and lows for the day.  These are mine for today.

High – That’s easy.  Dave’s scan news was good.  His tumors remain unchanged in size and number.  In other words, stable disease.  There is a possibility that some of the tumors could be scarring which would indicate they are dying.  I am so hopeful that this is what is happening.  He has two more rounds of chemo to go, and then we will discuss what the next plan of attack is.

Low – Electronic communication from school.  I got two emails from Samantha’s school saying that she was marked absent from a class.  She swears she was there, and I believe her.  The schools also send interims via email every two weeks.  So, every two weeks I get to see how many assignments Grant has failed to turn in.  I think life was less stressful when you didn’t really know what your kids were up to at school in the day-to-day!

Bonus High – It’s Wednesday.  “Mom/Grammy makes dinner” night.  Now Mom is out of town, but those of you who know her won’t be surprised to hear that she made it ahead of time so I could just heat it up tonight.  Tonight’s menu is roast beef, baby red potatoes, cucumber salad, green beans, and homemade applesauce.  She also provided pudding and/or fresh fruit for dessert.  The fresh fruit didn’t make it until tonight though.  It has already been gobbled up.  The whole family is excited about Wednesday night dinners.  We are very fortunate folks.