February 22, 2008


Good News from Dr. Theera and Cat Scan
I just talked to Mark by phone. He was on a bus returning from his appointment with Dr. T.in Bangkok. Mark relayed that everything on the CAT scan looked good enough that he won't have to have chemo right now apparently. There are a couple of spots to watch with a repeat CAT Scan in three months together with a Pet Scan if possible financially in Thailand or at the VA in the USA if possible to get a VA doc in our area to order it. These tests are being done at the same time as a standard in some cancer centers. I will add an explanation later. Dr. T. reportedly said he is going to write Mark's case up in a Medical Journal. Do you suppose that, along with the medical treatment, it was all those prayers, cards, letter's, children's drawings, kool-aide, licorice, and other kinds of support that everyone, old friends and new, provided Mark that kept the cancer under control? He wants to thank everyone for anything and everything they did for him as he felt very much that people cared what happened to him and this was very important to him.
PET Scans in Thailand Are New
Having a PET scan in Thailand is new in the last year. Patients used to have to go to Hongkong or Shanghai to get a PET Scan. The king's sister has cancer and she facilitated the purchase of the equipment for PET scans which I think are done at some hospital in Bangkok.
The Bus From Bangkok to Jomtien Beach, Pattaya, Thailand We used to take the taxi from Bangkok to Pattaya which is about a two and a half hour ride in good traffic and it only costs 1200 baht which is 36 dollars but now Mark is riding the bus which is about $3.50 to keep the budget in control. When he was getting radiation and chemo he was too sick to ride the bus and even a one hour car ride was more than he could stand, so riding the bus may be another symbol of progress in the cancer battle.
Picture Above Mark's friend Jin (4th from left) cooked a meal for Mark and Stephanie and some guests at the guest house. Mark is 3rd from left. Click on picture to enlarge it. So far we count Mark lucky that he did not have the Ivor Lewis surgery on his esophagus (removal of part or most of the esophagus and bringing the stomach up and reattaching it). This surgery has been a standard if esophageal cancer has no metastasis. The surgery brings many eating problems to overcome but provides a sense of security that the cancer was cut out . With stage 4 metastasis the standard is not to do the surgery. Without the surgery and only chemo and radiation, Mark's esophageal tumor seems to be gone and mark was able to eat a good portion of steak, salad and cream brulee when his sister Stephanie treated him to supper this week. She has returned to England.

No comments: