6 pm update:
They started the shake portion of the shake and bake around 4:30. It is a 90 minute process. So when they finish that they will transition him off that, which is "a big transition" to begin the ostomy.
8 pm update:
Dr. F came by. There was a 2.5 cm mass in the omentum on the left side. Pinprick spots on the small intestine that were able to be scraped off. His spleen had an implant of some kind so it was taken completely. His liver had ONLY a cyst that was removed. Nothing on the gallbladder, pancreas, or kidneys! The left peritoneum had suspicious spots and had been location of Marvin and K so he removed it completely. And his belly button had a small hard spot behind it that might be cancer so it is gone too! The PCI score to determine if the heated chemo was needed was at max an 11 but maybe less once pathology is back. After removal, they score based on what is left, 0 to 3. 3 being 2.5 cm worth left, 0 being nothing visible left. Dr. F rates Alan as a 0. The shake n bake went well. He tolerated it very well.
Nurse called to update. Dr. Padilla is working on closing him. It's complicated and involves moving his abdominal muscles. He is still doing well. If Dr. P doesn't finish before 10, someone else will call and update me.
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