Well, things appear to be progressing well. Dr. Billingsley thinks that my incision is healing nicely. He shared with us the OHSU pathology and CT scan reports (I generally need as much information as possible, in case folks don't know or remember that about me from the 2007 cancer adventure), and that clarified many things for me. His only concern, shared by Karen and me, is my weight. For the first time in over 30 years, I weighed in at something less than 160 lbs (158.4 lbs, with clothing on but no shoes, sweatshirt, or pocket paraphernalia). His prescription for me for the next two weeks? Wean myself off the prescription oxycodone (transitioning to tylenol/acetaminophen or aspirin) and eat at least five times a day. He focused a lot of attention on the eating. Thank goodness I managed to build muscle-mass prior to surgery through the RISE fitness program at Salem Hospital!
So, some additional details for my super-curious friends and family...
(1) A normal human male liver weighs a little more than 3 lbs. Based on the pathology report, nearly a pound of my liver was provided for pathological analysis. That means I "lost" about a third of my functional liver during the resection. The exciting news is that about 90% of that resected liver volume will regenerate in four weeks. No wonder I have been so tired!
(2) The "clear margin" around the tumor from my left lobe was 0.6 centimeters, and from the right lobe was 0.1 cm. On the right lobe, the surgeon then resected an additional 0.4 centimeters of liver mass, and that "re-excision" was completely cancer-free. Good news there!
(3) The OHSU CT scan was generally unremarkable or consisted of confirming stuff we already knew (e.g., I have a port installed in my chest with a tube that runs to my heart, and I have some "subclinical foci" in my kidney (probably related to recent kidney stone)). It is great to be unremarkable!
Dr. Billingsley was concerned that I not start the remaining chemotherapy until I have had enough time to recover physically from the surgery. It sounded like maybe the second week in July (?), and he was glad to hear that I have an appointment scheduled with my medical oncologist (Dr. Tiffany) next Monday. We will be discussing chemotherapy with her, too.
Until then it's "Eat Santa, eat! The children expect a fat Santa!" (from Rudolph the Red-Nosed Reindeer)