Review Board

I know it has been a while since the last post, but this will explain (hopefully)

Most hospital have what is called a Tumor Review Board. This is a group of very qualified physicians from oncology, radiation, surgery, etc that review and discuss the best options for patients. It provides a multidisciplinary approach to achieve the best possible outcomes for patients.

In the first weeks of January, Daryl’s case was presented to the Head and Neck Cancer Tumor  Review Board. All of the Dr’s that have treated him and pathologist were present. They reviewed the final reports and had several discussions. In most reviews they discuss 15-20 patients, on this review the majority of the time was focused on Daryl’s case, final reports and recommendations.  Yes we, all know he is that special!

First, the tumor had clean margins in all areas except one. If you recall the tumor was a “plum” size and the expertise of Dr. Mansfield help pathology to really get an up  close and personal look! There a was one area on the lower end,  that showed cancer. The presentation of the cancer was extremely  unique. It formed a straight line that did not spread in any direction, except for two inches south on his esophagus.

This is not what we expected to hear, we were hoping for an “ALL CLEAR” but God has another plan  for us. We met with Dr. Mansfield and he explain the various options. (Five in total) I will not go into detail, but  we are very appreciative of his honesty with each option and that we did have options!

Our next step was to meet and consult with  our “posse” of doctors (Dr. Barone, Dr. Kossman, Dr. Smith) for their insights, so we could make the best decision.  We have spent time evaluating  all the options and  praying  to determine the best decision.

Daryl’s decision was to choose the best option for living a long life, which  is to have another surgery and I completed agree! This surgery will be as extensive as the previous one. He will basically have the remainder of his esophagus remove and replaced with another part of his colon. I will blog with  more details later.  This will take place in about two months to give Daryl time to get stronger.

We know this may come as a shock to most of you, as it did to us. We are focused on the future and know that this too will pass,  with prayers and continued support from  family and friends.

This  picture of Daryl was taken this weekend. He is still is having some challenges swallowing, but has gained weight and is beginning to eat more types of food! (note the smickers) How can you not love that smile!

Please keep us in your prayers!

Love Daryl and Charlotte