CMM update: Oncologist appointment today. Upshot is - he'll have a biopsy of some additional nodes within the week. If those are positive too, then he qualifies for a clinical trial. The trial involves chemo first (and hopefully he'll get in the arm with Avelumab, one of the newer immunotherapy drugs) followed by surgery. My hope is that perhaps he might have a really good response and that the subsequent surgery might not have to involve taking the whole lung (note: this is MY hope, nobody is holding this out as likely, but I still think it might be possible). He's decided to do the surgery even though it likely involves taking the whole left lung and has a significant risk of dying from surgery (5-8%).
I'm working on getting him to send an update on his medical condition to his girls. He doesn't want to "burden them". I have to help him see that they deserve to know and the burden of him dying on them without them understanding the urgency of his condition (and hopefully reconciling) is not acceptable.