Green light the production

Friday was a long day. The traffic was expectantly gnarly.

We went to Stanford and met up with the surgeon, after he reviewed the most recent CT scan I had. Doctors wanted to see what the status of the tumor was with regards to positioning with some vascular tissue, as Toomie is nudged up against some major veins and arteries.

The surgeon had some wonderful things to say:

1. We can operate in conjunction with a vascular surgeon as they need to reconstruct my veins and/or arteries during the procedure.
2. It's excellent news that the tumor markers decreased another 30%.
3. The Pylorus-Preserving Pancreaticoduodenectomy (Whipple Procedure) wouldn't involve removing the entire pancreas, and he'll only need to remove a little bit of my stomach (at this point, these are good things given the fact that about only 15-20% of people diagnosed with pancreatic adenocarcinoma are eligible for surgery).

He also said some relatively spooky shit:

• If the blood loss is too significant in the event there is significant vascular reconstruction during the surgery I could die.

This is the first time I've ever heard "you could die" from a doctor. I've never had any major health problems. Not even a broken bone. The extent of my surgical history prior to all this involves some stitches on some cut fingers.

During the meeting with the surgeon I indicated I wanted to proceed with surgery, so I then was told I need to do another CT + Angiogram study in order to provide the vascular surgeon some insight into my inner workings. My wife and I ended up staying around Stanford until the scan, which was scheduled for 4:30. We grabbed some lunch, where we had some fabulously presented jasmine tea.

We then popped by the Apple Store and charged our phones, browsed some nearby stores, and finally it was time to head over to the imaging center. While charging up the surgeon's office doing the Whipple called and scheduled my surgery. The folks at the imaging facility were downright lovely to work with, and my nurse was able to access my port as opposed to trying to stick me 5 times to get a peripheral IV going. I was truly thankful for this little nugget of goodness. I then ran through the scan without any hitches, and the wife and I foolishly hopped on the road at 5:20 leaving Stanford. It took us about 2 hours to get home. The trip reminded me of my former daily commute to eBay from home. Ah, glorious traffic. I love how you can take hours away from our life and ask for nothing in return but fatter guts, bigger asses, and more burned fuel. I digress.

I go back to Stanford next week to meet with the vascular surgeon, discuss the recent scan and the forthcoming surgery, and then I'll meet with some folks to "map my veins". I'll likely donate some during the reconstruction. Come mid-October I check in for operation. I'll likely be in the hospital for 7-10 days afterwards.

The date is set. It's going to be some brutal recovery, but this procedure is curative in nature. I'll need to do some chemo after I recover from going under the knife, too, so it'll be quite a journey. I'm very happy to be on this path.

Thanks to all our family and friends helping us out. We could not be going through this without your assistance and love.