Bob's oesophagectomy was abandoned after two carcinogenic tumours were found in each lobe of his liver. The Consultant has told us that radiotherapy isn't appropriate and they may have a problem with which chemo regimen to offer as Bob developed saddle PEs and neutropenia after ECF and the adenocarcinoma is aggressive. We will have to wait for 3/4 weeks anyway before chemo can start as Bob has to recover from this recent surgery. Palliative care for the remaining months - quality not quantity- seems to be Bob's only option.
We trust the judgement of Mr Beardsmore and his superb MDT but are unsure what the palliative options include. We have decided to plan for the quality but even this is a little limited by the jejunostomy feeding and Bob's fatigue.
All advice and experience welcome.