We met with Dr. Keish, who we liked a lot. Dr. Adams-Conway had told us that he is the doctor she wants Scott to see - so much so, that if he can't logistically get down to Miami everyday for radiation, she'd rather do the surgery than have him get radiation from anyone else. This is so critical because she wants to make sure the radiation is targeted and the rest of his body is protected. Radiation damage to his bowel and bladder could cause lifelong problems, and could damage the area so much that surgery would not be a good option as a "back-up" if needed. Plus, his skills would minimize side effects from radiation, which is more good news for Scott.
So, we met with Dr. Keish and he pretty much confirmed everything Dr. Adams-Conway told us back in this post, but we did get a bit more information. Radiology is still the likely option over surgery, but it's not definite yet. The doctors and Scott will make a final decision after chemotherapy is done. They still feel that surgery is going to be a very hard recovery for Scott. The doctors want to keep monitoring the progress of the tumor and see where he's at come November. If radiology becomes definite, he'll get a three week break after Chemo before radiation starts. It will be every weekday for 5 - 6 weeks. This is going to very hard on Scott to drive an hour or more to downtown Miami, to get radiation for a half hour, and then drive back to either home or work (depending upon the time of day), but it's the right thing to do and they'll work with his work schedule. Dr. Keish advised he'll feel tired for the last few weeks and for the few weeks after, but other side effects should be minimal. (yay!)
Scott's still recovering from last week's inpatient stay, but he's feeling pretty good and his spirits are still good. He'll be back in Monday the 8th for his next outpatient (provided his counts look good). This biggest issue for him lately, besides being so tired, is beating the heat - the poor guy is a walking oven. We're happy we got to finally meet our adorable Godson Wade the weekend before and see our good friend Megan - now we're looking forward to all this being done and flying out to Indiana to meet our Nephews. Here's a happy picture for you guys!

As always, thanks so much for all of your love and concern - we're so grateful for it!
Love,
Amy
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