Thank you everyone for your continued prayer support and words of encouragement.

I finished 10 rounds of radiation this past Thursday.  The side effect is more prominent this week as my red blood cell count, white blood cell count and neutriphil all dropped below the normal lower bounds. I definitely feel more fatigue and need to take naps often. It hurts a little to swallow due to radiation impact to the esophagus.

Bone pain level is getting a bit better these two days.   It was quite an experience the other day when I had hiccups. Each hiccup sent pain throughout my rib cage. Thankfully, the hiccups did not last too long.  It also hurts to sneeze, cough and laugh.  But I still welcome any comic relief, because laughter is still good medicine despite the pain.

Per the liver MRI results, it is confirmed cancer has metastasized to the liver, but the site is less than 1 cm and it is too deep in the organ to biopsy.  We’re waiting to hear back if bone biopsy is an option.  Bone biopsy is not the most ideal because most of the impacted bones have already been somewhat radiated, so the tissue might not yield the most accurate pathology test results.  But I guess we will take what we can.

At my stage of the disease, there is no cure, but there are treatment options to manage the disease and potentially prolong life.  At this point, the doctor can only tell us the median life expectancy for people similar to my state is 2-3 years.  It all depends on how my body responds to the first course of systemic treatment. (Treatment TBD after they analyze the tissue from the biopsy). I was feeling quite downcast earlier this week, overcome with sadness whenever I thought about how sad Siang, Mom and Dad, my brother would feel if I were to leave this world soon.    To be honest, I felt that I was loosing my fighting spirit.  But I think I’ve re-gained some courage since. I need to be that much braver than the last two times as the road ahead is probably going to be much tougher… …