Last November, and again this month, I had CT ざっと目を通すs, and it turns out my 癌 (Adenoid Cystic Carcinoma) has been growing. (If you 港／避難所’t known me for long and didn’t know I have 癌, the timeline and in particular the ビデオ might be a useful introduction.) I now have lumps of 重要な size – 2cm or larger – in both of my 肺s and in my 肝臓. It has also spread to the space between the 肺 and the chest 塀で囲む. It 普通は doesn’t 原因（となる） much bother there, but it can 貯蔵所d the 肺 to the 塀で囲む and 原因（となる） breathing 苦痛.
For the last 14 years, we have been に引き続いて まず第一に／本来 a surgical 管理／経営 戦略. To this end, I have had だいたい 5 neck 操作／手術s, 2 mouth 操作／手術s, 2 肺 操作／手術s, and had half my 肝臓, my gall bladder and my left 腎臓 除去するd. Documentation about many of these events is 利用できる on this blog, linked from the timeline. Given that I’m still here and still pretty much symptom-解放する／自由な, I feel this 戦略 has served me rather 井戸／弁護士席. God is good.
However, it’s now time for a change of tack. The main lump in my left 肺 surrounds the pulmonary artery, and the one in my 肝臓 is の近くに to the hepatic portal vein. 外科 on these might be risky. So instead, the 計画（する） is to wait until one of them starts 原因（となる）ing actual symptoms, and to 適用する targetted 放射線療法 to 縮む it. Because my 癌 is “indolent” (a.k.a. “lazy”), it can have periods of activity and periods of inactivity. While it seems more active at the moment, that could stop at any time, or it could 進歩 異なって in different places.
There is no general chemotherapy for ACC. However, at my last 協議 I was asked to 参加する a 臨床の 裁判，公判 of a new and 利益／興味ing 治療力のある technique, of which more very soon.
A friend texted me a word of 激励 this morning, and said he and his family had been reading Psalm 103. It’s a timely 思い出の品 of the true nature of things:
The life of mortals is like grass,
they 繁栄する like a flower of the field;
the 勝利，勝つd blows over it and it is gone,
and its place remembers it no more.
But from everlasting to everlasting
the Lord’s love is with those who 恐れる him,
and his righteousness with their children’s children ?
with those who keep his covenant
and remember to obey his precepts.
Praying for the Lord’s will to be done. My father in 法律 used to say often “God is good, all the time” and he went home to the Lord about 3 years ago after about 30 or so 外科s in a 6 year 戦う／戦い with pancreatic 癌. Like him, your 証言 gives glory to God. 賞賛する God.
Get 井戸／弁護士席 soon, Gerv, get 井戸／弁護士席 soon.
I wish you will get 井戸／弁護士席 very soon, my thoughts are with you.
Will be praying for you brother. Continue to 残り／休憩（する） in God’s perfect 計画（する） (as I know you do).
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Wish you the best.
Get 井戸／弁護士席 soon Gerv!