I am seeing my medical oncologist today. This is our first post-operative consultation in my brave new world of multi-site, multi-focal metastasis. I have some educated guesses of how this is going to go, and a five-page sheet of questions for them, but still, here is where the rubber really meets the road on understanding my disease progression and my mortality.

Lisa Costello and Dad are both coming with me. For moral support and note taking both, but mostly in recognition of the fact that things have gotten even more complex and more serious for me. I don't think it will be an easy morning. A lot of possibilities lie ahead, from the genomic testing of my tumor to the second opinion consultations, and more, but all of them are frankly born of desperation.

Tomorrow I shall report on what I learn.

I am alive today. For now, that must be enough.