Now that I think of it, I'm not sure what Dr. Pingpank meant by that comment (that they are one of only two places that do this kind of surgery). I took it to mean that they will do resections along with "debulking" of areas where mets are.. but now i don't know! If it were up to me, I would have gone to Fox-Chase in Philly for the chemo instead of staying in Lehigh Valley (where my parents live)--but my parents are so loyal, so trusting, and wouldn't dream of going to someone else.
I have struggled from the beginning with the lack of straight forward answers from the oncologist; I understand the need to be positive, but I have gone to all my dad's appointments, notebook in hand, and I always leave frustrated. My dad had a CT at the end of December ( after 4 rounds of chemo)--the report had no mention of any mets, so I asked if that meant they were gone, shrunk, what? He couldn't answer the question; he said he would check with the radiologist to see. He never called us back; at the next appointment, I asked if he had found out about the mets--he never followed up on it. I thought the absence of mets seen on a CT in September would have been a big deal....Honestly, I get so angry watching this guy busily type his notes and schedule the chemo instead of talking to us that I could just scream.
Sorry...back to the possibility of surgery. If Dr. Pingpank (or Dr. Marsh) feel it's worth taking a look (after looking at the new CT)they'll schedule the laparoscopy. The resection can't be done that way, but they would just continue and do the major surgery if they feel it's doable (they said it would be about a 10-12 hour surgery!) They would remove the part of his small bowel that had mets attached; the CT in September showed mets to the small bowel and omentum. When we went to Pittsburgh in Jan, I thought we were going for the resection then; I was shocked when the surgeon said he wanted my dad to have at least 3-4 more rounds of chemo. He basically said that since the chemo was still having a positive effect, he didn't want to interrupt that treatment before it was totally exhausted.
So--two hurdles to cross. First, the surgeon has to look at this new CT and feel it's worth taking a look; second, once he looks inside, decide to attempt the resection/debulking. I am so worried I can't seem to focus on anything else. This disease is freaking awful.
Thank you for your help and concern--I so appreciate your input!