The last time I saw the oncologist, she suspended both the immunotherapy (K) and the chemotherapy (GemOx) because I had signs of a possible pancreatitis. Over the last 3 weeks, I have been following up with a gastroenterologist and had abdominal CT scans. Although my lipase and amylase levels are high, the images show no signs of an affected pancreas or other related organs.
Yesterday, Wednesday the 21st, I returned to the oncologist. Once again, it wasn't my main oncologist, but another great one covering for her during her vacation. The consultation was reassuring. She checked everything: blood work, CT images, my recent clinical history, and even the K-GemOx protocol manuals. She also called my main doctors to discuss it further, and together they came to the conclusion that I don't need to take the last dose of chemotherapy (GemOx), because the risks aren't worth it for a final dose. Therefore, I was told to continue with immunotherapy only, which I received today. It went really well, and I don't feel anything except hunger.
Jehovah knows how much I love and need details, and that visit felt special. I already had my own thoughts about the dual treatment, but it was reassuring that another oncologist double-checked everything back and forth, then consulted my main oncologists, and they all reached the same conclusion. Obviously, I'm not saying this is proof that I'm clear and cured, but that Jehovah took care of my peace of mind, not only by showing me what I need to do, but also by how He showed it to us. Once again, I feel thankful and peaceful.
You who fear Jehovah, trust in Jehovah
—He is their help and their shield.
Why stop the chemotherapy and continue with immunotherapy only?
K-GemOx is my current treatment, which consists of immunotherapy ("K" for Keytruda, or Pembrolizumab) and chemotherapy ("Gem" for Gemcitabine and "Ox" for Oxaliplatin). The chemotherapy has several toxic side effects, one of them being toxicity to the pancreas and related organs. The immunotherapy has far fewer side effects in comparison, and it's also the one that will help the most in my situation. Therefore, the risks of taking a last dose of chemotherapy were higher than the benefits, because although my lipase and amylase levels are decreasing, they are still on the high side.
From now on, I will continue with immunotherapy every 21 days, and I will be able to resume in-person activities.
Look! How good and how pleasant it is
For brothers to dwell together in unity!