Despite Adam's scan on Monday being classed as 'stable', Adam himself is anything but. His blood and urine markers from later the same day were elevated, the latter the highest it's ever been. Coupled with renewed aches/pains that now include legs, shoulder, and back, the signs aren't good.
External beam radiotherapy has been mentioned, but the pains Adam is experiencing now are not in the same areas as those he had before; consequently there's no obvious rationale for where to target.
I am still intending to return home next Tuesday as planned, but after that we are no longer sure of anything. To the extent that we may actually end up doing a repeat PET scan as early as next week to see if that shows any further changes. At least we are in the best place, a place where everything that needs to be done gets done with maximum speed and efficiency. It all has to be paid for, of course, out of our appeal funds … it's just a shame it's 3,800 miles away from home is all.