I'm afraid, my friends, that despite all the thoughts, prayers, and crossed everythings, the news is not good.
GH's bilirubin levels were extremely elevated this week, as in shockingly, astoundingly elevated. When his bloodwork came in, the whole oncology team basically came running.
What this means for us is that on Friday, GH will be going to the hospital where a detailed image of his liver will be taken. With any luck, a blockage will be found that is causing bile to back up into his liver and elevate his bilirubin. If this is the case, a simple, endoscopic surgery will be performed to insert a stent that will reroute the bile and fix the problem. A blockage seems likely since the bilirubin level shot up so quickly and otherwise GH feels relatively OK.
There's another possibility, though. It could be that the disease has progressed so much that the liver is just giving up, that it just can't do the work it's being asked to do. If this is the case, there is no fix. There's just getting ready for the end.
I'll keep you posed.