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    Drug or Chemo Therapy (Chemotherapy): 04/2012 The doctors decided they did not want to bombard Colin with chemo and radiation at the same time again. It really wiped him out the first time. They decided to do another four rounds of chemo and we will reassess if radiation and/or surgery is needed after chemo.

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    Oh No (Cancer is back/Recurred ): 03/30/2012 The PET came back with abnormal results in the lung. We were preparing for the worst (possibly lung cancer). However, the biopsy came back showing it was the Merkel Cell again. It did spread from his face and has been hiding in his lungs for years (even through the initial treatment). It was microscopic and undetectable until this point.

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    Celebration (Remission): 07/2010 PET and CAT showed NED. Remission began but healing was a continuous battle. The family could not be more excited. Colin on the other hand, could not enjoy the news like the rest of us. Even though the cancer was "gone" he was still going through the effects.

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    Side Effects (Many): Colin experienced weight loss (60 pounds), terrible constipation, fatigue, neutropenic fever, hair loss, staff infection (from the port), mouth sores, trismus, muscle spasms of the jaw, nausea/vomiting, taste change/loss, swallowing problems, skin changes, saliva changes, pain, mouth dryness, and of course mood changes.

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    Radiation (External radiation ): Colin underwent chemo and radiation at the same time. Before knowing anything about cancer we thought for sure chemo would be the challenge. WRONG! The esophagus is extremely sensitive to radiation. He was unable to eat, drink, or breath without being in excruciating pain. After the 10th radiation session he could no longer eat. A feeding tub was inserted so he wouldn't become malnourished. It looked like someone held a torch to the back of his neck.