Sarah and I went to get the results of her MRI earlier today and it was about what we expected after seeing those tumor marker results: her cancer has advanced and we need to start a new treatment. On the positive side the smaller liver lesions have not gotten bigger, but on the not-good side the largest one has tripled in size in the last three months and is now 4.4cm wide. So, Gemzar is out and Sarah will start something new. We're going to firm up the treatment plan with the doc on Thursday but it looks like a heavy dose of Taxol + Carboplatin every three weeks will be the next step. Back to hair loss, nausea and possibly neuropathy in extremities. Also, Sarah will begin taking Zolodex again to ensure that her estrogen levels are low (estrogen makes her cancer grow faster) and she'll continue taking Herceptin and Zometa.
Since we were expecting something like this, it seems to have softened the blow of this bad news a bit. But, we also know that the relatively "quiet" and stable period over the past 6 months will come to an end when Sarah begins this more intense chemo treatment next Monday. Sarah is determined to do whatever it takes to fight her cancer and we will continue to be focused on living today while staying hopeful for the future.