Need advice on next course of treatment

Thank you all for the advice! We went to the clinic today and when the onc saw me, I could tell he knew we had business to attend to! ;o) So, he let Jeff order another CA 19-9 to see if the higher numbers were a fluke, and he gets to take 3 weeks off. Because Jeff is so healthy and showing absolutely no issues, and his CT scans have never shown a change, he is confident that he will maintain for a while longer. Jeff gets to have a new CT scan next week, and then he’ll determine what new chemo cocktail to give him. The Abraxane worked well for 8 months, but with his numbers inching up we want to stay ahead of the curve and any explosion of the disease into other areas of his body. So, it’s time to switch. Jeff never progressed on Gem-Carbo (he had toxicity effects, platelets were too low), so he’s thinking about putting him back on Gem-Cis with the Cis spread out over 2 doses. OR, he said he’s also had really good results with Irinotecan on its own or with Gemzar, and he’s going to look to see if there is a combo that combines those with Cisplatin. He also said that since Jeff is doing so great, he would never advise him to go into a Phase 1 trial. He had thought the researcher would have some Phase 2 trials, but at this point we don’t need to look into that. Huge misunderstanding. What a relief!