We started our marathon day at MDAnderson with the first of ten appointments at 6:15 AM.  The day included a CT scan of the neck tumor, visits with Melanoma specialists and radiation specialists as well as opthamology, cardiology, infusion and lab work.

Rusty's course over the next two weeks will include five days of radiation to the neck/shoulder area commencing on Thursday this week.  Tomorrow they will do "mapping " in preparation for this radiation.  I understand that mapping is a complex process which includes measurements, math, physics and medical technology to insure that the radiation is targeting the affected area and avoids critical structures in the area.  The actual radiation treatments will start Thursday.  The hope is to stop the tumor growth and hopefully shrink it.

Then, during the week of August 22 Rusty will undergo "Gamma Knife Radiosurgery" targeted to a very small (about 8mm) tumor in the brain.  Gamma Knife treatment is a single dose of precisely targeted radiation to a tumor.  Preparation is extensive and includes stabilizing the head in a frame that directs the radiation with pinpoint accuracy.

Immunotherapy infusions will continue every two weeks as before.  Until all the radiation is complete, he will discontinue the oral chemotherapy.

We're planning to stay in Houston through next Wednesday when he has the final radiation treatment to the shoulder/neck.  John, Tracy and Joey are coming to visit on August 19 for a week, so we'll wait till they get here to finalize plans for Gamma Knife week.

Since this new tumor has caused Rusty an increasing amount of pain, we are thrilled to be moving towards resolution!  As always, the intensity, quality, timeliness and level of care here at MDAnderson is incredible!