10/07/2026
Hey Ragers! It's been a minute.
But no news is good news around here, and we get to live life a little more normal for a bit. Not being tied to chemo is truly a blessing. But getting caught back up on normal life, I'm not sure if we ever can.
We finally got Harper in and she got her permit successfully on the 1st try. She had Homecoming this last week with her friends. Ryan was going to be pulling the FFA float, but they were rained out. She has been busy with volunteering at the zoo, and animal shelters, getting in riding time working barrel racing.
Ella has been practicing more and more with her baking and cheesecakes, and opened up her own spot on our front porch for her treats. She can barely keep them in stock, once she posts they are all so good. Now Ryan's even starting to try some and feels like he can ease up a bit on his strict diet just a bit. Between the dental office assisting, Chiefs or Royals or baking and her friends she stays busy. But is also a big help to us when we need that extra hand at home with everything going on.
Now for the updates you really want....Ryan has a CT scan this week and an appointment with Dr Sun at KU.
His CA-19 marked has dropped an unbelievable amount.
CA 19-9 is a tumor marker measured with a blood test. It is most commonly used in pancreatic cancer to help doctors track how the cancer may be responding to treatment over time.
Today his CA-19 marker was the lowest it has ever been since this started at 432.7 (below 35.0 is considered normal). His high was at nearly 34,000.
Now the Tumor itself!! Some of the BEST news!!! Dr Sun was VERY excited. There is substantial shrinkage in not only the main tumor but also Ryan's liver tumor spots. We did have 3 spots completely removed and are gone (that are not measured here) by the histotrispy. And the center of the tumor has had a reduction in size, and the histotripsy was shown to have removed 40% of the center of the tumor. That is not shown in this measurement either.
Now the main tumor and his additional liver spots are all showing a large amount of response and shrinking according to his doctors and he is responding very well.
Access to the Drug:
This has been a big issue, and still was today. When Ryan went in our insurance was still not approving the medication. I've written letters to our state representatives, I've been on the phone with BCBS, and KU told us not to worry it would happen. But as of his appointment today it did not. As he sat in the office they told him they had not had any success yet, and asked him how many pills he had left. They told him they were finding extra pills from the Expanded Access Program to get to him. So credit to them for doing everything they could to not leave their patient high and dry.
But give it 15mins and another nurse walks in, and it is NEW NEWS, she had been on the phone and found a new program that just happened. An exception program that opened today. For patients that like Ryan. If they were on the drug prior to the FDA approval, in the EPA program, have Doctor's authorization, and repeated insurance denials. So Ryan's exact situation. In that case Revolution Medicine will provide the medication to those patients for free. So she handed Ryan over his next 30 day supply!!!
Thank god above for the mountains you are moving for us up there! Cause I know they were big ones, and we sure felt that!
The only big issue he is having is the rash. Luckily it is not much on his face....his arms are taking the brunt of the hit. He may hate me for showing that picture, but to give you an idea of what we are trying to deal with. I've told him, and Dr Sun did today as well, that he needs to cover them even more with sun shirts during the day when he is out. He doesn't like to listen to either one of us though. He told him that the daily exposure is making that worse, and his skin is alot thinner, so when he gets a cut or stratch from work it just bleeds. He had his first couple of random people ask him if he had gotten in a fight with a rabid squirrel, or beat himself up. He told them no just a fight with pancreatic cancer. 🤣 He did get in with Cornerstone Dermatology, bless their hearts, he is their first pancreatic cancer patient that they have that is on this drug. I tried warning them. Ryan might be a bit much for them. But they are trying, and we appreciate that.
Thanks for hanging with me, if you are still there for my long update! We truly appreciate you so very much. All your prayers have got us this far, and we aren't stopping now!