The ER doc said the scan showed an obstruction in the bowel. The plan was to admit her to the hospital because he thought it was poop caught behind the tumor.

But when the surgeon looked at she thinks it is more likely that the cancer itself is blocking her bowel.

They could do surgery but it would only provide a few weeks of relief before the cancer migrated back. Also she’s in poor shape for surgery.

The cancer has been growing aggressively since we stopped the chemotherapy.

We will do a decompression procedure, where the run a tube down her nose and suck everything out of her stomach and bowel stuck behind the obstruction.

But basically this is end game and the end is coming very quickly.

I have to talk to Jacqueline’s oncologist to see how we manage this last part.

Oof.

Holding you all in my heart, David. I am so sorry.

This is unbelievable -- so hard to really take it in. There are no words to encompass it. I'm thinking of you and JZ and your family all the time and sending so much love your way.

Oh no, that sucks so bad JZ and David. Damn.

David, I love you all, and I hope things will be as easy as possible.

That sounds painful.

Oh, no. Thank you for keeping us posted. You have so many things to take care of and think about and balance. I’m grateful you have time to update us.

This. Especially. (If you, Hec, need something for you, don't be afraid to ask.)

I'm so sorry.