Amen to that.

I'm in a similar boat to you (I call it the cruise to fuckedlandier)...started out as kidney cancer (RCC) which spread to my lungs and liver (bazinga - stage 4) . Went on a drugs trial which combines tier 1 and tier 2 treatments at the same time, there were 2 groups, one group (g1) got immunotherapy drugs (ippy and nivo) and a placebo for cabozantinib (TKI) and the other group (g2) got all 3 drugs. I ended up in g1...it cleared my lungs but accelerated my liver tumors, at this point, 2 years ago, the trial ended for me (hence I then discovered which group I was in). Was given 3 months to live at that point...then, ironically, I tried the real cabozantinib (on its own) and it shrank the tumors by 30% and up until last month my cancer had remand stable for nearly 2 years...my last CT Scan showed the largest liver tumor has started growing again...my options are, try a larger dose of cabozantinib (lots of even stronger side effects) then another TKI if the cancer has indeed adapted to the cabozantinib, which it always does at some point in time.

My only reason for sharing my story is just in case it presents you (or anyone else) another avenue of treatment to research etc...cabozantinib is considered a liver cancer treatment in its own right I believe. Although you live in the USA which is generally regarded as a leader in cancer research/treatment so I'm sure your team will have discussed it (stuff I mentioned might be called something else in the USA?).

Looks like you are already keeping your Humor, Hope and Will-2-survive in good shape, all the best with your situation BH (and all the other big-C folks out there).