Live · updated 21 October 2026

My One View

My whole cancer on one sheet. Every fact says where it came from, it's updated every chemo cycle, and it's all open: take it, use it, tell me what I've missed.

If you only take one thing away, take the One View. It's the whole story on one sheet of A4, and it's always the latest version.

Copied. Paste it straight into an email or your notes.

What is One View?

My whole cancer on one sheet

Diagnosis, genetics, every treatment and how it went, latest bloods and scans, everything I take, and the open questions. Each fact says where it came from. It's updated every chemo cycle, so a new doctor can get up to speed in a minute.

I think every patient should have one. I'm exploring a free tool to help others build theirs. Patients, carers, doctors and nurses: tell me what you'd want on it.

The sheet

The sheet

One sheet. Diagnosis, genetics, the chemo I'm on and the exact doses, my latest bloods, how my tumour marker has moved, what the scans say, what I'm taking, and what I'm looking for.

Doctors, nurses, second opinions

Download the PDF, or copy the plain-text version straight into an email or a clinic note. No login, no forms, no chasing me for letters.

Researchers and AI agents

FC:AI One View is the short, structured summary, built on the HL7 mCODE structure: oneview.json. The complete feed — every blood panel, the chemo log, the sequencing manifest — is profile.json, with the source PDFs in the full record.

Everyone else

This is what's possible with the information you already have about yourself. Why I'm doing it →

Right now

The five things that change

Everything below is checked against the source documents before it goes up. Nothing is estimated or carried forward. If a number isn't in a report, it isn't here.

  Chemo, doses & plan

Cycle 5 of FOLFIRI + cetuximab

FOLFIRI + cetuximab (rechallenge, 3rd block), every 14 days. This is my third block of this combination and my 16th cycle of it since April 2025.

C119 Aug 26
C22 Sep 26
C316 Sep 26
C430 Sep 26
C514 Oct 26
C6TBC
Cetuximab500 mg/m²1000 mg
Irinotecan180 mg/m²400 mg
5-FU bolus400 mg/m²900 mg
5-FU infusion (46h)2400 mg/m²5000 mg
Folinic acid350 mg

Full doses, dose-banded · BSA 2.08 m² (84.5 kg, 185 cm, 16 Sep 26). From the prescription chart for cycle 4.

Plan: 8–12 weeks, then consider maintenance 5-FU + cetuximab if response is good. CT the week of 2 November, results 9 or 10 November.

Next: Cycle 5 given 14 Oct 2026 · C6 28 Oct · CT the week of 2 November

Bloods

12 October 2026

CEA (my tumour marker) was 47.3 ug/L on 12 October 2026. Previous readings: 87.6 → 146 → 50.9 → 44.6. Normal is roughly under 5. CEA is 47.3 µg/L. 146 on 1 September → 47.3 on 12 October; steady at about 45–50 over the last three draws. The hard fall across the restart has levelled off rather than continued, and one reading is not a trend — the CT the week of 2 November is what answers it. ALP has gone 102 (July) → 165 (1 Sep) → 179 (14 Sep) → 169 (29 Sep) → 190 now. Haemoglobin and red cells are still just under range, bilirubin is back inside it at 14, and red cell distribution width is flagged high for the first time. The 29 September platelet count is confirmed at 280, inside range.

MarkerResultRange
Haemoglobin129 g/LLOW130–170
Red cells4.13 ×10¹²/LLOW4.40–5.80
White cells9.79 ×10⁹/L3.0–10.0
Neutrophils6.84 ×10⁹/L2.0–7.5
Lymphocytes1.95 ×10⁹/L1.2–3.65
Monocytes0.80 ×10⁹/L0.2–1.0
Platelets290 ×10⁹/L150–400
RDW15.2 %HIGH11.5–15.0
ALT30 U/L10–50
AST39 U/L10–50
ALP190 U/LHIGH30–130
GGT28 U/L10–71
Bilirubin14 µmol/L0–20
Albumin44 g/L35–50
Globulin35 g/L19–35
Adjusted calcium2.47 mmol/L2.2–2.6
Phosphate1.27 mmol/L0.8–1.5
Creatinine72 µmol/L59–104
eGFR>90 mL/min/1.73m²
Sodium136 mmol/L133–146
Potassium4.0 mmol/L3.5–5.3
Urea3.3 mmol/L2.5–7.8
Chloride98 mmol/L95–108
Magnesium0.86 mmol/L0.7–1.0
Every draw since April 2025Full bloods table →

Clinic letters

24 Aug 2026
24 Aug 2026 · Consultant clinical oncologist · Pre-assessment before cycles 2 and 3
  • First cycle done, with the expected side effects, mainly fatigue.
  • Go ahead with the next two cycles, pending blood results.
  • CEA to be monitored. Repeat scan after five cycles to weigh response against side effects and quality of life.
  • Next review: telephone consultation before cycles 4 and 5. WHO performance status 0.
4 Aug 2026 · Consultant clinical oncologist · Review of expedited CT
  • CT shows progression at the previous lung and chest lymph node sites, a new liver metastasis (segment 7) and some new small-volume lung metastases. This explains the persistent cough.
  • Plan: restart FOLFIRI + cetuximab. If it responds well, step down after 8–12 weeks to maintenance 5-FU + cetuximab rather than a full treatment break.
  • Mistletoe injections to be suspended during chemo, and most supplements too. Any I want to keep can be checked by pharmacy for interactions.

Summaries of the clinical content, not the letters themselves. Personal details and anything that isn't about the cancer are left out.

Scans

23 Jul 2026
23 Jul 2026 · CT chest, abdomen & pelvis
Progression above and below the diaphragm; new segment VII liver metastasis

Compared with May 2026: left perihilar soft tissue up from 3.9 cm to 6.0 cm with distal atelectasis; right lower lobe up from 3.3 cm to 4.2 cm; additional pulmonary nodules new or enlarging; mediastinal nodes increased, particularly subcarinal; new low-density lesion in hepatic segment VII, considered recurrent disease. Portal vein patent. No peritoneal disease, ascites, abdominopelvic adenopathy or aggressive bone lesion.

12 May 2026 · CT chest, abdomen & pelvis
Good response in the mediastinum and lungs

“Good response to treatment within the mediastinum and lungs.” Compared with January 2026. End of the Feb–May 2026 block.

6 Jan 2026 · CT thorax, abdomen & pelvis
Further mild progression

“Further mild increase in intrathoracic lymph nodes and pulmonary disease. Short very severe stenosis left upper lobe bronchus suggesting imminent occlusion.”

Next CT: after cycle 5All scans →

Protocol & a day on chemo

21 October 2026

Most of my integrative protocol (off-label drugs, supplements, mistletoe) is paused while I'm on chemo, on my oncologist's advice. This is everything I'm actually taking.

Chemo dayStandard pre-meds (Akynzeo, dexamethasone, chlorphenamine, atropine) · pegfilgrastim 24h after
SupportiveDexamethasone ×3 days · domperidone · loperamide · doxycycline + Plazon (skin) · Laxido · antihistamine · zopiclone PRN
OtherCitalopram 30 mg (breakfast) · melatonin 60 mg (evening) · metformin MR 500 mg twice daily (from cycle 5 day 7) · loratadine 10 mg
PausedMistletoe and most supplements / off-label drugs, during chemo on my oncologist's advice

The previous protocol (June 2026) is kept in the full record.

A typical day in the first week of a cycle

  • 08:00Domperidone (anti-sickness)
  • 08:30Breakfast with citalopram, antihistamine and coffee
  • 09:00Home-made tomato juice and raw apple cider vinegar mix (mostly because I crave it)
  • 09:30Laxido, dose 1 of 2
  • Late morningDoxycycline (prescribed for cetuximab skin rash)
  • 12:30–15:00Bed rest / sleep
  • Day 4 onwardsMetformin MR 500 mg twice daily, from cycle 5 day 7
  • 15:30Laxido, dose 2 of 2
  • 18:00Family dinner
  • BedtimeMelatonin 60 mg · zopiclone if needed during the post-steroid wide-awake nights
How I got here

Treatment history

  • Dec 21–Feb 22Neoadjuvant XELOX ×4 · good partial response
  • Mar–Oct 22Primary resected · liver met resected (R0) · adjuvant CAPOX
  • Oct 22–Apr 23Lung mets appear, progress · SABR 55 Gy/5
  • Jun & Aug 24Lung ablations (1 left, then 1 left + 4 right)
  • Feb 25EBUS confirms mediastinal nodal disease
  • Apr–Jul 25FOLFIRI + cetuximab ×6 · good partial response
  • Feb–May 26Rechallenge ×6 · good response (CT 12 May)
  • Jul–Aug 26Progression during the break · FOLFIRI + cetuximab restarted 19 Aug
Genetics

Molecular profile

KRAS/NRAS wild-typeBRAF wild-typepMMR / MSSHER2 IHC 0TMB-low · 3 Mut/MbPD-L1 <1% (22C3, 28-8)
APC p.S1415Rfs*4Frameshift · tissue MAF 8.5% · cfDNA 0.62%
TP53 p.R342*Nonsense · tissue MAF 9.21%

VUS: RUNX1T1, FANCM, CIC, BCR, CYP2D6. Exploratory (Astron/ICC): MTOR and VEGFR1/2 protein positivity, HMGB1 overexpression. Source: EXACTA report, 1 Sep 2025. Smouldering myeloma under haematology surveillance. Last myeloma markers in my records: 30 Jun 2025, IgG kappa paraprotein, free kappa light chains 22.8 mg/L (range 3.3–19.4).

The ask

Is there anything else I should be doing?

If you understand this profile (a patient with something similar, an oncologist, a scientist, a geneticist) I want to hear from you. Trials, combinations, tests, people I should be talking to.

If it's a juice, a book, or something that worked for a friend's uncle: I know it comes from a good place, but I've had my fill.

⚕️ This is my data, shared openly. It is not medical advice and it is not a plan to copy. Take anything useful to your own clinical team.