Things not going according to plan

Although I am getting the worlds best treatment for my condition and this treatment is clearly working on the tumors, recent events have made me realize that this may not be enough. My fatigue continues to increase while my appetite continues to diminish. Each day is a little harder than the day before. I am having increased contact with medical professionals and the very real prospect of the worst outcome is now in the foreground. While there is still lots of hope, I have been forced to face having to plan for a less than optimal outcome.
At this stage I can no longer type this blog but dictate it to my wife. I had blood tests taken yesterday at home and these may well indicate that I may need another blood transfusion (I would be surprised if I don't). There are at least two choices as to where I could get my blood transfusion and I will likely opt for Mercy Hospice if there is a bed available. Hospice staff have indicated that they could get my pain symptoms managed and I may well give them this chance, as I don't want to continue down the current path (it would be great to be pain free).
On a lighter note I enjoyed watching a movie with my son yesterday (although I had to lie down the entire time). He has just returned back from rowing camp and seems bigger and stronger than ever.