Hi everyone, 

My Dad was diagnosed with Bowel Cancer last Summer. We don't really talk about it much and I fel so clueless and quite helpless and left searching the internet trying to figure stuff out. 

We don't live close by so I mainly talk to him on the phone. Its so swkward to ask questions and even though I want to I can never bring myself to do it. 

This was what my sister sent in a text last year when I asked if she knew more than I did. My Dad had sent her this info when he was first diagnosed - T4 NO M1 Upper Rectal Grade II Adenocarcinoma with Peritoneal involvment on left side and Liver Metastases. 

I don't really undertand to be honest. 

Anyway, my question is - He had first round of Chemo last year, then a good break of about 3 or 4 months over Christmas time. He had another round and finished that about 4 or 5 weeks ago. I thought he would have another good break again, hopefully over Christmas, but he's just told me he has to start Chemo again next week. 

What does this mean? Does it mean he's very ill? 

Thansk so much xx