Yesterday he emailed me the next:
I were following your weblog. I read about brand new post and feels like they're treating you smartly up there in Maryland. Help me out here. I am 30 days post RC. Remember my DX was Micro nine profitable nodes, a respectable deal like you. Met with Onco at the present time, he says DDMVAC, he prefer to soar after a CT In three weeks. I am still over 20 lbs faded, weighing in at a whopping 132. Can you imagine what I will computer screen up like after the treatments? My spouse and I can now not see concerns worse than they're at existing. Maybe the CT shall be priceless alternatively I am doubtful as of yet on the chemo. The doc danced round each and every indubitably one of my percent query, now not geared up to get any genuine stat's.from him at all. Speaks loudly to me that now not much chance of a progression.
I replied with the next, which I am posting here as it is geared up to also be of curiosity to various BC warriors:
The neatest element that I might most indubitably perhaps propose is that you only get a 2d opinion from a sizable optimum cancers center. See this link:
http://cancerguide.org/second_opinion.html. Cleveland Clinic has an on-line consultation preference; Hopkins additionally has a 2d opinion supplying which might most indubitably also now not require journey. MD Anderson needs you to journey to Houston. I'm now not bound about Sloan-Kettering in NY. Oncologists at a sizable optimum cancers center deserve that helps you to respond your whole questions.
Here is an stock of nice quality inquiries to ask your medical expert, namely under phase III. http://blcwebcafe.org/content/view/one zero one/111/lang,english/. Print them out and insist on guidelines. Note than no medical expert can say exactly what is going on to turn up to you, and optimum hate giving odds, alternatively they deserve that helps you to let you recognize what the tales have proven.
Here is a distinguished article about chemo choices: http://blcwebcafe.org/content/view/116/126/lang,english/. MVAC was the simple of care till round 2005. Since then, many medical government have switched to platinum-depending normally normally chemo, comparable to cisplatin. A 2011 evaluate article (purchasable at http://www.ncbi.nlm.nih.gov/pubmed/22117153) says that "The first-line therapy is cisplatin-depending normally normally chemotherapy with the response expense approximately 50%. Approximately 30-50% of the patients are unsuitable for cisplatin, and there is now not absolutely any simple of safeguard this patient population. There is now not absolutely any simple 2d-line therapy." Are you a patient who is "unsuitable for cisplatin"? If so, why? MVAC is an older chemo regimen with extra aspect resultseasily than cisplatin. Cisplatin is little by little viewed a extra advantageous exchange than MVAC.
I suppose that this text on the Bladder Cancer WebCafe on metastatic optimum cancers is enormously favourable: http://blcwebcafe.org/metatcc.asp. Note that this text is discussing secondary tumors, which you do not have (it is absolutely what I'm facing at existing).
There is now not absolutely any put in chemo regimen for patients like you (or me) who had profitable nodes and are post-RC. In various words, tales measuring even if or now not adjuvant chemo allows have now not proven a obvious progression. Maybe it absolutely works, perhaps it does now not. Since I had failed my ne-adjuvant chemo, my docs didn't see a measure to trying adjuvant chemo earlier than I had any secondary metastases. I do now not rely in case you already had neoadjuvant chemo – in case you possibly did, I would now not be susceptible to do adjuvant chemo. If you didn't, then perhaps it could be appropriate. That's acquired to be a determination among you and your docs. Get a 2d opinion, ask lots of questions, then trust your intestine.
You deserve to soar gaining weight in about 2 weeks (6 weeks post-RC). Your appetite deserve to be coming back round now. Take concerns in the future at a time. Remember that, till (and unless) your BC travels alternatively your lymphatic tool, latches onto an chance space, and starts off remodeling into, it's miles not at all going to ruin you. That might most indubitably perhaps turn up in 6 months, it is geared up to show up in 15 months (like me), or it is geared up to not at all turn up (about 12% of the time). Enjoy both day that you only've.
Metastatic bladder optimum cancers is an odd and ferocious disease. There is now not absolutely any proven therapy, and no cure. Because there is little chance of a physical cure, the comprehensive clash turns into intellectual: How will a BC warrior with mets perceive to avoid wasting? What are your motivations? What do you hope to complete? Will you switch inward, withdraw, and presents up? Will you switch outward and are trying out for for to assist others? Will you're making any modifications?