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If UCSF is too far away, you could work out an arrangement with a local oncologist whereby UCSF would direct your care (i.e. advise on which treatment to use) and you would actually get your treatment closer to where you live. I know of others who have done this. Your current onc, however, sounds like a jerk, so you might want to either find a different local onc or deal with the long commute to UCSF.
Jill
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