[Joan M]

Amy, I'm not surprised about their response, and it's great to know that you knew better.

I'm sorry for all the delay, Juls. Very frustrating.

Often, oncologists will use local procedures for only palliative reasons, or in other words to stop pain, by irradiating the chest wall or hip for example. But that's not what we're speaking about here. We're speaking about the so-called curative intent. But I never assume that I'm cured. That's a general phrase used when treating cancer with local procedures.

I just wish that oncs would view treatment of survivors with oliogometastatic disease differently than treating those with more widespread mets. We all don't fit into the same mold, and local procedures are clearly an option. But of course, that doesn't mean that they work well all the time.

And I always use a few rules of thumb:
Oncs want to do chemo
Radiation oncologists want to irradiate
And surgeons want to cut

And it's up to us to try to determine the best way for our own situation.

xo