[Rich66]

Ok..but did you actually know the premeds could hamper the chemo? This is really an informed consent/hippocratic oath issue. It's fairly new information and maybe not "peer reviewed" or tested by trial. Who's going to do that? Maybe it's not common knowledge amongst docs here. The studies I found were mostly European. In any case, if there is any doubt about the Decadron, skip them or use the non-steroidal alternatives to be on the safe side. The opiate pain med issue seems more recent. Still not sure if it's all opiates or just ones that operate like morphine. Maybe the surgical dose is much larger too. But again, if a more divided dose would negate some of the need for support meds and is actually more effective over the long haul...what is the point of the traditional approach?