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Susan,
I know how hard this is, the decisions, the FIGHT to get the treatment you really want, the uncertainties...
These questions are important to what tx you have:
Are you symptomatic from your brain mets? To what degree?
Do you have extracranial mets? To what degree?
How is your overall health and normal life functions?
IF you are minimally symptomatic, have minimal extracrainial mets/none/stable, and have a good 'performance status' in day to day activities, you are most definitely a candidate to get a series of focalized treatments for your brain mets.
However, if you are not up to the fight this will require, or are too fearful of NOT doing WBR, then you have to try to find some peace with the WBR tx's. Ultimately, the confidence in whatever route you go is what's important.
Should you develope edema, Decadron will control that. And if that happens, we'll do posts on the horrors of Decadron again! But, it is VERY effective drug for symptom control of brain mets.
Still here for you...
hugs,
pattyz
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