WOW!!!!!
This is why "My doctor seems nice and very knowledgeable" is not good enough. Understanding the guidelines is important.
Very interesting...
They don't mention the specific guidelines, but I am assuming they are referring to the NCCN guidelines for bladder cancer treatment.
If anybody wants to know what they are, I've posted them before, but here is the link:
www.nccn.org/professionals/physician_gls/PDF/bladder.pdf
(The site for the link above requires you to set up a login and does NOT require payment).
My treatment guide for patients attempts to simplify this, and could well be an oversimplification, can be found here:
bladdercancersupport.org/images/Bladder%20Cancer%20Treatment%20Guide%20v4.pdf
.
I would suggest that newly diagnosed (and anyone with a recurrence or progression) print one or both of these out and use it as a guide for discussions with your doctor.
If they are recommending a different course of treatment than the standard, you want to understand why and how "their" plan stacks up in terms of cure rate, complications, longevity, etc. versus the standard.
Mike