Andrea and Lorrie,
I'm so sorry to read about this awful development, coming on top of the disappointing results from the neobladder surgery. So...they biopsied the lung nodules, then? I assume so because Andrea said the histology was TCC.
I don't think it's a case of malpractice...although it may well seem so. It's a sign that our tools are not quite good enough to find small mets yet. It had been very common all these years to withhold chemo unless node mets were found (or other spread). Perhaps chemo before surgery would have been better...this approach is getting more and more press and is on the way to being a guideline but not yet standard. I think that up till recently the chemo used was so aggressive that experts felt it was best to use it sparingly. But with the newer combination of Gemzar and cisplatin they have found a combo that works without killing the patient along with the cancer.
I hope that the oncologists and the new appointment brings some more hopeful news. Remember that your father/husband is more than a cancer patient, more than a sick person but a person facing the challenge of his life.
BTW, 3 mm growth within a few months is not so bad, maybe it's not fast growing.
Lorrie, I can certainly empathise with your urge to run away. But you know you can't. Please do whatever it takes to stay sane at this time, if that means tranquilizers, anti-anxiety meds, anti-depressants or a stiff drink at night- do it.
If it's possible to get support for yourselves, please look into it. It's a very hard situation.
I send my best wishes to the family. And please feel free to vent.
Wendy