Rick,
Sorry to hear about the spread to the liver. You are at one of the top cancer hospitals in the country so that might up your chances even more.
Sounds like a discussion should be had regarding that clinical trial. If they think that would increase the odds even more, it might be a good idea. I have no idea though so getting pros and cons from the doc and doing some research might be in order.
I don't have mets so I can't help much but I certainly agree that it makes sense to be confused and angry.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...