Hi, it is me again. I am glad that you got a second opinion and that they are going to monitor. If there is no sign of cancer in the lymph nodes and no tumors anywhere else then even Nivolumab won't help. It is an immunotherapy treatment that kills cancer cells rather than healthy cell like chemo therapy. If there is no sign of cancer then the 3 month monitoring sounds logical. The only reason I did chemo after my kidney removal was because some cells lit up on a pet scan which could mean that cancer was still present after surgery. Had the CT and PET scan been clean, my doctors would have just done the monitoring. I would have loved to not have had chemo but there were signs. I have been diagnosed 4 times with cancer and told 3 times that it was gone. The 3rd time, I underwent surgery and they said they got it all and I required no follow-up treatment, just monitoring, I had cancer again within a year, it was everywhere. However, when they said I would need chemo again, my answer was "no way", I had been blessed with more time, but this cancer was out to get me. That was when my doctor and I found and got the Nivolumab. Things happen for a reason and in their own time. After being diagnosed with metastatic bladder cancer, and having immunotherapy infusions every other week for a year, I am in remission. You have to do what is best for you, but why put your body through chemo if nothing is there?? They won't even give you Nivolumab unless they can measure the tumor(s).