@ramidimitri You are very welcome. Yes, I am in agreement with you on how different hospitals and oncologists will recommend varied protocols for their patients. I also understand how fearful your wife may feel as I felt this way after my first diagnosis and then after my recurrence was found. Once I decided on the treatment I felt better because a decision had been made. I hope that will be the case with your wife.

I have lived in Montréal and while I did not have cancer at that time I found the care that I received to be very good.

Would you and your wife like to ask for a second opinion? If so, since you are living in a large urban area she will have other choices of who she might like to see. I don't have any recommendations for Montréal based on my own experiences however the two largest cancer centers are at Jewish General and McGill University. Perhaps your wife is already being seen at one of these?

Jewish General Hospital-Segal Cancer Centre:

-- https://www.jgh.ca/care-services/segal-cancer-centre/

Cedars Cancer Centre at McGill University/Montréal General Hospital:

-- https://www.cedars.ca/en/impact/cedars-cancer-centre

One last thought. Do you know if your wife's case was discussed at a Tumour Board Meeting? In these meetings the physicians involved in cancer care come together to discuss the more challenging cases and make a recommendation for treatment.

Jewish General Hospital: Tumor Boards:

-- https://www.jgh.ca/care-services/segal-cancer-centre/health-services-team/tumor-boards/