Glad to hear you are a fighter! I second korinja’s advice to get a second opinion at one of the leading cancer centers like MD Anderson. I did my chemo at Mayo Jacksonville, but ultimately opted for surgery and further treatment at MD Anderson, given their experience and expertise. It meant periodic traveling (and a stay in Houston for the surgery), but that relationship also gave me options when the initial chemo and surgery was over that you may not find at your local hospital. I did not want to sit back and wait for this to reoccur, so I have opted for a more aggressive treatment plan. For now it has worked. There are lots of really great hospitals in your area. You might consider talking to them now