After his first round of Chemo for 3 days, there has been no side effects at all. He had an anti nausea medication drip with his first treatment. He still has a Great Appetite and he exercises 5 days a week , playing pickleball or golfing. We are waiting for the fatigue to appear but so far so good. Three more rounds of treatment to see where we are. If the treatment is not working, then we will seek a second opinion. We are just seeking Out any other Small cell lung cancer treatment alternatives at this point. I have not seen any alternatives thus far.