one opinion, two opinion, three opinion?

I had a follow up apt with my surgeon today.  I asked her some questions and wasn't happy with the answers.  She shot down my theory of the cancer being in the ovary and being too big for the chemo to take care of it all.  She said that when I had my colon resection that the surgeon would have noticed if there was anything abnormal in the ovaries and that if there was anything microscopic the chemo should have taken care of it.  So this puts us back to believing that for whatever reason the cells in the ovary were resistent to the chemo.   We are still hoping that the chemo worked elsewhere but who knows.

I asked her if she has seen any cases where the colon cancer metastisized to the ovaries and then never showed up anywhere else again and she said no.  All the cases she has seen, the cancer showed up elsewhere.

I then met with my nurse navigator at my oncologists office.  She confirmed my suspicion that my oncologist has never seen a colon cancer ovarian metastisis; therefore, we are now looking for a 3rd opinion. 

Really wish someone could give us something concrete that would make us feel like there is something we can do that can guarantee something positive out of all of this.  No one can tell us that the other chemo would work or that the HIPEC will work.  It is not good news when your nurse cries with you at an appointment! 

My dad got me in touch with Cancer Treatment centers of America, the ones you hear advertised all the time.  I was skeptical of them but it turns out the hospital they have that takes our insurance doesn't even have a colorectal oncologist.  I have made 2 calls to Dr. Saltz at Sloan to see if there are any other oncologists out this way he can recommend, haven't heard back.  I also have a call into a colorectal oncologist in boston at women and brighams recommended by a family member to see if he has dealt with ovarian metastisis (waiting to hear back).

As much as I hate statistics its hard not to get depressed reading them when I'm doing my research.  People with colo-rectal cancer metastisis to ovaries or to (insert other long list of organs) are 55% more likely to get peritoneal carcinomatosis.  The survival for this is 5 to 13 months and thats after IV chemo.  Using HIPEC for early pertioneal carcinomatosis results in 48-63 month survival.  Of course this is one study but hard to not cringe at the numbers which is why I would want to do HIPEC but no one is talking about cures here, just prolonging life.  Hopefully doing HIPEC would prevent that from ever ocurring with me but no one can tell me that it will do that!  So why not be cut open and have poison poured all over your abdominal cavity at 110 degrees F knowing it might not do any good???