And Seaoat...stop blaming yourself.
If he went to Houston, probably as aggressive as the brain tumor was it was probably already too late, but I do blame myself for not being more competent in communicating how horrible my experience was with local general doctors and regional hospitals. All good people and normally quite competent, but the top cancer centers are just in another universe of care when dealing with cancer. I had at least four major malpractices in my illness journey. I would never file a lawsuit, because the biggest dropping of the ball was my pulmonary doc who actually found the lung tumor after a totally incompetent doctor for six months tested me for asthma and never did an xray or did a pressure breathing test at the hospital to check for obstructions, and they took out my gall bladder which they had noted was diseased, but that doctor never ordered pathology on the gall bladder, and finally my GP who for five years ignored my complaints which clearly required at least a cat scan to determine the source of my problems. They all horribly dropped the ball. The Pulmonary doc who found the tumor was a teaching professor at the University of Illinois and was a smart guy, but after they took out the tumor, he did not have the knowledge to know I should have been immediately put on sandostatin shots which might have knocked the cancer out completely, and for four years without checking my hormone levels which are a requirement in endocrine cancer, the cancer metastasized on my liver. I could have been cured if I had went to Northwestern originally, and the lack of knowledge and skills was overwhelmingly obvious, and my wife and kids were piszed, but I have never been angry because I believe everything happens for a reason, and I have been blessed. However, he only had two endocrine cancer patients in his thirty years and did not know of the importance of the 24 hour urine test to monitor my hormone levels, or the necessity to put me on shots. It was pure and simple malpractice based on lack of knowledge.
My new Pulmonary doc specializes in endocrine cancer and does 150 lung surgeries on them each year. It is not a matter that I would have been right asking him to stay in Houston, but I am certain that his odds would have greatly improved, and I failed in communicating how utterly lacking general practice doctors are and how oncologists in regional hospitals just do not have the tools or experience of the top cancer centers. I went to Moffitt in Tampa on a road trip after my regional hospitals ocreotide scan, which they failed to give me at the time of the lung tumor......and only figured out their F up after it had spread to my liver. No, I will absolutely not back off that the top national cancer centers must be used. It was not easy for us with the logistics to keep going to Tampa, and we were fortunate to be accepted at Northwestern, which is still a three hour drive each way, or six hours out of a day.
I miss Bob, and after years of having fun with him on the forum, when it really mattered, I got polite, and backed off. I knew what would happen. Yet, I just did not rock the boat, and even though none of it probably mattered based on the aggressive brain tumor, I compromised, and then when he was suffering and should have had the gamma knife surgery, I did not try to get to Pensacola and talk to him in person, while all the other good people on this forum went to his aid, and tried to help him, I simply did nothing. I am not proud of my response, and I am extremely proud of the good people on this forum who actually did go to his aid. I am not beating myself up, but I will never be proud of my timidity when Bob needed someone being an aszhole.