Lou, take a deep breath and understand----you and your husband have had a lot thrown at you recently. You will get through this. I've often said that I think my journey was tougher on my wife than it was on me. As the patient I knew how I felt but as the spouse she just got to worry and worry. I think this is normal but not fair. I also wanted to apologize for being so frank in my last posting. I've felt bad ever since I hit the send button. Let's start this time with some more questions. Are you working with a renal cell cancer specialist? Not just a doctor or surgeon but an oncologist who specializes in RCC? You mentioned "surgery before"; "more surgery" and "another surgery". What types of surgeries has your husband already had? I read that he had radiation treatments, correct? Is he taking any type of treatment right now? On the comment "we're still waiting for the insurance company to OK the drug Sutent". My advice there would be to call them, and then call them, and then call them. Be polite but be persistent. Don't take---we'll get back to you----as an answer. Renal cell cancer is very aggressive and you should not have to wait for an answer. I will give you my opinion on whether or not Sutent can work if the cancer has spread. Please remember, I'm not a doctor but a patient. Sutent did work for me (and has for many others that I talk to or read about) even after the cancer has appeared somewhere other than the kidney. I don't know so much about Nexavar but I've read about some good results as well. As a Sutent success story, I call it my wonderdrug.