Thanks Lou. I'm a pretty straight "shooter". I also know that this disease is very aggressive and not one to wait around. I always tell people with RCC that "Time Is Not Your Friend". Based on just what you've told me yes, I do believe that your husband should already have been on some kind of treatment. The doctors seem to be moving too slow. However, that is in the past and you can't change that. What about your husband's immediate future? Are they starting some type of treatment immediately? If not, I would really demand a different answer. If yes, what are they planning to do? My RCC did spread somewhere else. It started in my left kidney (which was removed) and then reappeared in just 5 months on the lower tip of my liver. That tumor and a portion of my liver were removed and then 3 months later it was back in the same spot on my liver---see how fast it moves!! That is when I started on Sutent. If your husband is a candidate for Sutent I would certainly recommend he try it. One last recommedation just because I am persistent. Please find out what your new doctor's background is relative to RCC--is he a specialist? Simply ask him. The reason I keep bringing this up is that the first oncologist we met whith had NO clue about RCC. I'm sure he was competant with other cancers but had to read from a book on RCC. We only went to one appointment and started looking immediately for another oncologist. Please let me know if you have other questions.