I was thinking this after reading Avery's thread and thought maybe we could have a discussion about the smaller hospitals in your area vs the big ones in the city.... I will say this having Tom's chemo here where we live is an eye opener for sure. It is a small facility, it is not Mass General's brand new facility and I am not sure they are up to date with keeping it clean....that one really bothers me. I keep my eyes open while he is having chemo and believe me if I see anything that is not right....and I would know it after this long, I will speak up and have done so. I think the nurses are afraid of me.. LOLOLOLOLOL The pluses are we drive back home 5 minutes instead of 2 to 3 hours in traffic from Boston while he is feeling the effects of the chemo. The dr here writing the chemo is a great guy, I like his style of living with cancer rather than dying with it... overkill with chemo drugs is not the way he wants to go.. In our case, it would take a miracle to get this cancer gone from Tom's body.....but if he can live with it, keep it at bay and not be too sick, we would like that.. Have some remissions, we will take what we can get.. So like the small town oncologist, that is a plus. The minuses... are they as up to date on what is going on in the field as a teaching hospital like MGH...I hope so and believe me I am watching all the time and reading....thanks for all of you who send me articles, believe me I discuss them with the doctors.. Pluses for Boston: The facility at MGH is brand spanking new, people bend over backwards to make sure you are comfortable and I miss their loving faces, but this is not about me or them, this is about making Tom comfortable. He feels they had their opportunity to cure him the first time around and did not.. I know I am sad that he thinks that way, but there it is. My girls can come and be with us during chemotherapy as they live in Boston...another plus for MGH. I do love our oncologist at MGH.. he is head of the department and lectures all over the country....great guy.. minus is that he is very busy and sometimes is not available.. another minus is the office staff at MGH, except for two who are wonderful to us, trying to reach the doctor is absolutely hell and getting calls back another minus. He is a little matter of fact when he delivered the blow that the cancer was back, we did not like that....in his defense, I know he was not feeling well that day. I did say to him the next visit, if you are not going to be on my cheerleading team for Tom, then we need to get another doctor.... He said I am on the team. I actually think he was a bit hurt when we brought the chemo closer to home, but we are having the scans in Boston and have an appt to see him. The two oncologists are suppose to be working together for Tom, and I am working on that to make sure they do. I know there is paper work going back and forth, but not sure if they have talked.... Anyhow...this epistle was to say there are pros and cons to going into Boston for treatment. I know that Children's helps with housing I believe, but living in the city can be expensive and being away from your support group is not always a good thing.. Right now, Tom's platelets are stable but white count is down.. so more blood work before we can start the last round of chemo before the scans... keep us in your prayers... Hugs all around..