Mets Day 6 - pre-op for Thursday's cysto

This afternoon I drove to Baltimore for the pre-op for Thursday's cysto, when Dr. Schoenberg will do a trans-urethral examination of my bladder.  He will use a new type of dye and light that will make it easier to detect if my bladder still has cancer in it (which is almost certainly the case, since the chemo did not kill it).  The pre-op was routine.  The people at the pre-op said that Dr. Schoenberg schedules multiple cystos on Thursdays, and goes from OR to OR to do them.  They were not sure how much time we would have with him, although he has been very generous with his time the previous times we consulted with him.  

One of the things that Dr. Aragon-Ching suggested we discuss with Dr. Schoenberg was urinary diversion options, and whether an ilial conduit -- the diversion of urine into an external pouch -- was better than a neobladder if additional chemo might be indicated.  It's easier to recover from an IC, and if chemo is needed soon after surgery, then that might be the better option for long-term survival, even though I'd prefer a neobladder. 

Assuming Dr. Schoenberg agrees that we should go forward with surgery, I'd like to go forward with it as fast as possible.  Bit his scheduler has told me that the earliest slot he had available is Monday, May 21.  Another question I have for him is whether waiting for more than a month will increase the risk of additional metastases.