Hi, went for my CT scan yesterday, after being on Avastin for 6 mos. and started Topotecan (only 2 cycles). Well, tumors still showed growth, only 2 decreased. Not very encouraging. Had appt today and got upset, because it seems that you have to see a "fellow" first and tell them everything you want to discuss with dr. I was trying to be very diplomatic with this "fellow" and told them I don't mind you examining me but there were specific things I wanted to discuss with the dr. To tell you the truth, the "fellow" developed quite an attitude which did not help my stress level. I have to say that I didn't have much confidence in this particular "fellow" because last month when I saw her, she took my vitals, listened to my heart and then said "Oh, I'm not getting a heartbeat." I looked at her and then she said "that's because I had my stethoscope the wrong way, sorry." Well, it seems that the Avastin doesn't seem to be working and they want to try another drug. I could have continued with Avastin and this other drug but because I don't want to be on blood thinner injections any longer, I was told, that wasn't an option. It's very upsetting when you're told one thing in the beginning that you wouldn't be on blood thinner injections that long and then have it changed. Anyway, I didn't have a very good visit, and I guess the dr. didn't appreciate how I felt about talking to a "fellow" first. But, I can't see talking to one person and then having them convey what you say to the dr. But, I guess that's just me. It just seems that there's nothing out there that will cure ovarian cancer, all it is you take a chance and try one chemo after another, if one doesn't work, they try a different one, meanwhile, my blood counts are really, really going down.