It's back and I'm bummed, pissed with a bit of whining thrown in

I was first diagnosed in June 2007 with stage IV colon cancer with mets to ovaries, omentum. Surgery removed everything and had 12 rounds of FOLFOX. Everything was fine until December 2008 when a rise in CEA (highest was 15) and PET Scan convfirmed recurrance (bit of leftover omentum with 3 mets). Had 8 round of FOLFOX then HIPEC in June 2009 followed by 6 rounds of FOLFOX. CEA started rising in April 2010, now at 8 and PET Scan shows three spots (2 are lymph nodes and one is in the intraperitoneum) near rectum.

I'm so bummed, I had hoped the HIPEC would take care of the cancer, but no, the **** came back. To make matters worse, I get the news via email (per my request) on Friday afternoon so I've had all weekend to stew about it without being able to even make a Dr. appt. I had to fight big time with my HMO to get anything other than chemo last time, as it's not curative so the HMO didn't want to put out for it. Now the surgeon (not the one who did the HIPEC surgery) is suggesting chemo, I want surgery. So now the fight starts anew. Since the surgeon suggesting chemo is chief of surgery, I'm wondering how I can even get a second opinion from my HMO.

At least talking to my Mother-in-law, she suggested emailing the HIPEC doc for her opinion, which I will do today. Been up since 4 am thinking about this and just can't get back to sleep. Sorry to dump on you all, but had to get it out. Believe me the fight isn't over yet, I'm just hating having to fight yet again. Traci