Please go to a top cancer center. Even if you are able to combine some treatment with your local one, sometimes that works, you are going to miss something without consulting the doctors that see this disease all the time. Your husband is young, he'll go through treatment fine. Yes there are side effects to everything, but those NHI designated centers or CCC's know what it takes. You may have less "destructive" treatment there than at your local place.

I know it seems like a lot of trouble but believe me it will be worth it. You can have records sent, you can carry DVD's from CT & PET scans. People get second opinions all the time. You can sometimes get faster appointments with these places if you say you are considering having your treatment there rather than just a second opinion. Nothing should be more important at this time than getting this right. There is no way your local institution has more experience, or even adequate experience in dealing with your husband's cancer.

Best,
Anne