Ovarian cancer staging is determined surgically, unless it is stage 4 (metastasis outside of the abdomen, or metastasis to the liver -- not on the surface of the liver). If it is stage 4, or very advanced stage 3, then often this is proven with biopsy, and chemotherapy is begun neoadjuvantly (before surgery). If the disease is not obviously stage 4, then aggressive surgical staging and debulking (see next section) often is considered. This decision is based on the health of the patient, as well as the judgment of the surgeon as to the chance of achieving an optimal debulking (see treatment below).
Jayson, Thank you for your articulate and insightful summary. I am healing from a relationship that ended six months ago that had many of the hallmarks you mention.
Why the labels? Isn’t “emotionally unavailable” a label as well? I think we use labels to communicate our understandings with each other about the complexities of being an imperfect human being. I personally have used them inappropriately to blame my partner so that I didn’t have to face up to my own issues. And I kept missing the wakeup call of my own anger in response to some of our dysfunctional patterns. The flip side of anger is fear, and rather than face my fears and look within myself, I found it much easier to engage in magical thinking—if only he would change (and I could teach him to do that, of course), all would be perfect. Never works.
It was the fact that my friend was laid off and another impolitely fired (along with being angry at my spouse for not employing me on a project) that led me to write, direct, produce and do the art and set decoration for "Pink Slip" - Part 1 - Suzie, a new webisode now on youtube. The link on youtube for Pink Slip is http:///watch?v=plG3WOzL6Zs . There was nothing in my work experience that would lead me to think that I could do such a thing, but then if I look back my webisode actually combines every aspect of myself. All I'm saying is that although these are depressing times, take a few minutes from your job search and watch Pink Slip - Part 1 - Suzie. Maybe you will laugh if only for a few minutes. Part 2 which comes out in November is actually hysterically funny, as our hero Max's depression takes an unexpected turn. Have fun and don't give up hope.