Hi, my sister (47 YO, Seattle, WA) was diagnosed with lung cancer (non small cell adenocarcinoma) spring 2019. She had symptoms for a year before that, but her doctor at the time failed to do additional tests, she had ground glass on her scans and was being treated for pneumonia. She is now being treated at Virginia Mason in Seattle. June 2019 her lower and middle lobes of the right lung were removed with negative margins, 22 lymph nodes were removed and were all negative for cancer. The stage was determined as 3A. Her blood biopsy showed mutation EGFR T790M. She then had four treatments with adjuvant chemo:Premetrexed and cisplatin. Because of seemingly localized cancer, she was not qualified to receive targeted meds. Her scan after chemo was on Nov 1, 2019. Clear. Next scan was 7 months later (due to COVID 19). It showed innumerable small semi-solid nodules in both lungs. Doctor suggested to wait 6 weeks to see if they would resolve themselves. 6 weeks later there were unchanged. One is bigger than others at 7-8 mm, the rest are 4 mm or smaller. Biopsy was performed last week on Aug 11 and showed adenocarcinoma consistent with the previous occurance. We are waiting for the molecular test results, as we were told the mutation might be different this time. As a family of scientists we are education ourselves what is out there and what are possible treatments, new medicines, etc. Of course, we were told numerous times that the most recommended specialist Dr. West left Seattle right before the diagnosis. My sister was never a smoker, not sure if it's a helpful piece of information. We plan on making an appointment with Dr. West, as we would like to know his opinion on the course of treatments, options, etc. What would you recommend? As a side note, we love our team of doctors, but with so much different research out there, we think it's important to have an opinion of Dr. West. thanks so much!