 Bladder cancer it's not something you hear about all the time, right? Or maybe you have and you heard the term Eurythiolial cancer is basically the same thing. It is the same thing, but it's not that common However, it is something that's not very forgiving or hasn't been for a long time And the reason is because there wasn't a lot of treatment options for one bladder cancer doesn't really happen too much When you're younger the reason bladder cancer Theoretically happens or one of the reasons outside of trauma or you know those kind of things is that when you're you know Urinating you're having toxins come out. Well those toxins have to be basically collected in one place before they're Evacuated into the toilet and that's your bladder. So over years and decades those toxins that you're urinating out start to accumulate in the bladder Which is why smoking for example is definitely linked to bladder cancer However, when you get older, it's also harder to tolerate intense regimens, right chemo And unfortunately for a very long time there was an intense regimen With multi-agent chemo therapies that most people can't tolerate and then there was a dual Chemo regimen, which if you couldn't tolerate the intense one, that's basically all you had and if you couldn't do that kind of out of luck Well Immune therapy came out relatively recently Which does improve bladder cancer and can qualify for people that cannot tolerate chemotherapy finally Finally, it's happened to where now we have actionable and targetable Mutations that we can do with an oral pill to help control disease now It doesn't just have to be stage 4 or metastatic the key term is muscle invasive bladder cancer That's the key every biopsy report should say is it muscle invasive? Is it non-invasive bladder cancer being kind of like DC is right that stage 0 breast cancer? It's not invasive yet. So stage 0 that's not invasive if it says no muscle present The recommendations are to go back and biopsy because that is the key. Is it invasive bladder cancer or non-invasive? And the regimen for non-invasive is all kinds of things kind of scrape it out put some stuff in the bladder Let it wash around take BCG But the invasive category is totally different and that goes down into what we just talked about Chemotherapy number one that's intense little less chemotherapy was nothing else now There's immune therapy and then FGFR That is a targeted therapy that we know works even in other tumor types like Calangio carcinoma That needs to be tested because it's way more forgiving than chemotherapy multi-agent chemotherapy How do you know if you've been tested you have to ask your urologist or oncologist? Did I get molecular sequencing or NGS next-generation sequencing or Profiling on my tumor if you did not get that Hundred percent of you will not be able to get this oral therapy that can potentially control or make the disease disappear for some time Nobody will be able to qualify unless they have that testing which is why it's so important to get that NGS testing on your tumor type It's approved. It's covered by insurance and really should be ordered as a standard of care