Hi Greg,
I also live outside the St. Louis area (Washington, MO on the opposite side of the Mississippi than you are) SLU is a great teaching hospital and I'm sure that you have the best of the best working for you. My mother has been battling recurrent SCLC for a while now. I do know that the cancer moves very fast so do not delay on any treatments. Her last chemo taxotere did seem to hold the cancer from growing for 2 months. I have faith that you will be able to find a clinical trial that will work for you. Take care of yourself and get some rest. Your body will need all the energy it can get to fight this terrible thing. I will keep you in my prayers.
Lots of Hugs,
Susan M.