Welcome to the site. Sorry to hear about your sister but glad that you have joined us here as I know that you will get tons and tons of support from everyone here. I came here back in 2008 after my dad was diagnosed and it was the best thing that I could have done. Everyone helped me loads and I know that they will do the same for you as well.
I can't help you with your questions about the hospital in Seattle as I am in Scotland, or with any personal experiences about Gem/Cis as my dad never had chemo. But, tons of our members or their loved ones have or are going through the Gem/Cis combo and I know that they will be happy to share their thoughts and experiences with you. There are many many posts about this on the site and much research info on Gem/Cis as well should you wish to read more about that combo. The search forum function will be of use to you in looking for them. Also, we have a great chemo board here on the site and it can be found here -
http://www.cholangiocarcinoma.org/punbb … .php?id=16
I do hope that you will keep coming back here and please let us know how things go for your sister. We are all here for you, know how you feel right now and we care.
My best wishes to you and your sister,
Any advice or comments I give are based on personal experiences and knowledge and are my opinions only, they are not to be substituted for professional medical advice. Please seek professional advice from a qualified doctor or medical professional.