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Aug 8, 2018 04:39PM
Amica...I get it. I am that way too. It is hard to question a doctor at a prestigious medical facility. Doing so saved my daughter 16 years ago, and it gave me the best chance I have at surviving cancer 3 years ago, so I am getting better. I do better when I have clear wording ahead and can predict their responses. That did not help me at prestigious medical center 3 years ago, because their minds were made up before I entered the room, but that's what is so valuable at the ability to seek other opinions (if needed).
I'd probably word it similar to.....
"I appreciate your efforts to save me from the toxicities associated with chemotherapy. I understand that hormonal therapies are very potent against my type of cancer. I also understand that thus far, my cancer has not behaved as expected, and may not behave as you expect in the future. It has already not responded to Tamoxifen, and came back despite aggressive surgery with clear margins. If we're going to proceed with hormonal therapy only as the systemic treatment, I would like to use all tools available to make sure this is the most appropriate choice. The Oncotype (or Mammaprint) would give us solid information to make sure we aren't making assumptions, and are in fact, making the most appropriate decision"
I said that assuming that your recccurance is a local recurrence. I see your profile says that it is a metastatic recurrence. If in fact it is metastatic and has spread, then the standard is typically (but not always) to start with hormonal therapy first. Either way, your doctor needs to be able to give you a clear rationale for his/her choice ... why is this the best choice for you in your particular situation. They should be able to tell you.
8/5/2013, IDC, Right, 1cm, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC)
8/26/2013 Mastectomy: Left, Right
9/20/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
12/12/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
1/23/2014 Reconstruction (left); Reconstruction (right)
1/29/2015 Lumpectomy: Right
2/2/2015, IDC, Right, 1cm, Grade 2, 0/0 nodes, ER+/PR-, HER2- (FISH)
2/25/2015, IDC, Right, 1cm, Grade 3, 0/13 nodes, ER+/PR-, HER2- (IHC)
2/25/2015 Lumpectomy: Right; Lymph node removal: Right, Sentinel, Underarm/Axillary; Prophylactic ovary removal
3/31/2015 AC + T (Taxol)
8/25/2015 Whole-breast: Breast, Lymph nodes, Chest wall