Ok I guess.
Working on my questions for my doc next week. I really need to know whether my mom's diagnosis changes the ball game for me, not to mention my sister.
In other words, do we need to look at the genetic counseling. And who should do it initially, me or mom?

Since I was "first," do I get the honors?
Also, should I start getting MRI's?
I am coming up on 5 years next April. I want to know what we will do med wise after that cutoff. Tamoxifem has not been a problem for me, but what is next?
My sister is really sweating out her mammogram coming up Thursday. Her internist who she saw last week recommended having the mammogram done where my mom and I go as while the radiologist in her local clinic used to be good, now someone not as experienced is reading the mammograms.
Her doc also told her to get tested and have the phrophactice mastectomies. My sister really needs to talk to someone and hopefully calmer heads will prevail. I hope my doc doesn't mind me asking about her situation as well.
We are going to go to lunch after the mammogram with mom and celebrate her getting it done as she has been putting it off for awhile partly out of rank fear and partly to try and get through mom's deal as her saga started in July.
OMG is it really November?
I have never seen a true oncologist, the surgeon who is an oncological surgeon has been following me since my diagnosis and surgery in May 2004. I am going to ask him if I should start seeing an oncologist. I am not trying to ditch him, I sure hope it won't sound like that to him.
Mom is scheduled to have her squamous cell cancer removed on the 17th by a skin cancer specialist. He has the technology at his office to be able to determine the pathology right after removal so he will know if he has to take more while you are still prepared. The area is about the size of a dime but may be rather deep. Apparently these tend not to heal fast when on a leg so that is a bummer.
One interesting thing, the doctor himself phoned her this evening, took all her information directly from her over the phone, explained everything in detail and phoned in a prescription, etc.
I have to say the breast surgeon, the plastic surgeon, the dermatologist, and now this skin cancer specialist have all gone above and beyond with my mom. It is very heartening to have all these docs treat someone on Medicare in such a thorough and caring way. It has made it so much easier as she is so very happy with all of them.
I know there are some bad apples out there (such as the radioligist Dawn encountered), but we have have truly been blessed. It really demonstrates that there are many docs out there that are not just out for the money because I have seen how much Medicare and her secondary private insurance is paying and it is shameful. They are not covering their expenses on their elderly patients much less getting rich.
Tonight I am sending pixie dust and kudos to the caregivers, docs and nurses alike.
She'll get her second expander fill tomorrow. She also wants to find out how soon the implant exchange can happen. She has about talked herself out of just keeping the expander. The plastic said she could try that if she wanted but the breast surgeon said most everyone does the exchange.
I just think maybe not too many 78 year old grandmas have reconstruction so it is kind of new territory for the breast surgeon.
I am sure she is not a pioneer but I have been amused at how surprised the physical therapist at the hospital and bother her doctors have been at how well she is doing with regaining her arm mobility and strength. As the plastic joked, she will be pumping iron soon.