Photo: "Petit Bot" one of my favourite Guernsey beaches.(We swim around the point from one bay to the other :)
The third breast surgeon that we saw also had an office in San Francisco. We had an appointment yesterday afternoon. Sometimes you can tell a lot about the doctor from the energy of their staff. Her office people were bright, happy and cheerful! Well, the doc was quiet but was compassionate and a had a good sense of humour. She also had her own ultrasound machine in the exam room so she got a really good view of the breasts right there and then! An excellent on site diagnostic tool.
Basically she agreed with the first doctors treatment plan except she felt confident in doing a lumpectomy with 1cm margins and with no subsequent radiation or tamoxifen therapy. The first doc recommended these adjuvant therapies with a lumpectomy.
She also said a mastectomy with a sentinel node biopsy was also an option if my risk tolerance for recurrence of cancer was low.
Three surgeons and three treatment plans. Now I just have to decide which doc I want and then what surgery.