Called all 4 doctors and left messages with their nurses saying that I had decided on getting radiation for sure and whether they still wanted me to get surgery to remove the axillary nodes.
Surprisingly when I said that I wanted to talk to my Plastic Surgeon the receptionist must really have felt for me cause he came to the phone. I told him that I had decided on radiation and had some concerns about doing the implant exchange that close to surgery due to possible healing concerns. While we were talking I also mentioned the dilemma I had regarding my further action plan and he said that I should not be dealing with such things the decision should not have been mine to make. He offered to talk to the radiation oncologist about my treatment plan and the surgery (wohooo, finally someone IS talking to the other ) and call me back later during the day.
Wednesday i was not able to get much done at work since I knew that I had to make a decision within the next days. I went online and read too many medical articles to help me make a decision.. some are :
http://www.dcmsonline.org/jax-medicine/1998journals/march98/RadiationTherapy.htm
http://www.cancer.gov/clinicaltrials/results/additional-radiation0205
http://patient.cancerconsultants.com/CancerTreatment_Breast_Cancer.aspx?LinkId=53880
http://www.cancer.org/docroot/NWS/content/NWS_1_1x_Radiation_Helps_Survival_After_Mastectomy_and_Chemotherapy.asp
http://www.breastcancer.org/treatment/radiation/when_appropriate.jsp
http://www.unc.edu/news/archives/oct05/masectomy101005.htm
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VHS-47S52FH-6&_user=10&_coverDate=02%2F28%
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VHS-47S52FH-6&_user=10&_coverDate=02%2F28%2F2003&_rdoc=1&_fmt=summary&_orig=browse&_cdi=6074&_sort=d&_docanchor=&view=c&_ct=1&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=25e759b9dd1a901c2e6da4c4d5610a52
http://www.ro-journal.com/content/2/1/40
http://www.medscape.com/viewarticle/431672
http://xnet.kp.org/permanentejournal/spring07/enough.html
http://www.medhelp.org/forums/BreastCancer/messages/1265.html
http://jco.ascopubs.org/cgi/content/full/17/1/143
http://www.medscape.com/viewarticle/412495
http://www.asco.org/ASCO/Abstracts+&+Virtual+Meeting/Abstracts?&vmview=abst_detail_view&confID=34&abstractID=34038#
http://jco.ascopubs.org/cgi/content/full/17/5/1465
http://jco.ascopubs.org/cgi/content/full/17/5/1465
http://www.asco.org/ASCO/Abstracts+&+Virtual+Meeting/Abstracts?&vmview=abst_detail_view&confID=34&abstractID=34038#
http://www.annalssurgicaloncology.org/cgi/content/abstract/5/2/131
http://www.breastcancerupdate.com/miami-conference/2005/MBCC05_Poster22.pdf
http://books.google.com/books?id=op7lm69RypkC&pg=PA291&lpg=PA291&dq=axillary+node+dissection+versus+radiation+breast+cancer&source=web&ots=-00Gl02sMT&sig=8g2H-CVDdEVlnOmadFMTCLemI98#PPA291,M1 ???? -- from the book :
Breast Cancer: A Guide to Detection and Multidisciplinary Therapy
http://www.bccancer.bc.ca/NR/rdonlyres/16B06932-272E-4467-B4A6-6BD6A8EB4913/19788/NDavisAxillaryStaginginBreastCancer.pdf
http://www.cfpc.ca/cfp/2002/Jun/vol48-jun-cme-1.asp
http://www.cmaj.ca/cgi/content/full/170/8/1263
I am getting pretty frustrated, I had actually left a voice mail to the surgery schedulers of both my Plastic Surgeon and my Surgeon to coordinate a date for my surgery and they had not called yet !
My oncologist called and said in an impatient tone that regardless of getting radiation he wanted me to get the axillary nodes removed. Ok now I have to hear from the others.
Went home, the last Taxol symptoms were going away only there is some neuropathy on my feet which goes away when I wear my running shoes with orthotics. Went on a short run/walk with Candy on the trail. It felt really good to be out with Candy but I really need to do something about her taking off while running she thinks she is a tugboat.
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