kitkat sorry that your boob woke you up, have you got painkillers? Good news that the nasty part of your lump turns out to be so much smaller than thought. Re chemo my Consultant now thinks that for my 1.7 cm grade 3 strongly ER+ lump with one lymph node involved they would probably now have moved straight to hormone therapy, even 12 years ago they were advising me that chemo would have a small only impact on my chances of survival, and was a matter of choice, given the short and long term risks, remember chemotherapy drugs are ironically some of the few proven carcinogens. If one lymph node had not been involved they would not have recommended it. Since then the hospital, the Royal Marsden, have done quite a few trials that show that for ER+ tumours the key thing is the hormone therapy, that the benefit of chemo for me mostly came down to inducing menopause. When my friend had a recurrence in a lymph node in her neck, she was referred straight to their hormone therapy specialists, chemo was not presented as an option. I know that it is easier not to be faced with a dilemma but I personally prefer not to feel at the mercy of the subjective part of my Doctors' judgement (and there is often a lag between research and that being influenced). If you do feel left with a difficult choice I can give you the details of my Consultant or someone else on the BC team at the Marsden for a second opinion, they have pioneered this increasing awareness of the importance of hormone therapy for ER+ tumours, and the need to tailor treatment to different types of tumour. I found my team were only too pleased for me to seek second opinions, though always suspected that other doctors rarely disagree with your first opinion. However Dr Geek loves a chance to quote statistics ......
ruby sounds like a heavy week next week, will be holding your hand. I hope the GP can help today, perhaps you need stronger ABs.
gigs I noticed there was a whole Katie magazine on the newsstand at the motorway services on Monday, we should have bought a copy for the trolley . Big pigeons and I thought it probably had as much substance as the Baby George commemoration special next to it, about a paragraph of known facts and hundreds of sycophantic speculation.
DH was threatening all manner of pies and tarts last night, and to enter GBBO and Masterchef..... Actually I am not sure he would have done worse than some of those pies. I actually found everyone but Howard, bless, he is as a lamb to the slaughter, and Kimberley irritating last night, but especially Christine. She should have been sacked just for the sheer arrogance of saying, after her soggy pie she has baked weekly for hundreds of years, that "at this rate I may be at risk of going home" as if she has a right to be there, mainly because of the granny's are good at baking stereotype...... Ruby was back to Keira Knightly lip biting.