TL:DR version:
2nd opinion is less pessimistic. We’re checking into options now.
She went in for the second opinion yesterday.
In February, she was told in Japan that they had something faint and it should be followed up on. It was assigned a BI-RAD of two, which is benign. Her first doctor here in Taiwan doesn’t like the change.
The second doctor she want to yesterday is a little more cautiously optimistic, or rather less pessimistic. He thinks a biopsy would be a good idea, but thinks it wouldn’t be the end of the world to wait another six months. He thought that the micro-calcification was too linear (ha!, I wondered if the shape had a significance), which is good, but the breast tissue is dense so that makes it less certain.
He also said that her breasts are too small for good nettle biopsies and recommends an incision. Now why is it that doctors can say things like that? If *I *told her that her breasts were too small, I’d be sleeping on the couch for months.
The problem with second opinions is that it makes things less clear. There is a highly regarded cancer center in Taipei and I think she should have it checked out there. It seems that there isn’t much of a downside to having a biopsy, and given her family history, it may be prudent. I think it may be possible that the doctors at the cancer center are more skilled in the various procedures, and getting the best is a good idea.
Even though I wasn’t there yesterday, I do like the second doctor much better than the first. He explained things to my wife rather than just dictate what to do. The first is a 1960s kind of guy.
The family history does concern us, but it’s nice that the second doctor isn’t quite a worried. He thinks that the doctor in Japan may have interpreted the x-rays a little more generously and gave a BR-RAD of 2, there the doctor he was more cautious and gave a 4b. That change in a little less than 10 months had concerned me, but his explanation makes sense.
Thank OG for the Internet. There is so much more and better information around.
She’s seeing how long it will take to get an appointment at the cancer center, then we’ll go from there.
Things seem much better than yesterday, even if the news is bad, it’s more understandable. I know a lot of people don’t want to hear the details, but I feel much better understanding what’s happening.
When we were dealing with Ian’s problems and then Shawn’s heart, it was so much more comforting to be able to go into the doctor’s office better prepared. I really like doctors who will work with us explaining what’s happening and also the uncertainty.
For some reason I can live much better knowing that somethings even doctors don’t know and can only make educated guesses at. When Ian was born and then died, it was less traumatic for me knowing that even the doctors wouldn’t know until he was actually born what the condition was. I can live with uncertainty, if I can understand what the uncertainty is, if that makes any sense at all.