June 20th.

The big day came which included two appointments. First, a follow-up with my surgeon, second, with my Medical Oncologist (MO). I was anxious for both of them, because I was feeling so much better, getting some range of motion back, and I knew that the Oncotype Score would determine my treatment path.

So, to quickly let you know about Oncotype scoring... this is a genome test that goes across 21 genes in the tumor itself. It predicts the chance of recurrence. I qualified for the test because I was ER+, Node Negative and Her2-. They are working to expand this test to other types of situations (for instance, if 1-2 nodes are positive).

Anyway, the scoring is on a 100 point scale, and looks like this:

<18: Low risk of recurrence (probably don’t need chemo, risks of chemo outweigh benefits)

18-30: Medium risk of recurrence (might do chemo)

>30: High risk of recurrence (will most likely do chemo)

This scoring also takes into consideration that the patient will be on Tamoxifen, or some other form of hormonal therapy after active treatment.  

Okay, so now you have all of the info I had going into these appointments. I head into my surgeon's office and she decides I don't need the steristrips anymore. The scars are healing nicely and she tells me that I can wear the compression band less frequently until I no longer need it. Awesome!

Then she tells me that she has my Oncotype Score. She is excited to tell me, and so I know it must be good news. Good news, it is. The score is 16! Sweet 16! I've never been so happy to get such a low number on a test. Now, she tells me that I still need to prepare for chemo. As I said in the last post, I already knew this, but now it was becoming more real. She said the MO will most likely want it on the treatment plan because of my age and tumor size. I had already decided I'd do it if it were even an option, but now, faced with it, I wonder. Do I, don't I? 

I leave her office happy with the information she's shared. It is such good news. 

Then a couple hours later, I am in my MO's office. I tell her I know the score. Awwww, she is happy I know, but was also excited to tell me. But, we still do the happy dance together, because I'm still happy about it. Then we talk treatment. The recommendation is four rounds of what is called TC. Stands for Taxotere and Cyclophosphamide. It is given on a three week schedule, so infusion is day one, then the next infusion is on day 21, for four infusions. I admit, I hmmm'd and hawww'd for a hot minute. Then practically smacked myself back to reality. I had already made the decision. If it is a maybe, it's a yes. 

Look at all that hair in the wind!!

Look at all that hair in the wind!!

So, yes to chemo! 

Now, Of course, I asked the surgeon and my MO about my hair. The surgeon and I had a good laugh over the fact that I was totally fine with no reconstruction, but my hair... now that I really cared about saving. Turns out there is a way to try and save it. It is called cold capping, and I will go into more detail in another post. Basically... it's a very cold cap (-28 Celsius) that you wear while getting chemo.

Yes, I'm interested. 

So it begins. I get the cold caps set-up, first chemo is set for June 30th and now I go to the pharmacy to load up on the pre-meds I need. I also scour resources to make sure I have everything I need to be prepared for chemo (hahahaha.... and chemo says to that... 'well bless your heart, isn't that sweet.'). 

But, today, I get to be happy. Happy for a low score. Happy that chemo is an insurance policy. Happy that I get to have another Philz before heading back to SLO! :-) 

June 30th is right around the corner.

Another good appointment... another Philz in my hand!&nbsp;

Another good appointment... another Philz in my hand!