No. of Recommendations: 181
DH and I will be driving to Seattle today. I will be marked up by a plastic surgeon in preparation for my sentinel node biopsy and bilateral mastectomy tomorrow. The operation is expected to last 7 hours, including implantation of expanders for future reconstruction. Samples of the tumors will be sent for Oncotype DX genetic analysis.

Any major operation has many risks. In addition, two critical analyses will determine my future prognosis and treatment.

1. Has cancer spread to the lymph nodes?
2. Do the cancers have aggressive mutations that would require chemotherapy?

The best outcome would be:
1. No complications during surgery.
2. Lymph nodes negative for cancer.
3. Low Oncotype score.

Since many METARs are atheists, I will ask for your good wishes and positive thoughts.

For religionists, I ask for your prayers. For religious Jews, please say a MiSheberach for me. My Hebrew name is Chayeh Gittel bas Raizel Maryam.

In friendship,
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