Treatment plan

So we had a few days off from Doctor's appointments and were able to keep our mind off of things, show M.'s Mom around and enjoy a bit (if that was even really possible).
No free time today!

First we met with Dr. G. to discuss what the tumor board has decided as to what the optimal treatment would be. She explained me that they feel that I should get "neoadjuvant" chemotherapy-meaning before the tumor is removed. Dr. G. explained that resaearch has shown that doing it that way has better results in young women. After chemo, I should have surgery to remove the tumor, and after that radiation. One thing that is different if you have neoadjuvant chemotherapy is that the Doctors want to remove (a) lymphnode(s) before you begin treatment because else there is no way of telling if there are any cancer cells in the lymphnodes.

So the course of action is a little bit more planned now:
1. check for metastasis in lung, liver, and bones
2. surgery for lymphnode(s) removal
3. chemo
4. surgery tumor tissue removal
5. radiation
6. remission

After meeting with Dr. G. I went to the Oncology department and met with Dr. R. She explained me how Chemo will be, what will happen, my hair falling out, "here a prescription for a wig"....yes it was too much. Way too much! I am not sure why, but losing my hair is really bothering me. A lot.

After that appointment we had time for a quick lunch, which I don't remember too much off, except being upset.

Afterwards we had an appointment with the Children Wish Clinic.
There are 4 different options of preserving the option of having children in the future, should the Chemo destroy my ovaries:

-a shot to put me into menopause BEFORE chemo starts, it is the cheapest option-insurance pays it in full-but one that bares certain risks
-IVF-very often used, insurance will NOT pay, since I am not fertile (yet anyways), and we are looking at a cost of about €5000
-removal and freezing of ovarian tissue, which can later be implanted-not very much experience with this method yet, worldwide there are 8 children that were born through this method.

Too many choices and options really. And too much money. I am confused-what's new.

After that appointment I still had to go to get an ultrsound of my liver done-no metastasis. Good news at last!

I am tired and exhausted. I know this is only the beginning but it is too much.