[Melissa]

Yes when I was first dx I was told with my two 3+ results, one from biopsy and one from surgery, that a fish was not needed. I did receive Herceptin but I later learned that all her2's need the fish test.
I honestly wonder if all onc stay updated. There were times I felt like I was informing my onc about new information. Treatment in cancer is changing so rapidly, not just BC, that I think the onc should specialize in a smaller number of cancers. Maybe this is not cost effective for them, not sure. My onc was a general onc and he treated people with HUNDREDS of different cancers but he did come highly recommeded by my surgeon and several others in the medical community. And I must say he never turned me down for any test or information I needed. I was the first to ask and have the tamoxifin resistence test and since he's tested several others. Seveal onc have never heard of the serum test. Even if an onc does not make it a practice to use a test I believe they should know about it. Proof that one should stay well informed about their condition/treatment.