Great observations Pink Girl
Before I met with my oncologist I knew from my research that I would be on Adriamycin. I had opted for a mastectomy, but my case is a little different than yours because I did not get Herceptin (diagnosed 2003) and did not have radiation.
I feel no matter where you live, you will get a "standard" of care. There are some institutions and doctors doing "cutting edge" research, etc., but the established protocols are in place whether you live near where I live and have University Hospital or Cleveland Clinic to chose from, or a small town elsewhere.
My absolutely biggest decision was whether to have a lumpectomy or mastectomy, even with all the research out there.
You're right, I don't feel I was cheated by not being seen by a well-known oncologist in the national arena, but was reassured that I was being taken care of by one well-known in the Clinic setting.
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Diagnosed 4/03/03, age 50
3.5 cm, 0/19 positive nodes
Stage IIA
Her2++, ER & PR++
RB Mastectomy, 4 AC,
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