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Matter of choice
Lee,
I followed the link and read the article, and did not find it alarming in any way. I think the author made a lot of good points, particularly with regard to the need to seek additonal opinions and what to expect from the process. Patients should not make decisions from panic; most professionals agree that there is a safe margin of a few weeks to gather information in order to make a decision on surgery.
I also respectfully disagree with your statement, "the most aggressive course seems the only prudent path." The prudent path, IMO, is to do the research, get opinions (more than one) on tx options, and make your decision based on the research, the medical opinions, and your own gut. Overtreatment is as much of a problem as undertreatment; the most important thing is to get the RIGHT tx.
Hopeful
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