Actually, I messaged her first.
I sent her a message on Friday via the online patient portal because I had some spotting. Normally, this unexpected spotting would be somewhat alarming, and the last time this happened is when I went down the Tamoxifen detour.
None of us has a crystal ball, so who could have known that the Tamoxifen would end up causing non-alcoholic fatty liver disease. Still, looking back at my blog entries, it's clear I didn't want an oophorectomy due to the risks, so Tamoxifen absolutely made sense at the time.
I guess all the risks still exist, but I don't really have a choice now.
Anyway, as I mentioned to my NP in my message, I figured the spotting wasn't too alarming this time because we already know the Lupron isn't fully working and I'm already scheduled for an oophorectomy, but I decided to report the symptom anyway since I haven't actually had the surgery yet.
So today the NP responded, expressed sympathy for ongoing complications, and said she'd let my OB/GYN surgeon know.
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