Oh blimey! Your consultant sounds like a bit of a dick 
Mine, thankfully, was lovely. But he did sort of tell me and then pass me on to my cancer nurse- who is just wonderful!
I had invasive ductal carcinoma. I completely agree about the “matter of fact” diagnosis. All I heard was “you’ve got cancer” and the word “invasive” Tbh I was convinced, in that first moment, that I was going to pop off at any moment 
Thankfully, the first words out of my lovely nurses mouth, when I was passed over to her, were “ don’t panic, it’s very very treatable- and you are highly likely to live a long and happy life” And then she winked at me, which helped no end
… but that word “invasive” is just so bloody scary on day one. Of course, all it really means is that it is a tumour and therefore has the ability to spread - at some point- if you don’t remove it. But we don’t know that on day one do we?
Re the meds: I wasn’t told that I was going on to Anastrozole either, there was no conversation beyond “we’ll discuss your adjuvant therapies after your surgery”.
I googled absolutely everything (as we do
) and was expecting to discuss this with my onc before making any decision. First I knew was a prescription in the post. I went ape! - major meltdown -and Called my BCN and ranted! Apparently the surgeon made the decision for me. Well, I made it clear that I was taking nothing until I had had the opportunity to discuss my concerns, and run my stats, with a qualified oncologist! It went down like a lead balloon. But, I stuck to my guns and got my onc appointment through very quickly after that.
I kept her busy for well over an hour!
… poor woman was getting twitchy by the time I’d finished dissecting everything. But, it is really our decision, not theirs. They can give you best advice but it’s really up to you. And, As I said to my own onc “your remit is to keep me breast cancer free for the next 5 years. But MY remit is keep me active and functioning for the rest of my life” …
Obviously, it depends on your own situation and stats, but these meds come with serious side effects and there really isn’t enough emphasis on the side effects and your quality of life. Youre just given theses pills, patted on the head, and sent away to get on with it! And sadly there seems to be quite an array of different opinions and attitudes to them too.
So: advocate for yourself. Do your own due diligence. And don’t be railroaded into anything!! AI’s are definitely good at what they do, but they aren’t exactly gentle. Stripping our bodies of estrogen can cause long term damage to our bones, heart, brain (all the things that hrt guards against for our old age). So, you really need to weigh up the risks for your own particular stats. Your oncologist should be able to run your results through predict and explain what advantage letrozole gives you, over & above your surgery & radiotherapy/chemo
If your chance of recurrence is high without the meds, then at least you know exactly why you need them and then you can focus on that and get help with any side effects, to keep you fighting fit.
In my case, AI’s only give me a 1.2-2% advantage over & above the surgery and radiotherapy. So, thankfully, if I struggle, I have the option to step back. But, of course, we all want to give ourselves the best possible chance to stay cancer free don’t we?
… its something we have all had to weigh up because we all get side effects. If you’re lucky, they will be minimal. In my case, they weren’t (I’ve been told to come off of it for 8weeks) And unfortunately these effects kick in after we’ve all been through the wringer already with diagnosis and surgery etc. It’s a lot to process.
Which is why places like this are so important. We all get it 
Anyway- sorry about the ‘novel’ I hope you were sitting comfortably 
and that you don’t get too much snow (well, unless you can stay snug and warm indoors and just enjoy it through the window with a cuppa
)


Snow down here on Thursday apparently


Xx