Hi, @nemo1 - I am sure you feel overwhelmed by all that is going on right now. It's perfectly normal; anyone would. We got you!

Thanks for the information about your Alpha 1 anti-trypsin deficiency (AATD). I now fully understand your concerns! Can I ask your age, and if you ever thought of a liver transplant?

It's perfectly fine to plan your next steps, in the event your biopsy is positive for breast cancer. You are NOT getting ahead of yourself. It helps you to prepare mentally, and to some extent, it alleviates your anxiety.
We are all different in many respects, YOU need to be YOU. If planning makes you less anxious, do plan. Thinking about what you will do if you need to talk to a surgeon is fine. Knowing where you will go to find the best resources, is fine.

About Genetic Testing: You don't need to spend a lot of money, even without insurance. There are excellent companies (used by hospitals and surgeons) that offer genetic studies at very affordable costs.
These companies offer a Genetic Counselor to patients who do not have one. The counselor will interview the patient (by phone) and will recommend the appropriate series of tests. When the results are ready, a genetic counselor helps the patient understand the results.

Let me know if you want more information about Genetic Companies.

HUGS!

D.