@nomikins Since you are in the San Francisco Bay Area you do have many options for treatment. You write with confidence about your Stanford team. Since the dermatologist specializes in MOHS surgery and your gynecologist is familiar with your diagnosis then I'm thinking you can have confidence in the plans. In my experience having that confidence in my team, as I did when I had surgery in 2019 at Mayo Clinic for endometrial cancer helped me to cope so much better. I kept telling myself how grateful I was that I was going to a Comprehensive Cancer Center with an excellent reputation for my treatment. As are you.

Staying calm in front of your daughter is good but I expect your daughter knows how you feel. If she already knows about the EMPD diagnosis why not let her know you are stressed about possible surgery? I'm suggesting this only because I grew up a long time ago (I'm 72 years old) in a loving home but learned from them to try and hide my emotions. I learned over time that if I can say how I feel out loud and it lets the stress out and then I can cope better. Or maybe you are already doing that?

Will you please come back and let me know what happens at your appointment on Friday?