@colleenyoung Hi~ I met with the medical oncologist twice (once before the surgery and then again afterwards). I tried to give her a very full picture of who I was medically because I knew that these medications could potentially impact certain systems. My husband keeps saying that “she really doesn’t know me” and to some extent I agree with him. She really wanted to push the Tomoxifen but I pushed back because of the family history but even her response to that was that I could talk to my cardiologist but she didn’t think it would be a problem. I put my foot down and why would my cardiologist make that call? I don’t want to trade one problem for another! I know the liver info was presented to her because I see it in the clinical notes (patient portal). It wasn’t until I read the drug info sheet that patient should notify doctor if they have certain conditions that I started to worry that there might be an oversight. I don’t have liver disease, but those elevated enzymes continue to be monitored by my gastro/primary. Anyway, I called the oncologist’s office yesterday morning to ask my questions and I’m still waiting for an answer from the doctor - more than 24 hours later I am still waiting...that does not make me happy. So I will wait...and maybe consider a second opinion...I don’t know...