The oncologist was pretty clear that she considered there to be only one chemotherapy option. It was either that chemo or no chemo, and whatever one she was referring to could damage my heart and other vital parts of my body and therefore she wouldn't do it with me. (It wasn't like I was begging for chemotherapy; but I guess I expected there to be more options or more discussion of options.) Toward the end of the appointment, I just shut down because it was clear to me that there was nowhere to go and I didn't want to start crying. The plan was decided. Her attending doctor came in and was a little gentler but didn't give any other message but we talked about 2nd opinions being available if I wanted.