Even though I'd already received the diagnosis of breast cancer from my nurse practitioner, I still had an appointment with my Group Health doctor at the medical center the following day. She would be the doctor who would refer me for surgery and follow-up treatment. The doctor didn't spend much time explaining my biopsy report or anything else, since she could see that I'd already been given that information. She told me that I could expect--worst-case scenario--to be "profoundly fatigued" for the next year. Yippee, just what I wanted to hear to motivate myself to go through the next year. :~) I will give her credit for getting me in to see a surgeon right away. Many of the best surgeons in the county were out on summer vacation or booked up. She apparently pulled some strings and got me in to one of the best surgeons the following week for a consultation.