Hello, Lisa.

I remember talking to your aunt and how incredibly set against rad she was three years ago, even though you tried your darndest to change her mind. Have you explained bluntly that although rad is hard, death is worse? If ever she needed to change her mind, this would be the time. It seems to me that going through that terrible surgery again, without the backup of rad, will give no peace of mind that the cancer will not stage a third recurrence. The objections she has should be put on the table and reexamined. Rad now is not the same as it was years ago. Bottom line, this may be her last chance. It might help a lot if she could talk to a radiation oncologist, and if I can help to change her mind, I will be glad to give it a try.