Tiffany and her family have been in denial for a long time. At the begin of this year the surgery was fully explained, Tiffany chose to believe her chemo/rads would mean she didn’t have to have it. The thing is that’s fine to do, but there has to be a little bit of you that as soon as the results show it hasn’t responded as well as she hoped then That is the time to look at what might now happen. She is scared of course she is, I would be too. The one thing I would say to her though is the quality of life she has at the moment is crap. She’s in pain, bleeding, not eating, no social/work life. The surgery is completely life changing, but maybe the end result will be she has a life and one with a better quality of what she has now, not what she had, but now.