Mastectomy / Reconstructive Surgery - low blood levels?

knotts_2002

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My very best friend who is 35 y/o was diagnoses with HER2 positive
breast cancer and had a mastectomy a little over a month ago. The
surgeon who performed her mastectomy told her that she did not need
radiation. The Radiational Oncologist is insisting that she does need
radiation, her second opinion told her that she did not need the
radiation. She is now ready for her reconstructive surgery and the plastic surgeon is
telling her that she can not have any surgery until her blood levels
come up. Please help me understand this. This whole thing has not only
been an eye opener, but a learning experience for me as I take the
journey with her! So, she had the mastectomy while her levels were low,
so what is the difference? Can't she have a blood transfusion? Any help
you can provide will be greatly appreciated! Thank you all!!
 
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