Well, it finally looks like winter at home and up in the north country!  We ventured up north this weekend to get some snowmobiling in and it was unbelievable.  They had so much fresh snow and snow banks piled so high... we haven't seen it this way in years!
We got some riding in and I felt like a new person!  Although still tired and not conditioned to doing any exercising in the past 4 months- I felt so much more energy than on chemo... big surprise there huh?!  We got some riding in- and it made me feel "normal" - mentally anyway! 
Todd and I have been planning the next step in my treatment.  We are skipping the radiation and going straight for the bilateral mastectomy with immediate reconstruction.  I know it is going to be hard emotionally- and I am trying to think on the upside of things.   I will be essentially removing all of the breast tissue, nipple and areola, while leaving the skin (skin sparing).  This will allow for the saline implants that I will have to be put underneath the muscle.  Later down the road I will have nipple construction and tattooing.
I will be in the hospital for at least one night and then have 1-2 weeks recovery. I am so very excited to take this step- although again- pretty scary- still I feel it is a step in the right direction.  It will reduce my risk of breast cancer significantly- and that is the main goal.
We will also be doing a sentinel node dissection in the right breast before the surgery.  This is just a precaution to check for any possible cancer cells that may have travelled out of the right breast.  We are taking this step only as a precaution as there were no cancer cells found previously- and we don't plan on finding any now.
I talked to my oncologist about Tamoxifen- which is something still we have to look into.  While on Tamoxifen (hormonal therapy)- you get put into menopause (like with chemo- as I am still now)- and they do not recommend you have children while on this drug.  This is a problem for me as you need to be on Tamoxifen for 5 years.  That would bring me to having children when I'm 33- and at that rate- who knows how long it may take.  I am then getting into a higher risk for ovarian cancer the older I get.
So - again we'll see.   One step at a time Todd says, and he's a wise man :)!