Will doctor, medical staff "prepare" you for bad results?

I think you may be trying to read into everything that is being said and done right now. This is totally, 100% normal, and I did the same thing while waiting for my results.

Honestly, to me it just sounds like the surgeon is trying to keep you as informed as possible, which is great! Not many doctors take the time to do that. Just because he's taking the time to inform you, that doesn't mean he thinks it's cancer and he's trying to brace you for the news. It just means that he's sharing with you what info they have right now because he wants you to be an informed patient.
As for the nurse navigator....it sounds like she is just a caring person who has heard that your waiting for your results and is trying to offer some comfort while you wait. Nothing more, nothing less.

One thing I have learned since being diagnosed? Life is totally, without one doubt, unpredictable! Just because you think something is so, doesn't make it so. Just because you think something won't happen, doesn't mean that it can't.
BIRADS 4 doesn't mean it's cancer. It doesn't mean it isn't cancer. It just means that there is a chance because something is suspicious. Most biopsies, (about 80%), come back benign.

When I had my first ultrasound way back in April, the radiologist had a troubled face and said it was time to drain the cyst that I had. Which we did, and it was completely benign. Then at my follow up ultrasound in September, they recommended a biopsy because it looked suspicious. (Mammo completely clear by the way). So biopsy day came (and I'm already a nervous wreck) and the radiologist says "We don't need to biopsy this based on the ultrasound you just had. We can bring you back in 6 months and see what's going on." And I stared at him and said, just do it, I'm already here, and I don't want to wait any longer. So once he started going over the area with the ultrasound he and his assistant look at each other and she squeezed my hand and started to distract me with conversation. I knew from that point that what they saw was definitely not a cyst. She was super nice to me the whole time and walked me out to the elevator. A few days later I got the results...I don't mean to scare you, but it's better to be prepared than to get hit by the news out of the blue. They technically can't tell you anything until they know for sure, but they have had so much experience with breast cancer they know what it's supposed to look like.

I hope to see you come back here and tell us it was benign. Remember, 90% of BIRADS 4 biopsies are benign.

being in your position i also feel your obsession but from what i have read and been told on this forum is a lot of doctors do not pull punches in such a serious matter. I think for any doctor that does not 'prepare' a patient when the culmination of findings from the us and mammo point to bc... is doing us a disservice no matter how brutal it may be. Because when the result comes in after at least you can grasp the situation slightly better to ask appropriate questions. These are skilled very intelligent people who live and breath this day in day out so they know when the odds tilt one way to the other so they know what they are looking for most of the time

Try not to dr google. If you try find something on google you probably will find it. For example all the rare cases of a lady with a fibroadenoma and it turned out to be cancer. Remember there are so many variables to individual scenarios that doctors and case studies do not stipulate in the findings. Also a lot is not recent literature and for women on here today with bc confirmes there has been huge strides in medication for survival rates. We must remember 10 yr prognosis statistics are not only statistics but they only release studies in blocks. And any woman i believe who make it past 10 yrs recurrence free are out there not on this forum living happy normal lives. The issue with all the case studies is they can be missinterpreted many times over by the unknowing. We all read wanting to be doctors and pathologists but it just is not possible to do so without all the context.

Depending on how they deliver results

If you request phone it can go either way

If you set up appointment i would hope and there are guidelines around it thatthe doctors prepare and will warm you by asking you to bring a support person which indicates a serious conversation

I am so grateful that every Dr. and radiologist I've seen has been perfectly upfront and honest with me. The day I had my mammogram and diagnostic ultrasound, the radiologist came and told me "I must tell you that I am 98% certain this is cancer. We will do biopsies to make sure but you need to be ready for what you're going to hear." Then my biopsies came back benign and a few days later the radiologist called me and said "I know you must be feeling very happy now about the results of your biopsies but you need to go for more testing. I am very certain this is cancer. Do not neglect to go for more testing." I had the biopsies re-done and yes, it was cancer.

Later, I had an abnormally high calcium. The oncologist called me and told me "we're ordering scans to make sure your cancer has not spread. It is very, very unlikely that it has spread but we are just being careful." The cancer had not spread. Now I know that my medical team will never give me false reassurance. If they reassure me, I can feel comforted.