Who is main Dr that gets updates from all others after surgery?

I've been wondering about that myself. Regardless of whether or not you can get a really good answer to that, you should be making a collection of all of your official records for yourself. They should be easy to get from the medical records office, especially if you make the request in person and pick them up in person to save time. Sometimes there is a fee per page. If you are seeing a private independent doctor, his/her office should make copies for you. The most important thing you can do for yourself is to read the records thoroughly. I found two mistakes in mine. One reported my cancer as being in the left breast when it was actually in the right. Another instance was when I had a thyroidectomy. When the radiologist who did the mapping prior to surgery made her report, she wrote that one of my parathyroids "had been previously diagnosed as having cancer." So not true! At the risk of being labeled as "difficult" I pointed these discrepancies out to surgeons and medical records. So be it. Ever hear one of those stories where the wrong limb gets amputated? It happens. You have to be careful though, and almost appologetic when reporting your findings because you don't want to upset the person who will be cutting into you. Don't even expect an apology or a thanks for pointing anything out because that would be feared as an admission iof guilt. Geez... I try to tell myself that, by the time you get to surgery, the surgeon has seen so many scans and reports that one "left" among several "rights" will not skew the results...but, hey! Do I sound paranoid? Yup. But really, people make mistakes. So do we all. Just hope you can avoid the biggest ones.

Ehhh...my surgeon sort of spearheaded my care but really the MO drove the bus for awhile after surgery. RO doing her thing separately. Now I alternate seeing MO and surgeon, with RO followups stuck in between. Surgeon decides on imaging, MO monitors tamoxifen, and they do a breast exam whenever I come in. Seems to be working ok. I don't know how much they communicate about my care though. No PCP involvement but I don't trust them anyway so it's ok.

I have always been asked who I want reports sent to. I always list all my Drs that I want to have the info regarding what is pertinent to them and the care they give me.

It seems like my MO is the most involved. I'm not sure if he gets all of the reports or not. I try to list all of my doctors, but that's not always possible. I don't think that any of them actually "talk" about me. Information sharing is probably the extent of it since they are at different facilities.

MO - seen every six weeks, blood work, meds

BS - seen every six months, CBE, imaging if needed

PS - seen ? (as needed, I guess), passes on any concerns

PCP - seen if needed