Okay, here's the thing about microcalcifications. If they just look like salt sprinkled over the film, then that is okay. But they watch those little grains carefully. If they change and start to cluster, then that can be an indication of cancer, usually "in situ," which is usually easy to treat. So if they are telling you that you didn't have clusters before, but now you do, then I would check with a breast surgeon. You don't have to have a wire guided biospy... talk to the doctor about a regular surgical biopsy. If he knows about your past experience, I don't see why they couldn't just put you out and do a surgical biopsy. I never had to take more than a couple of Tylenol 3's after a biopsy.
I'm assuming the pills you are taking are immunosupressants. They also suppress our bodies ability to fight cancer cells, and they grow like wildfire, which is why the skin cancers keep popping up. If your microcalcifications are clustered, and if they are cancer "in situ," it would be logical to think it could become invasive more quickly than most people's would. Please check this out with your transplant team. I'm sure they could address this more knowledgeably than I can or could direct you to a good surgeon to discuss it with.
And you are right, doctors just don't address pain or complication issues as well as they could. I read an article about oncologists who had cancer, and they all said they heard their patients talk about fatigue, but they never fully understood the extent of it until they had to go through it themselves. I'm sure the same holds true for pain. I had a rather complicated reconstruction called a TRAM-flap, which takes abdominal muscles to create a new "breast." They told me that in 6-8 weeks I'd be back to normal, I just wouldn't be able to do sit-ups anymore. Ha! Try years later, and I'm still dealing with the ramifications of that surgery.
I know you didn't go through 4 years of dialysis and the transplant process just to die from the complications of immunosuppressive therapy, so please check on this!
Can I ask how old you and your daughter are? She sounds like an incredible young lady!
"There's a difference between a philosophy and a bumper sticker." --Charles Schulz