Bilateral Mastectomy

Sparks of Joy

/ Jennifer / 4 Comments

Pardon the title–I promise this isn’t about Marie Kondo.

Today I had my annual checkup with my surgical oncologist, who performed my mastectomy. It’s totally routine, but even the most ordinary of appointments can feel fraught after cancer.

Visiting my surgeon’s office is especially triggering, since it’s housed in the same building as the breast center where I had my first ultrasound and biopsy, the first moments I realized that lump was more than just a cyst. Just driving into the parking deck makes me nervous.

But today’s visit was pretty much the exact opposite of that day.

Me, my snazzy granny drape and some intestines.

After the usual intake routine, I was shown to an exam room and given one of the little drapes to cover your bare chest. These always crack me up because they look like little shawls made of the curtains from someone’s granny’s house.

But I digress.

After performing his exam, my surgeon declared everything looked and felt great–no weird bumps or lumps on my chest or my lymph nodes. Great news!

Once I was all covered up, we chatted a bit about my checkup schedules, as well as the challenges of parenting small children (he has a three-year-old).

Before leaving the room, he shook my hand and told me how much he enjoys these appintments as opposed to those first ones when things are so scary. Since the moment he happily delivered the news that my post-surgery pathology was clean (I swear I could hear him smiling through the phone that day), he’s always seemed so genuinely happy and excited to see me doing well.

I couldn’t help thinking how hard his job must be–delivering terrible news on a regular basis, coming up short sometimes no matter how hard you try (because cancer is a beast), seeing women about your age with kids around the age of yours feeling utter devastation at such a terrifying diagnosis. It has to weigh on the soul.

And even though I really have very little control over how my situation turned out, I’m glad to be able to bring him even the slightest bit of joy. Honestly, after all he’s done for me, it’s the least I could do.

Couch Life

/ Jennifer / 7 Comments

lazy-person

Earlier this year, my husband and I bought new living room furniture.

We didn’t intend to make such a large purchase–we were initially just looking for an oversized chair to replace a lumpy sofa that had long outstayed its welcome. We went to a local furniture store that I love and found the perfect chair in a display right inside the front door. At first, we were only going to purchase that one piece, but it also had a matching sofa and the deal was just too good to pass up.

As the salesperson gave us the pitch on the set, she showed us that both the chair and couch were actually recliners. The couch has a dual-electric recliner feature. We weren’t in the market for recliners, but we liked the look and feel of the furniture so much that we decided to pull the trigger any way.

This past week, I have been SO thankful we purchased this furniture, particularly the couch. It has been my home for the past seven days, since it’s pretty much impossible for me to get in and out of our bed. With a pull of a lever, the electric mechanism sits me right up, or reclines me into a relaxed position. For someone whose arms and torso are extremely sore, this is pure magic.

I’m just over a week post-op now. I’m still really sore, and these drains are still driving me nuts. Each day is a little better, but I’ve still got a long road before I feel halfway normal again.

I had my first post-op appointment with my plastic surgeon yesterday. She looked at my mangled chest and said everything looked good (relatively speaking), and she celebrated my clear path report with me. She also gave me the terrible news that I’m not getting to ditch these drains until the end of the month (long sigh).

The day before yesterday, we went to my in-laws’ house to see my son. He’s been staying with family since my surgery to give me some time to recover. This is the longest I’ve ever been away from him, so it was a pretty emotional visit for me. I cried when he walked in. I cried when he gingerly hugged me, trying to be gentle to keep from hurting “mommy’s boo-boo.” I cried half the way home (we left him there for a couple more days to give me more time to recover).

But, he’s coming home tomorrow. I am over the moon! I have had moments of excruciating physical pain with this surgery, but nothing compares to the emotional pain of being away from my child.

This time tomorrow, I’ll have company on my couch, and I cannot wait.

 

Recovery

/ Jennifer / 7 Comments
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Hospital fashion is seriously hot.

So, I am officially post-op.

And all things considered, I’m doing pretty well. I came home yesterday after a two-night stay in the hospital. I had a fainting spell that gave everyone a little scare in the hospital, so they decided to keep me an extra night.

The pain has been intense, but manageable. I’m mostly horizontal, but have been up and walking since the evening of surgery, and my mobility has improved each day.

The drains are gross, but not nearly as bad as I expected.

I took my first real shower today and looked at my chest for the first time since the operation. I didn’t know what to expect, and it wasn’t easy to see what I look like right now. But, as Rodney reminded me, this is temporary and I won’t always look like this.

So, all of that is great, but here’s the best news: my pathology report was all clear. The tissue from both my breasts and my lymph nodes were cancer-free. I know, way to bury the lead!

I could literally hear the smile on my surgeon’s face when he called me with the news. The chemo completely eradicated what was there, and nothing new had formed. He told me this is not only good news for the short-term, but for my long-term prognosis, as well.

As I told family and friends the news, so many of them exclaimed that I beat cancer. And I guess I did in a way, but I don’t feel like I can ever totally feel like I beat it. That may change, but the fear of recurrence is still far too real for me to be so boastful. I feel like I’m jinxing myself or something.

So, I will enjoy this victory and keep moving forward in recovery. Thanks to all who’ve sent good thoughts and prayers my way–they make a difference!

Goodbye, Girls

/ Jennifer / 19 Comments

 

o-bras-store-facebook

I was in 4th grade the year I got my first training bra.

I scarcely had anything to fill it, but all my friends were getting them, and when you’re on the verge of becoming a teenager (I believe it’s called  a “tween” nowadays) and your friends are doing something, you just have to do it, too.

So, one Saturday my mom took me to Sears (lingerie and lawnmowers–talk about your one-stop shop!) to pick out a training bra. I perused the rack of simple white numbers, settling on one with a dainty blue flower applique on the front.

That Monday I wore my new bra to school. No one knew I was wearing it–save my girlfriends to whom I excitedly flashed the straps on my shoulders to prove I finally had it–but I knew it was there, and it made me feel so grown-up.

Tomorrow I’m bidding adieu to my “girls,” or at least, to them in their natural state. I am nervous. I am sad. I am angry.

I’ve never been the type of gal to be all wrapped up in her ladies, so to speak. They don’t define my identity as a woman, or how I feel about my appearance. But they are a part of me. They fill out my clothes (and I am way into clothes). They nourished my child. And they also tried to kill me.

So they must go.

I started crying in the car tonight on the way home after dropping my son at his grandparents’ house, where he’ll stay this week while I recover. Through my tears, I told my husband how much this all sucks. Yes, I am very lucky in so many respects. It could all be so much worse. But, still–it fucking sucks. I cannot believe sometimes that this is my life. This is really happening. I keep thinking I’m going to wake up and this will all have just been a really terrible, vivid dream. It just can’t be real.

I’m sure it will feel very real tomorrow. People who’ve been through this surgery assure me it’s not as bad as you’d expect, and that it’s easier than chemo. I can’t imagine how that could be possible. I mean, chemo sucks pretty hard, too, but there aren’t drains (ugh), and I could still hold my son even when I felt like garbage.

But for now, I’m saying goodbye. I’ll miss the girls as they once were, but I’m hoping they’ll cause me less trouble from here on out.

Mastectomy, Simple, Complete

/ Jennifer / 10 Comments

scalpel-10-blade-correct

 

Yesterday I met with my surgeon to discuss my upcoming bilateral mastectomy and lymph node removal/biopsy. I now have a surgery date, and it’s very soon.

When I got home last night, a notice from my insurance company awaited me, informing me my surgery had been approved. In the section with the coding for the procedures, it said: “Mastectomy, simple, complete.”

While it will be complete, nothing about this is simple.

When I received my diagnosis back in July, I immediately feared I’d need a mastectomy. I’d run through all the scenarios in my mind by the time my doctors told me a much less invasive lumpectomy would be just as effective. Cue the relief.

Of course, that was before I found out my BRCA2-positive status. That changed everything.

Now I’m facing a bilateral (double) mastectomy, along with the removal of some of the lymph nodes in my left armpit (the side where my cancer occurred). Those nodes will be checked for cancer cells.

I’ve opted for a nipple-sparing procedure with reconstruction. This basically means that all the tissue inside (which reaches up nearly to my collar bone and around the sides of my chest) will be removed. Then, the plastic surgeon will insert expanders, which are essentially deflated implants that will be injected with fluid over a period of weeks to allow my skin to heal and prepare for the insertion of the permanent implants.

My surgeon said the recovery process will last 3-4 weeks. And several of those weeks I’ll have drains on either side of my chest to remove fluid that builds up in the space between my healing skin and the expanders. I’ll have to empty these daily. Blech.

Obviously, my mobility will be seriously affected during recovery, and I won’t be able to drive for at least two weeks after. I guess I’ll finally have a chance to catch up on all those Netflix shows I’ve been meaning to watch.

The pain, lack of mobility and even the disgusting drains (have I mentioned how gross they are to me?) aren’t what I’m most worried about, though. Per usual, my son is my biggest concern.

I won’t be able to lift much of anything during recovery, which means picking him up is a no-no. This is problematic because my son is very attached to me. I pick him up multiple times a day. And on top of that, he’s constantly in my lap, falls asleep on my chest and ends up in bed with me most nights. All of that will have to change. Like the end of breastfeeding, I know this is going to be a fairly difficult adjustment for him. He won’t understand. He will cry. And I probably will, too.

So, yes, this mastectomy will be complete. But it is far from simple.