July 26, 2014
It’s been a minute since I have blogged about the whole breast cancer journey, mainly because I finished treatments back in February and haven’t really done much else. A few weeks ago, I had my first three-month labwork and appointment with my oncologist. I was nervous before going in, knowing that they would be checking my tumor markers to make sure that they were not elevated (which would mean recurrence). Thankfully everything turned out wonderfully normal!
So a few weeks ago, I went back to the surgeon – Dr. Carolyn Garner, extraordinaire – who performed my bilateral total mastectomies last year, as well as my port placement and repair for chemo. A year or so before I even got diagnosed with cancer, my family knew and loved Dr. Garner’s work as a surgeon. She had removed the thyroids from our friend Holly, Holly’s mom, Erikka (right after Harrison was born), and my mother. Dr. Queen of the Thyroidectomy! One of the times that I had gone in with
Erikka before she had her thyroid removed, the doc did an ultrasound on my throat, just for kicks, since I had so many symptoms related to a problem thyroid. I didn’t have insurance at the time, but I did have an obvious nodule that was likely making my thyroid absolutely useless. Flash forward to 2014, when I finally obtained wonderful medical insurance. I had to wait until I was completely done with treatment, or at least that what was recommended, before finally addressing my throid or anything else that would require surgery. I went in, she wanded my throat again, and just confirmed that the nodule was still there, and appeared to be very calcified. We also discussed removing my chemo port, which she had previously sewn to my chest wall. Yes. Good times and great comfort, particularly all of the times that Harrison hit it with her head or body-slammed me. And then, as an afterthought, change of heart, whatever, I started asking about possible small reconstruction. She had removed my breasts and had gone as close to the chest wall as she could, and this left me flatter than a boy – I was actually caved in. Some shirts and swimsuits just don’t fit right anymore, and I had become very self-conscious about it (and I just KNEW that I wouldn’t care about that kind of thing). Well, apparently, I was wrong.
Next thing I knew, Dr. G had my shirt off and was snapping pics of my chest with her iPhone, and then texting the pics to her friend the plastic surgeon, Dr. Sanderson. She said he was a fantastic plastic surgeon, and that I should consider a consultation with him before we scheduled surgery; and yes, all of the procedures could be done on the same day. When I left her office that day, I called and got an appointment with Sanderson for the consult, and a few days later was meeting him and discussing options. I ultimately decided that I would go with just a small, A-cup implant, and had just enough skin to do it and not have to get expanders. Within a few days, surgery was scheduled, insurance was verified, and I felt really good about my decision. Our anniversary trip was already planned and booked, so surgery would be the week after we returned, with plenty of time to heal and be up and about in time for the new school year that begins at the end of August.
Thursday, July 24th we checked in at the hospital at 8:30 AM for my 11:30 AM scheduled surgery. IV put in, visits from doctors and anesthesiologists, and soon I was in la-la land and off to the operating room. Dr. Garner took out my thyroid and chemo port, and when I asked her about the nodule, she said it was bigger than we anticipated (the size of a marble), and solid like a rock. She said that the lab will have to soak it in a solution that will soften it enough to cut it open and do the pathology on it. It could be cancerous, and if so, that will mean more treatment, but nothing near what I have already done. If it is, that means three days in quarantine taking radioactive treatments – and that is it! So I’m not overly freaked out about whether it is or isn’t, because while it may be an inconvenience, I can certainly handle three days of treatment and then it be over!
When Dr. G was done with her part, Dr. Sanderson took over for the reconstruction portion of the program. I think he was at it for a couple of hours, opening up my previous incisions, placing the implants, and building barriers on each side of them to keep them in place (since I had no expanders or pockets placed previously). I don’t think that I woke up at all in recovery, and was up in my room before I did. At first I didn’t think the pain was too bad – until the first time I had to get up to use the restroom. Whoa! When gravity hit, even in little boob gravity world, THAT was ROUGH. I had not been given the handy dandy little morphine button, and nobody knew why; but I made it very clear that I wanted and needed it! When Dr. S stopped by to check on me, I was in a lot of pain and he didn’t understand why I didn’t have the button either, so he was ON IT. Got me hooked up within a half hour, and I was much better – well at least every six minutes I was a lot better…hahaha. I soon discovered that the pain in my chest from the reconstruction was WAY worse than the double mastectomy, and I’m not sure that I understand why. But I went home after one night in the hospital for that one; this time I have been here going on three nights, and hoping to go home tomorrow. My chest is still wrapped really tightly in dressing and ace bandage, so I have yet to see the results. I know that it isn’t going to be much bigger than before the implants were placed, but I expect not to be caved in anymore, with just enough curve (hopefully) to fill my swimsuits.
Soon enough, I will heal again, and start looking for tattoo artists that have experience in post-mastectomy tattoos. If I find someone good that will take me on as a client, then I will start with 3D areola/nipple tats. After that, I want to put the Biohazard symbol where my port scar is, and then later figure out some cool, non-floral designs over other portions of the surgery scars. I never, ever planned on doing any kind of reconstruction, but am glad that I reconsidered and left it as a possibility after all. We shall see!