The Good, The Bad & The Ugly

I went to see a Radiation Oncologist at the advisement of my Breast Surgeon today.  My surgeon said that he didn't think I would need radiation, but that it would ultimately be the call of the specialist.  To my surprise, the Breast Navigator was there.  I was so thankful for this, because I had showed up to the appt. alone.  She kept me company and helped me understand what the doctor and nurses were telling me.  At first, the NP came in and explained exactly what radiation entailed.  What the appointments would be like and what radiation involved, etc.  She was so detailed it began to worry me. So, I asked her "does this mean I'm definitely getting radiation?"  She said that I'm a "candidate" for it, but that the decision is up to me...if I don't want to do it, I don't have to.  This confused me a little, but luckily she was just a "prep" before the doctor came in.  As soon as the Doctor came into the room he told me "You do not need radiation!"  WOOHOOO!  Oh my gosh, I was soo relieved!  Radiation is a scary thing, especially when you have implants.  It interferes with the implants and the scar tissue.  I was very worried about that.  The doctor continued to explain why he felt that I didn't need it and wouldn't benefit from it.  However.......the bad news:

As I explained in a previous post, my initial breast MRI showed my tumor at 2.9cm, after chemo I received another breast MRI which showed the tumor size at 2.1cm.  The point of chemo is to rid your body of the residual cancer and shrink any tumors.  Most of the time, the tumor will shrink so much it can't even be seen.  So, since mine only shrank 0.8cm, this was extremely disappointing.  It basically means the chemo didn't work.  Therefore, the Radiation Oncologist said because of my age and the aggressive nature of my cancer, he thinks I should try another/different regiment of chemo.  He said most patients will do chemo AFTER the surgery anyway (instead of before like I did).  Soooo, he said he's going to talk to my Oncologist and get back with me about what they decide on whether I should do more chemo (eek!).  I'm conflicted about this option because obviously chemo is nothing fun.  It's awful, I will feel bad (possibly even worse than before), I will lose my hair again (which has just started to grow back), I will have to miss more work, etc.  BUT, I want to do everything possible to make sure that this cancer is completely gone and does NOT come back.  I want to exhaust all my options and make sure I do everything I can to get back to good health and stay in good health.

Because of the extensive history of cancer on BOTH sides of my family, they also want me to see a geneticist.  The following cancers are in my family history: bladder, liver, breast, skin, prostate, cervical, and lung.  The doctor couldn't believe it today when going through my family history.  He was astounded!  So, that appointment will be interesting.  Hopefully it will give me good news and not bad.  But she's booked until December, so I'll have to wait a while for that.

Please keep me in your prayers, especially while I await the decision about more chemo.  Also, while I heal from the initial reconstruction surgery, head towards the final reconstruction surgery, return to work at the end of October, and see the Geneticist.

Doctors, Doctors and more Doctors

I had several doctors appointments this week.  Tuesday, I had my post-op appt with the Breast Surgeon.  He went over the pathology report and said everything looked good.  I won't need to see him again for 6 mos.  The pathology report showed that the only cancer was the tumor that we already knew about in my right breast and it was apprx. the same size we thought it was (very slightly smaller).  Also, they found a benign fibroadinoma in my left breast.  He also said that it showed no cancer behind my nipples, which is good news because that means I get to keep them!  So overall, very good pathology report!  He said that he doesn't think I will need radiation, but wants me to see the Radiation Oncologist for him to give me the final word on that.

Then, on Wednesday, I had another appt. at the Plastic Surgeon's.  I had the final two drains removed (YEAH!!), and more fluid injected.  He said I will probably get filled a couple more times.  The tape was also removed over the incisions so the steri-strips can fall off.  What I have to realize is that getting implants due to breast cancer is completely different than getting breast implants for augmentation purposes. With breast cancer, all of your breast tissue is removed (and with some women the nipples are removed also), so the implants are there to replace that missing tissue.  With augmentation, all the breast tissue remains which helps plump up and enhance the breast.  So breast cancer patients don't get the "vavoom" effect that augmentation patients do :(

Then, on Thursday, I had an appt. with the Dermatologist for a skin cancer follow-up. As you may recall, I was diagnosed with melanoma in January of this year.  During my B.C. surgery, I had my mom swipe a surgery marker (what they use to mark/draw on your body with).  I later used that to circle all the moles and freckles on my body that were new or had changed in the last year.  With chemotherapy, you're a lot more sensitive to the sun and you're suppose to limit your sun exposure.  Therefore, I had developed quite a few new moles in the last 4 months.  So, I went into the office with probably 20 purple circles all over my body.  Funny enough, my Dr. was super happy and impressed with this idea!  I ended up getting 2 moles biopsied, but the Dr. said he feels that they will both come back benign.

Post op

I went to the plastic surgeon for my post op appointment yesterday.  For the past week, I have had to empty 4 drains (2 on each side) every four hours and record the amount of fluid that is extracted from each drain.  I took that record into the appointment with me, and according to those numbers, the Dr. said he could remove 2 of the drains (1 from each side).  The drains were inserted into my side, held with one stitch and bunch of tape and gauze were placed around it.  It was pretty painful to remove them.  Luckily I am still pretty numb all over or I'm sure it would have hurt a lot worse.  While there, the Dr. also injected more saline into my temporary expanders.  I will go weekly for this to occur for a while.  He looked at my incisions and said that they looked good and everything seemed to be going well.  So I go back on Wednesday to hopefully get the other 2 drains out and receive more fluid.  Right now I'm progressing well with the help of pain meds and sleep :)



This is what I look like right now (on one side).  The incision was made under each breast.  The purple circle at the top is where they inject the saline.  The one drain that is left is under the purple circle.  The white guaze at the bottom is where they took out the other drain.

I'm home!

The surgery is over and the tumor is gone!!!!  I have been laying low for a week at my parents house. It's been nice with the holiday weekend, my parents have been able to stay home and take care of me. I have been in immense pain with bad nausea the entire time.  I spent 23 hours in the recovery unit at the hospital after my 7 hour surgery.  An anesthesiologist surgically implanted a pain blocker in my back to block the nerves in my chest and help with the pain after surgery.  It was suppose to last 3 days and it only lasted 1.5days (we still can't figure out why).  I think I have the nausea under control now.  I think I just wasn't eating enough before taking my pain pill each time.  I also have two drains inserted on each side that have to be emptied every 4 hours.  Mom and Dad have been getting up in the middle of the night to do that for me.  I've pretty much been sleeping all day.  I've had several visitors already.  Lots of people bringing us food.  Even though I haven't been able to eat much of it, it looks really good and my parents are enjoying it!  My mom has said several times that it's been nice getting a home cooked meal without having to cook it herself.
Thank you everyone for the love, support, encouragement, and prayers throughout this ordeal.  It has been a rough road for me, especially this last week.  I know I made the right decision, but it is hard to deal with right now with all the pain.  I have a post op with the plastic surgeon tomorrow (Thurs) and hopefully 2 of the drains will be removed.  He should also be filling the expanders some.  I took a total of 8 weeks off work, so visitors are always welcome!  I'll be at my parent's house in New Pal for 2-3 weeks then back at my house in Indy.


In the recovery unit.

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