Or “under cover empanada.” Or “under cover calzone.” For another option, “under cover apple turnover.” I opted for piroshky in the title because “under cover piroshky” reminded me of Boris and Natasha from the Bullwinkle and Friends cartoons.

I speak of the shape of my newly expanded breast. The primary purpose of the tissue expander is to expand tissue and to encourage new skin growth. Looking like an actual breast is secondary to this goal and now that the expander is almost totally filled with saline, I realize that it looks like an upside down filled bread product. And all but the apple turnover are made with yeast so I am getting closer to a leavened breast after all. The fold part of the empanada corresponds to the top of my breast. It curves on the ends so it is not totally horizontal. The middle of the fold, however, makes a handy shelf. I could probably balance three shot glasses there. Party! If you are in more of an afternoon partying mood, I could balance a tea cup (without saucer) or for you coffee drinkers, a couple of demitasse cups.

Just thought you’d want to know about this development. You’re welcome!

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As in Bugs Bunny’s on my butt, in band aid form. Peggy, one of the nurses at Swedish Cancer Institute, put it there after she gave me a Lupron shot. This one is good for three months instead of one month like the two previous shots. I can feel the difference. I also have a Daffy Duck band aid on my upper left arm. Peggy also gave me a flu shot. I have a simple gauze and paper tape dressing over the inner bend of my elbow. That’s from my blood draw. The phlebotomists are old school. Too bad because if they’d given me a Porky Pig band aid I would have had a Warner Brothers’ trinity on my left side.

Last but not least, I have gauze and dressing over the small portion of missing skin on my breast. I found out yesterday that I lost all of the skin in a little area. Dr. Welk told me that what I had been looking at and thinking was deeper skin was actually subcutaneous fat. That was mildly disconcerting since I was unaware that I had been peering at a deeper layer of my insides all this time. He also told me that the skin would heal from the edges in by forming a bridge over the wound. That skin will not form connections to the fat below, however, He did say that the area had revascularized (the blood supply has returned to the area) and the tissue was granulated (a stage of tissue healing), which are good things.

Overall, Dr. Welk was happy with how things were proceeding so he added a bunch of saline to my tissue expander. He did, however, recommend that I have about a square centimeter of skin grafted from my abdomen to my breast. In his usual way he said, “It’s no big deal. It’s just a pinch of skin. It will take less than 20 minutes.” I was feeling brave so I said, “Dr. Welk, last time you told me something was only going to take 5 minutes, it hurt like Hell.” He said, “This won’t even hurt like Heck.” “How about Purgatory?,” I pressed. “Not even like Purgatory. No big deal.”

So I agreed. I met with Dr. Rinn for my medical oncology appointment and she also said she thought it was a good idea because it would reduce risk of infection. So I had a good appointment with her, got my shots, scheduled my next appointment for next January (yay, three months away!), and went home.

This afternoon, I’m going to see if Dr. Welk is right about this little “no big deal” skin graft. If he’s wrong, I’m not just going to give him Heck, I’m going to give him Hell! ๐Ÿ™‚

T minus 5 months, that is. At long last, I have scheduled my TRAM surgery date. If all goes as expected, it will be on March 11th. Yes, that’s a long time from now but it was the earliest available surgery date and I am fine with waiting. For one, I need to make some money to pay for it! This way, I’ll get to enjoy the holidays as well as my 23rd wedding anniversary on March 10th. Almost more importantly, I should be able to enjoy the summer of 2013, more so during the summer ofย  2012, which included three surgeries between June 27th and August 8th followed by a medical leave that lasted until September 10th. I spent the majority of that summer in and out of the hospital and then another month in recovery. I’ll need to take some time off after this next surgery, I’m thinking at least four weeks.

I had a particularly good appointment with Dr. Welk today. He asked me a bunch of questions about what it’s like for me to be a psychologist. He is usually not very chatty. Maybe he ate his Wheaties today!

Ha! If you found this blog entry via Google when you were looking for some porn, you have been punked! This is a middle-aged lady’s breast cancer blog. And when you add the word “cancer” to the name of a body part, even an ordinarily sexy one like the breast loses its allure. Now to my other blog readers, if you are worried about my glee in naming a post “fun in bed” and fantasizing about leading porn readers to my site, let me explain.

A few years ago, I was searching on Google for “free holiday clip art.” I was trying to find border art for our annual Christmas letter. You know, just another day in the life of a mom and wife, engaged inย  a wholesome family-oriented activity. So I saw a link titled, “Free holiday clipart. Halloween. Thanksgiving. Christmas. Valentine’s Day.” I clicked on it and much to my horror, I entered a couple’s home made porn site! Aaaaaaaaagh, my eyes! And by the way, they were not cute. And double by the way, if I were ever to meet these folks, I would say, “I have a little suggestion for you to help improve your photographic skills. I’m glad you have a zoom on your camera but a tight shot like that really detracts from the subject. You might want to zoom out a little and use a light diffusing filter. You may also want to take future photos with the lens cap on. And, Dude, so sorry about your scar. The trauma you must have experienced with a circumcision gone awry. Other than that, big props on keeping it spicy in the bed room!”

And if you feel sorry for these people, don’t. I was lured to this site. For those of you who are unfamiliar with how websites are set up, let me explain. There are these things called “meta tags” that you attach to your website. Basically, they are key words. People can’t see them but when they use them in their Internet searches, they will be directed to your site. For example, for my business website, I assigned meta tags such as “psychologist”, “child psychologist”, “ADHD”, “Seattle”, etc. That helps people find my site when they search through Google or another search engine. So yes, that means that these do-it-yourself porn stars assigned “holiday clipart” as a meta tag to their site!!!!!!!!! They were just waiting for some unsuspecting mom to click on their link and view them in their gory glory!

Okay, so now that I have successfully accomplished my revenge on Internet porn, I’ll tell you the real story behind the title for this post. First, I had quite interesting dreams last night. In one of them, I traveled to some European country, it was probably Hungary since John was just there. However, in my dream it was a country that hosted the winter Olympics recently, as I was informed by a tour guide. I visited a mountainous area where the games were held. It was filled with glass sculptures (suspiciously Chihuly-esque) and there was a mountain in the background. It was a stunning scene so I started taking pictures. Of course, as soon as I started taking pictures it became instantly dark outside. The rest of the country tour was interesting. Despite the alpine climate, the area was full of tropical plants like palm trees. I remember thinking, “Wow, this is weird. Why is it warm with palm trees in Europe during this time of year?” Also, in the tour, we were doing a helicopter tour at times and a bus tour at other times. On the bus tour, we saw lots of architecture. However, the buildings were really cartoonish and the whole vibe was more like a Disney park. Maybe I’d made it to Euro Disney. (Hmm, I wonder if this has anything to do with the fact that my husband’s business trip to Hungary was for his job at Disney. Let me ponder that one for a few hours.)

 
I remember less from the second dream but I have no idea where it came from. I was in college and Natalie Portman was one of my dorm mates. And she was famous in the dream. She was trying to get me to buy this special kind of underwear that she favored. They had a liner and an outer layer, which looked like a pair of board shorts. They were really bulky and dumb looking. Natalie enthused, “If you buy some, we can share!” I said, “Gee, Natalie I’m don’t really want to share underwear with you.” She clarified that she only meant the board short part. I was not convinced and also pointed out that we also would not wear the same size. I forget what else happened. Aha, I just pieced together the random thoughts that created this dream. I’m not going to say anything, I’ll let all of you speculate on my unconscious.

 

Finally, my last big of “fun in bed” occurred when I was doing my mindfulness meditation. Ollie, our monster-sized cat, decided that he needed some attention. Suddenly, I feel his full weight on me, including on my abdominal incisions. Not super painful but not my favorite, either. Then he started sniffing my face which is his greeting and request for petting. He got bored and jumped off of me. A few moments later, he did a do over and he was on me again. Ordinarily, I would have stopped what I was doing (meditating) because I wasn’t “doing it right.” Instead, I kept meditating and instead of trying to block him out, I tried to calmly notice what was going on. (That’s part of mindfulness.) So I thought, “Now Ollie has jumped on my abdominal incisions. Observing, without judgment, I’ve go to say that it hurts a little, etc.” I kid a little, especially about the “observing without judgment” part (it’s an ever present catch phrase in mindfulness). But I have to say that it worked in making what would usually be an irritating experience into a useful and slightly humorous exercise. It was a good start to the day.

You may recall my experience several weeks ago when there was a “code blue” called in the oncology clinic at Swedish Cancer Institute. 20-30 medical personnel swarmed over from the hospital to attend to a man who had lost consciousness during his medical exam. I had a similar experience today except that the “code blue” occurred in my office! I walked out of my office to the waiting room. My friend and office mate, Steve, opened his door and quietly told me, “My patient is having a medical situation. He is really disoriented and I called 911.” I asked him if he needed help, he declined, and since there were people in the waiting room, I decided the best thing I could do would be to go back to my office and calmly carry on until my next patients arrived.

Paramedics arrived a couple of minutes later. It turned out that the patient was diabetic so they thought he probably just had low blood sugar. So Steve came by and asked me if I had any food. I gave him a granola bar and some crackers. Having worked with teens with diabetes as a psychology intern, I knew that people can get really cranky when they have low blood sugar. Sure enough, Steve’s patient was not thrilled with the snack options that I dug out of the bottom of Jennie’s and my desk drawer. Steve went to one of the restaurants nearby and got a soda. Apparently, he was not drinking it very fast so Steve asked me if I had any sugar packets. No luck there so he went off again to one of our neighboring restaurants.

I didn’t see any of this, but Steve told me that in the few minutes it took him to return with sugar packets, his patient had sprung back to life. He’d gotten enough soda into his system. The paramedics left and the patient drove himself home. Crisis averted!

So maybe this isn’t really a “code blue” but again, I am not a physician so how am I to know? I admired Steve’s calm throughout all of this. I’m glad that there are safety nets in life like 911. But people, take care of yourselves! If you have diabetes, breakfast skipping is not allowed! It was a good reminder to me to continue to care for myself and try to remain calm during the bumpy parts of life.

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As you know, I’ve been feeling a bit sorry for myself for the last few weeks. Yesterday, I was quite overwhelmed with the combination of work, family, and self-care responsibilities. The next two weeks are jam-packed perhaps even more so.

It’s time for me to put my blessings in the foreground:
-I have wonderful friends and family, whom I love greatly.
-I have a great chance at a long and healthy life.
-I have good health insurance.
-Today is my dad’s 80th birthday! Both of his parents died in their 50’s, making this a particularly big deal.
-I am making new self-care habits that make me feel better now, emotionally and physically, and will also help protect me from future illness.
-I love my job.
-My daughter is happy at high school.
-Despite all of the changes and stress in my life including instant menopause, I have lost 27 pounds since May 5th! In 3 pounds, I will officially enter the “healthy weight” category using the BMI.
-I have this blog as an outlet. It helps me now and I imagine it will help me in the future, as I look back at this period of my life.
-I have wonderful healthcare providers. Plus most of them are really nice, as well as technically skilled.
-I live and work in a great community.
-I am a strong and reliant person.
-God is love and love is great. God is great!

I know there are more but I am starting to feel better.

Yes, it was like pulling teeth, but ultimately, I successfully extracted a very complicated report from my brain. Victory!

I was also successful in raising my business account balance from $788 on Sunday to almost $3000 on Wednesday. The insurance checks are finally starting to come in from my return to work over a month ago. So when you think, “Elizabeth shouldn’t work so many hours” remember that 1) I actually am working less hours on average and 2) I collected a total of $600 for the entire month of September. I’ll have another month like that after the TRAM surgery. These are not such easy choices.

Lindbergh High School Reunion '82, '83, '84, '85

Join us this summer for our reunion in Renton, WA!

George Lakoff

George Lakoff has retired as Distinguished Professor of Cognitive Science and Linguistics at the University of California at Berkeley. His newest book "The Neural Mind" is now available.

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