Archives for posts with tag: Breast Cancer

As I mentioned earlier, the surgeries went fine yesterday. One of the surgeries was a delay procedure and it is designed to eliminate blood flows up to the abdominal area so that all blood flow comes from above the area. (I know that there are medical directional terms but I can’t figure them out.) The reason for this is that blood flow to the breast comes from above. In the abdomen the blood flow from below is a lot stronger so Dr. Welk made two small and relatively shallow incisions to my abdomen to cut off blood supply in that direction. That will make the flow from above stronger, which will reduce the chance of complications when the tissue is moved to my breast.

The other procedure was the placement of the tissue expander. See below for photos of deflated and expanded tissue expanders. They come in different shapes and sizes but all look like they have a yolk in the middle. When it’s implanted, it’s filled up a little bit with saline solution but since they don’t want to torture women, they don’t fill it all at once. So there needs to be a minimally invasive way to fill it incrementally in the weeks following surgery. The yolk is a magnet that it used to find the port into which the saline is injected. Dr. Welk says he uses a device like a stud finder (I suggest “babe finder”) to locate it. One of the pictures shows the tubing that is attached to the syringe to fill up the breast. So why am I eager to fly? Because the metal yolk sets off air security alarms! I have my very own “Device Identification Card”, signed by Dr. Welk to prove that my breast means no harm to the people of Earth!

In the mean time, I am resting and also trying to figure out how to pad out my bra on the right side a little. I thought I was really smart and organized when I ordered a smaller breast form. Dr. Welk said he’d fill up the expander about half way. I guessed that half would be about an A cup and then further guessed at the size of a breast form. I considered just waiting and getting some of those “increase your cup size” inserts at Target, but I figured that I’d end up lumpy and lobsided. To make a long story short, I’m more like a B cup so the breast form is too big. It is also shaped differently than newly leavened breast. When I put the breast form in, I was about a size G on the right side. Plus, it just looked weird because the breast form angles differently than my breast. I can’t explain it without showing a picture and I’m not going to put a photo of my breast on this blog. Let’s just say that since skin from the top of my breast was removed that now that it is filled, it appears to be defying gravity, especially once particular area, resulting in a major googly eyed effect. I suspect that this effect will not go away until the TRAM procedure, during which Dr. Welk will add some skin to my breast from my abdomen. I’m hoping that he avoids using the skin decorated with my pregnancy stretch marks. The guy is all about aesthetics so I’m sure he will.

So now you know how the expander looks. As to how it feels, it feels like I have a water balloon right below my skin, which is basically the truth. If I tap on my breast with my finger, it sounds like I’m tapping a Tupperware container. Maybe I can push on it to “lock in freshness” or practice Morse code or something. Finally, pain-wise I am doing okay so far. I took a couple of Percoset (not at the same time) yesterday but today I have switched to Advil combined with Traumeel, a homeopathic pain reliever that is actually evidence-based. (I have long been leery of any kind of homeopathy, and remain so as a general rule but this one looks like the real deal. Check it out for yourself here.)

I’d like my breast sunny side up, please!

I’ve had an EXTREMELY light schedule since I came back to work. This is in part by design and also due to cancellations for testing. I usually have only about one cancellation a year for my testing services but as fate would have it, I’ve had one per week for the last two weeks, which is extra stinging since I haven’t been making any money due to my medical leave. Nonetheless, I have been trying to treat the extra time as a precious resource rather than a source of disappointment and anxiety. Consequently, I took a walk this morning around the neighborhood.

My walking route was not set but I knew that a visit to the coffee shop, Bird on the Wire would be in the earlier part of the walk. On the way to the coffee shop, I saw two girls, one about 9 and the other about 5,  waiting for the school bus. It was busy at Bird so I was there for awhile. When I left, I saw that the girls had walked to the street corner. I said, “Good morning, girls.” The older girl’s face started falling ever so slightly. “Are you okay?” I asked. Then Ashley (not her real name), the older girl crumbled into full on cry face. “We missed the bus. We need to be at school. We’re trying to walk there. We are lost.”

I tried to calm them down and found out that they were sisters and that they were responsible for getting themselves out the door on time in the morning. This morning they decided to watch a movie and they lost track of the time. I asked Ashley if she knew her parents’ phone number. “No and I don’t have my phone. They took it away and I have to pick up dog poop to get it back!” (I sure hope those parents give that girl her cell back if they are going to put her in charge of getting she and her sister to school every day.) I asked if she knew where she lived. Both girls gave me directions but I couldn’t really follow them. Then Ashley said, “We can’t go home. Our parents told us it is our job to get to school on time.” I explained that their parents would want them to be safe and not trying to walk all of the way to their school (this is what they were trying to do and they didn’t know the way). Ashley also asked, “Do you have a car?” I told her that I did but that although I would never hurt them, their parents would not want them to take a ride with a stranger.

Both girls felt terribly that they would be breaking a rule by being late to school. The kindergartener, Kelsey (not her real name), said “I’m going to be on the lowest part of the teacher’s chart!” Her sister, felt more responsible being the older girl. “My teacher is going to be mad at me for being late. I’m in 4th grade!” (Many kids live in fear of 4th grade. There’s a big emphasis on being responsible.) I tried to reassure them that I thought their teachers would be understanding. Their distress was heartbreaking and charmingly earnest and innocent all at once. At one point, the little one started jumping around a little, playing and her sister said, “You’re not supposed to play. We did something wrong!”

This is when I realized that I had encountered myself at ages 5 and 9. About two minutes after asking the questions about where they lived, etc., I said, “I have a better idea. I’ll call your school.” As I dialed, little Kelsey said to herself, “I hope they answer, I hope they answer.” I talked to the receptionist who put me on the phone with the principal, Christy Collins. Christy and I know each other from work I’ve done professionally with some of the students at the school. She is a relatively new principal to that school and she is terrific. We arranged for me to wait with the kids while she drove to pick them up. Even when I told the kids that Ms. Collins was going to pick them up, they were still a bit unsettled. Ashley kept saying, “I feel so lost.” Kelsey said, “I wish I could fly in the sky so I could see where our school is.” The girls looked happier when Christy picked them up. I explained to her that they were very afraid of getting into “big trouble” and that Ashley was taking her responsibility as the older sister very seriously. Christy thanked me and they went on their way to school.

The girls weren’t literally lost. They’d really only walked about 10 yards from the bus stop. There were people around to help. But they felt lost. It turned out they were new to Seattle and had moved from a rural town, which is quite a bit north of here. Kelsey informed me, “We moved here so I could go to kindergarten.” She had also told me that she’d gone to preschool and when I asked where she told me that she was “home schooled” for preschool. I told her that I had also been “home schooled” for preschool. (I didn’t go to preschool.) I’m wondering whether she thought there were no kindergartens in in her town.

There have been times in my life when I felt lost when I really wasn’t. When the cogs in my brain churn away at anxiety so ceaselessly that it is hard not to feel that something is horribly amiss and that I can’t see away to fix it. These can be risky times as well. Like the girls, who were so afraid of getting in trouble for not getting to school, my brain can get so focused on the subject of my anxiety that I can minimize the risks of other decisions. My guess is that Ashley had been told many times not to get a ride with a stranger but she felt so panicked about the situation and not carrying out her “big sister” responsibilities that she lost sight of the bigger picture. I was glad to have been able to help these girls, to help them problem solve, to stay safe, and to remind them not to ride with strangers! I don’t feel lost now but I may feel that way again sometime in the future and I will try to remember these girls, that I can solve many problems and when I can’t, I can ask for help.

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So my mom has been dying to come up with a name to contribute to the name game. Earlier today she told me that she didn’t think she could think of something because because she “loved me too much” and didn’t want to make light of my cancer.

Oh how the love has faded because, drum roll please…, she has contributed:

Liv and Let Live

My dad, not to be left out and offering a mechanical interpretation:

Built and Re-Built

Both of those ideas made me laugh aloud after a very hard day. So I guess they love me a lot after all.

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Okay, so my cousin, Beth got me thinking about coming up with names for both righty and lefty. They are a set of a kind. So here goes, my stream of consciousness. As I did yesterday, I will add more as inspiration arises:

Boob and Boo Boo
Scooby and Scrappy
Lefty and Lucy (inspired by John’s suggestion “Righty Tighty and Lefty Loose-y”, which is backwards, unfortunately)
Benjamin and Button
Mammy and Mummy
Party and Pooped
Ta-da! and To-do
Zan and Jayna (The Wonder Twins, suggestion thanks to Lisa)
Waggy and Baggy
Jiggly and Scraggly
Lennie and Squiggy
Herman and Pee Wee
Judy and Punched
Hit and Miss
Denver and Phoenix (Okay, a little obscure but think about it and then groan.)
Teton and Won Ton
Ham Bow and Big Ow
Yin and Yang
Mickey and Mini (spelling intentional and I hear you all groaning.)
Bonnie and Clyde
Cupid and Psyche
Ernie and Bert (Okay, this one makes no sense but made me smile so I’m keeping it.)
Lilo and Stitched
Oscar and Felix
Simba and Scar
Wow and Ow

For some reason, I am finding a need to refer to the right side of my chest as something other than “surgical site.” It’s going to be several weeks before I start the temporary inflation process with the tissue expander so a name would be handy. And yes, I could stick with “righty” but that implies some kind of symmetry with “lefty”.  A few ideas of various levels of quality:

The Tissue Formerly Known as Righty
Breast-to-Be (I kind of like this one. Maybe a friend will throw me a shower before surgery. Yay, presents!)
Vegetarian Sweater Meat
Ugly Duckling (Some day it will turn into a bee-you-ti-ful swan.)
Breasterpillar (Some day it will turn into a bee-you-ti-ful breasterfly.)
Puppy Pupa (continuing with the metamorphosis theme)
Empty Jug
Sad Sack (waah!)
Berefticle (waah!)
Scarla
Storage Chest
Bosom in Waiting
Breast, in Space Saver Mode
Unleavened Breast
Late Bloomer
Bosom’s Buddy
Fixer Upper
Do-Over
The Start of Something Big
Under the Shoulder Boulder Holder

Dear Surgical Drain,

By now, having sit for a few hours in the exam room waste receptacle at the True Family Women’s Cancer Center, you have realized that I’ve left you and moved on with my life. I imagine this was a shock to you as it was rather sudden on my part. To be honest, I just wasn’t that into you. I mean, I needed you for awhile for your draining function but once you’d finished the job, I was dried out and done with you. I want to wear semi-normal clothes again without having to disguise your lumpy presence with blousy tops with wild prints. Yes, you embarrassed me. Frankly, your contents were kind of gross. Don’t despair, I will need you again in a few months when I have my TRAM surgery. We can catch up on old stories. Just remember this time, that this a TEMPORARY relationship of limited scope. I am a married woman, after all. But I do thank you for coming to my aid when I needed you most.

Sincerely,

Elizabeth

(Note: I meant this post to be funny but now I am feeling ridiculously and irrationally sorry for the surgical drain. After being off work for two weeks, I have this back log of empathy and I’m applying it to plastic! No wonder my high school creative writing teacher taught us not to anthropomorphize objects. It’s not only bad writing, but it is dangerous! Don’t try this at home!)

You should be so glad that I screened out the grosser images of Jackson-Pratt drains, which came up in my Google images search. This one is unused and straight out of the package. You’re welcome.

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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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