Thursday, January 3, 2019

New Year, New Boobs!

Happy New Year, my friends! My new boobs and I are sailing into 2019 with vigor and zest, and we (my boobs and I) can't wait to give you an update!

First of all, I was so very relieved to learn I do not need chemotherapy.  My oncologist ordered a special test of my cancer cells, called a Mammaprint test, that determined with high confidence that chemo would not be beneficial to the type of cancer I had.  Whew!  Thank goodness for that!  Y'all have no idea how awful my head would look without hair.  We all dodged a bullet there!

Secondly, I am now on hormone therapy.  This is a systemic treatment that prevents any lingering cancer cells that might be roaming around in my body from growing.  The medication I have to take for the next five years, called Tamoxifen, blocks the uptake of estrogen by specific cells in my body (including cancer cells).  So I still produce estrogen, but now some of my cells no longer respond to it.  This is great for preventing cancer metastases, but can also have some undesirable side effects.  I've been on TamoxiFUN (as I like to call it) for two weeks now and have had several hot flashes (thank goodness it's the middle of winter and I can just go outside and lie down in a snowbank), but that effect seems to be lessening each day.  I've also experienced some insomnia (which I'm combating by changing the time of day I take my pill), and feeling more emotional than usual.  These have been minor effects, and hopefully will diminish over time.

Thirdly, and most awesomely, my new boobs and I are doing a fabulous job of kicking ass and getting back into shape.  Since I was cleared to resume running just over two weeks ago, I have run 54 miles.  The miles are slow, and the first several runs were laborious (read: I thought I was going to die), but I am getting back into a nice groove and each run feels just a teeny tiny bit easier.

This is good because as soon as I found out I wouldn't need chemo, I signed up for the Donna Breast Cancer Half Marathon on February 10.  That's right; my stupid ass decided that running a half marathon only three months after a double mastectomy would be a great idea.  So far, the longest run I have managed is 6 miles.  And there's just over one month until the race.  You do the math.  *eyelid twitches*

I have returned to lifting weights as well!  This is very exciting for me, as my arms were beginning to turn to jelly from lack of use.  The occupational therapist who measured my arms before and after surgery (to make sure I didn't develop lymphedema) felt it necessary to comment on the fact that my arms had actually gotten smaller since surgery due to muscle atrophy.

Actual video footage of my arm 5 weeks after surgery.

But now I am back to lifting weights, albeit nowhere near as heavy as I was lifting before surgery (yet).  My first few sets of push-ups were standing up with my hands against a wall, which was quite humbling when I was used to doing them the normal way.  I'm not quite back to doing them one-handed yet, but I imagine I'll be able to do that any day now. *looks shifty*

 As far as how I'm feeling overall: I feel excellent.  I have no pain, and my range of motion is pretty much back to normal.  I have to be careful because I feel like I can do a lot more than I probably should at this point in my recovery.  It is a delicate balance between listening to my body, and listening to my doctors.

I am also really looking forward to going back to work.  January 7 is the big day, and it will be so great to get back to my normal routine.  Although it was nice being able to accomplish so much at home these last eight weeks, such as giving the cats the nearly constant snuggling they so rightfully deserve, and watching seven seasons of The Office.  Oh, and I also built an entire Hogwarts castle from Legos (a wonderful Christmas gift from Aaron)!  Seriously!  Look!

Hogwarts, Hogwarts, hoggy warty Hogwarts, teach us something please!
So, as you can see, I was very productive during my recovery time.  But now it is time for me to be productive at work again.

The cats are going to be pissed.

Wednesday, December 19, 2018

The Return to Running *cue dramatic music*

Yesterday I had my six-week post-op follow-up appointment with my plastic surgeon.  It is actually only five weeks since my surgery, but the six week mark is Christmas Day.  My surgeon understandably refused to invite me over to his mansion for Christmas (all plastic surgeons live in mansions, no?), so he had me come in for my follow-up one week early. The appointment went like this:

Nurse: Okay, change into this gown.
Me: *takes off shirt and bra and doesn't bother putting on the stupid gown because y'all have seen all this before*
Doctor: *enters room* Alright, stand up and let's take a look.
Me:  *stands up*
Doctor and Nurse simultaneously: Wow!!! 
Me: I know, right???  *checks self out in mirror on wall*
Doctor: Your recovery is remarkable.
Me: I was hoping you'd say that. Now, doc, I have a few questions. *inhales deeply*  When can I start running? When can I start lifting weights? When can I do other cardio?  When can I do push-ups? WHEN???
Doctor: First of all, stop bouncing.  Second of all, you can start now.
Me: *pulls running shoes out of bag and starts putting them on*
Doctor: Wait wait wait!  You need to ease into it.  Make yourself a two week plan, wear a very supportive bra, don't overdo it and listen to your body.
Me: *already warming up with high-knee jogging in place* Sure, doc, whatever you say! 
Doctor: You may need to take Advil after your first few runs.
Me: Pffft. I don't need no stinkin' Advil!  See ya! *runs out of the exam room* *realizes she is still topless and quickly runs back in* 

Fast forward to this morning, when I went for my actual first post-surgery run.  It went like this:

Brain:  Finally, the day I've been waiting for for five weeks!!!
Legs: Okay, we're ready for this.  Let's run at the same pace we used to run before surgery! It will be FUN! 
Brain: Well, maybe you shouldn't do that...
Heart and Lungs: Oh this isn't so bad.  We can manage this.
Brain:  I mean, we've only gone a tenth of a mile.  It will probably get harder. 
Legs: Nonsense! 
Heart and Lungs: Well, now that you mention it, this does seem harder than it used to. 
Legs: You can't slow me down!  
Heart and Lungs:  *sobbing quietly*
Legs: We're freeeeeeee!!!
Brain: Will somebody please tell the legs to slow the hell down??? 
Heart and Lungs: Can't.breathe.  Going.to.die.  Need.paramedics.
Legs: Quit yer whinin'! 
Heart and Lungs: We may never recover.  Tell our families we love them.
Garmin watch: Hey, while all of you were bickering, we ran four miles and now we're done! 
Brain:  That.was.AWESOME!!! 
Legs: Okay, to be honest, we're a little wobbly now.
Heart and Lungs: We will never forgive any of you.
Legs: Literally cannot walk right now.
Heart and Lungs: You get what you deserve, Legs.
Brain: We are SO doing this again tomorrow! 
Legs, Heart and Lungs: NOOOOOOO!!!!

All things considered, my first post-op run went pretty well.  Four miles at a 10:20 pace (which was definitely too fast) is a decent accomplishment only five weeks major surgery.  I clearly need to work on slowing my legs down to match my cardiovascular fitness, as I've definitely lost a lot of fitness over the last several weeks.  If I can do that, I should be able to safely increase my distance.  

So I'm thinking I should be ready for a marathon by the end of January. 

I kid, I kid!  

Well, I'm pretty sure I kid. 

Thursday, December 6, 2018

Random Recovery Thoughts (RRT's®)

Being on medical leave for a couple of months gives one a lot of time to ponder things.  Here are some of my more recent musings, in no particular order: 

1.  All of those cheesy holiday movies (Lifetime and Hallmark channels, I'm looking at you) are exactly the same.  A man and a woman who initially don't like each other get stuck in a small town over the holidays and somehow manage to fall in love.  It's all so completely ridiculous.  And yet, I can't.stop.watching.them.  I'm this close to moving to Montana and opening a bakery and/or bed & breakfast.  Please send help!

2.  I never realized that the main reason I would need to take time off of work for this surgery is because I need the free time to go to the millions of doctor appointments.  It's seriously a part time job!  Plastic surgeon.  Breast surgeon.  Occupational therapist.  Genetic counselor.  Oncologist.  Dentist (okay, I know that has nothing to do with breast cancer, but hey, I need to keep up the pearly whites too!).

3.  Yesterday I got the results from a $5000 DNA test I took a month ago (insurance-paid, thankfully): I do not carry any of the 16 or so breast cancer genes.  Not a single one.  That means my cancer was just rotten luck.  This is good news though, as many of those genes also indicate increased risk for other cancers (ovarian, pancreatic, prostate, etc).  So glad I don't have to worry about prostate cancer!  Really dodged a bullet there!  Phew! 

4.  I'm officially allowed to resume running at 6 weeks post-op.  That is Christmas Day.  Best.Christmas.present.EVER!  Or, if my cardiovascular fitness is completely gone after 6 weeks of not running, it may actually be the worst Christmas present ever.  Maybe I should ask Santa to bring me a shiny new Automatic External Defibrillator just in case...

5.  Every day, my upper body range of motion gets a little bit better.  Today I reached very important milestone in my flexibility: I was able to successfully put on and remove a sports bra!  BY MYSELF! 

 6.  Our cats are getting extremely spoiled by my being home every day, and sleeping in the living room every night.  I'm legitimately worried they will organize an uprising when I finally do go back to work and start sleeping in the (locked) bedroom.  Maybe I should stock up on extra treats and tuna...

7.  It has been almost a week since I've started taking showers, and the novelty has not worn off at all.  Every shower I've had has been amazing and wonderful and I will never ever take showering for granted ever again. 

There you have it.  Deep thoughts from someone with waaaaay too much free time.  I think I'll go take another shower now.  Because I CAN! 

Saturday, December 1, 2018

Shower Power!

Today I had the most blissful experience ever: my first shower since my surgery 2 1/2 weeks ago!  I mean, just look at this face:

This is the face of joy.  And cleanliness.  And someone who will never take showers for granted.
That's right, I finally got my drains out yesterday!  That was an... interesting experience.  I was worried it would be painful, because there was a lot of tubing buried under my skin.  Two nurses performed the extraction in tandem, one on each side of me.  On the count of three, I took a deep breath, and then blew it out forcefully while doing an ab crunch, and at that moment the nurses yanked the two drain tubes out in one swift motion.  It didn't hurt.  It just felt... weird.  My drain tube incisions burned a little bit from the friction, but that passed quickly.  They bandaged me up and sent me home, with instructions to wait 24 hours before showering.

Longest.24.hours.EVER.

But at 2:00 pm today, I gleefully turned on my shower and proceeded to take the most satisfying shower I've ever had in my life.  I could write a sonnet about that shower, I was so moved by it.  But I'm feeling super relaxed from said shower, and writing a sonnet seems like way too much work right now.  So how about a haiku instead?

Hot water on skin.
Soap is the best thing ever.
The stink is now gone!


The other perk of having my drains out is that now I can finally wear normal clothes.  I no longer have to wear stretchy pants to keep from irritating my drain incisions (which, oddly enough, were located just above my belly button), and bulky sweatshirts to accommodate the drain bulbs.  Now I can go to public places without looking like a complete slob!  Yay!  This calls for another haiku!

I put on real pants
and sophisticated top.
Let's go drink some wine!

Alright, now it's your turn, my friends.  Give me your best shower or clothing haiku!  

Tuesday, November 27, 2018

Poster Child of Foobs

A good friend of mine (hi Jodi!) recently gave me a t-shirt that says:

Yes, they're fake.  
The real ones tried to kill me.

How much do I love this!?  SO MUCH.  I cannot wait to wear this shirt in public!  I look forward to taking my foobs (fake boobs) out in public and telling my survivor story.

Unfortunately, it will have to wait because I still have my damn drains in.  ARGH!

Today I'm exactly 2 weeks post-op, and I had hoped this would be the day my drains would come out, but alas, I was deemed not quite ready.  Close.  But not quite.  The nurse said maybe they can come out on Friday.  Well, let's hope so, because it has been two weeks since I've had a shower and I'm worried I'm becoming...  savory.  Or unsavory, as the case may be.  But let's not dwell on that...

Even though I didn't get my drains out today, I did get my sutures out.  It's something!

But you wanna know what the highlight of my appointment today was?  It was when the nurse called me the "poster child of breast reconstruction" and said they want to use my before and after photos in their brochures. 

Wait.  What???  My humble foobs will be used as an example of my plastic surgeon's best work!?  What a huge, and somewhat bizarre honor!!! 

I hold four US Patents, I am a certified Project Management Professional, and I have an engineering degree from one of the best engineering universities in the country.  But being the Poster Child of Reconstructed Foobs may well be my greatest accomplishment in life.  Or maybe my foobs should be my plastic surgeon's greatest accomplishment in life.  Either way, someone has accomplished greatness and should be recognized! 

In somewhat related news, I have an appointment scheduled with a medical oncologist in mid-December.  He will likely recommend further testing that will determine whether I would benefit from chemotherapy and/or hormone therapy.  Given what we already know about my cancer (that it is hormone receptor positive, meaning it grows in response to the presence of estrogen and progestrone), it is almost certain he will recommend hormone suppression therapy.  But chemo is more of a grey area, since my cancer was caught early (stage 1) and my lymph nodes were clear.  There are tests such as Oncotype DX and Mammaprint that can determine the likelihood of breast cancer recurring or metastasizing.  If this test comes back high risk, chemo is recommended.  If it comes back low risk, chemo would have little, if any, benefit.  These tests can take several weeks, as they are looking at dozens of different genes in the tumor for various risk factors.  Plus I am still waiting on the results of my DNA testing to determine if I carry any breast cancer genes (this is completely different from the tumor testing).  So I guess the next couple of months will be a lot of "wait and see".  But don't worry, my friends; as soon as I get any news on any of these fronts, you'll be the first to know!

In the mean time, I will spend my time admiring my foobs and working on my best pose for my "after" photos.  What do you think?  Should I flex my bicep?  Put a little attitude into my hip?  There are just so many ways I could go with this, artistically speaking!  The options are truly endless!

Tuesday, November 20, 2018

Little Cancer Factories

When I found out I had breast cancer, and had decided to have a double mastectomy, I joked to friends that I was "getting rid of my little cancer factories," as if my boobs were churning out tumors left and right.  Truthfully though, I had only one confirmed cancer site out of the 9 biopsies I had gotten, so they weren't actually very productive cancer factories as far as I could tell.

Today at my 2nd post-op appointment, I received the pathology report from my mastectomy.  It takes the lab a while to do this because they are literally examining every square inch of your entire breast (or two breasts, as the case may be) looking for abnormal things.  The report is five pages long and is a riveting read if you're ever looking for something new to help put you to sleep at night.  Thankfully, my surgical team highlighted the most important parts of it for me.  Allow me to summarize here:

In my right (non-cancer) breast, they found lobular carcinoma in-situ (LCIS), which is considered a Stage 0 cancer, or a pre-cancer.

In my left (cancer-containing) breast, they found multiple other small sites of cancer, similar to the one that got me into this mess in the first place.

MULTIPLE.

*jaw hitting floor*

Holy crap. 

My boobs really were little cancer factories!!!  It seems they were just getting started ramping up production and never got a chance to earn their ISO 9001 certification. 

Have you ever made a really important decision and then after it was said and done, questioned whether or not it was the right choice?  But then, something happened that totally and completely solidified your original decision? 

This is hands down the best example of that in the history of the entire universe

I'm sure many people have wondered if it was really necessary for me to have a double mastectomy for one little bit of cancer.  Why not just have a lumpectomy, maybe hit with some radiation, and enjoy a quicker recovery?  Two words:

Cancer Factories.

My boobs were ticking time bombs.  And now I'll never have to worry about them causing more grief because they're gone.  Buh-bye.  Adios.  Peace out, bitches! 

I don't want to say my pathology report was "good news" because it really had a lot of bad stuff in it, but it certainly was reassuring news. 

You know what is good news though?  Today I was cleared to drive again.  I'm not allowed to take long drives, or, you know, drive like I'm in MarioKart, but I can go to the grocery store (where I can't buy anything because I'm still not allowed to lift more than 8 lbs) and such.  I'm almost out of postage stamps, so maybe I'll go on a post office adventure tomorrow and buy 7 lbs worth of stamps.  I can hardly wait!!!

Monday, November 19, 2018

Things That Suck About All Of This.. And Why They're Okay

You all know I keep a pretty positive attitude about this whole breast cancer / mastectomy / implants rigmarole.  My recovery has been surprisingly smooth, and I am very thankful for that.

But sometimes you just gotta vent about the little annoyances.  So here goes, in no particular order:

1. I am not allowed to shower until my surgical drains are out, which will be 2-3 weeks post-surgery.  Seriously.  I mean, I'm keeping myself clean, and don't stink (I think...), but I would really just love a hot shower!
2.  Speaking of the surgical drains... they are SUPER annoying!  At least I only have two drains (one for each boob), but having to keep them from dangling, tangling, and tugging my skin is a constant battle.  And having to drain them and measure the output twice daily is just...  well... icky. 
3.  I'm not allowed to lift anything heavier than a jug of milk (8 lbs).  I mean, come ON!  I was doing bicep curls with 15 lb dumbbells before this.  This is killing me! 
4.  I'm not allowed to drive until after my drains are out.  I am a prisoner in my own home.  I guess I could have someone come drive me somewhere but...
5.  ...the only clothing that is comfortable to wear is sweatpants and a hoodie (with nothing underneath).  There are not many places I can go looking like this.  Maybe Taco Bell, but I really don't want to go there. (Does anybody???)
6.  My new boobs feel like bricks strapped to my chest - very heavy and tight across my chest - and I really hope it doesn't feel like this forever because it's rather uncomfortable. 

Whew! It feels good to let all that out!  And you know what?  In the grand scheme of things, those annoyances really don't seem so bad now that I've written them out.  There are plenty of people who also have to endure chemotherapy and radiation and multiple surgeries.  I don't know for sure yet if I will need any of those things, but I would be surprised if I did.  I have been so incredibly fortunate in catching my cancer early and being able to treat it in such a way as to essentially eliminate any chance of recurrence.  Two weeks of not being able to shower is so insignificant compared to the gift of being cancer-free. 

Of course, I'll let you all be the judge of whether or not two weeks without a shower is "not so bad".  Who wants to smell me first???