Looking back on 2016

It's December tomorrow...DECEMBER, PEOPLE! What the heck?!
I was answering some questions about my upcoming procedures today and it hit me. This time last year I was trying to mentally prepare for 12 months of reconstruction work. It seemed so daunting at the time. It hasn't been easy, in fact, it's probably been the most physically challenging part of my cancer journey so far. But here I am, just 21 days from the final steps in the year-long process. The key is keep looking forward, don't focus on the challenge of the moment, but on the goal at the end.
I don't bore you with a long narrative...not right now, anyway. So here is 2016 in summary.

• January 11 - surgery 1 - release the lattisimus dorsi muscle to increase blood flow prior to moving it
• February 1 - surgery 2 - move the muscle (with some skin) from back to chest on the left side. tissue expanders implanted on both sides.
• March - September - tissues expansion - saline added to expanders every 2 weeks.
• September 26 - surgery 3 - tissue expanders removed and replaced with implants
• December 21 - surgery 4 - multiple procedures including tattooing, fat grafting and some surgical adjustments
• Also
• DRAINS - have I mentioned how much I loathe those things?
• Scar tissue
• Seroma
• Buckets of fluid
• Physical Therapy
• ASTYM
• Cancer Scare
• Physical challenges
• Low points
• Upswings

All that for some Frankenboobies.

 

I'm often asked if I would go through it all again. HECK YES! All of the procedures have been tough but the end result is worth it. Though more invasive, the process has a better success rate than other options. I would go through all of it again without hesitation!

 

 

Back soon!

Love to all,

Andee

I'm such a slacker

I really am a slacker - at least I have been when it comes to the blog. I've said it a million times, I feel better when I post regularly. It's pretty inexpensive therapy and no one even has to read the posts! Life, once again, snapped back to a certain level of normal after my last surgery. Sometimes it wears me out but the more hectic, the better. I work best under, at least a little bit of, pressure. It's bizarre but it's me...

I thought I should post a brief update before moving on to finish and release the 2 drafts that have been sitting in my post list. I have to complete the "letter" series and one entitled "Acceptance...now what?"  I'll wrap those up soon enough. 

If you follow along on the Facebook page, you might have seen that I have another surgery coming up in about 30 days. Calling it one surgery isn't quite correct. Technically I think I'm having 4 procedures at one time. It has been one heck of a year for surgery. This will be #4. In between #2 and #3 I experienced the joy of tissue expansion with fills every couple of weeks. It was not entirely pleasant but it's in the rear view now and I'm ready for the next step in the process. I'll provide the details soon enough.

I'm happy to announce that, for the next 4 weeks at least, I'm now physically able to exercise. I'm still not where I was in 2015 but I'm light years ahead of where I was only a couple of months ago. I haven't really been able to do any of the things I love, and that work best for me, due to a number of issues. The primary being the muscle that was moved. It still pulls a bit but it no longer feels like it's going to pull loose and snap back around to the spot where it came from. The visual of that in my head cracks me up every time.  :-) So, for the next 4 weeks I'm making sure I'm getting some exercise that counts in each day. Today was yoga. I've lost any and all flexibility over the past 2 plus years. I want to build strength and lose weight but I am very determined to get my flexibility back.  Just like 2015, I will publicly post my goals and my progress. It's all about holding myself accountable and not because I think anyone else is remotely interested. 

So there you have it. Things are rolling right along and I'll be posting more frequently in the coming weeks. That's the plan, anyway.  As always, feel free to send your questions via the site or pop over to FB. 

Love to all!

Andee

The letter - Part I

Dear Andee 2014,

You don't know it yet, but your life is about to change. On the evening of March 15, 2014 you are going to find a lump in your left breast. Because it's a Saturday, you're going to stress about it until Monday morning when you can call the doctor. You will suffer silently because you're not ready to tell anyone...not even your husband. Some part of you believes that if you don't say it aloud, it won't be real. You'll keep telling yourself that most lumps are nothing...but your gut continues to tell you that's not true for you. The lump is not small. You will keep trying to convince yourself that you were obsessive about self exams so it can't be cancer.  You checked regularly. You will get online and do research. You'll find multiple articles that say breast cancer doesn't hurt. That's somehow comforting because you have had pain. You will attribute that discomfort to an ill-fitting bra.  When you wake on Monday morning, you will feel sick. Nerves...all nerves.  You will opt to stay home from work. You will decide to tell your husband what you found and that you're calling to make an appointment to get it checked. You will try to assure him that it's probably nothing but it's best to get checked and know for sure. You contact your boss and HR  director at work and explain the situation...what's making you feel sick. They are understanding and supportive (and will continue to to be, well beyond this day).  You contact the doctor's office and let them know what you've found. They schedule an appointment for you on Wednesday. Ugh! Two more days of waiting but at least you are doing something. You will do what you always do - you will throw yourself into work and anything that can keep your mind occupied. You are one stubborn old b#@ch...good thing though, because you are about to be tested.

to be continued...

Pain and Perspective: Part I

Part I - Pain

If you are a regular, you know I have a rule about not posting when I'm either in pain or in a bad place. I always write about it, after the worst is over, because I feel like it's important to share the challenges and provide a real-ish picture of what this journey can be like. I say "real-ish" because everyone's road will be different, no two experiences are ever the same, even if the diagnosis is. This blog is a peek into my journey through diagnosis, surgery, treatment, trying to return to "normal" and the reconstruction process.

First, I guess I need to bring you up to speed on where we are. As you recall, the reconstruction process started in January. My first surgery was January 11. Surgery #2, or "The Big One" as I like to call it, was done on February 1st.  Since that time I've been seeing my (spectacular) plastic surgeon every 2 weeks. In the early days, there was more fluid removal than addition but after a couple of months, that finally went in the right direction. So, for at least 6 months now, I've been getting fluid added to Satan's Water Balloons (SWBs)(the clinical term is tissue expanders) every couple of weeks. Early on, I made the mistake of saying the following aloud to my nurse. "You know, these things aren't the most comfortable but they're not as bad as I expected. I keep hearing awful stories about expanders from those who have gone before me and they just aren't that bad."  Without hesitation, she responded "Oh, they'll get worse." You know where we go from here, right? With that fill, the real pain started. See, you're thinking that an expander is just a saline filled implant. Um....NO! I wrote about the "Iron Bra" a while back. Well, we have advanced quite a bit since then.

I won't revisit my entire list of medical issues but I will remind you that I have a muscle that was relocated and some pesky scar tissue. For months, I've been going to PT to help break up the scar tissue and improve my range of motion. The tightness and discomfort has improved significantly but it is not gone. When you add in 10 hour work days and several days per week with a 3 hour commute (yes, that's per day), it doesn't help my physical situation. I'm going over all of this (yes, again) because it relates to what comes next.

Last week was scheduled to be my last fill. Surgery is scheduled for late September so we need to get the fills wrapped up and let SWBs work their magic, and let my body recover and rest up for the procedure. Here's where the aforementioned scar tissue comes in. I will spare you pictures, but that means I have to write this out, so stick with me. On my left side, the one that has the relocated muscle and skin, there is some visibly tethered tissue. It almost looks like there's a strap holding things down. As a result, the plan was to add a good amount of fluid to the SWBs and try to get that stuff to stretch. Well, we did a FANTASTIC job of that! Let me tell you all about it...

She started to fill and, as always, asked me repeatedly how I was. There was some discomfort, a little more than normal, but I told her it was fine to keep going. My memory is a little fuzzy after what happened next, but I think she said she got 90cc in there. WOW! So she takes the needle out and I think I started to talk or something - again...fuzzy - and before I could finish my sentence I feel a pretty significant POP in my chest. It took a second for my brain to catch up so I think I kept talking for a second or two. Then I remember saying "Um, something popped." And then it happened again. My brain  was still trying to work through it all - I first thought something happened with the SWB because, though it felt bizarre, it didn't hurt right away. When the second band popped, I felt quite a burn (pain)...and it intensified...and lingered. At that point my brain was trying to figure out if the muscle had come loose. (Please no!) My doctor tried to find where the source of the pain was. I'm not sure but she might have thought something really awful happened too. Once she found it (she knew she had it by the look on my face) she kept pressure on it for a while (probably 30 seconds, felt like 30 minutes). At that point, my brain went to "Holy cow, did my chest pop open?" Thankfully, that was not the case.  Apparently, a couple of bands of that nasty, stubborn scar tissue popped loose all at once. It was tethered on the side closest to my sternum. Unfortunately, I was not tough enough to leave all that fluid in this time around, so she took out about a third of what she put in. I'm not sure that it will delay surgery but at this point, I don't care. If I have to wait an extra week I will. What's another week, right?

So that's where we are. Oh, I almost forgot the silver lining!!!  As a result of the tissue detachment, I've gotten some (but not complete) relief. The iron bra is little more tolerable and I feel like my range of motion is improved - not as much pulling. The fact that I've been battling a cold and I'm coughing like crazy hasn't made the past week any more fun, but I will continue to remind myself that, after 2 1/2 years of cancer stuff and 7 months of reconstruction work, I'm almost there! The pain and the challenges are temporary, so I'll get through it. Another silver lining is that those same challenges and pain add something to your life...perspective. I'll save that for part 2!

Love to all!
Andee

Save the Date

Well friends, it is almost time. It's been a 7 month process, so far, and now there's a light at the end of the tunnel! We expect that today was my last fill. That doesn't even sound real. I go back in 2 weeks for a final status check. If any adjustments are needed, we'll take care of them then (meaning fluid can be added, if necessary) and then we wait 4 weeks and BOOM surgery! It's officially on the books so lookout. September 26 is the big day. This won't be the last procedure of the year but it will be a big milestone. As always, I'll keep you posted on all of the details.
For those that might be new to the blog and have no idea what I'm talking about, I had surgery in January and February to prep for actual reconstruction and then to transfer muscle and implant tissue expanders in February. Since then, I've gone every 2 weeks for some sort of adjustment. Whether it be to remove fluid from my back (where the muscle was removed) or to add fluid to the expanders. I am quite ready to the have these croquet balls removed from my chest.
I'm exhausted so I'm heading to bed but check back in over the next few weeks and I'll do my best to keep you updated.

Cheers!

Love to all,
Andee

The exercise challenge

7/13/16

Hello from Andee's world!
I thought I would stop by and do a little sharing. Just what your day needed, am I right?!

Tonight I am sharing some details on why getting back into an exercise routine has been such a challenge. For those of you who are new to our party, I will catch you up. During treatment (for me that took most of 2014) I gained weight. I know what you're thinking....probably the same thing I thought. If there was one upside to this cancer thing, I thought it would be that I would get really skinny. Weeeeell,..not so much. My treatment cocktail included a lovely dose of steroids. When I got into round 2 (the 12 week round of chemo), I received steroids on a weekly basis. The steroids do all kinds of wonderful things to help manage issues during chemo, but they also make you fat! What I didn't know is that I would quickly turn into Uncle Fester. Bald and fat, that was me. Every girl's dream!

Once treatment was over (last of 33 radiation treatments was on December 17, not that I remember specifics or anything) I took some time to rest and recover but when January 22 came around, I started my serious workout and eating plan and by March I had dropped 20 lbs. I was serious...and focused on the goal. I started with 21 Day Fix and then moved on to 21 Day Fix Extreme. I'm not advertising or anything, just offering my personal experience. I noticed a significant change in my body in DAYS. Inches lost immediately, things toned up...all the stuff you want. I was counting calories only (they didn't originally send all of the 21DF containers and I didn't want to wait). I was like a machine for a while. About mid-year, my cancer patient mentor passed away. I've written about going into a pretty bad place. The short story is that I was thinking about cancer every single minute of every single day. I was upset about the people I know that cancer has taken away. I was terrified of recurrence. It was not a good place.  If I'm being completely honest, which I am, I stopped exercising AND started eating my emotions. I have to say that the last quarter of last year was not good for me. I was mad at myself for letting myself go and also, there was a bit a stress added when I learned how extensive my pending surgery would be. It was a lot to process and I did a crappy job of processing it.
When January rolled around it was time to have surgery #1. On January 11, I had the first of 3 surgeries. 3 (short) weeks later I had my second surgery. At that point, the latissimus dorsi muscle was pulled around from my back to my chest. You can go back and read the details of the procedure but, the short version is that the muscle and skin became part of my chest BUT the muscle is actually still attached to my back. Crazy right?

https://sites.google.com/site/cancerbreastinfo

 Since it was not removed and relocated, just relocated, it still works like a lat muscle. Though the muscle has atrophied some, and will continue to do so, it's still a weird sensation. You probably don't know exactly when your lat muscle is engaged on a daily basis. I can now tell you! That's because when I do something as mundane as push on the arm rests of a chair as I try to get up out of a chair, it engages that muscle and it pulls like crazy. Even today, it feels like bad things could happen when I rise from that chair or try to get out of the bath tub. I try my best to modify how I do things but sometimes I just have to push through and deal with the discomfort.

Now, finally, let's talk about how this impacts exercise.  After waiting a few months to make sure I healed completely, I tried my 21 Day Fix/Extreme routines and also ventured into the Hammer & Chisel program. I was having to modify so much that I wondered what the end result would be if I kept going. I think I'll be able to go back to weights (have I mentioned I loved that?) in the future but probably not this year. I have one more surgery to go, which will likely take place in the next couple of months. I decided I just couldn't wait until next year to start working on myself again. So I had to sit down and figure out what was going to work. I have put up my weights (for now) and I've focused on finding something I can do now. I settled on the Cize program, which is a dance program and I LOVE IT! For people who don't know, I spent my time at dance class and competing from age 4 to age 18. I ended my "dance career" as a member of the University of Kentucky Dance Team. I have always loved to dance and I've had weekly dance parties with my babies for the past several years but no classes in AGES. I'm so enjoying the fact that I'm able to do this again. I still have to modify a bit but it's a blast and it burns 300-400 calories a pop. Positives all around.

So my program now is Cize at least 5 days per week and weekly meal planning and prep. I'm down 5 lbs in the first full week of meal planning and exercise. Yay! It's not much but it's a start. I'm feeling so much better and I'm excited about what's to come.

I guess the message of this post is that we all have limitations. You just have to figure out how to do what you can with what you've got and make the very best of it. It can take a little work and some planning, but you can do it!

Love to all,
Andee

Finalized 7/24/16

7 days

I haven't posted in over a month? That's just wrong!  I started this post earlier this week. Sorry it has taken so long but I'm back and posting!

__________________________________________________________________________________

It has been an interesting 7 days.  Life continues to throw surprises and tests our way and, believe it or not, even though we are old pros at this, you never get used to it.  I think we've gotten better at handling the curveballs (I'd like to think so, anyway) but dang! As always, I'm sharing my business in hopes of educating and motivating others to take their health seriously. Let's get started, shall we?

On Monday June 27, I was scheduled to visit my plastic surgeon's office for a fill. I arrived several minutes early so I sat in my car for a while. I was browsing some things on my phone and I took a minute to send Bobby this picture with a caption that said something like "This sounds about right." Little did I know...

 For some reason, before I got out of the car I checked my appointment card and realized that I was over an hour early. No big deal...better than an hour late, right? I went and grabbed some breakfast and came back. When I went inside they took me right in. I got changed and prepped for my regular needle sticks and expansion. When the nurse got ready to start she paused for a moment. She said she noticed something on my skin. She said she had never noticed it before. She grabbed a mirror and pointed it out to me. She asked if I had noticed it before. I told her that it may have been there but one of the things I haven't spent a lot of time doing over the past couple of years is looking at my chest.

She carried on with my fill but she seemed concerned. She was wonderful and after suggesting I get it checked out, she even attempted to get me in with the dermatology office across the street. Unfortunately, they were booked so she suggested that I return on Tuesday so Dr. Hall could look at it. So the appointment was made and I headed home. Was there some anxiety? Yes. Who am I kidding, there was fear. After checking out the spot I realized why she was so concerned about it. It fit all of the "worry if" criteria for melanoma. Not symmetrical, larger than a pencil eraser, etc.  The only thing that kept me from flipping out completely was the color. The shape and other characteristics looked a lot like the melanoma pictures I found - but it was lighter. Remember back in the early days of the blog, I talked about looking for the Silver Lining in everything...well, here's one for this experience. I kept telling myself that it didn't look EXACTLY like those pictures so I held out hope. I won't lie - at one point, there were some tears. It's not easy to deal with scares but I guess that's part of my life now. I allowed myself my time for self-pity and had my "how much is one person expected to take?" breakdown. Then I pulled myself together and faced the test.

I returned to the office @ 9 AM on Tuesday morning. Dr. Hall checked everything out and said she would never forgive herself if she didn't do a biopsy and it turned out to be something. That means scalpel and stitches. Luckily, I have no feeling in the skin in that area so she took the sample and stitched me up. Now it was time to wait. I won't take you through boring details of the next few days but let's just say I kept myself busy to keep that "what ifs" out of my head. I don't know how much you know about melanoma but it is not something you want. Scary, scary stuff.  Needless to say, it was a more stressful week than normal, but life must carry on.

On Friday afternoon, Dr. Hall called me personally to let me know that she had gotten the results back. I was a little scared at first because I feared that she didnt' want anyone else to give me the bad news. (And breathe....) She said she received the results and there was no cancer. At that moment I was pleasantly surprised and very happy!  I thanked her for calling and letting me know. About 15 seconds after I hung up the phone, the tears came. I knew I was worried, on some level, but I had no idea I would respond the way I did. It was like the gates opened and the emotion just flooded out. What a relief.

If you've been a follower for a while, you know I believe that life has a way of smacking you in the head to make you focus on what's important. This was my reminder that I need to get back to focusing on myself. I must look after myself first or I won't be strong enough to get through life's challenges, take care of my family and work at my best. So here we go with the "me first" campaign.  It's not selfish - it's about taking care of this one body that I've been given, as defective as it is, it's the only one I have.

So, my message to you is to make sure you get yourself screened. if there's a spot that doesn't seem right, get it checked out. Mammograms, colonoscopies, and all other screenings can be scary but they are nowhere near as bad as cancer treatment....trust me!!

Back soon!

Love to all,

Andee