Wednesday, November 17, 2010

Meeting with plastic surgeon

So, yesterday I had my meeting with a plastic surgeon. This one was outside of MD Anderson as I wanted to get a second opinion. I was basically told the same thing.....which fucking sucks! Sorry for the foul language, but I'm allowed.

Here is why it sucks. Before cancer, Chris and I had talked about me getting a breast lift and small implants to hold my lift in place. After three kids and weight loss about 5 times over a 10 yr period, my boobs were not pretty once I took off my bra.  I wanted to be able to wear a halter top, or something backless without having to wear a bra. I was gonna have a nice looking rack. I'm sure you all know someone who has had breast reconstructive surgery and they have a nice pair of tits, right? I know quite a few women with pretty, perky, beautiful boobies. A few of my best friends have beautiful ones....I've seen them. Well, now that stupid cancer has come, I am not going to have those same results.

I already had my bubble burst when they told me I could not have the skin sparing mastectomy, that I needed a total mastectomy on the right side. So, I accepted it and found the joy anyways. At least I'd be cancer free. So, the more people I talked to about the TRAM flap or the DIEP flap, which is the procedure that I would have to have done....the more they all recommended it. You get a tummy tuck with the procedure, which sounds even better....right? Well, I've seen numerous pictures, in Dr's offices and online and none of them are pretty without implants. Every breast reconstruction surgery photo that I saw that said "skin sparing with implants" was a beautiful rack. The ones that said "total mastectomy" or "tram flap" or "diep flap" are all ugly saggy boobs. So, it's really hard to find joy in this shit through tear filled eyes trying to find something...anything..... to hang on to.... to say "it's gonna be Ok, Tiffany...You'll have cancer free boobs.....even if they are ugly"

And to think, I was going to pay $8-$10 grand for my beautiful boobs before cancer. Now, I'll be paying about $17-$20 grand for ugly saggy boobs. It's just not fair. It sucks.

If you're curious about this procedure, google "TRAM flap".... or "DIEP flap" and look at the ugly pictures in front of you. Don't say I didn't warn you....

Way to steal my joy.....fucking Cancer!

Friday, November 12, 2010

FAC chemo #2 (halfway through this round)

Yesterday, I had a visit with my oncologist and FAC chemo #2. All in all, things went well. They switched my anti-nausea meds to Emend because my insurance company is silly about paying for Zofran. They only give me 21 pills for 25 days, and my chemo is 21 days apart, so they wouldn't fill it. So, he sent in for emend, which is WAY more expensive. HAHAHA. I love the way he works. We had a good laugh about that.

I asked about my hair falling out. He had mentioned that it would start falling out (what was left after Taxol) on day 10 and be completely out by day 17. Well, yesterday (day 22) I still have all my peach fuzz left. He was stumped. He doesn't see that often apparently. I even shaved it with a razor on October 29 for a costume party where Chris and I went as Mr. and Mrs. Clean and it grew back. I wear a wig too much, and I wanted to feel free and there aren't a whole lot of costumes for bald women. He thinks I have super follicle hair cells that might not be reacting to the chemo like normal people. So, I may not lose my hair completely. Time will tell. The tumor is still shrinking, I haven't had another scan yet, but I can physically feel it shrinking.

When he asked about my fatigue, I mentioned that I sleep about 9-10 hours at night, which is about double my normal amount, and I also take 2-3 hr naps most days when the kids let me. He said there is a fatigue clinic at MDA and is setting me up an appointment to see them. They can give me ADHD drugs like Adderol and/or Ritalen (sp). They can give me a little boost and make me feel not so tired.

They are also setting up my appointment with the plastics department so that I can meet with them before my Mastectomy and everyone will be on the same page before surgery. I've talked to a few people who have had my type of surgery, or close to it, and they have set my mind at ease a little bit. I've learned that the more stomach fat you have, the more likely they will only pull from there, which means I get my tummy tuck AND new perky boobs out of this. So, I'm busy plumping up in the meantime.  :-)  I'll use that as my excuse. hehehe

 You can really see my face plumping up in these pictures. It's normal with chemotherapy, but I've just noticed it recently as my glasses are getting tighter. I had to go get them adjusted today.

They have puzzles everywhere at MDA, but only on the tables in the waiting rooms, and I got tired of never completing a puzzle, so I took along my iPad (thank you Shawn!) and downloaded an app where you can put together a puzzle. So, I took a picture of me working on a puzzle during chemo.


As for side effects, I'm feeling OK. Nausea is under control, I'm just exhausted. I feel like it takes every ounce of energy to get out of bed in the morning to take the kids to school. I'm ready to go back to bed as soon as I drop them off. Unfortunately, I have a VERY active 2 yr old to deal with. He likes to climb all over me as though I'm a human jungle gym. So, unless someone takes him for the day, or for a few hours, I don't get in much of a nap.
 
Cleaning doesn't get done much, though I do try to get some stuff done here and there as I get bouts of energy. I eat sandwiches and soup, things that are easy to make and don't require a lot of time or energy. I'm thankful that I only have 2 more treatments left of chemo, and then I'm done with this part, which I think is the worst part. I'm also thankful for the cleaning fairies and the meal fairies and anyone who has taken Grayson for a while so I can rest. Without those people, my journey would be WAY more hectic and stressful. I am also very lucky to have such an AWESOME husband who picks up the slack on my chores, and takes over the kids at 5pm and sends me to my room to rest. Without all these people, I truly would be a mess! Thank you to EVERYONE who has helped out giving rides, cooking, cleaning, and childcare. You guys all ROCK!! I love my Team Tiffany!!!







Monday, November 8, 2010

Take off your bra

How many of you have been told by your mother that you need to wear a bra as much as possible to keep your breasts from sagging?

A study has revealed that a causative factor for breast cancer that can increase your risk of getting the disease by 100 times: Wearing a bra for more than 12 hours a day. Sydney Ross Singer (an applied medical anthropologist) and his wife, Soma Grismaijer (a scientific assistant) interviewed more than 2000 women with breast cancer and 2000 women without breast cancer and concluded the following information:

1. A woman who wears a bra 24 hours a day is 113 times MORE likely to get breast cancer than a woman who wears a bra less than 12 hours a day. (that statistical link is stronger than the link between cigarette smoking and lung cancer)

2. A woman who NEVER wears a bra is 21 times less likely to get breast cancer than a woman in general population.

"Needless to say, the medical establishment hasn't embraced this theory because it goes away from the current chemical and genetic model, ignoring the simple mechanical fact of what clothing constriction can do to the body." Singer says.

"Bras and other tight clothing can impede the flow of the lymph fluid out of the breast, thus, wearing a bra might contribute to the development of breast cancer as a result of cutting off lymphatic drainage so that toxic chemicals are trapped in the breast."

Singer also says to "avoid bras with underwires and other stiff, breast shaping components, as well as push up bras. The bra should not leave marks or dents on your skin. If it does, it's too tight."

"Women need to realize that wearing a bra is a cultural phenomenon...not a natural one."

So, my question......how do you keep your breasts from sagging without wearing bra? Implants! Yep, implants can move your breast tissue closer to the surface and make lumps more recognizable with self exams. I'm not saying you have to go bigger....just keep them your size if you are happy with them. Bigger implants are harder for mammograms to pick up lumps, and might be a bit more painful being squished, but normal size is totally fine. (My surgeon actually gave me this piece of information)

In conclusion, implants and not wearing a bra can save your life!!! It's scientifically proven, so tell your husband that you need to save your life and get them.

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Ta-ta!