BC Becky

Never thought I'd want to be a breast cancer survivor

Year: 2015

  • lightening up …

    It may not seem like much, but today marks an important transition in my healing. It has been four weeks since my surgery, and the first time since my last surgery (November 19) my breasts don’t feel heavy!  They feel like they are starting to soften up (a hard spot that was there yesterday isn’t there today) and they are no longer feeling like I’m carrying around led.

    I may still have a drain (although that too seem to be lessening in its output – I’m hopeful that it might be gone by the end of the week as well). My celebration for today is my lighter noobs … I can wear a tank top comfortably without a bra … yay! My skin between my breasts is still pretty sensitive to touch and pressure (so sports bras and tank tops are more comfortable because they don’t have any zippers or clips in the area between my breasts.

    As I mentioned back in the beginning, my process has always been to examine my breasts in when I’m in the shower. I stopped doing that during chemotherapy. Right after surgery, my examinations changed to examine the incisions after every shower before putting on dressings. I’m now back to a point where I can examine my breasts again – except now I feel lots of hard spots which before might have indicated tumors – now the hard spots indicate where the internal grafting was done. With time, the hard spots soften and they begin to feel like normal breasts. I lump won’t mean the same thing anymore – as I no longer have breast tissue – except at the skin or perhaps a little against the chest wall (although they try to scrape that off during the mastectomy as the goal was to leave no breast tissue behind).  Now, I don’t know what a lump will mean – but I know that lumps are a normal part of the healing process at this stage, and I celebrate when the lumps dissolve into soft tissue as that is a sign of healing.

  • And then there was one …

    I was really hoping to have both my drains pulled today, but truth be told, neither had output low enough to warrant being pulled (close by not quite). I do wonder if it had more do with my mental health than anything else; when, they did remove one of the remaining abdominal drains. So, now I wait another week with one drain … better one than two, but truthfully, I really wanted to see both of them go! Fortunately, the drain removal itself felt like nothing … I didn’t notice it at all. It will be interesting to see if the output of the remaining drain increases because it is now the only abdominal drain. We’ll see how that goes.

    Once I have two days in a row with low enough output then I can call and they will pull the final drain. I also have an appointment with my plastic surgeon on Thursday next week, so the final drain might end up going then. I might hold the record for the longest drains … as of tomorrow it will be 4-weeks (ugh).

    I’m also feeling achy and my joints are really sore. I didn’t walk again today in part because my foot hurt too much. My left foot hurting meant that I was limping when I walked, which isn’t good for me (this started yesterday evening) … so I figured it was better that I not walk and hope that the foot is feeling better tomorrow. The joints seem to be stiffer today, so I think the walking makes the joints feel better. I’m so looking forward to being able to do other forms of exercise. I’ll be on a bike one week after the drains come out.

    I’ve signed up for the Live Strong Live Well program at the Mountain View YMCA. The one I signed up for starts January 28 – so hoping by then that I don’t have drains and I’m mostly off the pain meds. The program is a light workout – but also gives me full access to the YMCA – so I can take any of their classes (zumba and cardio belly dance look interesting to me – might a while before I’m ready for either of those), including the ones in the pool. Once my incisions have healed, I’ll be able to swim again, which will be nice on my sore joints. The interesting part will be the lack of feeling – it will feel very weird to be in the water and not have feeling on parts of my breasts and stomach – not too dissimilar to how I felt swimming with neuropathy when I couldn’t feel parts of my skin in my legs and feet (could feel temperature, just not the sensation of the water). So, it will be interesting to see how it feels the first few times I jump in the water.

    It will also be interesting to see how I feel about changing and showering at the gym. My body has a lot of new scars. I’m not particularly vain (heck I posted a link to a picture of my incisions already), so I’d like to think that I’d be OK with just changing and not worrying. If someone stares, I can always say “this is what breast cancer looks like” … but really, that is their problem, not mine.

    Right now, I so want a glass of wine … unfortunately, that too shall have to wait until I’m off the pain meds (at least mostly) …

    I am very thankful for my friends (and friends of friends) who are helping ensure we stay well fed. Last week was Nancy (one of the Honers) who made us a lovely dinner that lasted three nights, and tonight’s dinner is thanks to Katie, one of my cancer walking and group buddies. I am looking forward to a time when I can return the favour (or pay it forward).

     

  • A nice walk … but I’m tired …

    I need to slow down a little. I was chatting with the nurse from our insurance company yesterday. She asked, ‘how much are you walking, 10, 15 minutes?’ … I’m like, 1-2 hours … it’s a bit of a different scale.

    In some ways, I’m far exceeding where I should be at this point. I’m approaching 4 weeks since surgery. I’m now walking 4-5 km per day – today was a little longer and on a trail I wish we found sooner. It was quite pretty (the Penitencia Creek Path up at Alum Rock park).

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    That being said, I need to take it a little easier. Tomorrow will be my off day – where I won’t be going out for a walk. I will try for two days off per week – to allow my ankles and my knees to recover from the walk days – but also because my body just needs a day off now and then.

    In addition to the aches and pains associated with surgery, I’m also feeling aches and pains associated with the aftermath of chemotherapy (post-chemo arthralgias). The aches can get so bad in my hands that I cannot flush the toilet (I need to use my whole hand in a fist to have the strength for the pressure to push down the handle). I also get aches in my knees and ankles. Fortunately, this is treated with ibuprofen – within 15 minutes of taking a dose the aches and pains go away only to return before the next dose. It is frustrating to say the least.

    I also still have two drains in – abdominal drains that involve two hoses coming out of my pubic region. I have an appointment on Tuesday in which at least one (hoping for both) will be removed. They are still producing more fluid than would indicate that they should be removed, but it is starting to get close … so perhaps a day of rest tomorrow will help with the reduction of output.

    In general, I’m doing well but I’m getting tired of all this recovery. I want to feel better faster. I want to get back on my bike (soon – I have to wait one week after the drains come out) … one step at a time …

     

  • New years resolutions

    At this time of year, people often blog about new years resolutions – things they will do differently in 2015. I’m not a bit fan of new years resolutions. I’m more of a goal oriented person. I like to set myself goals for the coming year.

    My first and foremost goal for 2015 is to recover from cancer treatment. I want to regain my strength. I have four cycling related goals.  The first is to get back on the bike. Before I can ride a bike again, I need to have my drain removed (I still  have two drains which are producing a healthy amount of fluid). The drains will be removed within the next two weeks – as at a certain point it becomes unhealthy to keep them in. Once the drains are out I need to wait one week before I’m permitted to bike – this is because we don’t want any fluid build up after the drains are removed. Then training begins.

    I have two local cycle challenges and it is uncertain which order they will occur in. The first is to ride from the fire station to the top of Mount Hamilton. I did this the week before chemo when I was feeling strong, so doing it again will be a demonstration that I’ve gotten my strength back. The other is a ride we had planned for the end of AC chemo, that we had to abandon because the last round of AC knocked me down. This would be for hubby and I get up early one day and take the CalTrain into downtown San Francisco with out bikes and then bike home (or as far as we can during daylight hours). I am hoping that by the end of April I will have achieved both of these.

    The bike cycle adventure for the year is the Young Survivor Coalition’s Tour de Pink, in October. They haven’t announced where the West Coast ride will be yet. Unfortunately, they don’t allow recumbents on their rides, so both Scott and I will be riding our road bikes. The fundraising is also going to be a huge challenge, at $2500 each! But the cause it is a good one, and the ride sounds like a lot of work (over 100km/day) but also a lot of fun. The physical challenge will be a true demonstration of getting my health back.

    On the walking front, I have two events planned – the Avon Walk (accepting donations now – I need to raise $1880), and the Peak Hike for Prevention (fundraising requirement of $250). I did the Peak Hike last year (bald). It was the last long walk I did, as the effects of Paclitaxol (chemo) made it impossible for me to walk any distance. I was part of an amazing team who have been hiking since the hike started 19 years ago. This year we are trying to grow the group to 50 hikers. I am hoping to be able to do the 11 mile hike rather than the 7 mile one (which I did, but just barely). In preparation for both of these events, I hope to do some more hiking on the various trails that surround us.

    On a professional front, at some point I hope to be looking for a job. I need to first ensure that I’ve got my physical strength back – that is my first priority. I’m also working on a four-week free open online course called “Should I blog?” that is targeted towards anyone with cancer who is considering blogging. I plan to offer the first course in March and offer it monthly there after. After the first six month I’ll re-evaluate and see what needs tweaking. So, although I will be looking for a job, that likely won’t start until August or September when I’m feeling strong again.

    Although active treatment is over, I do need at least one more surgery. It is what is known as “revision surgery” and is mostly a clean up surgery. Once we see how my body heals, there is an opportunity to go back and tweak different aspects – to fix scars and move fat around to remove lumps and fill in divits. I’m told the surgery is much easier than the one I just had (pretty much anything will be easier than the surgery I just had). I can officially say that this last three months have been the hardest of my life (harder than both Africa and RAGBRAI) – so I am ready to move on.

     

  • Ups and Downs

    Healing is full of ups and downs. One day you are doing really well, and then then next, not so much.

    Saturday I really over did it. I walked over 5km, then went to two support groups (so sitting for 4 hours).

    To top that off, I tried to taper my overnight pain meds …

    It didn’t work out so well. We had planned on being up early on Sunday in preparation for Scott going back to work Monday (we need to ensure routines are in place so that I’ve showered and had all my dressings changed before he goes to work). Of course that didn’t happen. I didn’t sleep well (less pain meds after a long day) – so we didn’t get up early, and I ended up taking it easy most of Sunday and still spent a bit more time that I would have like wishing for more pain meds.

    On one of the Facebook groups that I following, someone posted this video that graphically shows a procedure pretty similar to what I have (I’m pretty sure that my plastic surgeon didn’t cut out a piece of my rib but we’ll check that today!) – http://mdvideocenter.brighamandwomens.org/specialties/cancer/deep-inferior-epigastric-perforator-diep-flap-breast-reconstruction – I caution you to only watch this video if you want to see the procedure from the surgeon’s perspective – this is NOT a patient education video. I made through about 1/2 the video the first time before I had to stop. It was just too much. It did, however, help to explain why I’m feeling belly button pain (that is pain, inside where my belly button is). It does help to appreciate just how involved this surgery is, and why it might take a while to deal with the pain of healing.

    I don’t tollerate pain well, but also, I tolerate the pain meds too well – such that I need stronger pain meds in order for them to be effective. It isn’t a great combination – but I’ve decided that I’m not going to keep playing this game. I’m not going to keep trying to taper the pain meds too soon while still pushing myself to get exercise – the combination doesn’t work … we shall try to keep the exercise to a 5km (3mile) walk each day and taper the meds slowly. I feel strong and pretty good when I have enough pain meds in me .. otherwise, I feel tired and sore all over but in particular my skin between my breasts is highly sensitive such that anything touching or rubbing it hurts …

    Today we see the plastic surgeon for follow up. I’m looking forward to hearing what she has to say. When in the hospital it was comforting to see my surgeon daily or every other day … it is much harder to go for a week without seeing a surgeon to ensure the wounds are healing. Looking at the photos, it looks like my incisions are healing nicely – if you want to see a photo, here is the link for today’s incision documentation – http://dttocs.smugmug.com/photos/i-c4zM5nH/0/M/i-c4zM5nH-M.jpg – warning, it is graphic.

    Healing on the outside doesn’t really tell you how well I’m healing on the inside. My incisions may not hurt (actually other than the outer parts of the abdominal incision, I don’t actually have feeling yet for the incisions that need the most healing – but I do feel a general pain on the inside – like my insides have been turned upside down and backwards and are still settling into their new locations … so the pain is mostly on the inside which makes it difficult to describe.

    But with each day, I’m getting stronger – feeling more energy (except Sunday) … so as long as I don’t over do, then I shall be fine. Crossing my finders I get these drains out soon and ride the trike on the weekend (since I need Scott to lift it in and out of the door and maneuver it through the elevator. Too bad it doesn’t have a reverse gear!

  • Recliners

    Upon leaving the hospital, we were worried about how we would manage at home. It seemed that everyone I talked to, and everywhere we looked on the internet people professed at the need for an electric recliner – for both lounging but also for sleeping.

    We were so convinced that we tried to rent one, but unfortunately there were none available. We were forced to make do with what we had. For sleeping I was pretty sure I’d be OK. The physical therapist at the hospital taught me how to get into and out of bed on my own. At home, we had two different sized wedge pillows (12 inch and 7.5 inch). After my first surgery I slept using the 12 inch wedge pillow with additional pillows to prop up my arms (the sentinel node biopsy meant that I had painful incisions in my armpits, which needed to be elevated). I found after a few weeks I wanted to be lower but we didn’t yet have the 7.5 inch wedge, so I worked my way down the 12 inch one.

    For this surgery (bilateral mastectomy with DIEP reconstruction – but NO underarm surgery), I found that I liked to sleep with the 12 inch pillow. During the day, I like to use both pillows stacked, so that I can easily watch TV on my iPad or read. Since I didn’t need to elevate my arms, it has meant that my husband can sleep in the same bed (I’m not taking up the entire bed). I feel much more comfortable, as it means that if I get stuck in the night he is there to help. So, as far as sleeping goes, I’m doing just fine without the recliner.

    I was also worried about what we would do during the day. I didn’t want to be spending all my time in bed, as that wouldn’t be healthy. Our couch is a little too low, such that it is difficult to get into and out of (and frankly isn’t that comfortable). The other two chairs we have are desk chairs with wheels, which wouldn’t work out so well (our apartment is pretty small, so we don’t have a lot of excess – except perhaps if you could bikes!).

    For daytime when I want to be seated, we ended up moving one of our outdoor rocking patio chairs (see pictures), inside. Fortunately, this chair turned out to be just the right height, so that it is easy for me to get into and out of. It rocks, but the spring is pretty hard, so it doesn’t rock too easily, so I don’t find myself being flung back, but also, it means that I can use the rocking motion to help me get out of the chair. This was really handy early on.
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    So, overall, I can say that yes you can survive this surgery without the need for a recliner. I also attribute not have a recliner to how soon I was able to get out walking. If I were too comfortable in a recliner, I might be inclined to spend more of the day lounging in it. Of course, may not actually have been the case, as I’m pretty good at self-motivation to get exercise.

  • A small cup of coffee

    I am reminded that recovery is slow. Although I was happy to announce the end of active treatment, I still need to recover from that treatment.

    I was lucky in that I only had two surgeries. Many women go through this process with a lot more surgeries a lot further spread out – such that they are in treatment for 2-3 years. The nipple sparing mastectomy saved me at least one surgery (or tattoo) – one to recreate nipples. Doing the reconstruction at the same time as the double mastectomy also saved me surgeries – as the combined surgery is not an option for many women.

    I will likely have one more surgery, but there will be no rush for it. There will be no worries of cancer growing or spreading, so the surgery can be scheduled after I’ve gained my strength – at a time when I feel strong going into it.

    With each day I make a few more steps towards recovery. Today was a 3.2 km walk – just shy of 5000 steps (for my first walk – we will do a second walk over to Safeway later today).

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    I’ve also started to reduce my pain meds. I’d like to reduce them further, so that I can enjoy a glass of wine with dinner, but alas, healing takes time. Pain needs to remain managed otherwise the healing process will go slower.

    On the good news, I got clearance from my plastic surgery nurse to have a small cup of coffee! I enjoyed a very nice cup of Kauai peabody coffee that we bought when we were in Hawaii in November.  I stopped all caffeine (coffee and chocolate) a week and a half before surgery. Since the surgery involved microscopically connecting blood vessels, I needed to stop eating/drinking anything that made those vessels smaller. Now that I’m two weeks out from surgery and healing nicely, I’ve received clearance for a little coffee. This actually goes a long way to reducing the pain meds, as caffeine makes some of the pain meds more effective. So, my one small cup of coffee (and perhaps a little regular chocolate) will go a long way to helping me heal.

    I am thankful for all the walking and biking I did before surgery. When I took my first steps, my legs were strong. It made a huge difference to how quickly I was able to move, and how quickly I’m now able to walk (not that I walk quickly, I’m at about 2.5km/hr). I should really say how soon I’ve been able to walk.

    Today I am thankful for my one cup for coffee 🙂

  • A slide show of pictures taken at my tree … is that hair?

    A time lapse photo collage of pictures taken at my tree (mostly – I snuck in a couple from Big Basin and Yosemite) – here is the link for those that don’t see the slide show below – http://dttocs.smugmug.com/photos/swfpopup.mg?AlbumID=46685634&AlbumKey=XbMQZx

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