Sept 29, 2012 - Day # 52 - Some changes in plans

Day 52:  Well, we've already had some changes in plans in just over 12 hours.

1) So did everyone but me know that Chinese food no longer comes in cute little petite white folding top boxes? Yes, I admit it has been years since I have done Chinese take out, but imagine my let down when I open the bag to find aluminum pans with clear plastic lids. Has the world gone mad? Also, we forgot to pick up the chop sticks, sauces, and fortune cookies while we were there. Who does that? The save of the night was Ron had ordered a side of white rice and out of the bag came the sole cute petite white folding top box of the evening. I feel like I should shellac it and put it on the hallway shelf. What a let down, but seriously, who would get worked up about the lack of little white boxes. We did throw on the PJs and watch a movie - and as crazy it is, I have no idea what we watched. I can't even recall the plot at this very second as I type- but we did not litter the table with white boxes.

2) Ron and I have also been self stripped of our Wound Monitor assignment. Now get this, last week two days before our appt, we both sat in agreement that the wound was looking angry and we were afraid what the surgeon would say (see post titled "in agreement"). I bebopped into the appointment on Wednesday and he was thinking it looked at least stable if not a tad better. Healthy skin underneath, come back in two weeks.  Hallelujah. Well last night, when we went to do our nightly cleaning ritual Ron noticed the would appeared a bit larger and definitely deeper. Pull out trusty little makeup mirror and take a peak myself. "Oh no, Ron. It does look worse." So we snap a picture of the spot itself and emailed it to Lead Plastic Surgeon (and my mom because she is keeping close tabs, and my friend Amy who happens to like pictures of wounds??? Each to their own).

Mom emails me back immediately: "I've got extra prayers coming. So glad you sent this picture to the surgeon". Obviously she thought it was worse.

Amy emails me back: " Wow" "Ouch" and some other stuff. So she didn't like the look of it either.

Lead Plastic Surgeon:  "Looks healthy to me! See ya in two weeks." ...and a few more thoughts thrown in as well about granulation tissue expanding and contracting.

Ron and I busted out laughing and decided we have no business assessing this wound anymore after two failed attempts. Clean, bandage, cover, go on with your day. Note to reader: I see wounds all the time in my every day job, and I feel pretty good at knowing when one looks angry. I think I have determined Lead Plastic Surgeon is ok with anything at all as long as it doesn't look infected.

My email response Back to Surgeon: "You've got a warped sense of healthy..... This sucker hurts and I want it gone."  

We will see if he is still talking to me next week. Smile. I think he is so used to looking at all the muck of what lies underneath skin during surgery that his perspective of a little ole wound is simple. Well, he isn't the one with it laying under a bra elastic band getting crushed, or enduring the pain of the cleaning, or marveling at the ooze when you take the bandage off, or "eeeking" when you reach for something and the sides pull open. Well, so be it. No more would assessment for the McCollums. Watch and wait.

3) The plan was for me to wake up this morning for me to work on my work project upgrade while Ron runs my car in to get a new muffler put on (it's starting to rust from spending so much time in the northern snow). Easy cheesy, drop off, muffler in and out, back home to hang out and cook lasagna. Ron goes out to the garage to start that task....crank, crank, crank....nada! The battery is dead. We had been noticing a sluggish crank this past week so we already had it on the to-do list to pick up a new battery after the muffler appointment today. So instead of getting a new muffler today, he spent about 2 hours trying to get the old battery out and the new battery in. It isn't an easy feat in these newer model cars where the battery is tucked into a space only about 3 mm bigger than the actual size of the battery and all kinds of stuff in the way that has to be taken off and put back in. What a chore! And what a mood that put us in. (I know, first world problem.) But still.

4) Rain! Rain! Rain! All weekend rain! Now how exactly are we supposed to go for a fun filled afternoon(albeit short because of church and bible study)  tomorrow at the pumpkin patch then back here for lantern carving? Guess we should have consulted the radar before we got excited about that plan.You know I love me some rain, but not on the one weekend we wanted to something out of our ordinary and be out in the field of pumpkins! Postpone, postpone, postpone.

Weekend of PJs and house cleaning maybe? Oh, that's awful to read in print. At least the potluck is still on and I get to see my old bible study group. That's enough heart warming to go around I imagine. Box Schmox, Wound Schmound. Muffler Schmuffler. Pumpkin schmumpkin.

The good news- there's plenty of time for more excitement (and sleep) in the weekend. And evidently the wound looks "healthy".

Sept 28, 2012 - Day # 51 - Raise the chop stick and plunge in the sauce

Day 51:  I MADE IT! It is Friday! I am all in one piece. No worse for wear and tear (mostly) and not only is it Friday, it was one of the most productive days I have in quite some time! I’m probably over excited about that. Most of my team was out of the office today so I piled myself in my desk space, threw off the shoes, put on the head phones and marked check after check after check on the to-do list. I really do think I tackled more in that 9 hours than I have in the last week as a whole. I love the feeling of accomplished. And because I was in my own world and not being pulled in 100 directions with meetings and such, I was peaceful.  Job well done, God.  Top it off with a spectacular sighting on my way home from work. This enormous mutt hanging not out the window of his owner’s car, but out the SUNROOF! Is there anything better than that? That’s the life. A dog that makes the most of his opportunities, throws caution to the wind, and goes for the big prize. A panoramic view of just about anything! I was itching to get my hands into his fur. How can a grin not flood my face! You all know I love me a big dog gallivanting about as if he hasn’t a care in the world.
And to add to my productive Friday reward, Ron emailed me earlier today to see if I wanted to go to the pumpkin patch, pick out pumpkins, and make jack-o-lanterns this weekend. First, let me say I was floored as Ron isn’t really a make jack-o-lanterns kind of guy. Second, let me say I am super silly over the top excited! I imagine I am far from the Rembrandts or Monet’s of lantern design or carve (currently, I am one of the clumsiest people you will ever meet. Insert knife slip, loss of fingers and yet another plastic surgery visit), nor can I see me really even knowing what to do with it.  Most likely the result will be Picasso style with a nose on top of the head and an ear down in the belly, but gosh darn it I will be carving some lanterns all the same. Really, of all the things he could have asked me I never would have guess this. I love when he catches me off guard. So there is my Sunday. Sleep in, group bible study, date afternoon with the boy, and pumpkin picking I shall go! If you are super nice, I just might post some pictures of the delightful (or maybe frightful) outcome.
Want to know what else lies in store for me this weekend? Huh, do ya? Some very much needed sleep. A conference call on Saturday (I know, on a Saturday!) followed by a potluck dinner with some old friends Saturday night. I, well most likely we because of the impostor limitations, will be putting on the chef hat and whipping up some smack your momma delicious lasagna. Ron may be biased but he says I make some of the best lasagna he has every tantalized his taste buds with. Don’t forget the pumpkin picking on Sunday. And tonight…little white boxes of Chinese takeout!!!! Really, I know most people do not find excitement in that, but I actually adore seeing scenes in a movie where the table is littered with petite little cubes of white flip top boxes. It’s truly a sign of a good night with friends, watching a movie in your PJs and a person with difficulty making menu decisions (Otherwise they would just have one box). I truly relate very nicely to all three of those things. So Ron and I will pull out the most comfy PJs we own, thrown in a flick, and pull out the chop sticks. For the record, I also like the same scene with pizza boxes for most of the same reason. I feel a bit younger with opening a flip box.
Hope got me through the hectic of the week and now I get to recoup the mind, body, and soul for a weekend.  I welcome it. I embrace it. And I shall celebrate it with a raise of the chop stick and a plunge in the soy sauce. Note to self: must keep boob out of the hot and sour soup bowl. (see previous post)

Sept 27, 2012 - Day # 50 - Caution, merging traffic

Day 50: Recall how I was all worried about going back to work? Well, now I'm floundering through being back. I'm attempting to gracefully incorporate fatigue into leadership, wound-weary into deadlines, discomfort into decision making, and all around over it into living as a child of God. While I am embracing the normal routine and the appreciation of my old life coming back, I'm finding my old life now becoming a messy jumbled up intersection with that of my new. Balancing that merge is exhausting. I imagine it will soon be like an "x" shape, as the mastectomy life slows down more of the old life becomes visible and manageable again. But in this point of intersection and merging waiting for that to happen has me all bumfuzzled and teetering through any given day. It's like I don't know how to do any of it well, but rather skimping by on grace and true effort. Then, there are all of these thoughts and emotions I don't know how to communicate to those wanting to help me re-enter. I fear I leave Ron confused, coworkers unaware, and friends on the periphery. I go to work. I come home. I find a moment to feel frustrated and then I crash. I get up to do it again, desperately beckoning Friday to get here so that I have two days to recharge through some elements of sleep, activities of the norm, and a little excitement thrown in to remind myself life isn't about the house arrest of days gone by. But in ways, I feel like life around me is out running me. I am always about 4 steps behind and being aware of that propels me into well intended attempts to catch up. And the word attempts sums up the lack of success. I really needed to ease back in.  Instead, I jumped right off the end of the dock (out of necessity) with cement shoes on. Some moments feel manageable. A good decision made, an outcome worth celebrating. Other moments, everything I described above.

Yesterday, I worked my way back to the treadmill since the surgeon cleared me to resume activities. It was a pitiful sight for anyone who has ever walked even a yard. 2-2.5mph huffing and puffy (I did at least have it on the incline setting), with many stops between I made it 40 minutes. Drenched, heavy breathing, puddle of skin. Today, I climb back up. 2 mph, 15 mins, < 1 mile done. Can't even get down on the floor to get my shoes off for fear I won't get back up. Frustration. Do you recall my instant gratification personality setting? That just isn't working in my favor right now.

I want to snap my fingers and be back to "normal". I want to last long enough after a work day to go out to dinner. I want to make it through a date night with my husband. Can I survive a night out with the girls? Three miles on the tredmill. A good dose of motivation with enough umph to follow through. Maybe I am supposed to bounce back slowly. Maybe all mastectomy patients struggle with re-entry. Maybe I am the only person that doesn't bounce back immediately? I simply want to be a step further than I am. Then, I feel guilty that I am not.

See, it's all one big bowl of mixed up vegetable soup. The great news is the concept of the mastectomy no longer bothers me. I 100% made the right decision and it finally sits well with my soul. Now, I'm simply struggling through the re-emergence of normal life after having gone through something not so normal. And I just don't have the physical stamina and well-being yet to match the demands of life. Then comes the dissappointment when I'm too tired to cook dinner as I always have for my family. The frustration of not helping out with life's chores. The failure of the tredmill. The inability to keep the fast deadline driven pace of a project while balancing the demands of two jobs that both feel 100% right now. And then there are moments of laughter, conversations with people around me, encouragement in the mail (card #75 this week thanks to my friend Mary), Ron hanging in there.

I'm like a sponge pulling in everything of God's provision. His plan far exceeds mine, this I know. I've always trusted that. But for some reason that provision and faith isn't taking out the fatigue, wound-weary, and discomfort that often mingles with expectations.

But I'm hopeful. And maybe that is all that matters in moments like these. I hear Hope changes everything, and I happen to agree. Tomorrow, I will be Jolly and positive. It's how I do life. Right now, simply aware of hope.

Sept 26, 2012 - Day # 49 - Can't I take a toy truck instead?

Day 49: It must be my day today. Not only did I get a new mattress delivered to my house, I got what I am daring to call good news from Lead Plastic Surgeon. With a smile induced twinkle in his eye, "Sally, it's not worse, it may possibly be a little better!" Even I could see the relief on his face and the four other people he brought in the room for show and tell. I much prefer a barbie or toy truck to take to such events, but all I had were two boobs for the show. Evidently, I've been a teaching point for his resident and fellow and nurse, so they all purchased a ticket and came for the show. I really should get some money from that, don't you think? He feels like at the very least the spot has plateaued and very possibly a tad better, In his mind, because it isn't worse that means better and that put some spunk in both of our steps. I will take it, put a feather in my hat, and go on my merry way!  Sort of...I'm certainly not out of the woods, but there is a clearing on the map and surely with all of this prayer coverage I will be basking in the sun soon! He is really hopeful that last week was my low point.

Where does that leave me? I'm so glad you asked. More of the same. Wet to dry dressings, but he did lift some of the arm restrictions (which I celebrated by hopping on the tred mill to burn off some of this stress from last week). He did comment on the amount of lingering swelling for both impostors and even had the nerve to ask me if I had noticed that. How in the world could I not have noticed that?!?! Anyway, it is what it is, and I get to decide if I go back to see him next Wednesday, as in if it worsens I go. Otherwise, I see him no matter what in two weeks for yet another show and tell. This time, I'm taking a stuffed Tigger.

Same, maybe a smidge better. Call me content.

Sept 24, 2012 - Day # 47 - In agreement

Day 47: We conquered another wound cleaning tonight. Unfortunately, we both agree we aren't seeing improvement. I guess the good news is it isn't worsening, but it also isn't improving so I can't imagine that leaves us in a great place. So far, we don't see much sign of infection. Surely that carries some merit. Putting all of that together, I have no idea what it means. A third week of cleaning, wet to dry bandaging, and discomfort?

Really wanting God's will to line up with mine, but if not, the stamina for what lies ahead. We are tired. Boobs only entertain us for so many weeks. Calling all prayer warriors! Really wishing my appt was tomorrow so I could hear Surgeon's thoughts sooner. I may be known for my positivity and faith, but not so much my patience.



Sept 22, 2012 - Day # 45 - Instant Gratifier

Day 45: We had a date night last night and you will never guess how we spent it.  Mattress shopping. How's that for romance! We are pitiful, yet practical, yet romantic in a weird sort of way. After a super tiring week back at work because of my lack of stamina, I wanted to better my chances of a good night sleep by getting that mattress I have been fantasizing about for 6 weeks now. Speaking of pitiful, you should have seen me attempting to give them a test run. I could barely even get on the super tall mattress displays (we have a platform bed at home) and once I made it on, I was a bit frankensteinish trying to lay down then get back up. Changes in position = changes in gravity = changes in pectoral muscle = shooting pains = not so happy Sally = insert Ron the test dummy (not that he is a dummy in any way shape or form.) Let's add that I still can't sleep or even roll on my side. This testing out just wasn't going so well for me so I kept making Ron go back and forth from this to that over and over. Roll on your side! Now your back. Try the stomach. Now compare the first one to the sixth one. What about the third one? It's important to note here that Ron could sleep like a baby on top of a nail driven brick slab. He may or may not have slept through hurricane Fran as well as a second hurricane on our honeymoon. So the only investment he has in this is financial. Well, I'm happy to report we came home with....wait for it, wait for it......nothing. Result of marrying an instant gratifier (me) to a quality bargain buyer (him). We did narrowed it down some, but now have to do the mattress online review search Ron style. Stay tuned for more hot off the press updates from the mattress front.

Survived the first week back at work. That's all I have to say about that right now. I am however extremely grateful I have a job and a job with great people. There so much to be said for that. But there absolutely was no easing back in. Hit the ground running and didn't stop until Friday when I got home. I'm trying to do as much of nothing that I can this weekend so I can survive next week.

The wound is still about the same. Ron says it may look a little better, but I still see a deep crevice so I'm just going to quit evaluating it until my next appt on Wednesday. It just is what it is. Back in the summer, when I was so worried about insurance coverage for the mastectomy, a group of my friends came together at a set time to pray about it. Next thing you know, insurance policy is changed and it includes prophylactic mastectomies. This week, they came together again at 8:45 and prayed for this wound. How can I not expect great things to happen as a result? (And if not for the wound, at least their own prayer walks.) You just can't beat that kind of commitment to a friend's journey. As they say, priceless.

I'm still having trouble with the mirror. The incision scars, the wound, the impostors, the weight gain. Having some body image barriers right now I am working through. I know, I know...beautiful inside and out, but society has warped that sense of thinking for centuries now, and we are left to muddle through the outcome. I would say the same words of kindness to you (and actually believe them) but when it comes to my own mirror these days, I'm still adjusting. No doubt God made us, but we have a way of warping us with our choices and such. So there is an outcome that must be dealt with. Thankfully, God is bigger than that so we are not stuck in outcomes, but made whole in Hope.  A lifelong struggle for some of us, huh? I'm an instant gratifier remember?

So much has been slammed into the last 6 weeks that are requiring all kinds of adjustments for me. I know that is just part of any major process in life. Things happened so quickly, and now I'm left sorting through them with life coming at me at full speed. Managing the every day and also working through the days of past, well sometimes they seem to clash. And this event wasn't even life shattering! This past week I ran into Breast Oncologist who started this journey with me. He was asking me how I was progressing and was so kind to ask about how I was processing the emotions. How very kind of him to recognize this is so much bigger than a medical procedure. He offered me some great pieces of advice. (After yelling at me for being back at work with this wound. I reassured him it was still rather small and we had a plan). Anyway, I think our "chance" encounter was very much God driven perfect timing. I needed to have that dialogue exchange. I felt a bit more normal for feeling some of what I am feeling. Oh to be more like a boy...surgery today...no second thoughts about it....back to normal life tomorrow. Us women sure now how to complicate things.

Working very hard to get life back to normal as quickly as possible. I need it. Ron needs it. We need it. Now to get all the pieces and parts of body and mind to get on board. First on the list....annihilate this wound! He doesn't know what he is up against! Insert karate kick. (Did that sound scary and convincing?)

Sept 19, 2012 - Day # 42 - Not what I was hoping

Day 42: Summary of today's appointment.

What I wanted to hear: "Sally, we see this all the time, it will heal in it's own time. Let's be patient."
What I got instead: "Sally, We are dangerously close to being in a bad place."

And there you have it. It's not fun when you don't get what you want. (Insert the temper tantrum of the 37 yr old.) While the wound is still small, he was very disappointed that it had not yet healed or at least improved some. The tissue underneath is healthy looking right now so that is our hope, but he is still very worried about the risk of infection. I asked if we could stitch it up and he said a stitch would increase the infection risk. Basically, there's not much of anything we can control right now, and that's a helpless feeling. Let the body do what the body is going to do and hope for the best. He said "we are going to think positive!" Well, I asked him to be honest with me . What are we talking about?

Infection...then damage underneath...then infected implant...then implant out....wait many months....reconstruction again....end result the last 6 weeks was all for nothing.
Well talk about something smacking you in the face! Silence and cricket chirps.

So now I have landed:
  • A more extensive cleaning regimen with wet to dry dressings 3 times a day. That is going to make work a load of fun.
  • Back on restrictions- no lifting of arms or carrying anything heavy
  • Weekly appointments
  • No more bra (we bargained around that and came up with a compromise)
  • Watch and wait and pray things go our way.
I frankly don't want to start all over and do this again. Even a small reality of that brings me to tears. (By the way, restart the tear count back to zero.) I went into this appointment really believing he was going to say "No worries. It will heal. Give it some time." Seeing the look on his face and hearing his words of what our risks are if this progresses really hit Ron and I. It's too overwhelming to even think about. Do this all again, but a longer period of concave chest? I take back all the bad things I said about you Impostor Smooth Round High Profile Gel Boob! I adore you, You are the greatest! Please stay forever! My chest is now your wonderful home and we welcome you!

It's not been a great day, but that is relative to what you compare it to. Thousands would choose my day over where they stand at this very moment. I can think of one woman I ran in to today in the waiting room. She would choose my shoes in a heartbeat. I'm going to embrace that. God is the great healer. He's the power over all anxiety and worry. This I know....I still need 12 hours to absorb and kick and scream about this current hurdle. I trust His plan, but I may not be eager to go through it. I desperately and selfishly ask LET THIS WOUND GO AWAY! The look of frustration on Lead Surgeon's Face spoke volumes to me.

Wound cleaning time. Fun for all involved.

Sept 18, 2012 - Day # 41 - Stubborn

Day 41: Quick wound update. The darn thing is digging in its heals! I think it actually may have surpassed me in stubborness (definitely in stamina). It has increased in size a tad as well as looking a bit more angry. I have no idea what options are available. Any ole wound you usually wait it out. But no healing in a week? I'm skeptical. At least it is still rather small. I am able to feel it now. Grrr. Lead surgeon- If he can fabricate a boob with his bare hands, surely a wound is no challenge at all. Right?

So can you pray for this one last known hurdle? Ok, well that and his best friend, the pectoral muscle, that stays all cramped up and super uncomfortable. And then there is my aching back. And stamina. And clinic tomorrow. I also haven't looked in the mirror again while we are mentioning things. Did I turn Eighty over night????

Well, so maybe just a few more hurdles....

Sept 17, 2012 - Day # 40 - What, you haven't been thinking about boobs?

Day 40: I survived the first day back at work (not that I ever thought I wouldn't actually survive)! It was everything I thought it would be for the struggles and more for the triumphs. Quick post because I promised so many of you to let you know how it went, but I will be fast since I'm so tired tonight.

I know many of you were praying for my sleep and my day. Thank you for all of the emails and messages of encouragement. I hung on to those at every point. Here's how it all went down. I had a stir crazy night last night. Sleep an hour, wake up for an hour to stare at my old friend "Mr Ceiling", sleep another hour, "Hello again,Ceiling!", and so on. Fine line of a love hate relationship. But some sleep was had so that passed my expectations, and I'm grateful. This morning, I also successfully navigated showering, drying, clothing, painting the face and so on in a mastectomy record time of 90 mins! Necessity my motivator and now to get it down to my usual 45. Then came the drive in. I purposely delayed my departure to avoid rush hour traffic, but I had forgotten how long that drive can be when you are clutching the steering wheel like a mad woman and feeling every single nook and cranny of the road underneath. I have never been more grateful to arrive at a work destination. I may have cut my commute time. I was driving so fast just trying to get one more mile under me on the stupid divot ridden highway. Good thing I didn't get stopped, I didn't have my Card Carrying Member Implant ID card on me (see previous post "Card Carrying Member"). Pull into the parking space- sigh of relief. Work would surely be a piece of cake after the drive in.

Elevator- 14th floor- open door. Totally anticlimactic and that made my day! Everyone was working away on their individual tasks and that allowed me to accomplish a low key slide in under the radar reentry and dive into my own tasks. The list was oh so very long for playing catch up, and I successfully knocked off 4 of those before noon. I was expecting a fast paced hustle and bustle, and instead I got slow paced work at my own speed relief. That really helped my anxiety of getting back in that morning. The afternoon, equally as successful with me catching up with my interim replacement (who has been a God send). I do feel like I learned more in four hours than I have in four weeks. So score one for my to-do list!

All that said and after another commute back home, I am absolutely exhausted. It is so difficult to stay up right in a chair for 6-8 hours when you have had a laying, lounging, sleeping, shuffling, change position every 30 minutes, walk in a 40 square foot radius kind of 6 weeks. I still battle awful stamina, muscle fatigue, and difficulty getting comfortable. While a lot of pain has resolved, I still have pectoral muscles that hate me (and I them) and back muscles that are retaliating from having to do all the extra work. Bending over a computer just plain ole sucketh! It kills the new boobs and murders the back and head. A few times I had to plop down in the floor and sit leaning against the wall just to get some relief. Don't know how professional I seemed, but it kept me at work a few more hours. Because so few people know about the impostors, that took some stress out about worrying how many people were going to ask me about them. I was able to hear the "welcome back", "so good to see you", "you have been missed" and leave it at that without going into details. That really worked for me. = ) Have I mentioned how much I love my work team?

Successful, exhausting, productive day. I left with a massive headache, but I held the whole day together without a single tear- or even a thought of one. Most of all I love that the day held no drama. God has his provisions, and I was so blessed to be the recipient. Now to find a way to do it all over again tomorrow. Back to clinic on Wednesday and that will bring its own set of challenges and hopefully triumphs as well.

I've turned the corner. Life will be back to normal. Work was everything it always has been and life still goes on around me. I will incorporate myself back in to it and will find myself once again swimming upstream again in a fast paced deadline driven project. But I would rather swim upstream against that than against the woes of mastectomy again. It's also a little weird to turn the corner. Every single day for the last 35+ days has revolved around boobs, the lack there of, then fake boobs. I know life outside my four walls didn't think about boobs even once in 40 days (Really, you haven't been thinking about boobs all this time???), but it's also strange experiencing that first hand and making non-boob thinking part of your new normal. Today revolved around patients other than myself. That was a nice and welcomed change. Still weird.

Back for another wound appointment Wednesday afternoon. It's not worse at last check, but it is not improving. I have no idea what that is going to mean for next plans. Watch and wait??? Anyway, it will be what it will be. Lead plastic surgeon hasn't let me down yet (well except for that first appointment with all the casual groping as if this was very normal for me, Glad we quickly got that all corrected.)

If someone had told me on August 7 how many emotions I would roll through in this journey I would have laughed in their face. Now I have a very great appreciation for and understanding of the chaotic face of mastectomy. God bless the other women who traverse it. NOTHING and NO ONE can fully prepare them, but that doesn't mean I won't try to!

Love to each of you and three cheers for conquering-
Sally


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Sept 15, 2012 - Day # 38 - Back Slope

Day 38: I just made a rookie mistake. After church (I drove! Ron was needing to stay late), I got in the car and headed to the grocery store as I often do when I leave church alone. Made my mental list, pulled into a space, opened the car door...BAM! A moment of recognition that under no circumstances am I going to be able to grab a grocery cart, pile it high with needed items while pushing it around, then once home, unpack the items to take in the house. I promptly closed the car door and came home holding my frustration in my hand instead of the gallon of milk we need for tomorrow. Sigh. There for a moment I guess I remembered the mastectomy but not the limitation of such. Maybe that is a silver lining that this is going to soon take a back seat.

38 days that seemed to last 78. Noah was stuck in an ark for forty. How in the world did he do it? And he had giraffes banging their heads on the roof top and monkeys swinging from the rafters. Today, I felt like banging my head. I got very little sleep last night and it definitely set the mood for my day. My pep is missing. I can't tell you how many nights 2 a.m has rolled around and I bolt straight up in bed wide awake. Then for the next 2-3 hours, I'm  desperately wanting to be asleep but instead find myself mentally navigating navigating the complexity of this or that. Worry is my enemy these last few days.

Last night, it was the worry of returning to work in 2 days. How in the world am I going to pull that off?  How is my stamina going to hold through the 8 hours? How about conquering the rush hour commute? How am I going to fit a wound cleaning into the middle of my day in a bathroom that shares 3 stalls and one common mirror. How am I going to fit sleep and getting ready in under 2 hours into each night and morning? How am I going to go back to my clinic space where this journey lies virtually untold? How am I going to dive right back in where I left off? I'm very aware that I alone am not capable of such a feat. I'm going to need a whopping dose of God by my side (or else I need to come into a large sum of money so I can stay in my comfy cozy cocoon of home). Remember those days of my going crazy for being on house arrest? Well, I am now reconsidering that nuisance. This, folks, is where I need some prayer coverage. I just don't feel ready. Regardless, Monday morning is coming with a vengeance. I better grab on.

Happy to report the spot/wound seems to be stable at last check yesterday. It's driving me a bit crazy, particularly during the cleaning, but there didn't seem to be any change in size when we checked it last night. Not getting smaller yet, but grateful to not see any progression either. Hopeful to have the same report tonight.

I've reached the point in this drama where I am now on the back slope. Not seeing many changes from day to day. I have to trend over a week to see what is improving. It's weird that I have found myself here. August seemed so life altering every single day. One day a boob, the next day a concave chest. Drains. Incisions. Reconstruction. Incisions again. Drains again. High emotions. Early September equally as challenging. Now, watch and wait. Wait for the swelling to resolve. Wait for the shape to settle out. Wait for the incisions to heal. wait for the wound to skidaddle. Wait for full strength and flexibility to return. Wait for side sleeping (that was disastrous!). Wait for the impostors to feel like family. Just a lot of wait. I guess I'm grateful and comforted that this is the stage I now find myself. Soon, this shall be yesterday's news, another niche in the story of me, and something else will come along to over shadow it's placement. Wonder what that will be? As I mentioned before in another post, I hope your story of triumph over what ever you face soon replaces mine. I'm anxiously waiting to see your opening line.

For now, back to the evening at hand go I (sadly, with no groceries in tow).

Sept 14, 2012 - Mastectomy drains

Someone asked me recently about the mastectomy drains. I tried to find some pictures that didn't contain too graphic of a content. Dad said having four tied around my waist make me look like an orkin man coming to spray for termites. Leave it to Dennis to find some humor in the suckiness of drains. (Pun intend). Would really love it if I never visit with these drain again. Click link below to see illustration.

Sept 14, 2012 - Day # 37 -See Spot...grow?

Day 37: The all consuming new spot (see previous blog post), is rallying up in protest of the extensive cleaning regimen. I fear he is outsmarting us. Last night when Ron went to investigate and clean the spot, he noticed it might be looking a little larger and more irritated. This is NOT what we were going for. We decided we should probably start collecting real data by measuring it. (4 x 2 on some sort of unrecognizable engineer ruler Ron has). He also had the brilliant idea of taking a super close up picture of it so I could see it without freaking out from the impostor boob scar. Let's just say, after seeing it I no longer like Barkley, and it's apparent Barkley hates me. I'm stripping him of his adorable Great Dane name. "Spot" is all he gets now. I really need him to go away...and soon before other trouble sets in.

Back to work on Monday for a full 8 hour day in the office. I worked some from home yesterday and today to try and ease myself back.  It's definitely going to require a good amount of transitioning from me. I think that's all I have to say about this right now. Adjusting.


Some random thoughts from this week since this is a short update:
  • After some dinner with friends the other night, I realized I'm not the only one critical of myself. We were laughing about how two have noticed their youthful acne has returned, another wants a more perky chest, another thinks her face has aged 10 years in 1 month, another marvels at how her kids now out run her in a sprint. We all complain of heat surges and think we are entering menopause. I guess the troubles of women in their late thirties is uniform. They made me swear to change their names if they showed up in an update- so here's to you Bertha, Frances, and Ethel. = ) With much love, Syvia.
  • Since moving my updates from facebook to this blog, I am truly missing the back and forth dialogue from you all. It felt more like an informal sharing of each others stories than a monologue to an empty screen. While there is some personal comfort in the empty screen, the encouragement from you and hearing your own stories as a reader is greatly missed.
  • When I head back to work, I'm going to miss my tattoo parlor hours I've been keeping. Not setting an alarm every day really works for me on just about every level.
  • Happy to report my pain level is down to a 2-3 out of 10 as long as I am not driving or manipulating the wound. I have been really looking forward to that! My surgeon and I were laughing that we should change the pain scale from numbers (2 out of 10) to a scale of smiling boob faces instead. You would rate a frowny boob up to an ecstatic boob. These are the things mastectomy patients talk about after reconstruction. It's inevitable.
  • Lastly, I'm intrigued that someone in Russia is following my updates (Along with canada, germany, tanzania, great britian, and mexico). I think know everyone except for maybe my Russian and German reader. I'd love to hear from you and find out more about you.

Sept 13, 2012 - Day # 36 - Your story will heal you.

Day 36:  My friend, Caroline, sent a quote this morning. "When you stand and share your story in an empowering way, your story will heal you and your story will heal somebody else."
~ Iyanla Vanzant

Powerful, huh? When I sent my very first update on August 10 day #3 all I knew was I was very broken and facing a journey that I didn't think I wanted to tackle alone. I had to decide if I was going to crawl into a very private hole with my family and shelter myself from potential embarrassment, pity, and even judgment since my case was controversial. Putting something so personal as a mastectomy all out there for the world to see and judge could result in a personal disaster. I didn't know if I was ready for that. Under normal circumstances, I live a very compartmentalized life. Work separate from home separate from friendship separate from church and so on. And that works for me on a lot of levels. If one dam breaks, the rest of the compartments remain in tact and fully functional. Right or wrong, and most likely wrong, this is how I traversed my course. About a year ago, about the same time that I switched jobs, I decided to challenge that way of life. For the first time, I was going to open up the gates and let my life compartments start merging themselves into a soup of Sally. It was a scary moment for me as now I only had one compartment and if that one compartment broke, nothing was safe.

Sept 12, 2012 - Day # 35 - See Spot Run

Day 35: It's been a good day, but I'm exhausted. It's been non stop and you know I don't have the stamina for that these days. So you get my apologies for the delayed update. You know it's bad when you get an email from your mom saying "Go home and post. My phone is ringing off the hook!" When mom speaks.... I better get right to it.

Sally: "So Doc, I have what may be some bad news." (Me scrunching up my face and looking a little sheepish). Thankfully, he lets us get our greetings and niceties out before making me drop my gown. He's grown a bit in his bed side manner now that I've ragged him about it a bit. The very first time I met him he came running in the room like Kramer and went straight for the breast inspection. I never let him live that down.

Lead Plastic Surgeon: "Ut oh, let's hear it."

Sally: "Well you see, there's this spot...." (Surgeon's eyes getting a little wide at this point). So I go ahead and open the gown and show him the troublesome mind consuming spot. Me holding my breath and waiting nervously.

Lead Plastic Surgeon does a full exam of that area and more: "You have a scab." At that point I felt it was safe to exhale and breath normally.

Sally: "So I don't have tissue break down? My skin is safe? Hallelujah, I have been so worried. Best news ever"

Lead Plastic Surgeon: "You must have nicked it and not felt it or maybe it is from the skin rubbing against your tshirt." (See, I'm a good clinician, that was the exact scenario I had laid out as a possibility.).

"BUT, unfortunately, there is another worrisome spot we need to talk about...."

Sept 12, 2012- Day # 35 - Waiting

Day 35: And I sit here waiting for Ron to come pick me up for our appointment. He's not due here until 1 (appointment is at 2:15), but you see I have this spot that's consuming my thoughts. Although, after another glance this morning, I feel almost, sort of, pretty sure, positive that it is just going to be a scab that has formed due to my skin getting chaffed against my clothing. The scar below the spot has a similar appearance. It's going to be nothing...I feel almost sure. = )

It kind of makes sense. Have I described to you yet what this skin feels like? You know when you have sunburn and you can't stand to have anything touch the burned area? That is what my skin has felt like since August 20th when we did the reconstruction. To make matters a little more tricky, for some reason God made us creatures that have a need to inhale and exhale. So every time I breath in (or out) my chest rises and falls and there goes the rubbing of the tshirt over the sunburned skin. The skin gets and stays pretty raw the whole time. Early on it was fairly intolerable. As weeks have passed, it now feels like almost healed sunburn. I asked a few other people if they had this sense of hyper awareness to touch in the boobiage area after recon, but no one has yet reported it back to me.
Maybe I am feeling it because all the nerves where taken out of the boob at mastectomy and now the nerves left behind in the skin have become heightened in sensitivity. It's weird to have heightened feeling in some places, dull feeling in some, and absolutely no feeling at all in others. All in a one foot radius. Phantom limb that is only partially phantom. 

Last night, I slept 8 straight hours. (My almost 7 year old niece decided to check in on me with a wake up call early this morning. I can't be mad at her since I don't have kids of my own, and it's imperative I stay on her good side so she will care for me when I am old and feeble. Nursing homes scare me, so I need to ensure she will put me in her penthouse suite). Usually, I toss and turn, up to the bathroom, back to rearrange the pillow throne, sleep a few hours here, up an hour then sleep some more. So 8 hours straight is worthy of a celebration! I think I have turned the sleep corner. And I love me some sleep. Always have- always will. It's been beyond frustrating not having good sleep habits. My friend recently told me that I was keeping tattoo parlor hours this past month with me staring at the ceiling at 3 a.m. I very quickly need to fix this with me going back to work on Monday.

Did I say Monday?!?!?! I'm a little freaked out about this. Nothing new to you as I've mentioned it in a few posts, but I am starting to feel the urgency of this. So much to overcome in a few short days. While I can now fully dress myself (Sis, I need a sticker for my sticker chart) it still takes me almost 2 hours start to finish from shower to out the door. And driving, I tire out after about 15 miles, yet I have a 30 minute commute. My arms are not yet ready to commit to a long term relationship with the steering wheel. I've also not driven in rush hour traffic yet. My back detests sitting in a chair for much more than an hour, and I tire out big time come mid afternoon. Then, there is just the issue of readjusting. Some of my coworkers know about this journey. Some of my coworkers only know I'm out. Wonder if they are picturing me in the Caribbean? When I left, I wasn't quite sure how public I wanted to be about this super sensitive topic. Guess I (and God) blew that out of the water with this blog, but still, typing on a screen to people with no faces is a far cry from a one-on-one conversation at the water cooler about Smooth Round High Profile Implants. Where do you draw the line? One benefit of going back to work, my entire day won't be consumed with thoughts of boobs. I'd like to go one hour without thinking once about Impostors. Maybe being back at work will return some normalcy to my life or at least my thoughts, but I imagine the first week or two is going to be super hard on my everything. My psyche of adjusting, my physical stamina, my learning all that I missed (I'm leading a super high paced deadline driven project this year and things change on a weekly basis.) and my reincorporating myself back into all that it used to be. I do know this- I will be a better practitioner in many ways. I've always been good at relating to patients because I've been there myself, but now I have another adventure under my belt so that can only help me as I relate back to the kiddos in my clinic. The best news is I have great coworkers who have been extremely supportive of my journey from every aspect. I really need that.

Ok, so I'm still waiting. Kind of wish I could snap my fingers and the appointment be over with. I detest the poking and prodding (because the boob area is so sensitive), and what I thought was going to be a quick glance over appointment is now shaping up to be a let's dissect this spot to see what is underneath. Pull out the scalpel and scrape. Shallow breathing. Heart palpitations. Dread!

I REALLY need my got-it-all-together-can-tolerate-any-emergency personality back. My friend shed some light on this for me. She used to absolutely adore scary movies. The gore, the fright, the elevated heart rate and even the laughter at the silly parts! After her breast cancer diagnosis, she absolutely can't stand them. They freak her out. They anger her. She very quickly learned that in life, when yours is no longer guaranteed, that there is absolutely nothing entertaining at all about fear. She now understood what is like first hand to be very afraid of something and fear, even as portrayed in a scary movie, was no longer entertaining. I appreciated hearing that perspective. Maybe scars and needles and diagnoses now carry more emotion behind it for me. No longer do I look at your central line catheter and see a catheter, I see a very uncomfortable incision and the emotions behind the need for the catheter. Truthfully, I've always seen that and it made me a good clinician, but it's a bit more heightened right now. I need to reign that in a little so I can function better on clinic days.

Oh, oh, oh! Ron is here to pick me up. Wish me luck! I'll update you later.

Sept 11, 2012 - Day # 34 - Ut oh, there's a spot.

Day 33:  So there is this spot. This can't get it out of your mind spot. Not a big spot. Just a spot. You know when you go to dinner (mom, I hope you are reading this) and you look down on your freshly pressed white silk blouse to see a dropping of the most delicious lasagna you've ever treated your taste buds to? Gone, now, is the culinary amazingness of the lasagna you were just inhaling. You are looking at your friend across the table who was just telling you about her heart retching break up with Patrick. Two minutes ago you were hanging on her every word and offering condolences. "Beth, he was dog meat! Not worth a second minute of thought." Hoping she buys your story cause he really was delightful and he will be missed. Now you stare at her and all you see are lips moving. You thinking: Do you think the waiter sees this spot? How in the world am I going to get this out? Where is my Shoutastic pen? Really, I don't even remember dropping anything. I was so careful! Was this blouse on sale? I just got it!!! Maybe if I fold my arms just so....

"Sally, are you listening to me? PATRICK, just broke up with me!" Shock back to reality. A spot on a brand new shirt can consume your every thought (if you are a woman).  "Beth, do you see a spot on my shirt?"

Well, I have an all consuming spot, but instead of it finding itself on my freshly pressed white silk blouse, it has landed itself on my brand spanking, newly fabricated, Smooth Round High Profile gel filled Impostor right Boob!!! (see previous post titled "Card Carrying Member".) Yesterday, when I was changing my clothes, I did a quick glance down. The surgeon wants us to look at both impostors regularly to search for changes- redness, swelling, bruising, change in size -oh there has been a change in size!- and so on. So, yesterday, I noticed this black scaling spot on my right boob strategically placed in an area I don't want it to be.

Sally from bathroom stage left: "Ron, come here and bring a flashlight!" I had Ron and my sister bring a flashlight once before back in August, so he knows this can't be good.

Enter Ron from bedroom stage left:  "What's up babe?"

Sally with a slightly worried look on her face: "I need to you look at this spot, cause you know I can't go to the mirror and do it myself."

Sally stepping into medical mode: "Describe it to me."

Ron holding flashlight and kneeling before Sally in full investigator mode: "It's a black spot. Sort of like a scab, a tad smaller than an eraser, right in the middle of your Nipple (can I say that here?)"

Audience (Oliver the cat) trying desperately to help out: Meow!

Sally, trying to maintain composure: "It is bleeding? Or is it dried blood maybe?"

Ron leaning in for a closer look, glasses pulled down to tip of nose: "Not bleeding now, it's black, and maybe was once blood? Let me get a wet q tip and see if we can dissolve it, then we will know if it is blood."

Sally shifting back and forth on the stool at sight of Q tip coming toward her, now tightly closing eyes: "Ok, but you know I have lost all medical tolerance since August, so GO EASY!"

(30 second time lapse)

Sally with eyes cinched tight: "well are you going to scrub it or what?"

Ron: "Already did, why are you sitting there with your eyes closed? Unfortunately, Nothing came off."

(conversation above only slightly paraphrased)

I had forgotten that I had no feeling in that area of the Impostor so I had no idea he had been working away at the spot the whole time. Open my eyes and start brainstorming. It's likely not blood if it didn't dissolve in water. Could I have nicked my boob on something and not known it since I can't feel the boob itself? And how does one exactly nick a boob? Especially since I don't walk around with a shirt off. Do you think I would NOT notice running head on into a knife? Or NOT notice a falling scalpel from the sky that landed right in the middle of my chest? Not likely. Maybe it's chaffed skin from the tshirt rubbing on it all day long for 33 days straight? Could it be necrosis/dying tissue?

Please, oh please, don't let it be dying tissue. This is what the surgeon was so worried about from the get go. Because of all of the chest radiation in days gone by (see previous post titled "How this all came about") he felt sure I was going to have delayed healing and possibly lack of proper blood flow to the new tissue and skin. If that happened, the skin may start to die thus leading to another procedure and skin graft. But at my last appointment he told me we have most likley passed the worry point for dying tissue. I was good to go!

Surely, it's just dried on....something. Anything! I will take a dried on anything for it not to be dying skin. I am desperately not wanting to lose tissue after we have come so far. This morning, I looked again by glancing down and see there is now some additional scaling appearance in the skin around the area. So maybe this is a top layer of skin sloughing off? We lose skin every day, right? Eeek.

The Good news:
  • The spot itself is super small.
  • It just showed up yesterday.
  • It's only on one side.
  • The skin around it that is sloughing looks very superficial.
  • It adds character...maybe like a beauty mark? (ok, so I'm stretching it a bit there).

Because of God's timing, I already have an appointment with Lead Plastic Surgeon tomorrow afternoon. Perfect Timing as always. Now we just put it out of our mind and wait and see. But I wouldn't mind one bit if you add this little spot to your prayer list for today. I'm only slightly concerned. (That sounds believable when I type it. shallow breathing). Will update you tomorrow.

Funny story to add to this since we are talking about numb boobs. A friend of a friend had a mastectomy and reconstruction. Several months later her husband took her out to dinner. She ordered the yummy soup. Dinner arrived and they started eating and chatting about their day. Husband: "Um, honey, your boob is sitting in your soup bowl." She had been leaning over the table to sip out of the bowl and couldn't feel that she was actually leaning INTO the bowl. Can you imagine the laughter at that table? If you can't laugh, what can you do?

Sept 10, 2012- - Day # 33 - Meet the Trading in the Tatas Team for Komen race for the cure.

Sept 9, 2012 - Day # 32 - Package Reveal (out there and loving every minute of it!)

Day 32:  "I'm out there and loving every minute of it!!!" (Picture Kramer in one of the all time best Seinfeld episodes). I did get out there, but can't yet claim I was loving every minute of it. Last night, after posting my tribute to the value of hope, I got up out of the chair, immediately walked  into the bedroom, looked at Ron and said "It's time, I'm finally looking." You should have seen the look of shock on his face. As if I had just told him we won the HGTV green home giveaway.  There he sat jaw dropped and me staring back at him. I told him "how could I claim hope if I can't even trust God to get me through a little ole peak"?

So I trusted God and pulled off the tshirt - of course I was facing away from the mirror at this time. Ron kept cheering me on, but all I could hear was the ear numbing sound of my heart beat. It sounded like a indian tribal celebration minus the chanting and fun. Thump, thump, thump, thump. Quickly came the shallow breathing and suddenly all ambition flew out the door, almost knocking Ron over, and there I was left standing naked from the waste up. There I stood with my back to the mirror working up the nerve to do this one little task I had been avoiding like the plague for 31 days. Stand, shift my weight, stand, turn half way, turn back, stand, shift my weight, shallow breathing, thump, thump, thump (in the back ground Ron saying "you've got this Sally", "piece of cake", "it's not what you think it is.")


Suddenly, I got the brilliant idea that I could use my tshirt to shield my view, and then I could open the "package" in stages. That could work! Why hadn't I thought of that before now! See bits and pieces at a time before revealing the full blown masterpiece. So the first step was easy. Grab the shirt, hold it up to cover everything, then turn around to face the mirror. Done! That was so easy! I'm a super star. Coach is going to be calling me at any moment to pull me off the bench.

So now there I am standing actually facing the mirror. I've got this. Thump, thump, thump...Shaking my head, biting my lip, looking at Ron, turning back to the mirror, and this went on for a little while. Sally, remember II Samuel 22: 29-31. With my God I can scale a wall.... Inch down the t shirt to where it now looks like a bandeau top. Ok, so that looks pretty normal. Beautiful Job, Lead surgeon! Inch it down a little more to about mid-line. Ok, I've seen this before just looking down, so no surprises here. Lumpy boobs. Done. I'm making some huge strides here. But here is where I sent myself into new territory. I work up my nerve to so a millisecond drop and pull back up...one, two, three, GO! Now quickly pull up. Ok, so what did I just see?,,,, Nothing that made me run for the trashcan. Maybe a longer look to really prove I did this. Just a quick 4 second focus. I need to focus my eyes to below midline to see the scars. The scars have been what has freaked me out all along. I need to see those to say I'm good.

And what does Sally do? She turns back away from the mirror clutching the tshirt like my life depended on it. (Now let me tell you up to this point we have probably pushed 10 for 15 mins. I told you I was a sap.) "Ron, look at the scars and describe them to me." For some idiotic reason I thought if I heard about them first and could form a mental image, I wouldn't collapse in the floor from terror at my first look. So there goes Ron doing his best to describe the two incisions in all their glory. Bless him! Ok, so that doesn't sound like anything shocking. He described what every fresh scar looks like. I don't know why I thought I was going to get anything extraordinary there. (Insert some legendary stall and denial.)

Back to the mirror with the tshirt up around my neck. One, two, three.....ok, let's try this again...one, two three...."ok, Ron, I'm going to count to four"...one, two, three, four, five, six, seven ("Sally, you've got this!" in the background)...DROP!

And there they were staring back at me for about four seconds. I didn't recognize them as mine that's for sure, but they were SOMEBODY'S boobs that looked dimply, swollen, and scarred. Nothing worthy of a horror movie by any means, but you definitely won't see them on the catwalks of NY in this lifetime either. Honestly, for the four seconds they stared back at me and the whole time I felt sort of detached. Like I was looking at YOUR boobs. (Not that I know what your boobs look like, just saying.) There sat two envelopes of Smooth High Profile Gel (see "Card Carrying Member" post from two days ago) that had no emotional control over me. Sort of anti-climactic in fact especially after all the hyperventilation of August and dread and delay of September. Boring. Ho hum. Impostor Boobies. So I put my tshirt back on and said "well, that was that!" and walked out the bedroom door.

Go figure! I'm as amazed as you are.  This doesn't mean I like them, nor that I want to see them again any time soon. I prefer to stay detached for now. It's working for me on some level.

Sept 9, 2012 - Day # 32 - I looked

Day 32: I LOOKED!!!! Even I can't believe it, but I promised you I would. Last night, after some reflection (see yesterday's post) I realized my hope was bigger than that mirror. More on the actual peek later when I have more time. Just a quick pat myself on the back for doing it.

Sept 8, 2012 - Day # 31 - Learning to swim

Day 31: I'm sitting here in my sun-room watching the storm roll in. If you've been around me for more than an hour, you know I absolutely adore a storm. They make me all kinds of chipper. And some days you just need a little chipper in your step. They also make me reflective.

I just returned from church and on the way home I could see the thunder clouds building up. I was alone in the car (which means I drove! Woo hoo! Frightening, but accomplished) so I was able to really put some uninterrupted thought in to some things. It's rare you have quiet time to sit back and just ponder. You know how life sometimes just smacks you in the face? One of those catch you off guard, changed perspective kind of hit you in the face. I actually love when that happens. I love knowing that I can think I have life all figured out and then- smack- comes more perspective. This is where my thoughts went. This mastectomy is a whole lot of nothing when you compare it to the issues surrounding the lives of so many. Homelessness, Human Trafficking (did you know N.C. ranks in the top 10 for states involved in this heinous act?), alcoholism, divorce, chronic illnesses, the loss of a spouse, your child that won't speak to you any more. How in the world does no boobs even begin to compare to that?

Just a few days ago my coworker lost her 18 month old son (he was a twin) and today they had a funeral. How does a mother overcome this? How does she pick up her anything and get out of bed the next morning? How does she put aside such tremendous unimaginable pain and find the motivation to even fix a sandwich? How do you explain that loss to your other child who keeps asking where her twin brother is. As I sat in church tonight, just an hour before service starts, our music leader got a call that his father had passed away. No even an hour before! And where did he stand an hour later? Right there on the stage putting his heart into what he loves- music and faith. No doubt on the inside he was struggling with every piano key, but he knew his purpose in that moment was to celebrate Christ...even in death. Then there is a friend and family member who has a cancer diagnosis and finds struggle in each moment. Not knowing what tomorrow will bring in that diagnosis. Or a young women is who is caught in the desperate grip of depression. She sees nothing but haphazard despair.

So it's very clear to me as I am driving down the road that my last 31 days enduring post mastectomy is absolutely nothing in comparison. It's a blink of an eye. It's a splinter in a finger. It's trivial in comparison to the life others have on their plate. So why does it seem so devastating at times? Well, because everyone in life wants the perfect, the happy, the easy going. We don't want the hardship, the challenge, the knock you off your feet. But we all know, knock you off your feet is always right around the next bend. Or if you are like me, it's your right now.

You see, my mastectomy journey seems so intense because I can only compare it to the smooth as glass journey I was having back in May. No bumps, no bruises, just basking in the goodness of life. When things go smoothly, I sit back and enjoy the ride. When things switch modes to knock you off your feet, everything comes to a screeching halt and you take notice. You aren't comparing yourself to others, you are comparing yourself to your "before". You kick you, you scream, you pout just like anyone else. "This is not what I asked for. Things were going so well". In August I felt like I was swimming up stream. I was in tune with God's grace and His provision (and even the belief that this path was chosen specifically for me), but even trusting God's role in all of this, it didn't take away the sting. And you know what? It's not supposed to. I firmly believe God gives us emotions, and they serve a very specific purpose in every journey. Anger can lead to motivation. Sadness can morph in to reflection and advocacy. Fear can soon become motivation to find refuge in something you can't provide yourself. And then, we are able to see purpose in chaos.

I would be amiss to feel shame for my emotions of August (although I have on several occasions). Those emotions for the most part served their purpose as long as they didn't consume me. Feel what I need to feel, find purpose from those feelings, then move on with intent and focus. However, I would be hard pressed to move past these emotions without belief that God very specifically allowed this moment in time to become one of my stories. If I didn't believe that, I would be filled with hatred, bitterness, judgement, and hopelessness that consumed my every moment. Instead, because I have faith in Christ's big picture, I'm able to feel anger which purposed me into motivation to get on the other side. Sadness and confusion propelled me into empathy and advocacy (and even his blog). Fear, made me claim hope. I don't know how women do these journeys without that sense of hope?

Sometimes the turns of life just can't be explained, but when you have hope in something bigger than yourself, those unexplained moments become purposeful. Instead of sinking, you find a way to start to swim again. It may take days. It may take years. But soon you find that your desperate attempt to stay afloat becomes a doggie paddle, then a frog leg swim, and soon you are swimming the 100 meter freestyle with grace and poise. The circumstance may not have improved. You may by all earthly standards be in the pits of chaos, but your perspective changes and that pit comes with a big old basket of purpose. Happiness is based on atmosphere and circumstance. Joy is based on perspective. And I shouldn't be so naive to assume I can find that on my own.

So as I was driving home, I was thinking about how minor my mastectomy is in the whole scheme of things. But at the same time, in my own little bubble of Sally's life, it's a whopping ball of chaos. I began rolling over in my head the lyrics to a song I adore and had just heard for the umpteenth time earlier today. Here's the link if you want to give it a whirl. http://www.tr3s.com/music/artists/one-sonic-society/videos/forever-reign-819276/. I have it playing in the background as I type this. I CAN NOT DO ANY OF THIS on my own. I would not be even remotely able to pull myself out of the awfulness of a concave chest. I would still be lying in a big ole heap of balling my eyes out if it were up to my own accord. My human side would fall prey to my circumstance. And just like anyone else, I would return to happiness again as circumstances changed, however I would always be destined to return right back to despair the very next moment life took a sharp turn. Praise God, I have have something to save me from that. I have faith in Christ who offers me peace when fear cripples me. Light when darkness closes in. Joy when life turns to mastectomy.  My emotions will still be there and they will be raw, but Hope gives me belief that this emotion can be temporary even when the circumstance may become permanent.

I happen to know my coworker will be able to start the healing process even though her son's death is permanent. She will feel raw. She will feel her heart rip out. She will feel every single letter of awful, but because she has Hope in Christ and knows that with every event there can be purpose, and in time, she will start to heal. Not forget, but heal. I even see her becoming an advocate as she too works in pediatric oncology. Our world is filled with mothers losing a child. Why he was taken, I have no clue. We will never know. Her circumstance is sealed and permanent. But I have the utmost assurance that with her perspective she gains from faith in Christ, she will see that God allows amazing things to come from despair if you can focus on the master plan.

If you keep searching for something in life and you keep coming up empty, if you keep falling prey to your emotions and circumstance, if you can't find purpose in trials, try running in to the arms of something bigger than yourself. Let Christ give you purpose. See if that gives you new perspective and the motivation to wait it out with realization that something incredible can be happening at the same time as despair.

Thank you "Forever Reign" (the song above) for reminding me of something I've known all along but need to hear again on occasion. Even chaos loses it's sting in the promise of hope. I want to be a reflection of that in a mastectomy that stretched me to my core. It is no longer the month of May, but where do we find purpose if it is always smooth sailing.

And thank you, whoever is reading these updates, for allowing me to not only show the triumphs and humors of this mastectomy, but for allowing my raw struggles and thoughts well.

Maybe a visit to the mirror long over due. If God can bring Hope in the crazy of life, I can take a peek in a silly little mirror.

____________________________________________________
Lyrics for "Forever Reign": Hillsong Music

You are good You are good
When there's nothing good in me
You are love, You are love
On display for all to see
You are light, You are light
When the darkness closes in
You are hope, You are hope
You have covered all my sin

You are peace, You are peace
When my fear is crippling
You are true, You are true
Even in my wandering
You are joy, You are joy
You're the reason that I sing
You are life, You are life
In You death has lost its sting

Oh, I'm running to Your arms, I'm running to Your arms
The riches of Your love Will always be enough
Nothing compares to Your embrace
Light of the world forever reign  
You are more, You are more
Than my words will ever say
You are Lord, You are Lord
All creation will proclaim
You are here, You are here
In Your presence I'm made whole
You are God, You are God
Of all else I'm letting go


Sept 7, 2012 - Day # 30 - Card carrying member

Day 30: Have I mentioned before that I have an Implant ID Card I'm supposed to safe guard? Bet you didn't know that. Seriously, I have an ID card that presents all the "stats" of my wonderful new impostors.

Side A:
Patient Name: Sally McCollum
Date of surgery: 8/20/12
Doctor's Name: Lead Plastic Surgeon (name changed to protect the guilty)
Breast Implant Size: 800 grams
Final Fill volume

Side B:
Implant ID Card- This device is a tracked device
Left: Smooth Round High Profile Gel (High profile makes me giggle. And they are anything BUT smooth!)
Lot #: XXXXX
Right: Smooth Round High Profile Gel
Lot #: XXXXX

This strikes me as hysterical. What exactly am I supposed to do with this Implant ID card???

"Hello, Officer. I'm sorry I was speeding. Here's my implant ID card and my official car registration." Insert big grin and hope for the best? Or maybe it's like tthis. Cashier: "That will be $42.37 for the bra and matching panty."  and then Me: "Do you offer discounts to implant ID card holders?"

So here it sits on my table with me wondering what in the world am I to do with it. I could frame it and mount it in the hallway for all to see. Card on the left, up close picture of impostors on the right. All highlighted with focused frame lighting. Would you enjoy that as your house decor? These implants are high profile after all. They deserve some sort of in-your-face placement.  Rolling my eyes. After further investigation I find out implants are considered "devices" and tracked by the FDA in case of a recall. Recall! Can't you imagine how that would play out. I wonder if they call you and say they are shipping news ones in the mail to arrive on Friday. In the box you find a shipping return label to send back the recalled boobs. They better provide free shipping! Or maybe I show up at Lead Plastic Surgeon's office for an exchange. All these ladies lined up with Smooth High Profile Implants Lot # XXXXX waiting for their switch out. Kind of hope there is a recall just so I can see how that unfolds.

And did I mention that this isn't a one time fit all kind of Implant? Lead Plastic Surgeon said I am going to need to make modifications as time goes on. To which I asked what time frame are you talk about? 20 yrs? 30 yrs? "Sally, more like 1 or 2 yrs. And initially maybe in a few weeks or months."

Day # 13 - Princess Sally (posted out of order)

Some positive comical vibes to keep us going: Ron and my sister have resorted to calling me "princess sally".
(no irony lost on me since the name Sally actually does mean "princess"). I'm thankful my mom has stuck with plain ole sally. I guess a woman who actually needs upwards of 11 pillows in the bed to get comfortable deserves a little name calling. Of note, I only require two under normal circumstances. Add to those 11 pillows a face mask and ear plugs, and I'm a slumbering site to behold. Picture me sitting straight up in a chair to eat dinner. Such is the position to be achieved for sleeping. But I'm adamant about sleeping in the bed for normalcy (vs the chair). But seriously, what is normal about that position? It's the only way I can keep the pressure of the drains at a minimal. No doubt an intruder would be frightened out of his shoes if he walked in to find that scene in the middle of the night. But princess Sally needs her beauty sleep just like the next gal.

Today, we washed my hair in the kitchen sink. A dining room chair. Two pillows to sit on. Three towels. Ron's entire arm under my head for cushion- his arm more wet than my head. Mom up to her elbows in soap suds. Oliver, the cat, trying to partake in the festivities. Then comes the blow dryer and 3 brushes.

Shall we start talking about pajamas and sponge baths? In the past 5 days, I've been through as many if not more sets of pajamas. A gal deserves her comfort right? And what is more comfy than fresh pjs? Then there is the munchies every two hours with pain meds. So three title "her highness" may carry some merit, I suppose. Or we can blame the medications.

Wonder how shoulder massages can be worked in to the daily schedule?

"Ron, where are you???? I have an idea...

Day # 7 - Transparency Promised (posted out of order)

Day 7: I'm making a difference. See, every journey has it's purpose we just have to wait it out. Even if one life is changed or impacted, our purpose is served. Often the difference is not for ourselves, but for some one on the periphery. Someone you wouldn't even imagine would be impacted. Tears streaming down my face. "Take the boobs, Lord, if it leads to a changed life, a changed heart, a changed medical practice, empathy, a better relationship...". I promise that makes all if this worth it. So many of you have emailed me to keep the posts coming because it's impacting your day. I was simply trying too get the benefit of 100+ psychiatrists without paying the bill. But hey, if it helps you too. Let's go for it!

Ok, so there is my new focus -100% transparency for my own processing, but also because so many of you have contacted me as to how my transparency is helping your own journey. Well, perfect timing ladies, because today of all days, I am a wreck!

Poor Ron and mom had to suffer through it last night. I was a the year old tantrum, an inconsolable 37 year old frustrated female. It was awful on my own account. Don't get me wrong, i fully trust God and his plan, but sometimes the "going through it" just catches up with your emotions. He gives us emotions for a reason, they are very therapeutic, but boy did mine go haywire.

Flash back to yesterday afternoon when I was feeling so great. Great wasn't something I had felt in seven days. Very far from great. So when there was a single flash of feeling decent I latched on to it with a grip of an iron man. I was up and about. I visited with a friend, I took a long walk, I watched my mom vacuum (hey, it took some effort instructing her) and I took in all the sights of the living room. Reminder, I was running low on pain meds so I also spent the day rationing.

Sept 6, 2012 - Day # 29 - Even I don't believe it.

Day 29: By calendar dates, tomorrow marks one month since the mean ole mastectomy joined my list of "I have dones". I'd much prefer adding sky diving or dog sledding to the list (everyone knows how much I adore a sled dog!), but alas...mastectomy it is. It certainly wasn't on my "top 10" to-dos. But life doesn't always come in top 10s. I now join a glorious club though and am honored to be part of the amazing women who also chose life over the other possibles. I'm in excellent company. Some prophylactic as I, others as a life saving choice in response to a diagnosis. Maybe there should be a mastectomy wall of fame honoring some of those women. Can you picture that? If we can honor a baseball player making millions of dollars a year (really?), why not the face of these women fighting for their lives for free? I shall create this wall of fame in my head. Better yet, feel free to use the comment section below to honor someone you want on this wall. What is better than honoring a struggle or a triumph?

I actually don't personally know anyone else who did this prophylactically, especially someone who was Brca gene negative as I was, so I will start the wall of fame with Sarah Steegar Delaney. She's on facebook, look her up to see picture of what courage looks like.

Sept 5, 2012 - Change in appearance

I easily bore with colors and designs, so I decided to switch the blog appearance up for a bit. Don't worry, you have the right site. Just me needing some more variety in this journey. If I had to change my appearance, why not the blog? Smile.

Have I mentioned my four walls I live in every day. I'm coming up with all kinds of "home improvement" ideas while being on house arrest. But I have a surprise for you regarding "track tryouts" stay tuned.

Sept 5, 2012 - Day # 28 - Driving Mrs. Sally

Day 28: I guess I have grown accustomed to a chauffer. It's now a comfort zone. Yesterday, I sat in the front seat for the first time, and I was freaked out the entire time. The shoulder belt is NOT my friend. It's bad news bears. It's out to get me I'm sure. I have this irrational fear the entire time Ron is driving that we will be in an accident with me being thrown into the belt crushing the imposters. Today, I want to choose the back seat again. Would you think bad of me for this backward slide? Is there a 12 step program for back seat riders anonymous? I'm bigger than that, right? And somehow I'm supposed to transition from my back seat haven to that of driver! EEEEKKK!

See, my fear is not in the driving itself. It is like riding a bicycle. It is the pot hole that is my enemy. The speed bump. The pea size pebble that once traversed by my wheel sends chaos through my chest.

My family has chuckled at the choice words that leave my lips at the sight of a upcoming bridge or pavement change. FUSELLI PASTA! CRAWFISH STEW! OH MY GOSH, OH MY GOSH, OH MY GOSH! And maybe on occassion something a tad stronger. Maybe. It doesn't help that the entire ride from shutting the door to arriving at said location I'm sitting there as stiff as a mummy. Put a piece of coal under my armpit and no doubt in an hour you will find a diamond. I'm too afraid of each little bump and jelly mold giggle that I can't do anything but clinch.

I want to conquer the seat belt! I want to tame the clinch! People, work is 12 days away. Surely! If I could just get some of the chest tightness and swelling to lessen then I wouldn't require so much clinching and bracing at every driving moment. It almost takes the joy out of the destination. Almost (these four walls are pretty motivating)! I should probably acquire a "student driver" sign so fellow drivers will find pity on my 25mph car stroll.

First, I have to work up some nerve. For the record, I still have yet to hug my mirror so there is a precedent for "delay".

Sept 4, 2012 - Day # 27 - Denial, it's what's for dinner.

Day 27: I didn't make the track team. I gave it a good old sally try, but those exercises are not fun and quite the strain on little pectoral muscle that just 13 days or so ago was filleted and glued and stretched. It loudly screameth outeth in retaliation. Hanging my head low. I desperately wanted to please the coach (aka. surgeon). But today is a new day, right? I have practice in a about an hour, but I decided to post instead and put you, my faithful supporters, first. Laughing, ok well I just wanted to delay the scar splitting implant popping exercises a bit more. What's another hour?

I did however have a few successes yesterday. Blue ribbons all around! Almost.

1) I, the very woman who has had nothing but pajamas on for 27 days (with the exception of one outing to church where I feared God smirk on the PJs), put on Jeans and a blouse for an outing with Ron! Wooo hallelujah hooo! And they actually fit! This was a bit of a fear of mine and maybe a small source of delay in switching from the PJs. You know denial is a handy tool of mine, but I'm working on lessening my denial arsenal. More on that soon.

2) I washed AND dried my hair! It was an awful rat's nest in the end, but hey, it was dry.

3) I put on makeup.

4) I once again applied deodorant.

5) I fixed myself a bowl of cereal.

6) Went on a date. It was short with just dinner out, but it was a date all the same. We wanted to go to a movie, but I didn't have it in me. I'm working up to that. So we came back home to watch a dvd here. By the way, at this current place in my journey, I'm still too emotional to make it through "The Last King of Scotland". Wowsers, I was a wreck! I hurt from head to toe by the end of that.

Now this whole shower, dry, makeup, clothes process only took me about 2.5, maybe 3, hours but still it got done and there were no tears! I somehow have to find a way to knock that process down to about 45 mins in the next 10 days in prep for going back to work, but you have to start somewhere.

Let me go back to the movie. I've learned something new about myself. And I quote Ron. I am now a "wuss". And let me tell you that is a drastic change from the pre-mastectomy me. I can't explain it, it just is. Where I used to be rock solid in tolerating blood and goo, I now cringe at the sight of a kid getting a vaccination. I see a needle and I freak out (already seeing red lights for my clinic  job I am returning to soon)! I see a leg being amputated on the screen, I hurt to my core with physical pain. Last night, during the movie, I kept grabbing my sternum in pain.

What I am learning is that my subconscious anguish is being manifested in physical reactions. I saw this start back in July when I was approaching my surgery date. I would wake up in the middle of the night with horrible shooting pains running down each leg, then 10 second later the elbow, 10 seconds later my sternum. They hurt so bad I would scream out grabbing this and that.  Always migrating and never a physical explanation. This is the first time in my life I've fully understood how much the mind plays a roll in health.  I have several examples in July of sitting working on a project or more embarrassingly sitting in a staff meeting and with absolutely zero notice bursting out into uncontrollable sobbing. Thankfully, this has resolved. But I started realizing how much this decision to undergo mastectomy had wrecked my subconscious thinking. This was brand spanking new to me. I'm the one you want in an emergency. I'm the one you want making tough medical decisions with you. I'm the rational one! Well, boy did that change for about two months. I see that rational side coming back, and I have hopes I will return to that baseline steady has served me so well. It's right around the corner! Anyway, its just amazing how much chaos can impact your everything. I think everyone was amazed at how much this impacted me. We didn't expect that. But I was a slobbering and blubbering saint bernard at the sight of my mastectomy. Rock solid Sally was no where in sight. Believe me, I searched.

And that brings me to needing to admit something else. A failure of yesterday. You should see me rolling my eyes and scrunching up my face as I type this. It's pitiful really. I want to be a better person than this. I see the absurdity of my delay. It's been 27 days for goodness sake. You know how I mentioned in yesterday's update that i was going to embrace the mirror? (Maybe all of you forgot that and I am off the hook, but doubtful.) I gave myself 12 hours to go stand in front of the mirror and actually look at the impostors and their scars. (Reminder, I've yet to see these implants in all their glory staring back at me in a mirror, I've only had the vantage point of looking down. I have no idea what they really look like). Well, I didn't reach my goal. I tried, twice in fact, and just couldn't bring myself to do it. I don't know what I am so afraid of. This is not me. I'm never afraid to face life.  But these impostor boobs have me all freaked out! If I don't look, they aren't so bad. If I look, they are my reality. I think deep down I am waiting for them to get into their final state before I commit to knowing them personally. I'd rather them just be an architectural work in progress that I ignore until the finalized building passes building code inspection. Lead Plastic Surgeon told me it will take several weeks before everything settles out, swelling gone, lumpiness less lumpy, divots filled in, pain resolved, remotely looking normal.  I'm a sap. I'm the queen of mastectomy denial.

THIS is my weakness in this whole journey. I just don't want these impostors to be mine! I want back my, flawed as they were, former God-given tenants. I want back their asymmetry. I want back their 37 year old sag (well, maybe). They were mine, and I had plans to grow old with them. They knew me and I knew them. We had a great thing going! Breaking up is hard to do. I mourn my pitiful, not at all worthy, flawed boobs. There was no drama there. God had a different fate for that relationship, I trust that fate, but I still mourn the old. I mourn last May when I was none the wiser before picking up a medical abstract. I mourn the days of not thinking about a boob for even one second of my day.

My thoughts and reactions seem dramatic. They are. I imagine some women sore through this prophylactic journey with flying colors. Not even a second thought. In surgery today, embracing new boobs tomorrow! I hope that for them with everything in me. I wish that for me. Boy, do I. But here I sit...adjusting. Better today than yesterday though. So there is a trend!

Does it count that I do like having not so large "hands"? Oh yeah, then there is a 5% breast cancer risk.  Priceless.