November 28, 2018 - And I hope to NEVER see any of you again!

I had scanned the 12+ training sessions trying to find one that was going to fit into my schedule, around meetings, on a day of the week I could get across campus and back in a time, that would sandwich into the rest of the day’s expectations. That one wouldn’t work because I had a meeting immediately after the end time that wouldn’t allow a quick enough return. And that one wouldn’t work because of the overlap with the other meeting. That one wouldn’t work because on the start time. GRRR! This was a horrible week to try to fit something in! Wednesday at noon was just going to have to work so I slapped it on my calendar and called it done. However, when Wednesday finally rolled around over a month later, I was slammed unexpectedly with a project deadline so I quickly went back to the scheduling system to see if I could reschedule. Yep, multiple classes later in the week still had vacancies, but the disclaimer at the bottom read “if you need to make modifications, please call 555-5555 for more information.” Pick up the phone…..”thank you for calling, blah, blah, blah, blah” Voicemail x 3. Ok, forget it, Sally, go to this class and come back afterwards and plan on staying late to work on the time sensitive project you are leaving on your desk.  I gathered my stuff together begrudgingly, swiftly walked across campus because I pushed my time too much, and headed into the building where I was instructed to get into a line according to last name. There, I was randomly handed a letter card instructing me which classroom to head to so that each class room would contain the same number of students and off I went.

As I was late, the room was practically full with only 3 seats left so I picked the one closest to the front, but on the far side of the room next to the wall as it felt more “out of the way” and incognito. Most of you don’t know this about me, but there is nothing I hate more than walking into a room of strangers (or even a room where I know every single person). I’m fine about 15 minutes after I get there, but the first 15 minutes leave me in turmoil as I internally feel like the small marshmallow trying to find my spot in the overcrowded hot cocoa cup. All I could think about was crossing the front of the room and getting to my chair since I could tell the class was about to start up.

The room was set up with about 10 rectangle tables, 4-6 people at each, so we were all facing each other at each table. I very quickly leaned down to place my bag under my chair and grab the book and paper out of it and then did a quick scan of the room to see if I could find a kindred spirit I knew, but as I knew I would at an institution this large, I knew no one….until the voice in the chair directly across the table from me said….

 “Hey, I think I know you from somewhere….”

I looked up and across the table expecting to see a former coworker who I somehow didn’t see in my initial scan but then I realized I recognize absolutely nothing. She was summer blond with her hair pulled back, and she sported a grin that covered her entire face. Equally as welcoming was the southern accent she spilled out of the grin. She was wearing the required nursing ensemble so I at least knew her occupation, but still, there was no recognition from what I was seeing at first glance.

“Ok, let’s see if we can figure this out” I said.

I asked a few questions: Where did you go to high school? College? Church? None of which shed any light on how she might have recognized me.

Then she, being smarter than I started with the more obvious of questions: Which department do you work for? What do you do? How long have you worked here? All of which I answered and that still shed no light.

Then, with the swiftness of a tsunami wave crashing over land, she says “Oh my goodness, I think I did your cardiac echo last Spring!!!!” Now at that moment the 3 other people sitting at the table turn and look at her like she has lost her mind (I later find our they are her colleagues), and I immediately get this rush of facial recognition, and holy moly you have got to be kidding me, and a little I want to fly out of the room and into a hole, all rolled into one. Without hesitation her colleague looks over and says “Jackie (as we will call her), you do like 12 echocardiograms a day and this was back in May, how in the world do you remember her?” Jackie and I just looked at each other and start laughing.

Now, I’m about to divulge to you one of my most humiliating moments. I might should have done it before now for the sake of full disclosure in the things that may take place when you are post radiation and post mastectomy/reconstruction (you need to be both for this all to unfold). But at the time, I just wanted it done with and writing has been a bit elusive for me for a bit since my brother’s death. But in light of Post #1 of the trilogy (See “Cheese, Anyone?” post from earlier this week) and God most certainly pointing out to me the role of “his timing” as this trilogy has all happened in about a 3 week time span, I am aware sometimes you put your humility aside when God is most apparently putting something on your plate. So I am putting my big girl pants on and putting some of this story out there for you.

Back in April and May, I realized it was time (well about 10 years past time) for me to start initiating some of my cardiology workup. When you had exposure to as much chest and abdomen radiation as I had, you are at higher risk for cardiac complications (valvular fibrosis, autonomic dysfunction, etc.). I had already started the pulmonary workup 2 years prior because of my pulmonary issues, but had neglected doing my full cardiac workup that was recommended for this time point post radiation. So I decided it was finally time to get going with it all. I scheduled an appointment with the oncologic cardiac guru, who in turn wanted to do a stress Echo and ultrasound. Now before you sit there and think to yourself “hey, I have had a stress echo”, well I am sure you have. And before you think to yourself “hey, I have had a stress cardiac ultrasound”, well I am sure you have. But have you combined the two and also been a mastectomy reconstruction patient? This is where the humility all comes to play. Sit back, grab your popcorn and cocoa, and let me help you picture this.

I arrive to the hospital for my appointment where I was scheduled for the 30 minute procedure. I go in, get registered and sit in the waiting room for only a few short minutes before the most delightful cardiac technician who was a summer blond with her hair pulled back, sporting a grin that covered her entire face, called out my name using a equally as welcoming southern accent that spilled out of the grin (Sound familiar to you?). We walk down a long hallway to a super dark private room that holds a very cold looking exam table, a high tech tread mill, an ultrasound machine, a blood pressure machine, and some extra gadgets I don’t recall now, and then “Jackie” very kindly asks me to disrobe from the waist up (what????) while she runs out to get something. Well since she asks me so nicely….Then Jackie is back in in no time flat and starts asking me a few (a whole heck of a lot) of questions about my medical history all while she attaches electrodes all over my chest. At the end of this, I am clothed from the waist down, Necked (naked) from the waist up, covered with sticky patches and cords everywhere which all lead back to an EKG machine next to me. I was allowed to put on a “gown” to maintain my dignity (but it has to stay open in the front; so I ask myself what’s the point) because Sally is about to run on a treadmill. Are you picturing this? Running on a treadmill, necked, covered in all this stuff, all while wearing a blood pressure cuff to monitor my blood pressure response to what is happening (oh, I can promise it is up because I am about to run Necked from the waist up, on a treadmill). In comes another Nurse, we will call “Heather” to take baseline vitals, which no doubt are all kinds of out of whack because Sally is about to do what? Run necked on a treadmill covered in cords.  (Sally switches to third person because that is the only way Sally can get through this story).

Ok, next comes the “trial ultrasound” before Sally gets on the treadmill to see what is baseline for the heart function. Well low and below, because Sally has implants, the ultrasound can’t see Sally’s heart because the implants are in the way creating a “blackout”. So Jackie calls out to get “Sylvia” as we will call her to place an IV line, so she can inject an “IV dye” which will highlight the heart silhouette better so everyone can maybe see Sally’s heart.

So there is Sally, And Jackie, And Sylvia, (and Heather? Where is Heather?) all gathered around the ultrasound machine trying to see Sally’s heart around her implants before Sally gets on the treadmill….necked. No luck. Still can’t see the heart.

“Hey Sally, I really hate to ask you this, but do you think you could hold up your implant a little bit so I could maybe put the probe under it?”  

“Well of course, Jackie, I can do that!” - at which put Sally busts out laughing because what else can Sally do and all of a sudden there is a tiny view of Sally’s heart on the screen.

“Sally, do that again!”

“Do what again?”

“Laugh”

“Laugh????”

“Yes, Laugh!”

So now Sally has to hold up her implant and laugh so that her implant it out of the way and her heart is pushed up against her chest wall (this happens during laughter) all after (and while?) running necked on a treadmill.

And THAT is what we do. Sally gets on the treadmill, and does her required stress test wearing a blood pressure cuff while necked from the waist up on the treadmill with 3 other people in the room. Flies back to the exam table at lightning speed. Sylvia injects IV contrast. Sally rolls over on her left side and lifts up her implant and laughs on command while Jackie places the probe in various positions, Sally continues to laugh on command, and Jackie continues to take heart pictures, and Sally is mortified all while envisioning sugar plums dancing in her head. But everyone makes the best of it, joking about the hilarity of it all, and become fast a furious friends despite the calamity.

(Are you starting to see maybe why Jackie remembered Sally out hundreds of patients 5 months later?)
Now let me say, you could not have asked for a better Jackie and Sylvia and Heather in all of this. They were professional, wonderful, incredible, and cut up with me because that is how I roll to get through this kind of stuff. Sometimes not only do you have to put you big pants on to write stuff down in a form of advocacy, sometime you have to put your big pants on just to get through it at all.

Finally, after what I’m remembering to be a 2 hour appointment, after what should have been 30 minutes, I gather my sanity about me, hug their necks, and say “I hope to NEVER see any of you again.”

And instead, what do I do? I sign up for a class of which there were like 12 time slots to choose from, and get assigned to a classroom of which there were like 6 I could have “randomly” been assigned to, and sit in a chair in which there were 50+ everyone else got to pick from, across from Jackie who told me to run necked on a treadmill, hold up my implant, and laugh.

I’m quickly learning that “hey, I think I know you from somewhere….” means God is about to do something only he can do in His timing. There isn’t a single moment in your day, particularly if another person is in your presence, where if you are a Christ follower, that God hasn’t purposely placed you there for that specific moment. There was so much that had to come together for me and Jackie to end up in those chairs together. I can’t tell you how many people take those classes over how many days in how many classrooms over how many times a year. And how many technicians could have been assigned to my Echo case on that given day? God knew exactly what he was doing. And he knew I needed both Jackie, and Sylvia (who also had a double mastectomy with reconstruction with the exact same breast surgeon “LPS” as we discovered in my Echo session – tell me that was a coincidence), and Heather for the care and humor they would bring in one of my worst of humiliating moments. I remember lying on that table thinking, what would this be like had I had anyone else in that room other than these wonderful gals who made the best of it with me?! I don’t know that meant I needed to run into them again in a public setting per se, but God knew exactly what he was doing in that as well for in that came a lesson in trust for me. Trust God and his timing. I’m having some cardiac stuff going on right now. I wouldn’t be surprised if Jackie and I meet again soon in her cardiac room. I didn’t know that when we were in the training course together, but now I know her name (I had forgotten it) and can ask for her if I need to. The reasons are numerous as to why God may have purposed our paths to meet. I’m trusting his timing and he is drilling that in to me right now. 

You do that too, for I am learning in doing that, He has incredible in store for you too.


(This above was the first story of my trilogy, although they are being told out of order. When this first encounter happened, it didn’t quite have my attention until after the second Boutique story which you soon will hear.)




To see the first post in this trilogy click here (Cheese, Anyone?)


November 25, 2018 - Cheese, anyone?


For those of you who started following me in 2012 because of double mastectomy content, you are wondering what in the world has happened. Well life happened, as life should. There is life after double mastectomy. Life is just as full and abundant, though marginally tweaked after prophylactic mastectomy as it was before. Houses still get sold, jobs still transition, travels still get taken, and what you thought was your most defining moment may still be, or it may have been replaced with something other. There is so much content that could be written about prophylactic mastectomy. I spent 6 years writing. Mainly because I spent 6 years in the ins and outs of its’ tightly wound snare. My last procedure was 2 years ago, October, when I had a “lump” removed, a lump which turned out to be a folded up piece of reconstruction sling, a lump which I now rather think of as a pebble since I know what it is and because it returned about 6 months ago. It’s been 2 years since I have seen my plastic surgeon (referred to as “Lead Plastic Surgeon (LPS)” for anonymity). Well, 2 years ago until today when he bear hugged me in the GROCERY STORE…..

Now, let’s get something straight. LPS and I have a unique surgical relationship. We work in the same institution and on occasion I run into LPS in the hallway or at the elevator, but we have always made it a point to feign ignorance given we are often with other people and it is not kind to call out “Hey, Sally, It's me, your boob surgeon” while Sally is in her work setting, or any setting for that matter. But it has been 2 years since a chance encounter given LPS relocated to another institution. Deep breath in. Deep breath out. High five in celebration now that I no longer needed his services and most certainly not his chance encounters! But aside from that, most women who have undergone prophylactic mastectomy and reconstruction have met with their surgeon a total of 3 or 4 times. Once before the surgery for consultation, the day of the procedure, and maybe 1 or 2 times again at follow-up appointments depending on the extent of their surgery. But I on the other hand, I would wager I have met with LPS upwards of 40 times (and that could easily be an underestimation) given we have had 7 surgeries together in a 6 year time span. He’s seen me through a good bit and suffered through a good bit as well. When we first met, he was your typical stereotypical standoffish surgeon. I will never forget our first encounter where I very quickly realized I was going to have pray and offer some “behavior modification” for his bedside manner. I quickly got to work as I have always had the thought process that if someone is going to be cutting on you, you want them to think of you as their best friend. So off I went to make that happen. Ron used to laugh at our interactions (or maybe cry in embarrassment on occasion), but when 1 surgery turns to 7, you find you have plenty of time to grow on each other. I can only imagine what countless ridiculous things he has heard me utter under anesthesia. I know there were multiple scary times for me that he was there seeing me through it. I recall one moment in the operating room when they were having a difficult time putting me under, and I was getting a little anxious. LPS reached out and grabbed my hand to calm my nerves. I could never have seen that happen with that first encounter. But this was now our surgeon. This is also the same surgeon who in the middle of a lumpectomy procedure to figure out what a new “lump” was in my breast, LPS, Ron and I kept bantering back plausible options (tracking device, junior mint, leftover popcorn from the previous surgery, etc) to pass the time. It’s all to say we’ve had plenty of time to bond and bond we have. But in the countless times I have seen LPS in the work setting at the elevator (collateral damage of working at the same place where you surgery), or in the countless surgical and office visits, I have never once run into him or anyone else for that matter in my home space. But there I was picking out the shredded cheese for the taco dinner and wham! A surprise approach hug from the peripheral side and LPS is staring at me 6 inches from my face with me fumbling cheese into my cart all while Ron is laughing, as I am sure he is trying to figure out just how wide my eyes can get. 

After I gathered my wits about me (ok, I never gathered my wits about me as you will see), I first had to know the following and it was the first thing I recall coming out of my mouth: “What in the world are you doing here? Do you live close by?” because if he did, I certainly had to move. Now delighted as I was to see him, I certainly didn’t want these chance encounters, me unprepared, to keep occurring. It was vital that I quickly calculated statistical analysis to see what was in my favor and what was not.

You need to understand this. There is something strange about running into people from your traumatic moments in “off” places at “off” times. I am certainly prepared to possibly see these people at the office water fountain or in the hallways reading over a patient chart. I prepare myself for these moments. I know to be on the lookout and to avert my glance when the target is encountered. These are moments you prep yourself for from the moment the boob is inserted. But I had gone a full 2 years with coast clear only to find him, the one person who has seen more of you than you want someone to see on so many occasions, in the dairy section of MY grocery store! Now as my family member said “I am sure he was so glad to see you”….he definitely was. He and Ron had a terrific time catching up (he knows us so well that he knows Ron as well as he knows me), but I was amazed at just how off guard this encounter caught me. After the 10 minutes of standing amongst all the dairy catching up, I realized just how much I was rambling about the most ridiculous of things. At one point, he reached into his wallet and pulled out his business card, at which point I gasped and said something like “what in the world do you think you are doing!” He laughed, as did Ron. But I did NOT want that business card and said there is no way you are ever seeing me again (did he not know 7 surgeries was 6 too many?).  More rambling about Sally cutting trees, and holiday plans, and his kids now grown up, and the now returned “pebble” he once removed and a lot more of Sally rambling about who knows what then tackle hugs again and a goodbye. And then, I stood there looking at Ron as if we had just entered outer space.

Ron and I somehow managed to finish out our grocery list with me rushing him along worried what other surgeon (I had 2 other viable options who I also on occasion run into at the office; though LPS had the longest track record with 7 surgeries compared to 1 and 2 for the others) I was going to run into in the time we had left in the freezer section. Then, I spent the entire car ride home wondering what in the world just happened. I was supposed to go to the OTHER grocery store. We had debated what TIME to go to the grocery store. Ron and I had divided up the grocery list and Ron went for napkins while I went for CHEESE. LPS doesn’t even LIVE anywhere near this grocery store. What in the world was I muttering the entire time we were talking?! Two years now feels like 2 weeks, and when is my next appointment with him?

WHAT IS GOING ON?!

In a spit of a moment everything can come flying back at you while you are picking out the best deal on shredded cheese. And because you know that everything had to line up for you to be at that grocery store, at that very moment, standing in that very spot for a person from your very significant past who has no business being in that very spot at that given time to be there too….well, you learn to trust God and his timing and his purpose. I have no idea why we were to run into LPS this week. I have no idea why I slipped back into a temporary traumatic state (trust me I did and was there for the rest of the day). I have no idea why things unfolded like they did. I have no idea why the one surgeon on the planet that everyone told me to avoid, became the best surgical thing that could happen for me in the end and was someone Ron and I now bear hug in a grocery store. But I do know this, I trust that God is purposing all of that, including this random cheese visit where I somehow made it home with FIVE packs of cheese, for a very specific reason.

Mastectomy is something I very I rarely think about it these days. But in a single second of a tackle hug over some shredded cheese I was right back in a moment. I don’t have to understand it, but I do have to trust it. God very purposely aligned my grocery list to have cheese #12 on the list and Napkins #11. I was not supposed to be at that grocery store at that time.  It most certainly didn’t happen by happenstance. I don’t know why we were supposed to meet, but I do know it dug some stuff up for a day, and I also know it was a great to see him. But maybe it had nothing to do with me at all. Maybe LPS needed to see us.

But this is what I want you to take away:

1) Trust God in his timing when the strange happens. There is purpose in it so let it unfold and see where it goes. You may not understanding it immediately or ever for that matter. You also need to understand it may have absolutely nothing to do with you.

2) Traumatic moments can resurface with no notice at all. Don’t let it surprise you and just process it as it comes. If you are a woman of mastectomy, even many years later something may occur that brings it all back. Just let the thoughts flow as they flow. It can be therapeutic. And eat the cheese you just bought to help with that. Wink.  

3) If the plastic surgeon tries to hand you their business card…..simply walk away.

While we are talking about God’s strange timing, a few weeks ago I walked into a training class of 70 strangers and sat down at a table of 6. The young lady directly across the table, who I would be partnered with for the next 3 hours, looks up at me and says, I know you from somewhere…..probably one of the most embarrassing moments of my post radiation life just found herself sitting at the table across from me. Trust me you will want to hear this story.

And last week, while paying for an item at the boutique, another young lady says I think I know you from somewhere. She did, but not in the way she thought, she knew the story of my brother.

You want to hear these related stories. Trust His timing. He has you exactly where he wants you when he wants you there. Carry your story with you and you just may be surprised everywhere it will go.

Cheese, anyone?





You can access previous posts HERE.