Update 3

As of about 2 pm central, they have finished one side and starting the other. I’m guessing another 2 to 3 hours to finish.


Update 2

I just heard from the nurse and the surgery is going fine. Not much else to report, the coffee machine in the waiting area is pretty cool – some Flavia thing with a dozen choices. I’m getting no cell reception if you are trying to call or text forget it.


Surgery update

All – thanks for checking on Nancy. She was just wheeled off into the OR, I expect to have an update every few hours. She will be in surgery until late this afternoon and will stay the night in ICU. I’m not sure if she can have visitors other than me today.

She was in very good spirits, when they put the compression hose on her she asked for fishnet if they had it. OK actually that was me, but she is relaxed and ready to get this done. Dr. Spiegel told her the pain level from this won’t be too bad but she did pledge to load her up with the morphine (Nancy’s fave) the first two days.  Nancy is in very good hands.


Away we go…

Of course I’m up early on my big surgery day…you didn’t think I would actually sleep until the alarm went off, throw on some clothes and jump in the car when I could post one last time, did you?

It’s 4:15 a.m. and we’re set to leave the house for the med center at 5:30 for my 6 a.m. arrival. I sure hope that when we pull up, Dr S and Dr Spiegel aren’t fighting it out about who gets to do which part of the surgery and who’s in charge of follow-up care. Of course they wouldn’t be, and I’m 100 percent sure that every aspect of this procedure has been planned, checked, and double-checked to ensure excellence will result.

The last few days have been a whirlwind, with last-minute preparations and socializing. Yesterday afternoon and evening, my phones both rang off the hook, with calls and texts full of good wishes and genuine love. Several people have asked if I can feel the love, and the answer is YES! And THANK YOU! A huge part of why I am going into this big ol’ surgery with such peace is knowing that my posse has got my back. I appreciate each and every one of you. If you happen to come to the hospital for a visit and see me wretching uncontrollably, don’t worry: I didn’t have too much champagne or margartitas. Coming out of the anesthesia tends to make me barfy. Don’t panic. It’ll pass. Last time around I puked in front of lots of visitors; the kids in the room thought it was neat.

Yesterday was another perfect day: my last tennis drill with my team was spectacular. Mid-seventies and sunny with just enough warmth to get a sweat going, and birds singing like crazy because it feels like springtime. I made some good shots and thoroughly enjoyed my teammates’ company. Love those girls.

Loved them extra hard after this: 

Surprise champagne in the back of Julie’s SUV after drill. We tailgated in high style. It was such a fun treat, and I adore you girls for having such a brilliant idea and for sending me off in the most perfect way. I will be counting down the days until I can get back on the court with you.  Meanwhile, Go Alley Cats! Beat Westheimer Indoors today. Hit it where they ain’t!

The rest of the day yesterday was fantastic. Busy, but fantastic. My dad arrived, and  he took Macy to the pet store to buy the daily allotment of crickets for Cincko. That little gecko is on a major growing tear and has been eating at least 12 crickets every day. My dad will be interrim assistant zookeeper while I’m out of commission, so Macy broke him in with on-the-job training right away.
We had our belated birthday dinner for Dad, after a bottle of Vueve Cliquot (yes, I know I had champagne twice yesterday; at the tennis courts and at dinner. Why do you think it was such a great day??). Our Tuesday night tradition of watching “The Biggest Loser” was fun, as always, and there’s something especially satisfying about watching that show after a most delicious dinner.

It was all going swimmingly until Macy‘s bedtime, when I went to tuck  her in and she started crying. The big, rolling tears that linger and pool in the eye before breaking free and trailing down her face. Her ginormous eyelashes were soaked and matted, and the look of utter desolation on her face made my heart crack right in two. She was trying to be brave, but that well of genuine emotion that makes her the astoundingly compassionate little girl she is came gushing out when it was time for her to tell me good-bye. She was trying to be brave, but struggling. We talked for a long time about how mommies always come back, and even when they’re away for a while, they carry their kiddos in their hearts. I told her about my favorite e.e. cummings poem, i carry your heart with me, and how the words can certainly apply to anyone you love, whether a pet or a friend or the most amazing little girl ever. We talked about how she wouldn’t get to talk to me today, but tomorrow I expected a phone call as soon as she got home from school, so she can tell me all about her day. She cheered up a little bit when I told her that I need her to be in charge around here, and help my dad find the jelly in the door of the refrigerator, stay on schedule when driving the carpool, etc. She is on the job. She sent me off with Baby Snoopy, one of her most prized stuffed animals, to take along with me for company. She’s thoughtful like that.

Payton was busy, busy ignoring a math project that’s due Thursday, so he didn’t have much to say in the way of good-bye. Not surprisingly, as he is a man of few words. He too has instructions to call me Thursday with a full report on his first Little League game of the season. I need to see how long it takes him to “lose” his Yankees hat and replace it with a Red Sox version. It’s hard enough on him to have his mom in the hospital, but to have to don the dreaded Yankees uniform too? Poor guy.

I’ll leave you with the “before” photos. Don’t worry, I won’t publish the “after” photos —  you may just have to see them in person.

This is one of my favorite tennis tops. I have it in at least 3 colors, maybe more. Wear it all the time, hence the funky tan lines. Every time I wear it, I notice how seriously flat my chest is. Maybe because of the “V” neck of the shirt, I don’t know. I’ve had this uber-flat chest since May 13 and am quite used to it. In fact, if not for the mess left by the post-mastectomy infection, I could have envisioned not doing reconstruction at all, or waiting a lot longer. But, the mess must be cleaned up, so away we go. And yes, my chest really is that flat in person…until tomorrow!


Leavin’ on a jet plane

I’m not really leaving on a plane and my bag isn’t packed yet, but as I ready myself, my home, my kids, & my life for the next round of surgery, I find the lyrics to that song running through my head. Peter, Paul & Mary; Janis Joplin; and John Denver all recorded versions of this sappy little love song, with its catchy yet insidious chorus that will get stuck in your head for half the day if you’re not careful. It’s meant to be an ode for lovers, and I’m usually immune to sappy stuff and odes, but with the big surgery rapidly approaching, I must be going soft because this goofy tune is reminding me how hard it is to leave my family, endure a nasty procedure, and be cooped up in a hospital room. I am a terrible patient. No truer words have been written.

I have written a lot about what a terrible patient I am. Not that I won’t do what needs to be done to get to where I need to be in this “cancer journey” but that I hate every minute of it. I’ve also written my fair amount of scathing posts lately about stupid things people say, so I won’t go there now, but suffice to say if you were planning on telling me that at least I’ll be getting some rest, or to enjoy being waited on, you can skip it. I don’t like to rest and I really don’t like having someone wait on me. As a determined two-year-old might say, “Me do it.”

As terrible as I am as a patient, though, I’m ready. I’m at the point in which I’ve prepared all I can, and whatever doesn’t get done will just have to wait. I’ve been a busy little bee lately, feathering my nest and gearing up for what I know will be a hideously gross surgery followed by a long recovery. This process is akin to getting ready for vacation: at first the list of things to do seems miles long, then time ticks on and the list is whittled, and then you become exhausted from and sick to death of all the prep and can’t wait to just get going. While I’m not exactly going on vacation (!), I am done with all the prep and ready to just get going.

I still haven’t watched the video consultation that explains and illustrates the surgery I’m having tomorrow. Maybe I’ll just use my imagination. You know it’s a big deal with you get 12 pages of pre-op instructions, followed by a 3-page alphabetized list of medicines to avoid.

One of my instructions is to shower with Hibiclens, an antimicrobial wash, for 3 days prior to surgery. No problem. You know what a germaphobe I am. Some of the other text from the informed consent section of the paperwork made me laugh out loud, especially the parts about who’s not really a good candidate for this surgery: women who require more complex breast reconstruction (what’s more complex than this surgery??). Women who are good candidates are those who have inadequate chest wall tissue (me); those who have concerns about breast implants or tissue expanders (I wasn’t too concerned but my body apparently is); and those who may have contracted a post-surgical infection. Yep, that’s me.

The literature then goes on to explain that infection is very unusual after surgery. Yeah, maybe for some people. And that patients must inform the doctor if she has any other infections, “such as ingrown toenail, insect bite or urinary infection.” A bug bite? Really??Oh, mercy, if only it were that simple. How I would love to say I have an ingrown toenail instead of a mycobacterium fortuitum.

There’s also a lot of scolding in the section on bleeding: “Increased activity too soon after surgery can lead to increased change of bleeding and additional surgery. It is important to follow all postoperative instructions and limit exercise and strenuous activity for the instructed time.” Yeah, yeah. Blah, blah, blah.

Yesterday was a near-perfect day: I had a few hours at home to get things in order, then on to Beauty Envy to get the hot new shellac manicure. It’s supposed to last a couple or three weeks without chipping; we shall see. I’m not going to be doing any manual labor anytime soon, so the prognosis is good. Got my toes done, too, which is always nice. Even though my toenails are short as can be, they still take a mighty beating from tennis, but they are pink and shiny now. After the nails extravaganza, it was off to lunch to enjoy the sunshine and margaritas in the company of some first-rate girlfriends–a trifecta for sure. You can have your acai berries and super elixirs; for me, there’s nothing more fortifying than the sun on my face and a drink in my hand with my friends.

Today will be equally good with my last tennis drill of the season, then lunch with whichever members of the team are game for a little noontime tippling. I also gotta make a quick belated birthday meal for my dad, who recently turned 75 but looks a decade younger, easily (I’m hoping it’s genetic, but not very optimistic). I’m whipping up pastichio (Greek lasagna) and a pineapple upside-down cake, two of his favorites. He’ll be ferrying the kids to and fro and keeping up with Macy’s near-constant stream of chatter, so he’ll need a good meal. 

Speaking of Macy, she’s at it again: leaving me a note to find when I least expect it but am most likely to need a little pick-me-up. She’s a little apprehensive about me going back for more surgery, but the long summer of me and revolving hospital door must have toughened her up because instead of being sad she’s curious (which hospital? how long will you be there? can we come visit?) and stoic.

She needs a little work on the spelling (I assume that “Your asomest chid” means “Your awesome-est child”) and “Hopefuley” she will keep writing without regard for menial details like spelling. Most important is the message: if Macy says this is my last surgery, then I can go into it with a clear mind and a happy heart.