Oh how my doc amuses mePosted: April 15, 2011 Filed under: breast cancer | Tags: breast cancer, cancer battle, dog ears, Methodist Hospital, mommy makeover, Napa, new boobs, pinata, plastic surgeon, plastic surgery, reconstruction, recovery, the Big Dig 4 Comments
Yes, I know the continuation of the Napa series is overdue, and I’m going to get to it today, I promise. I used to live & breathe by deadlines, but now that I’m “retired” from the publishing business and don’t really give a hoot about anything else except what’s in the forefront of my brain at this very moment, I can casually toss aside a deadline, even a self-imposed one. I do need to work on crafting shorter sentences, though. Mercy. You’d think I was getting paid by the word for that one.
‘Tis true I needed to think about how to best convey the utter perfection of our second day in Napa, and these things cannot be rushed, not even by me; these things take time. In this case, almost a week. This time last week, we were sleeping peacefully in San Francisco, with the entire Napa weekend spread out before us like the best buffet ever. I need to do that scene justice, and doing justice takes time. Maybe you’ll get lucky and I’ll post twice today.
I had every intention of writing that update last night, but I must admit I didn’t feel all that great. Again, me & my stupid assumptions. Because it has been 6 weeks since The Big Dig, I stupidly assumed that on day 42 post-op I would magically be back to normal. Hahahahahahahahahahahahahaha. No, I’m not playing tennis, and I’ve been instructed by both doctors and my trainer to avoid any exercise that utilitzes my core for another 6 weeks. So my atrophying muscles and I will dejectedly comply (at least for now). In case you’re wondering, like I was, why the kibosh on using my core, it has to do with the risk of opening up that 17-inch-long abdominal incision (low); the skin becoming hyphertrophic (medium), and widening that 17-inch-long incision (high). I’d say that damn incision is quite big enough, and the last thing I need is to be widening it, no matter how much I hate being on the DL.
So, I’m back to reality after a most wonderful trip, I can’t exercise, I’m still struggling with post-op fatigue, and the operated-upon areas still bark at me more than I’d like. But alas, I have my doc to brighten my days and lift my spirits. I’m luckier than a dog with 2 tails because I got to see him not once but twice this week. One for an official check-up and again by chance.
My check-up was Wednesday. It’s always an adventure going to see him. He wanted to see for his own eyes that I survived the trip to Napa, and his first question was, “Did you get drunk?” Yes, all day every day. I told him that if I can’t start exercising yet, then we need to speed up the timeframe for fixing the “dog ears.”
These lovely little things are the globs of fat sitting on my hips that he said we need to “suck right out.” I agree. Dog ears are folds or the bunching-up of the tissues at the border at which the “corrected” tissue meets the “uncorrected” tissue post-surgically. So in my case, on either end of the 17-inch-long abdominal incision, or right on my hips. The main way to minimize dog ears is by making an incision longer, but in my case, my docs were dedicated to keeping the scar as small as possible, and making it longer would have entailed wrapping it around my hips onto my back, which aesthetically isn’t a good option. In a traditional tummy tuck, there’s more wiggle room for scar length, but in my case they were harvesting skin & fat from which to build my new boobs. So, I have dog ears on my hips. Not a real big deal, other than the superficial issue.
I would like to get it corrected sooner rather than later, so my doc and I are negotiating. He wants to wait 6 months from the date of reconstruction, but I think 3 months is ample time for healing. He is not swayed by my complaint that I have to go all summer long with extra fat on my hips. After some back-and-forth, we finally agreed on 5 months, but I’ll keep pushing.
The most entertaining thing about Wednesday’s visit came when I asked my doc if he knew another plastic surgeon, let’s call her Dr X. One of my friends is considering a “mommy make-over” with Dr X, and I wanted to see if me mentioning another surgeon caused him to get his hackles up. Ding! ding! ding! He wanted to know why I would possibly be asking about another doctor, as we all know he is The Best Surgeon In The World. For real. When I told him the real reason I was inquiring about Dr X, he got all googly-eyed at the idea of doing a “fun” procedure, as he described the “mommy make-over” and said that sure would be nice, and he asked me (tongue in cheek) to please try to “bring more fun” next time I come see him. After several deeps breaths to settle myself, I offered to bring a pinata to my next appointment. With a very big stick. We all got a big hee-ha out of that. I’m going to have to make a quick trip to the border, to get a real Mexican pinata, like the one we got for Macy’s 4th birthday. Look at the size of that thing! Now I just need to find a really big stick….
Before I start ranting again about how not fun all this has been F O R H I M!!, let’s move on. The other interesting thing that occurred in our tete-a-tete was him telling me about the tummy tuck he did that morning that looked fantastic. Better than mine?I asked? Oh, yes–much better, he said. No dog ears, I asked? Oh, no, he replied, certainly not. Big sigh. Well, at least he’s off to a conference in New Orleans about fat transfer, so he can have the latest & greatest technique when it comes to sucking the giant dog ears off my hips and giving me a fighting chance of fitting into my clothes again sometime in the near future. Meanwhile, I’m thinking of officially changing my ethnicity to Basset Hound.
Dr S’s sweet nurse Brenda was sick, sick, sick with a sinus infection and looked like she felt beyond miserable. I told her she needed some homemade soup, and if that didn’t cure her, forget about it. So yesterday I took her some soup. Lo and behold, there’s Dr S. I told him I thought he was going out of town. He told me he is indeed but he has to see patients first, he has to work, he can’t just fly off to Napa like me, and oh how he wished he had my life. Hahahahahahahahahahaha. So funny. He looked quite stylish in his jeans and lime green shirt under his white coat, tanned and ready to take on the world, one fat glob at a time.
I mentioned that I happened to exchange some emails with Jenn, Dr Spiegel’s PA, and she happened to mention that they typically do revision surgeries 4 months after reconstruction. Just coincidence, that conversation, seriously. Yeah.
He told me no, absolutely not, he was putting his foot down in the sand. I asked if he was also drawing a line in the sand, and he said if I want my revision in 4 months, I can go to Dr Spiegel.
We also re-hashed a couple of long-dead conversations about subjects on which he was right and I was wrong, and we were done with the latest round of verbal sparring. He was going to check on a patient in the hospital adjacent to his office, and I was going to visit with Brenda and Marcie a bit. Next thing I know, he’s telling me to come on, and he’s waiting by the elevator for me. Now that’s some good service. Him waiting for me to finish my chat with his ladies, so that we could ride down in the elevator together–nice. And, as I recall, last time he asked me to pull down my pants so he could take a gander at my dog ears, he did say please. Quietly and under his breath, but still. We’re making progress. What a great day.
In the elevator, I took the opportunity to tell him ever so sweetly that I think it’s not so nice for him to tell me about surgeries performed on other patients who end up with a better result than me. I can’t remember if he laughed at me or promised to do better in the future, but I’m think it was the latter.
Oh, I love that man. He gives me blog fodder for days.
Just be glad your done with the old “grab the fat” game. And the next time he is gutted like a trout I will personally drive him around Napa! I really think “shenaq attack” needs to be a band name or something.
Walter was very helpful looking for big sticks in Napa. Maybe he can help with the piñata.
[…] There’s the stuff I’ve learned in the last year about the unquantifiable side of a serious illness. The depth of inner strength required to get through something like this. The well of emotion that accompanies the clinical stuff. The patience and fortitude I didn’t know I had (although I’m still working on the patience part). The measure of gratitude toward the people who’ve helped along the way. The unbridled joy of making new friends in the midst of a shitty situation. The passion for writing, long dormant in the day-to-day of child-rearing, and the love of blogging. The understanding that my doctors are just regular people under those scrubs & white coats, and while they’re full of knowledge, there’s a whole ‘nother side of unknown things for which they make an educated guess and hope for the best. And, I have to admit, how much fun I’ve had getting to know these people in the white coats, and how much I love to antagonize Dr S. […]
[…] I got the green light from my favorite surgeon, I asked his nurse Brenda to please put a note in my file and have him sign it to that effect. A […]