Slacker mom
Posted: August 23, 2011 Filed under: breast cancer, cancer fatigue, kids | Tags: back to school, Domo, first day of school, kids dealing with mom's cancer, moms of young kids with cancer, psychological effects of cancer, Red Sox, slacker mom, Tooth Fairy 7 CommentsThat’s me. I admit it.
Yesterday was the first day of school, yet did I take one photo of my kids before they descended into the joys of another school year? Nope. Not even with my iPhone camera. How lazy & shiftless is that?
It occurred to me at some point last night that this will be the first year on record without a back-to-school photo, and I suppose I could have hauled Macy out of bed and pried Payton away from ESPN long enough to recreate a photo. But it would have been dark on the front step, where we always take the photo, and Macy would have had to change out of her jammies and back into her school clothes, which were no doubt in a heap on her bedroom floor. I had to admit defeat and accept that it wasn’t going to happen this year. A second-day-of-school photo seems too lame to contemplate, so this will be the year with no back-to-school photo. Macy’s entre into 4th grade and Payton’s into 7th will go unchronicled for time immemorial.
And yet, I think we will survive.
I’ll throw in a classic back-to-school photo, from Macy’s kindergarten and Payton’s 3rd grade year. That’ll do, right?
Chalk it up to cancer fatigue, or to pre-surgery jitters, or to me being a slacker mom. Either one. The reason isn’t all that important, really. The kids don’t really care if we have a photo, and I’m pretty much over it as well. I will state for the record, however, that Payton did indeed wear a Red Sox shirt for the first day of school, as has been his tradition since kindergarten. Some things never change. 
If you thought I was done with my slacker mom antics and were ready to forgive me, hang on. True, it’s been a rough ride. It’s been a long year, full of medical drama and pain & suffering. I feel perfectly comfortable saying I deserve a free pass from juggling all the balls, getting everything right, and catering to everyone’s individual needs (ok, maybe that last one is going a bit far; I’m not much of a caterer).
However, life goes on and I’ve yet to find the slot into which I insert my free pass. I’m looking for something like the coupon slot at the grocery store self-checkout, but I haven’t found it. Also curiously absent is the “make it so” button — push the button and make it so, whatever “it” happens to be. In this case, it would be the back-to-school photo. I would push the “make it so button” and a photo would fall out of the sky, into my cupped hands. If only.
I certainly needed the “make it so” button last night, when Macy’s loose tooth came out just as she was getting into bed. She has been wiggling it for days, and it was hanging by a thread, or a root, or whatever loose teeth use to hang on. She emerged from her bedroom clutching a slightly bloody molar, grinning hugely and aquiver with anticipation about the upcoming visit from the Tooth Fairy.
Uh oh.
Slacker mom was not prepared for this. See, Macy and the Tooth Fairy have a “special bond” as she described through her tears this morning. The Tooth Fairy doesn’t just leave a few bucks or some loose change, like she does for most kids. Her Royal Dental Highness knows that Macy isn’t at all concerned with or motivated by money. She likes stuff. She’s funny and quirky and a bit outside of the box. And the Tooth Fairy is usually well-stocked. Lip gloss, a stuffed animal, a stationery set…things like that rock Macy’s world. The Tooth Fairy usually picks up such items throughout the year, as she’s running her errands and comes across something that she knows Macy would like. But the Tooth Fairy was ill-prepared this time. Even though she knew that tooth was loose, the light didn’t come on and make her think, hmmmm, I better make sure I have a nice prize for Macy when that tooth comes out.
So the Tooth Fairy was forced to resort to the lowest common denominator, and she left a $5 bill. Macy was not amused. See, she had written a note to the Tooth Fairy, which she always does, and asked for a unicorn Domo. I imagine the Tooth Fairy said WTF?? I know I did. I’m fairly certain that a unicorn Domo does not exist. Or it does, but only in Macy’s imagination. I guess it would be a cross-breed between a unicorn and Domo. Interesting. But not readily available, and certainly not at 9:30 at night. 

See my dilemma? I had no problem finding images of these guys on googleimages. I even found a t-shirt of Domo riding a unicorn, which I was all set to order pronto but it’s sold out online. Of course it is. Who wouldn’t want a t-shirt like this? 
If I find one for Macy, I may have to get one for me too.
I can see why the Tooth Fairy flubbed this one, big time. Some requests are too tricky and unique, even for the TF.
Macy wrote another note, which she expects the Tooth Fairy will collect tonight as she makes her rounds. The “special bond” between Macy and the Tooth Fairy is splintered, but not beyond repair. 
The Widow
Posted: August 22, 2011 Filed under: breast cancer, food | Tags: champagne, La Vista Houston, living with cancer, The Grande Dame, Veuve Clicquot, young women and breast cancer 5 CommentsAs I may have mentioned once or twice in this space, I love champagne. It’s one of my all-time favorite things on Earth. Now that my kids are off to school (hallelujah!) I have plenty of time to wax poetic about my favorite drink. I could drink champagne every day; contrary to popular opinion, a special occasion is not necessary. But there’s nothing more festive and celebratory than the pop of a cork. and I don’t hesitate to find a reason to drink some bubbly.
National Pancake Day? Bring it on. Armistice Day? Don’t mind if I do. Birthdays & major holidays? Duh. International Margarita Day? I’m not afraid to mix my liquors.
I’ve long been a fan of Veuve Clicquot, and this weekend was treated to the best of the best when it comes to my favorite yellow-labeled bottle: La Grande Dame. One word: yum.
Not only is La Grande Dame a superb champagne, it also has a great story behind it. Barbe-Nicole Ponsardin married Francois Clicquot and was widowed after 7 years during the late 1700s. Francois left his family’s business — champagne-making — to her. At age 27 and knowing little of the fledgling business, she took the reins of the company and never looked back. She invented champagne-making techniques that are still in use today, and those greatly reduced production time, which means less time for the bubbly to get in my glass. She became one of the shrewdest — and wealthiest — businesswomen in France, and IMHO she deserves a place in history.
There’s a book about her called The Widow Clicquot: The Story of a Champagne Empire and the Woman Who Ruled It. I’m a sucker for girl-power stories, so I bought the book, but had trouble reading it because it made me so dadgum thirsty. There are a few things I was able to glean, though, that are worth sharing about the widow who was “a young witness to the dramatic events of the French Revolution and a new widow during the chaotic years of the Napoleonic Wars.” Sounds exciting even without the bubbly.
Barbe-Nicole rebelled against convention by taking over the Clicquot family wine business. She was brave and ballsy, and through “dizzying political and financial reversals” she became one of the world’s first great businesswomen. By her late 30s, she was one of the richest women in France. Clicquot sales are estimated to have been $30 million a year under her command. One of her lasting legacies was to portray champagne drinking as a lifestyle. She “took champagne from marginal to mainstream and made it synonymous with style,” according to the book about her.
I’m not a big French Revolution history buff, and I won’t bore anyone with the details on the first day of school (hooray!!!), but suffice to say that Barbe-Nicole was smart enough to realize that if she could get the Russians hooked on her bubbly, she’s have it made. She “arranged clandestine and perilous champagne deliveries to Russia one day and entertained Napoleon and Josephine Bonaparte on another.” Toward the end of the Napoleonic Wars, she cornered the Russian market by gambling 10,000 bottles of her best vintage. The Russians took the bait, and she became the queen of the bubbly.
Good thing she was so brave and savvy, because she wasn’t much of a looker. 
The occasion for my enormous treat surprisingly had nothing at all to do with cancer. It wasn’t the marking of a milestone or the celebration of a clear scan or other good news. It wasn’t a drowning of sorrows, which is a very good thing, because all the drinking that’s been required since cancer came to town would make a very deep river.
No, the occasion was a reward for a little party-planning provided for my runnin’ buddy Staci’s 40th birthday fete. I helped her hubby, my buddy The Rajah, plan her soiree and he was kind enough to show his appreciation by flashing the beloved yellow bottle. He’d been teasing me with it for weeks while I was out of town, texting to tell me he was making mimosas with it — oh the horror! The humanity! The thought of mixing such a fine wine made me nearly weep. He’s soooooo funny.
In the end, however, there were no mimosas, just sweet, straight bubbly — the nectar of the gods. 
The moment just before the lovely lady was opened, at La Vista (which is such a great restaurant. If you live anywhere near Houston and haven’t eaten there — go there tonight!!). It was a beautiful moment, ripe with anticipation. The bottle glistened with condensation after being chilled in an ice bucket table-side. I kept it as close to me as possible while it chilled. I fretted over it like it was a newborn baby fussing in a Moses basket — was it cold enough? too cold? just right?
As soon as I heard the pop of the cork, I knew — it was indeed just right.
Tiny, tiny bubbles that hit the bottom of the glass and skyrocketed upward in an elegant trip to the open mouth of the glass. Beautiful amber color, like the last rays of the sunset after a most-perfect day. Teensy hint of fruit and even teensier hint of yeast. The delicate scent of bubbles and dry-but-not-bitter loveliness. From the first sip, it was apparent that this was vintage. This was the good stuff.
That’s my version. Here’s another:
“Known among connoisseurs as one of the finest champagnes in the world, it’s the pride and joy of the Veuve Clicquot Ponsardin. Ethereal, free and original, the Grande Dame teases aficionados with its rarity, making an appearance only when nature offers a concordance of perfect conditions.” — eat, love, savor magazine
Well, nature certainly did offer a concordance of perfect conditions, when a group of friends gathered at the end of the summer to celebrate the passage of time, the newest member of the “over-40 club,” and the savoring of the finer things in life. Cheers to the good life! And thanks, Rajah!
Crazy Lady’s sister
Posted: August 19, 2011 Filed under: breast cancer, drugs | Tags: crazy lady, xanax 3 CommentsRemember the Crazy Lady I ran into in the grocery store a while back? I think I met her sister today. She was a hot mess and put on quite the floor show. 
Because of the fire at the Walgreens around the corner from my house, the next-closest Walgreens is handling the overflow business. I was in the drive-through because I was too sweaty from tennis to go inside. Just a little public service from me to you. So the lady in the drive-through line next to me was the closest to the building, practically nose-to-nose with the pharmacist behind the window.
Apparently there was a mix-up with her prescription, and the conversation between her and the pharmacist got heated, fast. She wanted to talk to the pharmacist who usually helps her, at the store that’s now closed because of fire damage. The current pharmacist was patiently explaining that she wasn’t available; their work schedules are all akimbo because of both stores’ staff trying to work from the one store.
Crazy Lady’s sister wasn’t having any of it, would not listen to reason. She was mad and she didn’t care who knew about it. It seems there was a shortage on her drugs and there weren’t enough to make a complete month’s worth. They had 8 pills to give her, and she could pick the rest up later. That’s happened to me plenty of times. Instead of grumbling about a minor inconvenience — having to make another trip to the pharmacy to pick up the remaining drugs — she went nuts and was screaming at the pharmacist, through the glass.
Now I’m really intrigued.
She wanted the pharmacist on duty to call the pharmacist she usually deals with, and of course pharmacist on duty said no can do. Can you imagine being the pharmacist who’s off duty, getting a call from a co-worker about the Crazy Lady who’s screaming about her drugs?
When that didn’t work, Crazy Lady recited the litany of reasons she couldn’t make a second trip to pick up the rest of the drugs: she has a meeting to get to, people are waiting on her, she has deadlines, blah blah blah. As if the pharmacist cares. She advised the pharmacist to get on the phone, speedy quick, and find someone else who could give her the balance of her drugs. When the pharmacist on duty said sorry, we’re out, you have to wait for the next shipment, CL said she was going to go to the fire-damaged Walgreens and “beat on the doors until they let me in and give me my drugs.”
Wow.
I’m giving her a wide berth. Don’t want to be anywhere near her when she implodes.
As I completed my transaction, I heard CL screaming that is she doesn’t get her drugs, there will be hell to pay. She said, and I quote, “I need my goddam Xanax.”
Truer words have not been spoken.
If I wasn’t so scared of her and her craziness, I might have offered her one of mine. I keep a nice little stockpile, just in case. But like a rabid dog, it’s best to not make eye contact with Crazy Ladies.
Abx, redux
Posted: August 18, 2011 Filed under: breast cancer | Tags: click it or ticket Texas, gratitude, post-mastectomy infection, psychological effects of cancer 3 CommentsAntibiotics. The mere sight of that word makes my skin crawl and my stomach clench, but I have to be a big girl and take these damned drugs. Again. It’s for a short time this time, which is good, and for which I should be grateful.
Just like I should be grateful that I have enough sense to suggest a prophylactic antibiotic with yet another surgery on the horizon.
I should be grateful that I have comprehensive health insurance and can get 2 prescriptions filled for less than $10.
I should be grateful that even though my Walgreens around the corner had a fire and is closed for a month, there’s another store a few miles away that had my prescriptions ready.
I should be grateful that I have the means to also buy the $50 worth of probiotics I’ll need to keep my intestinal tract from revolting against the onslaught of preventative drugs.
I should be grateful that I have an unlimited supply of Greek yogurt to help the probiotics battle the imbalance of bacteria in my gut.
I should be grateful that I have this forum in which to bitch, moan, and complain about having to go on these damned drugs yet again.
I should be grateful that my cancer wasn’t worse, was caught early, and is manageable.
I should be grateful that although I was one of the unlucky ones to get a post-mastectomy infection that rocked my world and wrecked my summer, I got better. Slowly (veeeeery slowly) and surely, I got better. Mountains were moved, heavens and earth were too, but I got better. Just when I thought it was never going to happen, I got better.
I’ve never been a big fan of all the “shoulds” in our life. I tend to favor a more laissez-faire attitude of do what you want to do, as long as you fulfill obligations and inflict no harm.
I’ve also got a bit of a stubborn streak, so as soon as I hear that I “should” do something, my first instinct is to turn around and do the exact opposite. Charming, I know. Seatbelts are the prime example. It’s a state law in Texas — “click it or ticket” — for drivers and front-seat passengers to wear seatbelts. If you’re busted unbuckled, you’ll be looking at a hefty $200 fine.
I know full good and well the statistics on seatbelt use and crash fatalities, and of course my kids are buckled every single time we’re in a vehicle. Yes, I know that Princess Diana might well have survived her fatal car crash if she’d been buckled. Same goes for my sweet Uncle Wilford. But I don’t like to wear my seatbelt, because the State of Texas tells me to. My kids usually bust me before a cop has the chance to. They’ll notice I’m unbuckled and fuss at me, so I comply. But I don’t like it. 
Sometimes the “shoulds” get the best of me.
I’m trying really hard…
Posted: August 17, 2011 Filed under: breast cancer, cancer fatigue, drugs, infection | Tags: cancer battle, post-mastectomy infection, Power Port, psychological effects of cancer, reconstruction fears 20 CommentsI’m trying really hard not to be discouraged by the latest bevy of bad news. Picture me squeezing my eyes shut as tight as they will go, turning a bit red in the face, and willing it to happen. Don’t. Get. Discouraged. Having my surgery postponed and being smacked in the face with the idea of another post-surgery infection is not my idea of fun. Being told we need to keep the port that I’ve been so looking forward to having removed was equally not fun. I’d actually begun counting the days until saying adios to the port. It’s served me well, but I’m so so so ready for it to be gone. I could almost imagine sleeping comfortably on my left side again, with no kink in the line that’s sewn into my jugular vein. I could picture myself in a sundress, sans the alien-looking bump with prongs under my skin. But alas, it’s not to be. Once again, the hits keep coming, and I have to suck it up and deal.
I’m trying really hard. So hard that I just wrote a beautiful post, if I do say so myself, about the effort. The words were flowing and I was thinking, “This is going to be good.” Then promptly lost it. All of it. Instead of “save” I hit “cancel.” And with one keystroke, it’s gone. I will attempt to recreate, but already know it won’t be as good.
I’m trying really hard to remember that while yes, being diagnosed with cancer–at a young-ish age no less–is bad, plenty of women have it worse than me. There are lots of rarer, more-aggressive forms of breast cancer than mine, and the battles are many. While my recurrence odds are low, the mere fact that I have odds reminds me in a terrifyingly real way that there’s always a chance that it will come back. As another fellow cancer chick so eloquently put it: “It’s losing your innocence all at once, rather than in bits and pieces over a lifetime.” Being diagnosed with cancer at a young-ish age is bad enough; fearing recurrence is even worse. Then you factor in all the other junk that comes with it, and before long it’s like inviting one person to a party and having them bring a village of savages with them. They drink all the good booze, hork down the delicate hors d’oeuvres, manipulate the conversation, interrupt with Buddy-the-Elf-esque burps, wipe their dirty mitts on the pretty towels in the guest bathroom, spill red wine on the beige carpet, and change the tinkling background music to heavy-metal hair bands. The cancer crew is most unwelcome. And yet they overstay their welcome in myriad ways.
I’m trying really hard to not freak out as the possibility of infection scares the tar out of me. There’s a kindly gatekeeper in my brain that shields me from the harsh memories of the battle royale that occurred last summer between my war-torn, ravaged body and mycobaterium fortuitum. While of course I remember being there and going through that, it’s as if I’m watching a movie of myself enduring that hell. It’s a gauzy, soft light, much like the lens filmmakers use to shoot a scene with an aging star. The gatekeeper that usually protects me from windexing the lens to see it unfold clearly, in all its replayed gore, is off duty. What I want to do it pack up all those horrible memories of the events last summer and put them in a box and leave them on the side of a deserted highway. Then I want to put the pedal to the metal, burn rubber, and beat feet away from them, without even once glancing in the rearview mirror. I want to find myself on a pastoral country road, with tall, leafy trees and big puffy clouds–somewhere far, far away from any hint of cancer or infection.
I’m trying really hard to be calm and not freak out about the possibility of infection. Of course I know that anytime one goes under the knife, the chance of infection is there. But rather than a distant “maybe,” infection is a real thing for me, and I have a visceral reaction to the idea of going through that again. And while the preventative antibiotics are just that — preventative — I find myself with real fear instead of comfort. The prophylactic effect should make me feel better, but instead I feel worse. There is a very fragile peace that was brokered between my body and the bacterium, and peace without the threat of war is meaningless.
I’m trying really hard to not gag on the antibiotics. I dutifully swallow the two pills that are my front-line defense against the wily bacterium that may want to set up shop again. Those bacterium were evicted after their long, comfy stay in my concave chest wall, and they may well want to reestablish their presence. So I swallow the pills, knowing full well that soon, very soon, I will feel like utter hell. The all-day nausea, the roiling queasiness, the lost tastebuds, and the sore throat that were my constant companions for 267 days are making a return visit. Back by not-at-all-popular demand is the diligence required in spacing the drugs 12 hours apart, and the taking them on a stomach empty enough to allow them to do their thing but not so empty as to make me puke. Instead of feeling comforted by the preventative drugs, I’m scared.
I’m trying really hard to think happy thoughts. Right now I’m remembering a highlight of our recent vacation, in which we were all in the ocean battling giant waves as the tide turned. These were seriously bitchin’ waves, a good 8-feet tall, and we were in the thick of them. I was ecstatic that the water was warm enough for me, a Gulf Coast chicken; that the waves were so accommodating for body surfing and frolicking; and most importantly that I was there to experience it. As I came up from being tumbled ass-over-tea-kettle by a giant wave, Macy overheard me say that that wave just bitch-slapped me. She misheard me, though, and thought I said that the wave had “fish-slapped” me, and she wanted to know if it was a flounder, because they tend to be especially evil. I’m gonna smile at the idea of being fish-slapped, even though I feel like crying instead.
I’m trying really hard to focus on how far I’ve come instead of how many setbacks I’ve had. The race is long, yet I’ve continued to put one foot in front of the other. Keep on keepin’ on. Several people have tried to help along the way by telling me that God only gives us what we can handle, and that he must think I can handle a lot. Thanks, but zip it. I don’t believe it, and I’m not comforted by that. While there are a host of helpers along the way, there’s only one person involved in this battle, and that’s me. No one is doling out the hard knocks in an insane game of “let’s see if this will make her crack.” It’s random, it’s uncontrollable, and it’s life. It’s life, and my job is to keep on truckin.
I’m trying hard to remember that this is temporary. As my wise survivor sister Jenny reminded me countless times during diagnosis, surgery, and treatment, this is temporary. This mess won’t be at the center of my life forever, as difficult as that is to imagine now. The ennui I feel today won’t always prevail. It’s easy to get caught up in the quagmire of unpleasant things that have come my way. I can see just how easy it would be to slip into the loving arms of pills, booze, rage, and self-pity. Name a vice, any vice; I’ll take it. It would be so, so easy to say I’m done, I’m out. Let the vultures pick my carcass clean because I give up.
I’m trying hard to walk on the sunny side of the street, as my sweet mama always advised. There are some dark and ominous alleyways around me, but I will seek out the sun and pound the pavement until all this madness is over. Those who have been on this “journey” before me assure me that one day it will all be a distant memory. I know this is true, yet it seems impossibly far away today. One day I will look back at all this and think, “Man, what a shit-storm that was.”
Change of plans
Posted: August 16, 2011 Filed under: breast cancer | Tags: DIEP, mycobacterium, post-mastectomy infection, REM, the Big Dig 9 CommentsYesterday was pretty crazy. We were stranded Sunday night in Boston because of weather and heavy air traffic in the New York area, and had to spend the night in a hotel. We made the best of it, but being a day behind schedule bugs me and my type-A ways, especially when my to-do list is long and my time for completion is short.
I’ve traded the beach views for the view of the lake across the street, and while the vacation was fabulous, there’s no place like home. I love the beach and never tire of the sound of the crashing waves, but there is something to be said for the comfort of sleeping in my own bed.
Monday was supposed to be my day to “get ‘er done” and take care of all the pre-op chores. I did indeed get it done, but was half a day behind because instead of hitting the ground running, I was traveling from Boston to Houston. Don’t be jealous when I tell you I spend yesterday unpacking, going through a big stack of mail, sorting the recycling, doing laundry, getting groceries, organizing school supplies, returning phone calls, and giving thanks & treats to our pet sitters.
Today would have been a similarly busy day, but instead of wrapping up last-minute things before the surgery, I was fielding a call from my doc’s office tell me that the surgery had to be postponed. The surgical center that he uses for the type of procedure I’m having is under construction and behind schedule. Did I mention that I don’t like a change of plans?
My brain has been racing with details of the to-do list, and unwelcome thoughts of the surgery keep bulling their way in. I’ve been strangely nervous about this procedure. I expected to be joyful and excited but instead I’m uneasy. This should be a piece of cake compared to the many previous procedures; it’s out-patient for once. It also should signal my approaching the home stretch. I’m not there yet, but with this surgery behind me I would be one step closer.
So why the nerves? As REM would say, “What’s the frequency, Kenneth?” I have no idea, but perhaps it was my instinct telling me it’s not time, it’s not going to happen. Perhaps it’s the proximity to the start of school and the end of summer. I’m not good with transitions and definitely don’t like change (part of the Type-A package, perhaps?); even though the shift from summer to starting school is usually quite welcome (for me, but not my kids), I’m struggling this time around. I’m all ready, but still feel like there’s not enough time. This procedure has been in my mind a harbinger of the end of summer and the beginning of the elusive pursuit of getting back to “normal.” When I endured The Big Dig in March, I knew that as gee-gantic as that surgery was, it wasn’t the end of reconstruction and that a couple of revisions would be required. Once everything settled, so to speak, after The Big Dig, I was left with a decidedly less-sunken chest and absence of post-mastectomy-infection scar tissue. Things were much improved in the chest region. However, as with most masterpieces, the first draft wasn’t the final draft.
The second draft was scheduled to commence at 6:30 a.m. tomorrow in a hopefully-germ-free surgical center instead of the mega hospitals I’ve been in for the previous gigs. The goal is to reallocate some fat from the ends of the 17-inch belly incision to fill in the not-quite symmetrical boobage. I’m requesting that my doc fine-tunes my belly-button scar, which is kinda grody, and he will also work his magic on the spots of scar tissue along my belly incision. There are several pea-sized spots that are quite the menace: pain, throbbing, and impaired mobility top the list.
I hope that there will also be some cleaning up of the “whale tail” ends of the belly incision. As the moniker suggests, the ends of that big-ass incision look like a whale’s tail, and while I marvel at the giant sea creatures, I don’t want a facsimile on my bod. Thank you, googleimages, for the visual. Imagine that lovely tail upended vertically instead of horizontal and you’ve got a good idea of what the ends of my giant incision look like.
But alas, none of this will happen tomorrow, and I have to wait. In addition to not liking a change of plans, I’m not a big fan of waiting either.
The reason for the delay is legit, yet my cries of “find me another surgery center so we can stay on schedule” went unheeded. It seems that the surgery center I was scheduled for has the right equipment for the fat transfer procedure, and while we certainly could find another gig, there’s no reason to rush it and every reason to wait until all the conditions are right. Not every surgery center/hospital has the stuff my doc needs to suck out my fat, and the one that does have the right stuff isn’t accommodating patients just now.
Three things about my visit to the doc today that were unpleasant, besides the news of the delay. First, he introduced a possibility that I had not considered: infection.
Oh yes, infection.
The very thing that dominated my life for most of the past year is now conveniently shelved in the way-back recesses of my brain. I hadn’t even thought about the possibility of re-introducing or re-acquiring an infection. Yet as my doc lovingly pointed out, with me you just never know.
So he’s thinking of sucking the fat out of the dog ears and throwing it away. Sounds great, right? Get rid of the little bulges at either end of the big-ass incision. I’m all for that. But then what do we use to smooth out the not-so-round part of my newly constructed chest?
And that brings us to the second thing that was muy unpleasant during my appointment today: the search for other sources of fat.
I thought I’d plumbed the depths of humiliation with the “grab the fat” game we played more than once in preparation for reconstruction. In this game, the doc asked me to drop my drawers so he could grab my belly fat and determine if it was plump enough and plentiful enough to construct a new set of knockers. In a modified game of Twister, he had me sit, stand, and lean over to see just how much fat I had around my middle. Not once, but twice.
Humiliating doesn’t quite cover it.
But today, it was total humiliation, all humiliation all the time. I was basically splayed out like a deboned chicken on the exam table while he searched and plotted. Ladies and gents, just imagine your least favorite body parts being put under the microscope so to speak. Just consider for a moment being asked to stand up, sit down, and contort your body in the absolute least-flattering ways so that the softest, flabbiest, most-despised parts of your body are on full display. And then have those parts analyzed and calculated to determine just how fatty they are. We go to such lengths to de-emphasize these body parts, yet mine were being trotted out like the prize-winning hog at the state fair.
And in closing, we’ll cover the third and final unpleasant thing about my dr’s appointment today: prophylactic antibiotics.
Yes, that’s right: I used the “A” word. Antibiotics. Again.
I’m going back on my old friends Bactrim and Minocycline as a preventative. Just in case any wily bacterium were thinking of re-establishing a house party on my dime. I’m nauseated just thinking about it. I spent how many days taking the dynamic duo? 267. Yep, 267 straight days of swallowing 2 pills every 12 hours.
Is there no end to this madness?
Stay tuned.
One of the many hard truths
Posted: August 12, 2011 Filed under: breast cancer | Tags: psychological effects of cancer, revision surgery after breast reconstruction, Salisbury Beach, young cancer patients 9 CommentsIt’s been a while since I’ve seen my dear friend and most beloved surgeon. He’s been busy this summer traveling and I’ve been busy avoiding his office. Not because I don’t love him and his staff–I do–but because the longer the gap in between appointments, the more I can pretend to be normal post-cancer.
Or so I thought.
I’m learning the hard way that there is no “normal” post-cancer. Most people (myself included) have the impression that once you’re diagnosed, have surgery, and complete treatment, you’re done with cancer. But you’re never done. This is one of the many hard truths about cancer: you’re never done.
Three-fourths of the way through my 2-week vacation, my thoughts more regularly return to cancer. And surgery. When I first arrived at Salisbury Beach, I thought, FINALLY! I’m here, I’m on vacation and can take a much-needed, eagerly anticipated, and well-deserved break from cancer. I’d thought of little else in the days leading up to my vaca and was ready, oh so ready to get on the plane and be there. 
It’s been great — good weather, huge waves, plenty of cocktails & lobster, and the company of friends who’ve become family. I missed all this last year because of that damned post-mastectomy infection, and I was determined to make up for lost time this year. And I have. Yet my brain isn’t entirely on vacation, and as I’m soaking up the sun and relishing the cool east wind, my brain says “Whatach think about your upcoming revision surgery, missy?”
I don’t want to think about it. I’m on vacation. I should be thinking about what to drink next, or whether to get the 1-pound or 1.5-pound lobster. Yet I do think about it. The brain prevails, and my thoughts turn from all things beachy to thoughts of yet another surgery. While the upcoming surgery is a good one in the realm of surgeries, it still means arriving at the crack of dawn, being assaulted with the dreaded hospital smell, enduring endless digging to find a non-wiggly vein for the IV, undergoing anesthesia, coming out of anesthesia, and starting yet another recovery process.
A couple of months ago when I scheduled the revision, one of my wise friends said don’t you think you might want to do this after the kids go back to school? I said hell to the no, I want to get this done ASAP and get on with my life; I don’t want to wait even one more week because I want to be done. But now I know that I’ll never be done.
Yes, I will get to a point in which I no longer have surgeries and revisions and procedures on the horizon, but I’ll never be done with cancer.
Thoughts of the “big C” will infiltrate my brain here, there, and everywhere. On vacation. In the grocery store. On the tennis court. At the baseball field. In my bed, while I should be sleeping but instead am thinking. About cancer. 
I woke up the other night–on vacation, mind you, with the windows open to the cool breeze and the sound of the crashing waves–thinking about cancer. Even when I’m sleeping, those thoughts are in my head. As my revision surgery approaches, I find myself with the same apprehensions I’ve had before every surgery I’ve had since my diagnosis. I may be nearing the finish line in terms of procedures required, but my thoughts refuse to budge. Instead of getting closer to being done, I realize there’s no such thing.
The new bucket list
Posted: August 8, 2011 Filed under: breast cancer | Tags: bucket list, ee cummings, fear of cancer recurrence, life after cancer, poetry, psychological effects of cancer, Salisbury Beach, young kids and cancer 3 Comments“for whatever we lose (like a you or a me),
it’s always our self we find in the sea.” — ee cummings
I love ee cummings. While I’m usually quite the stickler for adherence to the rules of grammar, spelling, and punctuation, I’ve always loved that cummings eschewed the rules and let the words and his thoughts flow unbridled.
He’s quite right about finding our selves at the sea. Not finding ourselves, but our selves. See the difference? Actually, it’s quite hard to see; it’s more something you feel.
Losing your self in the morass that is a cancer battle is fraught with peril. Having a potentially fatal disease changes you. It messes with your mind, shakes your sense of security, and makes you question the future. Having a potentially fatal disease at a young-ish age with young kids to raise really changes you.
My blogfriend and fellow cancerchick Michelle writes about this change. She writes of fear, of wishing for a return to the carefree, pre-cancer life. She mentions fear. The fear of recurrence. The fear of not being here to witness the millions of little things, seemingly insignificant, yet the essence of what creates our life.
See, for a cancer patient, the fear is always there. It resides deep in the “self” that we wish to find in the sea. Despite best efforts to be brave, move forward, and face the unpleasantness that is life with cancer, the fear is there. Sometimes just below the surface, like a homemade marinara sauce bubbling fragrantly and yummy on the stove. Sometimes right on the surface, as evident and painful as a sunburn the first day on the beach. Fear becomes the new normal. Michelle writes of the “new” normal:
“My new normal, I suppose [is] living each moment with equal parts gratitude, for experiencing it and really soaking it in now, and fear, that it may be over too soon.”
Hear, hear. Well said, Michelle.
Another blogfriend, Lauren, writes similarly. Because she is 5 years out from diagnosis while Michelle and I are more recent arrivals to cancerland, Lauren writes not of the ever-present fear but of the urgency to experience all the things we fear we might not be here to experience. The bucket list takes on a whole new priority post-cancer.
Says Lauren:
“It dawned on me that cancer survivors also have a different bucket list. One that isn’t the places we want to go, or what we want to buy or learn to do, but one comprised of the things we want to live long enough to experience and see come to pass.”
Yes, that’s true. While there are places I want to see and plenty of things I want to do, I know now, post-cancer, that there’s a difference. Everything is different post-cancer. I’m still looking for that new normal, and my bucket list changes somewhat, but one thing remains constant: while I’m still scared, there’s still plenty that I want to see come to pass.
For now, I’m enjoying the ocean breezes, the sound of the surf, and the sunset over the water, knowing that with each new day, there’s plenty to see. 
The BIG Belly
Posted: August 6, 2011 Filed under: breast cancer, food | Tags: diners, Greek immigrants, Salisbury Beach 1 CommentI’m not much for big breakfasts. Not real crazy about greasy, meat-centric fare either, but I didn’t want to pass up a trip to Pat’s Diner this morning. It’s gotten great reviews from Payton. He went there one morning last summer while he was at the beach without me. I was home, just out of the hospital yet again and attached to a wound vacuum, which was enlisted to clean up the mess from the post-mastectomy infection.
My boy spoke highly of Pat’s, and while that alone would be enough for me, the fact that it’s run by some fellow Greeks sealed the deal.
Pat herself greeted us and showed us to our table, instructing a waitress to wipe the table, even though it looked plenty clean to me. Pat reminded me of all the Greek women I’ve known in my life–dark hair without a streak of grey despite her advanced age; sensible shoes juxtaposed with a snazzy dress, crisply pressed; maddeningly wrinkle-free skin; bossy yet loving countenance. She was very familiar to me indeed (minus the Boston accent, though). I smiled to myself as I reminisced in my head about my Thea Sophia and all women like her. Sweet but opinionated, fiercely devoted to family, and absolutely not content until everyone got up from the table with a full belly. The Greek women I know live by the mantra “Food is love made visible.”
The fellas alongside me ordered some of Pat’s finest: the “short” stack — pancakes as big as the plate; Amesbury omelette (spinach & lots of Swiss cheese); Irish eggs Benedict (corned beef hash instead of Canadian bacon); and the beach breakfast: eggs, toast, home fries, bacon, link & patty sausage, and ham steak. By all means, don’t forget the ham steak.
I was the odd one out with my egg beaters w assorted veggies & wheat toast. Instead of home fries, I opted for the other side dish: baked beans. They’re not just for breakfast anymore.
We did indeed get up from the table with full bellies, and as we passed Pat at the register on the way out, I told her we came all the way from Texas to eat at her place. She was delighted, and insisted I take a to-go menu with me as well as her business card. She asked me to send her a card from Texas. I promised her I will.
Trevor whispered to Pat that I too am Greek, and she was really delighted. She dug around under the counter a sec and handed me something, muttering that not everyone gets one of these. It’s a matted 8×10 color drawing of the exterior of the diner. Very cool. I will definitely send her a card from Texas.
He does it again!
Posted: August 4, 2011 Filed under: breast cancer | Tags: family vacation traditions, Jacoby Ellsbury, Markey's lobster, Red Sox, Salisbury Beach, sand sculptures 5 Comments
Apparently my favorite Red Sox player likes having Texans in the house…since we’ve been here, he’s hit back-to-back walk-offs for Sox victories. Very nice. Last night’s was especially exciting because it was a walk-off home run. Just as we were hoping against extra innings, Jacoby delivered.
There will be lots of happy Sox fans on the beach today. I’m heading down in a few minutes for more fun in the sun.
Last night’s lobster feast at Markey’s was as good as ever. Macy had asked if she could have some of my lobster tail, and rather than share what IMHO is the best part of the lobster, I said, “Get your own, kid.” We figured she’d eat part of the tail and we’d have extra lobster to put in scrambled eggs this morning. Then we learned that there’s no such thing as “extra lobster.” That bug was picked clean. 
So there will be no lobster & eggs this morning. No matter; we’ll get more. That’s the beauty of being at Salisbury Beach — plenty of lobster, whether from Markey’s or steamed on site at the grocery store.
Trevor will be creating another sand sculpture today, to add to the two he’s already done: 
He’s taking requests, so if there’ something you want to see, by all means shout it out. His sand sculptures are pretty popular around here and are much admired, although I thought Macy might smack the lady who walked by yesterday and thought Perry the Platypus was a dinosaur. Sometimes being in the presence of art invokes strong emotions.
We’re all about traditions at Salisbury Beach. Whether it’s dinner at Markey’s or dessert next-door at Dunlap’s or sand sculptures on the beach, tradition rules, and this year our traditions are even more special. Like the Joni Mitchell song says, “Don’t it always seem to go, that you don’t know what you’ve got til it’s gone,” traditions become more important when threatened with extinction. To say I’m glad I’m here this year is to be loaded with meaning. I’m glad I’m here, in Massachusetts among friends I consider family at a beach my family loves. But even more so, I’m glad I’m here.

