Nancy is doing well

Posted: March 2, 2011 | Author: | Filed under: breast cancer, Surgery | Tags: , , , , , , , , , | 5 Comments

She wants to express her thanks for all the love, support and well wishes. She is still awake but in a bit of pain. They are not fooling around with it at least and they just upped her clicker along with a nice big slug of morphine. I’m going home once she is asleep.

The results do look fantastic, I can see why the Dr S’s were so proud. We have some tough days ahead while she recovers but everything looks great so far.

She does have limited mobility with her arms so you will likely be stuck with my dry updates for another day or two. Hopefully Nancy will bring her inimitable style back to this space real soon.

Surgery is complete

Posted: March 2, 2011 | Author: | Filed under: breast cancer | Tags: , , , , , , , , , , , | 6 Comments

I just visited briefly with both Dr. S’s about Nancy’s surgery. They are done and she is having the surgery wounds dressed. I will get to see her in about an hour or two once she clears recovery and is moved to ICU. I will post another update once that happens.

Both doctors were all smiles and they expressed a lot of satisfaction with the outcome. I’m not going to post the details – do you really need to know how many grams each breast facsimile weighs? – but they seemed pretty proud of themselves about sculpting a nice new figure for Nancy. We shall see, Nancy has expressed that mostly she just doesn’t want to look like “ground under repair” anymore if I can borrow a golf term.

So it sounds like good news. Look for at least one more update tonight.

Update: I forgot to mention the surgeons did find some spots of active infection still after 200 days of antibiotics. Incredible. One benefit of this procedure should be to help by physically removing most or all of it. And it confirms the value of Nancy’s amazing persistence in never missing a dose. Unfortunately it also means the drug-taking will continue – and these aren’t the fun kind.

Pedey, aka Weasel Dog

Posted: February 24, 2011 | Author: | Filed under: breast cancer, kids, pets | Tags: , , , , , , , , , , , , , | 15 Comments

It’s been brought to my attention that I have written about Harry and Cinco the leopard gecko, but not Pedey, the other canine member of our household. Well, excuuuuuuse me.

Pedey, oh Pedey. I don’t even know where to start.

He’s a cutie, for sure. We weren’t planning on getting a puppy, not really. Not that day, anyway. IMHO, any day is a good day to bring home a new puppy, but not everyone subscribes to that point of view, so you gotta tread lightly.

Flashback to May 3, 2008. It was Payton’s 9th birthday. I went to Petsmart to pick up something for Harry and the Houston Humane Society was there with the mobile adoptions. I figured I’d scritch a few pups, get a dose of puppy breath, tickle a few fat bellies, and move on. Then I saw this: 

Oh. My. Gosh. I was smitten. That face! Those floppy ears! The speckled feet! The fat belly! The little white blaze down his nose! 

Did I mention that it was Payton’s actual birthday? 

And that I now really, really, really wanted a puppy?

And that I really, really, really wanted this puppy?

Long story short, Payton fell in love with Pedey (his mama taught him well), and we had to have him. Trevor, being the good sport that he always is, gave in, even though we already had one dog too many for him. Payton and I reasoned that Harry needed a dog, and since it was almost summer, the kids could help take care of this puppy.

Welcome to the family, little guy.

I think you’re going to like it here. We have a mentor for you named Harry. He’ll show you the ropes. He makes the mean face sometimes, especially when he has a chewie, but just ignore him.

We’ve got a best friend lined up already (Snoopy), a pool should you become a water dog, lots of toys & treats, and unlimited belly rubs.

It took us a while to come up with the right name for the new guy.

Since he was officially Payton’s dog, Payton got to have the final say. And he decided on Pedey, after his favorite Red Sox player, Dustin Pedroia. The dog is nothing like his namesake: he’s cowardly, lazy, and clumsy with a ball. But the name stuck.

He settled right into our life and weaseled his way into my heart. Let me state for the record that I’ve never had a small dog, and I’ll admit, I’ve never quite understood the appeal. Now before you carry-dog lovers out there go ballistic and send me death threats, let me be clear: I don’t dislike carry dogs or their owners. I’ve just never understood the benefits. 

Now I get it.

He was of course the cutest puppy ever. (I can say that because Maddy, the best dog in the universe, has gone on to her Great Reward, and because we adopted Harry at age 2 and never knew him as a puppy.)

He likes to snuggle more than rough-house. He would rather sleep than do just about anything else (preferably in my lap). 

We call him The King of Comfort, because he always manages to find the most comfy spot available. 

If he’s not fast asleep in a prime spot, he’s camped out under my desk chair. 

Sometimes his legs or tail peek out from underneath the chair, and sometimes he’s completely hidden and I forget he’s there until I scooch the chair back and accidentally scare him half to death.

Sometimes he gets in the chair, right behind me. When he was tiny, it worked out just fine. But now he’s a little too big for that, but he still tries it sometimes. 

He still manages to fit. Mostly.

He likes to make a nest when he finds a comfy spot for sleeping. He will either wedge himself tight in between pillows & cushions, or get himself wrapped up in blankets & comforters. He will also stay in bed until he’s good and ready to get up, instead of leaping up the instant my feet hit the floor, like Harry does.

We don’t know what kind of dog he is, besides lazy & shiftless. Beagle, maybe? He has short, coarse hair; very different from the labs’ hair I’m used to. He has a very wrinkly brow and often looks quite contemplative. It’s mostly for show, though, because he sure doesn’t seem very smart. 

He’s not all that well-trained, either, because he was so cute we were always holding him instead of schooling him to sit and stay. 

He never did learn to love to swim, like the other dogs do. He doesn’t really even like for his feet to get wet, hence the need to be in my lap as often as possible.

Dana Jennings, a wonderful writer for the New York Times said, “Good dogs – and most dogs are good dogs – are canine candles that briefly blaze and shine, illuminating our lives.” I’ve had 4 dogs in my adult life: Maddy, the best dog ever in the history of all dogs. So good, I still get teary when I think of her, several years after her death (and y’all know I’m not much of a crier). So good that the urn of her ashes is on a side table in my bedroom, her name engraved in a simple, beautiful script, the urn way too small to contain all the love and memories she provided. Then there was Lucy, who we got to keep Maddy company. Her canine candle was pretty dim, and there is no urn for her. Then came Harry, and now Pedey. A short but very full doggie history.

Pedey was so happy this past summer, when I was convalescing from surgery and multiple hospitalizations. I don’t usually lay around much, but I had to then. And he loved it. He was always right by my side or in my lap, sleeping away. We joked that we should have snuck him into the hospital, so he could have slept on my bed with me there.

Well, Pedey, rest up; in a few days, I’ll have some more down-time. Are you ready?

The to-do lists

Posted: February 23, 2011 | Author: | Filed under: breast cancer | Tags: , , , , , , , , , | 4 Comments

The title says lists, plural, because I’m a realist and have never figured out how to willfully deceive myself. Other people I have no problem willfully deceiving, but myself, not so much. I have a list of what I want to get done, and another for what I will probably get done.

The countdown is on to my surgery. Yikes. One week from today, I will be at the hospital. Yikes. Reconstruction is a much-anticipated thing for most breast cancer patients. It means getting your body back (in a new, sometimes improved form). It is voluntary and scheduled whereas a mastectomy is required and imminent. It is symbolic of having made it, having endured, having gotten through the worst part. It is also scary, for sure. I don’t recall being scared before the mastectomy in May. Maybe I was, but have blocked it out. Now that I’ve seen photos of other mastectomies and have a better understanding of how the procedure is actually performed I certainly could be scared, but being scared after the fact isn’t very effective.

I’m guessing I don’t recall being scared about that surgery because things moved very fast (3 weeks from diagnosis to being wheeled into the OR); I was wrapping my head around the fact that I had been diagnosed with cancer at the tender age of 40 and with two young kids at home; and there were a ton of things to do to prepare. Not just the battery of tests, but the nesting. That nesting really should be an Olympic sport. I know I’d have to beat out some OCD pregnant women, but I think I could bring home the gold. 

I’m not nesting this time around. I’d maybe only get the bronze. And it would probably be a bit of a pity vote. I just haven’t been putting in enough time flitting around the house, cleaning out closets, organizing the pantry and re-folding every blanket in the linen closet.

Since becoming a repeat customer at the hospital, I know what’s in store form me next week: the scratchy sheets, the one-size-fits-someone-giant gowns, the smell, the noise, the yucky food, the parade of nurses in & out of the room, the abundance of tape stuck to my body, the JP drains, the pain, the nausea, the lack of peace & quiet.

Ok, maybe I’m not scared but annoyed. I’m not so good at sitting still and being dependent. And I have a lot of that coming up. So I distract myself by making to-do lists. It makes me feel better. There’s something very satisfying about setting goals and crossing things off the list.

Things I want to accomplish before surgery:
(insert long list here)

Things I will actually get done: play a lot of tennis.

Now that’s a good list.

It’s not about the chest, stupid

Posted: February 22, 2011 | Author: | Filed under: breast cancer, cancer fatigue | Tags: , , , , , , , , , , , , | 4 Comments

Ugh, yet another reminder that my brain is filled to the brim with cancer ca-ca. I mentioned a few examples of the ca-ca recently, and here I am once again, consumed with it. The latest: while browsing on etsy, I came across a “store” called ETC Chest. My first thought was, hmmm, wonder what kind of breast cancer stuff they have in that “store.” Guess what kind of breast cancer stuff they have? NONE.

ETC Chest stands for “Embroidered Treasures and Crafts” Chests. It has nothing, nada, zilch to do with the human chest, flat or reconstructed.

Well, duh.

Reminds me of my second-favorite Far Side cartoon:

And because you’re probably curious, my all-time favorite Far Side cartoon is:

Thank you, Gary Larson.

This little exercise in idiocracy (I think I just made that word up; I like it. No, wait there was a movie by that title. Never mind.) reminds me of how pervasive the cancer fatigue can be. Lots has been written about how a cancer diagnosis wrecks your life, and even when the cancer is vanquished and you end up with the best-case outcome, it’s always there. The fear, the weariness, the unseen scars.

My blog friend Lauren writes an incredibly eloquent blog called After Five Years. I highly recommend you check it out if you’re curious about what it’s like to live with cancer. She recently wrote a post about going back for a mammogram and it so perfectly captured the fear, the anxiety, the all-around shittiness of living with cancer. I held my breath throughout the entire post, then was gasping and sputtering and although it was only 9:30 a.m., felt like I needed a nap.

Lauren is a lot farther along in the “cancer journey” than I am, and in fact I can’t even comprehend getting a mammogram right now. Of course, having no breasts, it would be a physical impossibility, but still. I’m not yet to the point of having the routine scans that every cancer survivor endures at regular intervals. The stress and anxiety of knowing that there’s a (hopfully) comprehensive sweep through your body to sniff out errant cells is all-encompassing. I can imagine people all over the world watching the calendar, knowing that an appointment is upcoming. The anxiety of waiting for the appointment time to approach is nothing compared to the feelings that course through one’s body during the actual scans (or blood tests, as the case may be), and even that is a drop in the bucket compared to the sheer terror of waiting for the results. Talk about PTSD. It’s a wonder each and every cancer survivor isn’t a raging alcoholic. Or seriously addicted to Twizzlers. I can see myself going down either path, maybe both. And I’m just getting started on this “cancer journey.”

Life goes on for survivors. That’s a beautiful thing, and it becomes all the more precious when a serious illness rudely interrupts your life. But it’s not easy. Cancer is a sneaky beast. It invades your body, and even when it’s caught early, small, and contained, it has a unique ability to rattle your cage, big time.

Can somebody please shut off my brain?

Posted: February 17, 2011 | Author: | Filed under: breast cancer, kids | Tags: , , , , , , , , , , , , , | 8 Comments

For the last several nights I’ve been waking up in the middle of the night with questions to ask Dr Spiegel today about my upcoming reconstruction. I like how “upcoming reconstruction” sounds so formal and important, and perhaps a teeny bit ostentatious. As opposed to the reality of a terrifying, bloody mess. But I didn’t have it together enough to put a pad & pen by the bed to actually write the questions down, and now I can’t think of them (anyone have any suggestions? Lemme know. I know there’s stuff I’m supposed to be asking her about but can’t for the life of me find that stuff).

My brain must be working overtime, especially at night, when it should be resting and refueling so it’s ready to assist me with my two most basic tasks: impressing Payton with my trivia knowledge while we watch “Cash Cab,” and helping me answer questions from Macy like, “If a banana is a fruit, where are its seeds?”

I hate those kinds of questions. I really should know the answer. It’s there somewhere, deep in the recesses of my brain, but it’s buried by all this cancer ca-ca. If my brain were being depicted by a pie chart, there would be normal-sized pieces of pie for the kids, the home front, our schedules, tennis, world peace, and such. Then there would be a gigantic piece for cancer ca-ca. 

I hate that the cancer ca-ca takes up such a big piece of the pie. I like pie. But I don’t like this pie.  If only the pie chart were about pie, instead of all that other stuff. That would be a really good pie chart.

My Uncle Wilford (my mom’s older brother) used to say he liked two kinds of pie: hot and cold. Me too. And I hope Uncle Wilford is having a piece of both right now, at a beautifully set table on a puffy white cloud with his two sisters, my mom and Aunt Margie, sitting beside him. All the pie they can eat. And no pizza. Uncle Wilford said he didn’t like pizza because he was older than it. Funny guy. Miss him.

But back to the cancer ca-ca. It fills my brain stealthily, easily, and constantly. I’m usually pretty organized, but it infiltrates. I tend to keep a good handle on the various comings & goings of the members of this family, and rarely do I drop any of the balls I juggle on any given day. Not bragging, just saying. I’m usually up to whatever this life of mine throws at me.  But I’ve been dropping balls lately, and I don’t like it.

Macy was invited to a birthday party recently, and I forgot to add it to the calendar, and she missed the party. Oops. Then I looked right at the calendar to assess the day’s tasks but still forgot to take Payton to his weekly hitting lesson. Drat. Then there was the test I forgot to make sure Macy studied for, and she got a bad grade. She typically doesn’t get bad grades, so it was upsetting for her. Her teacher sent home the study sheet for the re-take, which Macy dutifully put on the fridge with a magnet. I saw it there but it never even registered in my brain, so we didn’t work on it. At all. And then, the re-take was upon us. Macy remembered as we were walking out the door to go to school. Damn, damn, damn. I dropped another ball. I was tempted to advise her to just tell her teacher it’s my fault, and that I’m too busy with all this cancer ca-ca. But I didn’t. I hung my head for a minute, cursed myself out under my breath, kicked a stray tennis ball on the garage floor, then reminded myself that it’s one test in the 3rd grade. Well, technically two tests, since she failed the first one and had to re-take it, but again, let’s stay on point here and recognize that it’s no big deal. I wrote her teacher and note and fessed up, told her it was my fault and that she & I both know that if it were solely up to Macy, she would have aced that test. Her teacher wrote back and said pfffft, don’t even worry about it; as you can tell from the attached progress report, one test isn’t going to bog her down. She will survive, and so will I.

Thank you, Mrs. Motal.

From the time I wrapped my head around this wretched diagnosis, I’ve been determined to do all that I can to ensure that cancer doesn’t become me, doesn’t define me, doesn’t defeat me. Cancer may win a skirmish here and there and may make me feel really crummy; it may open the door for a nasty infection that brought on another epic battle; it may deposit more grey hairs and new wrinkles; and it may cause me to miss a thing or two on the master schedule. Cancer will most certainly cause me some sleepless nights. But cancer will not defeat me. 

Things that used to scare me

Posted: February 16, 2011 | Author: | Filed under: breast cancer, kids | Tags: , , , , , , , , | 7 Comments

When I was a kid, I was afraid of two things: the seeds & pulp in a halved cantaloupe, and going over bridges. I have no earthly idea why the cantaloupe scared me, but it did. I remember watching my mom cut the fruit in half and dig out the seeds & pulp with a big spoon then flip the gunk into the sink to go down the disposal. Creepy.

The bridge thing started early. We used to go to a local park a lot as a family when I was a kid, and there was an old, wooden bridge with wide planks (maybe even railroad ties?) and a shallow stream running underneath. The wood was worn, and there were spaces between the planks, between which the stream could be seen. I held my breath all the way across, every time.

I’m not afraid of the cantaloupe seeds & pulp anymore, but bridges…a little bit. The Ship Channel Bridge in Houston gives me the vapors, and driving from Houston to New Orleans includes a series of loooong bridges over mysterious-looking bodies of water. I’m not crazy about the concrete jungle flyover freeways around here, and the Beltway going toward I-10 West has a pretty high on-ramp that gets my heart beating a little faster. I don’t have to hold my breath anymore, but I’m still just a teesny bit uneasy about bridges.

I was reminded of the cantaloupe thing the other day as I cut into one and cubed it up to serve with dinner. I chuckled to myself at my childhood self and fears, and in my head, felt some pride at only having had two little fears. Monsters under the bed never bothered me, nor did the amorphous Bogeyman. I didn’t need a nightlight, and don’t mind things that go bump in the night.

When my kids were tiny, I was a little bit afraid of becoming the victim of a violent crime. The idea of leaving those precious babies motherless unnerved me. Then my own mom died, while my kids were still pretty tiny, and I quit worrying about violent crime and began to fear cancer.

Little did I know that not even 5 years after losing my mom to stupid, wretched cancer, my newest, biggest fear would materialize.

Being diagnosed ahead of the curve, i.e., at a young-ish age, is a surreal experience. I remember well the feeling in the pit of my stomach when I got the phone call on April 26th to say that the biopsy indicated a malignancy. I’ll never forget Nurse Sharon telling me that Dr Dempsey needed to book some time on my calendar, which turns out to be a nice way of telling me to come and see them the very next day so they can hand me a diagnosis that will change my life.

When that fateful call came, Macy and I were shopping for a birthday gift for my cousin, and I had to pretend that everything was ok because I didn’t want to alarm my little girl. Trevor was out of town but en route home, and after I got the call we kept missing each other as he boarded a plane or I was in the car with the kids and not able to speak freely. We resorted to exchanging texts to convey the most horrible of news.

The kids and I went on to my cousin’s birthday party, me with a big secret but determined to put on a happy face and not ruin the celebration. It seemed torturous at the time to be unable to talk to anybody about what I’d just learned. In hindsight, however, it was probably a good thing because it gave me time to process the steaming pile of bad news I’d been served.

It took a couple of days before I really wrapped my head around the fact that I had breast cancer. The more people I told, though, and the more times I actually said the words, “I’ve been diagnosed with breast cancer,” the more real it became. Before long, the awful reality had set in, and I transitioned from shock to action.

Dr Dempsey has a rule of not accepting a patient’s decision on which surgery option–lumpectomy, single mastectomy or bilateral mastectomy–until at least 3 days after she delivers the diagnosis. I made up my mind pretty fast, but waited until 3 days had passed before I called to tell her. I’ve never regretted the choice I made.

The bottom fell out of my world, and many things changed with my diagnosis. My fear of cancer was one of those things that changed.

I don’t know how it happened or why, but I stopped fearing cancer. Maybe because it became such a huge part of my life, it lost some of its scariness. Maybe by being forced to confront it, and the myriad ways it had infiltrated my life, I became braver. Or maybe I just got sick to death of the damn topic. The more I learned about it, the less scary it became. Knowledge truly is power.

And while cancer is still scary, it doesn’t scare me. Going head-to-head with the beast has taught me an awful lot about myself. Most of it good. I know I can endure a lot, I know what’s really important, and I know that should the disease mount a counter-attack on my battle-weary body, I’ll be armed and ready. Not scared, but ready.

Other than the shooting…

Posted: February 15, 2011 | Author: | Filed under: breast cancer, drugs, food, infection | Tags: , , , , , , | 5 Comments

With the exception of being diagnosed with breast cancer at age 40, I’ve always had a pretty  healthy countenance. Ok, I know that sounds like the old joke, “Other than the shooting, how’d you enjoy the play, Mrs. Lincoln?” And now, with the flu, the joke’s on me.

Being sick, or being diagnosed with cancer, makes one appreciate one’s good health. For schizzle. Again with the annoying cliches, but somehow we don’t know how good we’ve got it, until it’s gone. Whatever “it” may be. In my case, it’s good health.

Even after my diagnosis and surgery and epic battle with the infection, people would universally remark upon how healthy I looked. As if the stereotypical look of a cancer patient or infection warrior has to fit into a preconceived box. I suppose that’s the very essence of stereotyping: it exists for a very legitimate reason, and the reason is that it is true.

Follow me? It makes sense to me, but it may also be the cockamayme ramblings of a fever-induced, Tamiflu-fueled insanity. Temporary, I hope.

I’ve said it before and will say it again: cancer is not a gift. Anyone who thinks it is either (a) doesn’t have it; (b) has it but is whacked-out on narcotics; or (c) is a lying sack of you-know-what. It’s a disease, pure and simple. It’s a malfunction at the cellular level. Something changes in the DNA that alters the way the cells behave. In breast cancer, in particular, BRCA1 and BRCA2 are tumor suppressor genes — they keep cancer tumors from forming. When these genes undergo change, which can happen for a variety of reasons, they no longer cause cells to die at the right time, and cancer is more likely to develop.

I’m not sure how someone can understand that and still think that cancer is a gift. There’s nothing, not one thing, in gene mutation that even hints at slick, shiny  wrapping paper and silky bows.

Because I’m a realist, I don’t expect people to bump up against cancer–whether with the bomb being dropped directly over one’s house or simply knowing someone who’s been diagnosed–and drastically change their lifestyles. In my case, my lifestyle didn’t need much changing. I ate healthfully, exercised pretty much every day, played as much tennis as humanly possible, chose organic and turned my nose up at pesticides. Granted, I could have cut down on the volume of champagne I consumed, but I felt like that fell under the “live life to the fullest” category.” Sounds good, right?

So why was I the one to get cancer, while people who treat their bodies much less kindly go on to live long, uncomplicated lives? I have no idea. Was my diagnosis handed down from on high, with some mystery contained therein for me to interpret and then carry out? Doubtful. Was it my destiny to contract this blasted disease and then come out the other side a mouthpiece for the Cause? Maybe, although I’m not there yet. Was it random bad luck, in that the great karma wheel stopped spinning and I was the one in eight? That sounds more likely.

No matter the reason, the disease did come calling, and the infection did set up shop, and my life did change. Some of the change was for the better: I’ve learned a little bit of patience, how to let go (sometimes), I’ve become pretty well-educated in a fascinating topic, I’ve learned how to blog, and I’ve made some new friends.

That’s not all bad.

Front-page news

Posted: February 9, 2011 | Author: | Filed under: breast cancer, drugs, Uncategorized | Tags: , , , , , , , , , , | 3 Comments

An article on the front page of the Houston Chronicle today says that big changes are in store for the breast surgery required for cancer treatment. A new study from our own local attraction, M.D. Anderson, found that women with early stage breast cancer don’t need to have their lymph nodes removed, even if the nodes are cancerous.

This is big news. Breast surgeons are calling it “practice-changing” and proof of the old adage that “less is more.” Dr Kelly Hunt, surgery professor at Anderson, says, “The study shows that we don’t have to take out huge swaths of tissue, that we can avoid aggressive surgery without any effect on outcome.” Personally, I’m a fan of anything that avoids removing huge swaths of tissue. Ick. Ugh. Yuck. Been there, done that. More than once.

This new study pokes holes in the century-old belief that a surgeon’s job was to cut out every bit of the cancer, and found that removing the lymph nodes didn’t give women any benefit over radiation and drug therapy alone. The prevailing science has been that removing lymph nodes helps prevent the cancer from spreading and/or recurring.

Removing the lymph nodes from the armpit area is a hot mess waiting to happen. You’ve got the cosmetic issue of ending up with a concaved surface. You’ve got the potential for infection (ahem). You’ve got the risk of lymphedema, which is painful swelling in the arm that cannot be cured. Anyone who has ever seen a photo of a limb swollen to multiple times its normal size because of lymphedema knows to fear this condition. I’ve met several breast cancer survivors on the tennis court since I returned to the game post-mastectomy and post-infection, and more than one of them played with a compression sleeve (a form-fitting garment that goes from wrist to shoulder) to stave off lymphedema. Tammy, my dear lymphedema specialist, made me take one of those bloody things home to keep in my drawer, “just in case,” because the really stinky thing about lymphedema — aside from the fact that there’s no cure — is that it can come on at any time. Women have gotten it years after a mastectomy, with no prior symptoms.

If you want all the nitty-gritty details of the study, you can read the New York Times article, which goes into a little more detail than the Chronicle’s story. The Chronicle does get credit for providing more info about Anderson’s role in the study. We like to root for the local team. Seems 100 of the 891 patients in this study were from Anderson, and the researchers originally planned to expand the study to include 1,900 women, but shut down the study before that happened because the results were so overwhelmingly conclusive.

I like overwhelmingly conclusive results. You don’t find a lot of them in medicine. I’ve learned that the hard way in my “cancer journey.” I’m a black & white, just-the-facts-ma’am kind of girl, and I found myself smacking my head against a wall more than once in pursuit of a concrete, yes-or-no type answer. In medicine, precious few of those exist. I suspect that’s why it’s referred to as “practicing” medicine.

In fact, Dr Grimes, my infectious disease doctor, has spoken of practicing the art of medicine as much as the science of medicine. I really like the way that sounds, as if it’s so very civilized and full of aesthetic value. In reality, it’s a balancing act of drug therapy vs side effects; of benefit vs cost; of how far can we push the body yet still maintain the integral strength necessary to fight the disease.

In other words, there is no overwhelmingly conclusive answer. And sometimes the doctors don’t know themselves what the right answer is. That’s why it’s so nice when a study comes along that says, yes, for sure this is the right thing to do.

I’m super happy about this big news. I hope it lives up to its potential to make life easier for the 200,000 women a year diagnosed with this breast cancer. And I really hope that it’s just a teaser of what big breakthroughs in breast cancer research are yet to come.

Fun with t-shirts

Posted: February 3, 2011 | Author: | Filed under: breast cancer | Tags: , , , , , , , | 8 Comments

I’ve been wearing this shirt to the gym (thanks, Jodie!) and always get comments on it. Positive comments that is. At first I was self-conscious about wearing it, then I said to hell with that, I’ve been through a lot so I’m going to wear it proudly. Kinda the flat-chested girl’s version of  “If ya got it, flaunt it.” I’ve no longer got “it” or “them,” as the case may be, but I can certainly flaunt my survivor self.

It’s a good thing the shirt explains everything, though, because when I first started back at the gym after a long absence (thank you, mycobacterium, you SOB), one of the other regulars there asked our trainer what was wrong with me, because something looked different but she couldn’t put her finger on it.

Hmmmm, I wonder what it could be? Maybe the total absence of breasts? Maybe the evidence of rib cage poking through where normally there would be a little padding? Or my inability to extend my right arm fully (I miss you, lymph nodes)?

Well, thanks to the shirt, no one needs to wonder. It’s cleared up and we can move on…to the next shirt.

I can’t wait to wear this one (thanks, Kayte!), right after I get reconstructed. 

Wonder if they’ll let me wear this in the hospital, instead of a scratchy gown.

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