Cranky, irritable, and just plain bitchy
Posted: March 13, 2011 Filed under: breast cancer, cancer fatigue | Tags: bad day, bitchy, blog, bloody mary, breast cancer, cancer battle, cancer diagnosis, champagne, crazy, hospital, infection, intense emotions, invitation-only blog, mastectomy, microsurgery, mood swings, plastic surgery, post-mastectomy, post-op, privacy, reconstruction, recovery, Shock Top, stress, vodka tonic 13 CommentsThat’s how I feel today. Don’t say I didn’t warn you.
If you’re not in the mood to read something scathing, if you’re feeling a little frail today, or simply don’t like bitchin’ & moanin’ then I suggest you move on, because I have a powerful need to get it out. Bleeeeeeeeeeeeeh.
Don’t know what set this off, and in my current state of utter bitchiness, I don’t really care. I’m just feeling pissy. Been fighting it since I woke up this morning, and am only 4 hours into it, so it’s gonna be a long day. I’m not too proud to call for help in the way of a bloody mary followed by a bottle of champagne followed by a Shock Top or two followed by an extra-tall vodka tonic with extra lime. Yeah, yeah, yeah, I know that alcohol isn’t the answer, and in many cases actually makes the problem worse, but today I don’t really care, and if you want to lecture me about the dangers of overindulging or how alcohol consumption is tied to increased rates of cancer recurrence, don’t bother. I already know that. But some days it just doesn’t matter.
Today is definitely one of those days.
The straw involved in this particular breaking of camels’ backs came when I decided to spend a little time mindlessly surfing the blog-o-sphere this a.m. in search of humor, inspiration, and distraction from my wickedly bad mood. There are a lot of good blogs out there, and if I ever get out of this funk, I plan to create a blogroll on my blog’s homepage, to share some of the greatness I’ve found. And I will do that. Y’all know me, once I set my mind to something, I do it. ‘Nuff said. But for now, I am waylayed, stymied, stopped in my tracks in my pursuit of a mood-elevating stint on the ‘Net.
Why? Because in the span of 10 minutes I came across 2 blogs that tell me I have to be invited to read before I can even click one single time to see if it’s a blog that appeals to me. WTH??? I have to be invited to access a blog I don’t even know if I’m going to like, much less return to or perhaps follow regularly? WTH???
Ok, on a normal day (whatever the hell that is), I might come across an “invitation only” blog and think, hmmm, that’s interesting, I wonder why it’s configured that way? I’m pretty new to the blogging world, and there’s a lot I don’t know about the wide and wonderful world of blogs. On a normal day, I might wonder: Is this invitation-only blog’s readership so huge that they have to separate the wheat from the chaff? Does the blog’s author feel particularly strong about privacy, as opposed to airing her dirty laundry, the way I do in my little blog? Is she just snotty and isolating in general but in particular toward other BC survivors who are trying to muddle along in this wretched “cancer journey” and seeking solace or answers from those sister souls who’ve been there before?
Maybe that blog author is just a bitch.
This blog author certainly is bitch-y. But I don’t think I’m a bitch. Maybe I am, but today, who cares? I don’t really think that other blog author is, either, although I can’t say for sure since her stupid blog is by invitation only. Screw her, I don’t want to read her stupid blog anyway. I’m gonna pack up my flaming bad mood and leave her holier-than-thou protected blogsite. Bitch.
The post-op instructions that I brought home from the hospital mention something about mood swings and periods of intense emotions. Apparently it’s all part of the “cancer journey” and in particular, the recovery from the major surgery required to try and put the pieces back together after a firestorm of mutated cells banded together to create some bastard tumors that burst through my milk ducts and invaded my system. Rude.
Maybe this is the mood-swing-and-intense-emotion portion of my recovery. Maybe this is the culmination of the hormone frenzy that goes on in my tired, taxed, put-upon body every single day, and today the frenzy got the best of me. Maybe this is totally normal for those of us in the midst of a “cancer journey.” Maybe this is just an ordinary, run-of-the-mill bad day.
Maybe it’s all of the above. One thing I do know for sure is that I am sick, really sick, supremely sick of all of this. I’m not a good patient on a good day, and I’m a hellabad patient on a bad day. Oh how I am sick of all this. Sick of the pain, yet leery of the pain meds. Sick of the drains yet aware of their necessity. Sick of the right drain leaking yet too pissed off to attend to it. Sick of the pile of dirty clothes with patches of bloody spots from the damn drain leaking, yet not at all motivated to start the laundry. Sick of the fact that I need to start the laundry, yet still haven’t been cleared to do any chores. Sick of chores needing to be done while I’m not cleared to do them, yet unwilling to seek help. Sick of having to think so hard about what to wear because of incisions and drains, yet unwilling to stay in my jammies another day. Sick of how hard it currently is to do the basic everyday things (like washing my face), yet not satisfied with the “it’s temporary” mantra that usually calms me. Sick of wondering if raising my arm high enough to reach a glass is the motion that will tear the micro-stitches and disrupt the healing of the micro-surgery, yet thirsty enough to reach anyway. Sick of worrying if I’m doing too much or being too still, yet too lazy to find the answer. And I’m sick–really sick–of sleeping on my back. I’m a side-sleeper but I have to sleep on my back, yet again, because I can’t lay on my incisions. Dammit to hell, I can’t even get comfortable at bedtime.
I’m 11 days into this recovery, and while my rational self knows that 11 days isn’t long enough to heal, I’m impatient and fidgety and ready to move on. But then I realize that when it comes to moving on, I don’t really know what that means. Baby steps aren’t my style. I’m more apt to pitch headlong and headstrong into something and just get ‘er done. Only, in this case, I don’t know how to get ‘er done. Have no clue. I’ve been on this “cancer journey” so long that I don’t exactly remember how to get ‘er done. Don’t even know what it is I’m supposed to be getting done.
All I know is that I’m cranky, irritable, and just plain bitchy today.
Away we go…
Posted: March 2, 2011 Filed under: baseball, breast cancer, food, kids | Tags: baseball, breast cancer, cancer battle, champagne, DIEP, goodbye to mom, hospital, kids, new boobs, plastic surgery, reconstruction, sad kids, tennis, Vueve Cliquot 3 CommentsOf 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!
This is too good to keep to myself
Posted: February 27, 2011 Filed under: Uncategorized | Tags: baby calves, breast cancer, champagne, chores, crazy story, hospital, Houston medical center, pre-op, surgery, tequila shots 6 Comments
So it’s Sunday morning, I’ve got my coffee to quell a roaring headache (from the pollen and not the champagne that Mr Cremer pours with a heavy hand. I love a heavy pour). I should be pulling everything out of the pantry and organizing it (again) in a manner that will make it easy for the little people who live in my house to find exactly what they need the precise moment in which they need it, because I’m gonna be parked in a room at the med center for a while and unable to do their bidding.
Once I finish that, I need to gather up all the laundry in this house and wash, dry,
hang/fold it all and return it to its original home in each recipient’s dresser and closet, then try to convince those recipients to wear the exact same clothes (turn ’em inside-out if you need to for variety) for the next 3 days so that when I leave the house for the hospital, the chore I really hate will remain completed for more than 2 hours.
I still need to put away the groceries I bought yesterday (I already put the perishables away, as soon as I got home, so don’t worry about spoiled milk and moldy cheese). Then I need to clean out the fridge and discard anything that won’t get eaten while I’m gone so it doesn’t confuse the folks who try to eke out a subsistence in my absence.
One of the big tasks hanging over my head is to sit down with the calendar and make a master schedule of all the events I will miss in the next little while, to ensure that the kids get where they need to be and that Trevor and my dad (who’s coming to help run herd on my little calves) 
know who’s coming and who’s going. Also need to take a peek and see what events are upcoming for which I need to stockpile, be it a birthday gift or card that needs to be readied.
Instead, I’m getting ready to go play tennis and scratching my head at one of the weirdest stories I’ve ever come across. No wonder I can’t get anything done; this is all-consuming.
If you missed this story on your local news, you must read it now. Thanks to Amy Hoover for calling my attention to what is by far the craziest story I’ve heard in a long, long time.
It will take you 30 seconds to read it, maybe a minute if you slow down to read thoroughly and fully digest all the details, unlike some of us who skim wildly to find the juiciest bits.
I don’t even know where to start with this one. I’m glad the story was so short, because there are so many points on which I’d love to wax poetic. But where to start?
Ok, I’ll start with the woman’s photo. My first thought was, I sure hope she was driving to the hair stylist’s because she needs to touch-up her color right away. Yikes! I haven’t seen roots like that since Macy pulled the world’s biggest tap root out of our flower garden last summer. I mean, that sucker was as tall as Macy. And now this woman’s roots rival that super weed.
Next: her ex-husband was in the passenger seat, as she’s driving to meet her boyfriend AND grooming herself for said meeting. Huh??? Presumably it was her car, since the ex was in the passenger seat, so why was he going, too? I could see it if he were dropping her off, but what in the world was he doing in the car? And more importantly, what was he going to do once she got to her boyfriend’s house? I’m assuming he knew what activity she was engaging in at the same time she was driving a car, so why didn’t he tell her to pull over and let him drive so she could finish her other task.
Moving on: she’d been busted the day before this insanity for DUI and driving without a license. So driving while shaving her nether-region is what she does while sober? Holy tequila shots, what does she do while drunk? That must be a whole ‘nother story. Probably much longer. And crazier.
And finally: the woman and her ex drove a half-mile after the crash and exchanged seats; ok, I can see how that makes sense in the mind of someone crazy enough to do what she was doing. But my question is: if the officer had witnessed a similarly insane situation, why on earth didn’t he share that one, too?
Now I’m really curious.
Other than the shooting…
Posted: February 15, 2011 Filed under: breast cancer, drugs, food, infection | Tags: breast cancer, cancer diagnosis, champagne, infection, surgery, survivor, tennis 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.
drugs, drugs, and more drugs
Posted: January 20, 2011 Filed under: breast cancer, drugs | Tags: amoxicillin, Antibiotics, bacterium, breast cancer, champagne, infection, minocycline, prescription, recovery 5 Comments
So my doc asked me the other day if I’m still taking my antibiotics.
Really?
Did those words really come out of his mouth? Why, I oughtta…
Yes, I’m overly sensitive about this issue, because I hate the antibiotics so much. Love that they’re killing the infection, but hate them nonetheless.
Yes, I am still taking my antibiotics. Twice a day, every day. With no end in sight. I haven’t missed a dose, I say proudly, although no one seems to think this is a worthy feat. Sometimes people need a quick left jab, right to the kisser.
Not that I’m complaining. Really, I’m not. I’m glad that I have these drugs in my life. Who knows where I’d be (or whether I’d be here at all) without them. I’ve been on some form of antibiotics since May 13, with just one week off.
There was the precautionary IV dose during and after the mastectomy. Then an oral course at home for the first 10 days out of the hospital. Once I started feeling better, an additional course seemed superfluous. Wasn’t I healing like a rock star, even ahead of schedule in my typical impatient, over-achieving way?
Uh, yeah. So much for that.
Infection: enter stage right and become the star of the show.
Damned mycobaterium has become the bane of my existence. I hate it like I hate Sarah Palin. I wish she would have gotten the myco instead of me. Surely she could have picked it up in one of those mountain streams she claims to ford as she’s impaling innocent salmon. I’d like to see her be all cocky and try to “reload” in the midst of the myco.
But again, I digress.
That happens a lot.
I can’t blame it on “chemo brain,” but I’m going to blame it on “abx brain.” Surely the continual supply of Bactrim and Minocycline in my body all day every day for the last 169 days qualifies me for that small disability.
Yes, that’s right, I counted the days. I like to know just exactly how long I’ve been taking these two drugs, twice a day every day. I also take a dose of Florastor probiotic twice a day every day. The few times I’ve been lazy or resistant to shoving yet another pill down my throat and skipped it, I’ve been sorry. I owe a big debt of gratitude to Susan C. for recommending the Florastor, and if you’re they type who gets an upset tummy while on your week’s worth of Amoxicillin, you should take it too. I typically have a cast-iron stomach, but the 169 days of oral drugs combined with the myriad variations in the hospital, then shaken not stirred with the little bits of good drugs (e.g., Vicodin) thrown in for grins has given rise to a need for Florastor. 
Here’s the cast of characters now: the blushing beauty in the bi-colored pink is Minocycline. It’s a member of the tetracycline family, which a lot of people–mostly teens, I guess–take for acne. In fact, one of the many Walgreens pharmacists I’ve gotten to know asked me if I take it for acne. I chuckled and said no, why? And she said, “because your skin is really clear, so I thought it must be working.” I may suffer from hot flashes, mood swings and brittle hair but by golly my skin is clear. I like that pharmacist a lot.
I’ve been trying to be very vigilant about taking my meds properly, rather than tossing them back and washing them down with a flute of champagne. Or two. Or three. Hypothetically speaking, that is. I’d never do that for real.
I’ve even read the literature that comes with the drugs from the pharmacy. Talk about a giant mess of C.Y.A. Take this little gem for the Minocycline: “Take this medicine with a full glass (8 oz/240 ml) of water” (not champagne?). I like the idea of 240 ml of bubbly. “DO NOT LIE DOWN for 30 minutes after taking this medicine.”
Well, I admit it’s been a while since I’ve read this info. Like 169 days, probably. And in my “abx brain” haze, I didn’t remember the DO NOT LIE DOWN part. Every night, I mean every single night, I gulp down the drugs with a sip or two of water, which is by my bedside, then I promptly LIE DOWN AND GO TO SLEEP. Oops. If my failure to NOT LIE DOWN means the Minocycline isn’t working, I’m going to be really mad.
This part of the Minocycline’s instructions is particularly vexing: “DO NOT TAKE THIS MEDICINE with food or milk unless otherwise directed. This medicine is sometimes taken with food or milk, however, certain medicines, food and milk may bind with Minocycline, preventing its full absorption.”
What’s a girl to do — take it with food or milk, or not? I don’t like instructions that include “sometimes.” I prefer black & white directions.
Here’s one part of the Minocycline instructions I can willfully and completely ignore, though: “THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.” Ok, I won’t. I promise.
After you’ve finished laughing uproariously, as I did when I read this, let’s move on to the second antibiotic, Bactrim. This big guy is a member of the sulfameth family. Sadly it has none of the desirable characteristics of meth-derived drugs like increased energy, decreased appetite, effortless weight loss and eternal youth. 
It’s just a big, nasty, chalky pill.
Here’s a handy little graphic to show you just how big and just how nasty it is.
Twice a day, every day. For 169 days and counting.
It’s not without its humor, though. An excerpt from Bactrim’s monograph made me laugh again: “DO NOT STOP OR START any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including liver or kidney problems, blood problems, asthma, HIV, allergies, pregnancy or breast-feeding.”
Those last two made me chuckle, and I felt safe in crossing those off my list of things to worry about. Onward.
Bactrim, too, is picky about how you take it, and the monograph advises taking it not only with a full glass (8 oz) of water, but to also drink several additional glasses of water daily. No indication of how many ounces those glasses should be, though, and not a mention of milliliters to be found. Curious. I’m just glad it doesn’t yell at me to AVOID TAKING THIS MEDICINE WITH A FLUTE OF CHAMPAGNE. That would be depressing.
Here’s the best part of the nitty-gritty details of Bactrim, and I quote, “LONG-TERM OR REPEATED USE of this medicine may cause a second infection.”
Pardon me?
Did that really mention a second infection?
Excuse me while I go get some champagne.
This caught my eye
Posted: January 17, 2011 Filed under: breast cancer | Tags: breast cancer, champagne, crystal light, fountain, Houston, infection, lemonade, Mom, real world, reconstruction, recovery, yellow sundress 3 CommentsI was flipping through a magazine at my Aunt Sophia’s house last night and an ad for Crystal Light caught my eye. I like Crystal Light, especially the orange and the pink lemonade. I don’t drink a lot of it, though, because I’ve always assumed that it’s full of chemicals, and someone in my shoes needs to avoid all those multi-syllabic chemical compounds found on ingredients lists.
But if I am going to splurge on something chemical-y, Crystal Light is top of my list. Even more so now that I saw this ad. 
What first caught my eye was the communicated bliss of the woman drinking from the lemonade fountain, and my first thought was how much I’d love to have a champagne fountain like that. Mmmmm.
My bliss would be endless. Limitless. Bottomless, as all good champagne fountains should be.
I also noticed the woman’s dress. I never really liked yellow, but it was my mom’s favorite color, and now that she’s gone, yellow reminds me of her. Very fitting, as she was a sunny, warm kind of person.
So this ad is pleasing to me for several reasons, but the most important one is something you may not have even noticed. Or maybe you did. It took me a sec, but once I noticed it I had to look closer to see if what I thought I was seeing was really there.
Or not there, as the case may be. Look closer: 
Notice anything about her chest? Like the fact that it’s flat? Really flat.
I like this gal, a lot.
And I really like a company that is bold enough to feature an ad showing a woman with a flat chest. A really flat chest. Like mine.
I’m guessing the woman in the ad didn’t come by her flat chest in the same manner I did, i.e., I bet she didn’t have a double mastectomy. Mainly because mastectomied women aren’t in real high demand for ad campaigns. But maybe Crystal Light is changing that. Slowly but surely chipping away at societal ideals of what a model looks like.
Real-life women come in all shapes & sizes. It sure was nice to see a woman in an ad who does, too. I think I’ll go whip up a big pitcher of Crystal Light.
A weighty issue
Posted: January 9, 2011 Filed under: breast cancer, food | Tags: beer. pizza, blueberries, breast cancer, brunch, champagne, DIEP, gym, healthy eating, new boobs, reconstruction, recovery, super foods, surgery, tennis, weight gain 10 CommentsI received a serious assignment from my doc. Now don’t laugh when I tell you this, because it’s not funny, and don’t say “lucky you” because I’m not so lucky. It’s serious.
He wants me to gain weight. A lot of it. So he can build my new boobs. 
We’ve had this conversation a couple of times and I’ve stuck my fingers in my ears and said “la la la, I can’t hear you” because I didn’t want to do this. I’ve spent most of my life beyond the age of about 15 trying not to gain weight. When you’re five-foot-nothing, there aren’t a lot of places to hide the extra pounds, and I personally don’t like the way my body feels with a lot of extra weight on my frame. I’ve never been a skinny chick and don’t aspire to be, but don’t want to be mistaken for a contestant on The Biggest Loser, either.
I worked hard to prep my body before and after my mastectomy, to gain as much muscle strength and cardio conditioning while fueling myself with a good diet. I also played as much tennis as humanly possible in the weeks leading up to surgery. It all paid off, too, with a shorter surgery, no need for Alloderm (cadaver tissue used to connect and close mastectomied chests), and a pretty easy recovery. Because I was in good shape, I was up and out of the hospital bed the day after surgery, trolling the halls. When I got home, I had a decent amount of independence because I didn’t need much physical assistance. That was, and is, important to me. So the idea of turning into a big blobby girl, even temporarily, scares me.
The first few times Dr S brought it up, he warned me that I didn’t have enough belly fat to build the new girls. At that point, reconstruction seemed so far away that I didn’t pay much attention. But the last 2 times I’ve seen him, he’s been more stern about it. I hate it when he gets stern with me.
When I saw him a couple of weeks before Christmas, I told him I’d been drinking a few beers for the first time in 15 years, and I wasn’t playing much tennis because of a recurring foot injury. That was about as much as I was willing to commit to his “living large” plan. I did the usual indulging over the holidays, but I also went to the gym.
So when I saw him the other day, instead of shrinking from his “examine the fat” game as I have in the past, I told him I’d been working on a big project — a BIG project — and showed him my newly rounded belly. I was sitting on the exam table so my belly even hung over a little bit. I thought it was quite impressive, as it’s the biggest it’s ever been without a fetus inside of it.
He was not impressed. Not even a little bit.
He told me to pull my jeans down a little and gave me the pinch test, then had me bend over to see how far it hangs. So much fun. I live for that game.
Then he made a very stern face and said it’s not enough. It’s still not enough. It’s enough for one side, but not both. And maybe not even enough for one. Since I have impossibly high standards and insist on a matched set, that’s a problem.
Dr Sternface says I’m not really even a candidate for the DIEP flap procedure, but since I have no other options, we have to try and make it work. I was thinking about this later and wondered, if I’m not a candidate but don’t have any other choices (i.e., tissue expanders to implants), what’s a girl to do?
Eat, girl, eat. And then eat some more. Then have a beer. Followed by a milkshake.
People make fun of me for being a healthy eater. I genuinely like oatmeal with blueberries. I love salad. Not being a carnivore eliminates a lot of the unhealthier options for me, and I like it that way. I’m not super picky but I don’t like drive-through food in general, and I don’t get the “all you can eat” places at all. I’m not a big junk-food junkie, and usually whatever I cook is way better than that stuff anyway. Not being conceited, just stating a fact.
I’m not doing a very good job with my assignment. Yesterday I had half a bagel with a piece of melted provolone and a handful of blueberries. It felt pretty indulgent to me. Lunch was two pieces of leftover pizza, with an orange. Cheese & crackers for a snack before we played tennis, then dinner after with the tennis gang at a BBQ place. I had pinto beans with pickles, coleslaw, green beans, some mac & cheese and a few fries. Oh, and a roll. Wish I’d thought to put butter on it. Melanie told me that I wasn’t going to get the job done eating all those vegetables and suggested I get a milkshake. Every day.
Today we played 3 sets of tennis and I was hungry. We splurged on brunch at the club, which for me meant mixed fruit, cheese & crackers, salad with lots of blue cheese dressing, and some tuna. Mimosas, of course. Then some pasta with artichoke hearts, mushrooms & sundried tomatoes. Then a few bites of seafood ettouffee. And a sliver of key lime pie and a chocolate-dipped strawberry.
I feel kinda sick.
My doc keeps saying he just hates the idea of me going through this giant surgery and hard recovery and not being satisfied with the results. I keep telling him that any change over the status quo will be an improvement, and I’m ok being average. At least in this one category. He doesn’t seem to believe me, even though we’ve had the same conversation repeatedly.
He wants me to go see the other surgeon who will help him with my case. I’ll have to see what she thinks about the bulk-up plan. Meanwhile, I need to think of a new t-shirt slogan. Something like the “baby” with an arrow pointing at the pregnant belly t-shirt, only a different kind of “under construction.” Any ideas?
Healer
Posted: January 7, 2011 Filed under: breast cancer, literature | Tags: blog, body, book review, books, bra, breast cancer, Carol Cassella, champagne, DCIS, healing, hospital, infection, invasive, mastectomy, miracle, post-mastectomy, reconstruction, recovery, survival, Texas 4 CommentsThe body is a miracle, the way it heals. A factory of survival and self-repair. As soon as flesh is cut, cells spontaneously begin to divide and knit themselves into a protective scar. A million new organic bonds bridge the broken space, with no judgment passed on the method of injury.
Wow. That’s pretty prose. I wish I had written it.
I’d love to claim it as my own, but that would be wrong, and Lord knows I need the great karma wheel to turn my way. I can’t afford to tempt the gods of fate, as they seem to like toying with me.
Carol Cassella wrote that prose. If you’re a fiction fan and don’t know her work, I encourage you to get her books sooner rather than later. Whether you run to the bookstore or download onto your e-reader, get on it. You won’t be sorry. She’s an anesthesiologist-turned-author whose first book, Oxygen, is one of my all-time favorites. Her second book, Healer, wasn’t quite as good but I gobbled it up in hopes that it would be. I liked her right off the bat, because she’s a Texas native and a Duke graduate. A girl after my own heart. She’s also the mother of two sets of twins (!) and how she got anything done, much less wrote 2 bestsellers, is a mystery to me.
I read Healer this summer, while I was trying to heal. I was struck by the passage above, and loved how dramatically it introduces the book. From the very first sentence, I was hooked. While I certainly didn’t set out to turn this blog into a space for book reviews, sometimes things happen that way, and I’m an equal-opportunity blogger, so there we are.
As a physician, Cassella understands the intricacies and magic of the human body. As an author, she’s able to capture that and express it so that someone like me, an impatient patient, can read it and say, yeah, that’s right–the body is a miracle!
I needed that reminder. I was so focused on wanting my healing to occur faster, I didn’t realize that the fact that it was happening at all was amazing.
Equally amazing is the education this experience (e.g., the “cancer journey”) has provided. I’ve learned a bunch of lessons I never wanted to learn, such as how utterly unfair life can be. I’ve acquired skills I never thought I could and hope to never have to use again. Anything involving packing a wound or administering IV drugs at home falls into that category.
I’ve certainly learned a new vocabulary. Not just the new definition of “normal,” either. Things like nosocomial (originating in a hospital, as in a nosocomial infection). Like debridement (removal of foreign material or dead tissue from a wound in order to promote healing). Like aromatase inhibitors (drugs like Tamoxifen that lower estrogen levels in the body by blocking aromatase, an enzyme that converts other hormones into estrogen). Like oophorectomy (surgical removal of the ovaries).
I’ve learned how to get a good night’s sleep in a noisy hospital. I’ve learned the difference between DCIS (ductal carcinoma in situ) and invasive breast cancer, and that they’re both plenty scary. I’ve learned that an injection can leave a bruise for close to 3 months. I’ve learned that the practice of medicine is both a science and an art. And I’ve completely forgotten what it feels like to wear a bra.
Crazy lady on aisle 3
Posted: January 6, 2011 Filed under: Uncategorized | Tags: breast cancer, champagne, crazy, cussing, grocery store, Little League, mental health, reconstruction, recovery, suburb, Sugar Land, SUV, the F word, vegetarian 5 Comments
I went into Randalls yesterday, a grocery store at which I rarely shop, and came across the strangest, angriest, kookiest lady I’ve ever seen. I’m still wondering if this really happened, or was a crazy-train dream.
Here’s how it went down: I was behind Ms. Crazy in the checkout line. Her roast or whatever cut of red meat had dripped bloody juice all over the floor where I needed to walk, and was also all over the conveyer belt of the checkout area. I didn’t say anything even though, as a non-meat-eater I was sicked out big time.
Ms. Crazy noticed it on the conveyer belt and griped at the sweet elderly cashier to clean it up. Hearing how she talked to this service provider was the first clue that Ms. Crazy is, well, crazy.
When Pat the sweet elderly cashier rang up Ms. Crazy’s assorted box of individually wrapped cookies, Ms. Crazy complained in a loud & ugly way that the store flyer advertises that product for $2.99 but it rang up for $3.99. Ok, mistakes happen, and I’m pretty sure sweet Pat isn’t the one responsible for programming the sale prices into the cash register, so back off Crazy Lady.
Pat consulted the flyer and found that yes, that product is on sale but Ms. Crazy got the wrong variety or wrong size or something. Ms. Crazy’s response was to bark at Thomas, the bag boy, to go get her the right kind of cookies.
Yes, ma’am.
He came back with what he thought was the right variety, but it wasn’t the assorted box, it was all Chips Ahoy, and Ms. Crazy and her family need the variety and excitement that only Chips Ahoy, Nutter Butter, AND Mini Oreos can bring. Did I say they need the variety? Pardon me, they deserve it. She didn’t say that, but I could totally tell that’s the kind of person she is.
So Ms. Crazy sent poor Thomas back to the cookie aisle to do her bidding. While he was gone, she looked at me, waiting ever so patiently behind her hot mess self. I was making an effort to be patient, for once, and didn’t huff or look at my watch or otherwise complain. But when Ms. Crazy rolled her eyes at me, as if to suggest the Randalls employees were disappointing her high expectation of — and God-given right to — exemplary service, my patience quickly evaporated.
That was when Ms. Crazy noticed the bloody juice all over the floor. She asked me, Is that blood? I said, I don’t think it’s blood but juice from the meat you’re buying. Again, I didn’t say one word about how disgusting that is, or what a potential health hazard it is, or inquire about her feelings toward the innocent cow that gave its life to appear in her shopping cart or lecture her in any way about all manner of evil represented by that styrofoam tray full of flesh & muscle.
Not one word.
Fat lot of good all my restraint did me.
When Thomas had yet to appear with the holy grail of cookies, I jokingly told Ms. Crazy that I would give her a dollar if it would help speed up her checkout. She didn’t think I was one bit funny, and told me to, and I quote, “Shut the F*%# up.”
Yes, you read that right. She told me to shut up AND used the F word. In the grocery store.
Wow.
That is some serious insanity.
I was stunned, for sure. I kept my cool and told her that she had no right to speak to me, or anyone else, like that. She replied in a nasty sneering way, “Oh no! Did I offend you? I doubt it.”
Ok. Right. I’m not even sure how to respond to that, so I took a step back and said, ok, back off, I was just joking anyway. She yelled something about how Randalls needs to fix the computer and correct the price right because what’s going to happen when the next person comes along and has the same problem? I told her I’m not real concerned about the next person, because hopefully by then I’ll be home and have my groceries unloaded and be on to the next task.
Well, Ms. Crazy didn’t like my answer one bit. Not one bit. She screeched at me (yes, she really screeched), “You’re in your Sugar Land bubble and just want everyone to hurry up, get out of your way because you’re next.”
I’ve often joked about the Sugar Land bubble, where all the kids are above-average thinkers, the moms all have perfect figures and keep a perfect house, the dads all have high-paying jobs and coach Little League and everyone drives a gas-guzzling SUV. God Bless Sugar Land.
But I’ve never suggested that the “Sugar Land bubble” entitles me to preferential treatment. So there, Crazy Lady.
After she screeched at me, I held up my hands as if to say, Ok, whatever, and to signal my official disengagement. Thomas had returned with the offending cookies by this time, and it was time for Ms. Crazy to pay for her cartload of processed, trans-fat-laden crap. And she didn’t even have her credit card out, ready to swipe.
I swear, some people. Sure lady, hold up the entire line so you can get your cookies and be unprepared to transact business. Egads.
But that’s not all — when Ms. Crazy finally got around to digging her credit card out of her wallet, she suggested my shopping cart was in her way. And she said, “Move your cart or I will move it for you.” Wow, again. I asked her if she was threatening me, and she said it sure sounded like it. So I decided to treat her like the child whose behavior she was modeling and said, “As soon as you ask nicely, I will happily move my cart.”
Ms. Crazy clearly doesn’t like people who establish boundaries. She told me to move my f-ing cart and then she shoved the cart a little bit. Pathetic.
I really wondered about the right parting shot. I chose to let it lie and didn’t say anything, but I kinda wish I would have told her how sad it must be to be her. Or that it’s not nice to talk to people that way. Or that there’s lots of good mental help available, even without comprehensive insurance.
After she left, Pat the cashier apologized to me, and Thomas said the Ms. Crazy comes in there all the time and is always like that. I joked to them both that if she was waiting for me in the parking lot, I was going to call the police. They took me seriously, though, and Pat made sure I had my cell phone and asked Thomas to walk me to my car!
And people say nothing exciting ever happens in the suburbs.
The Pink Underbelly 