Posted: June 1, 2011 | Author: pinkunderbelly | Filed under: breast cancer | Tags: Barbie bowl cake, birthday celebration, children's books, Chinese proverbs, Couture for the Cause, first birthday after cancer, flat chest, Harourt Brace, Houston Humane Society, Little League, Mo Willems, mycobacterium, Newk's Tennis Ranch, Piper Sonoma, Red Sox, Seabrook NH, the Sound of Music |
Today’s my day.
All mine.
Happy birthday to me. 
It’s been pointed out to me that in addition to being my birthday, today is the official start of hurricane season. Coincidences are funny.
Birthdays were a big deal in my house when I was a kid. There was lots of celebration, and we always had homemade cake, decorated by my sweet Aunt Margie, my mom’s younger sister, who was diabetic but still made her Nanny Po a fancy cake every year. See, when I was a little kid, I couldn’t say my whole name: Nancy Katapodis. That was a mouthful for a little girl. The best I could manage was Nanny Po. Aunt Margie always called me that, even after I’d grown up. Dadgummit if pancreatic cancer didn’t strike her down 14 years ago. If she were here, she’d be making me the Barbie bowl cake right now, with lots and lots of frosting, and calling me Nanny Po. 
I don’t mind one bit that I’m growing older. Not one little bit. I might have B.C. (Before Cancer) but not now. There’s something so very sweet about coming out on the other side of a hellacious battle against a vicious beast and its equally nasty side-kick. Breast cancer and mycobacterium stole a lot from me, but they will not steal my birthday joy. Pre-B.C., I might have fretted about being on the wrong side of 40, about the crow’s feet and the less-than-smooth skin. But not anymore.
I’m planning to savor every second of my birthday. Growing older means I’m alive. I’m here to celebrate another year. I’m thrilled to bits to be 42 today.
I really hope that this year is better than last.
Not to tempt fate, but it can hardly be worse.
This time last year, I was recovering from a bilateral mastectomy. Ouch. Look at that chest — flat enough to play quarters upon if you wished.
Once cancer came to call, I realized that each birthday is much more than the day of one’s birth; it’s another year of victory. It’s another year of walking upright as opposed to being tethered to a hospital bed. Triumphant and upright yet still scarred, I learned first-hand the Chinese proverb:
“The appearance of a disease is swift as an arrow; its disappearance slow like a thread.”
True, so true.
The utter suckiness of last year and the swiftly-appearing disease that is breast cancer, while totally sucky, taught me a lot. One of the big lessons, while completely corny, is to enjoy each day.
And today, on the day of my birth, I intend to do just that.
Let’s start at the very beginning; a very fine place to start, as Frauline Maria would say in The Sound of Music.
I don’t have a lot of baby pictures of myself. Those are still at my parents’ house; my mom kept a lot of pictures and a detailed baby book. Like everything else, she did the historical record-keeping of my life very well. In fact, I think most of my school pictures are hanging in the hallway at the old homestead.
I do have these pics, though, and will embarrass myself by sharing.
No idea whose parents owned the magical mystery bus that we decorated for cheer competition, but it was looking pretty festive.
Oh, how I loved this particular cheer uniform. It was my favorite, and I hated to have to wear the other ones. I betcha it’s still in my parents’ attic. My mom never threw anything away. It may be moth-eaten and tattered, but I bet it’s still there. 
I’m almost afraid to post any pics of my lovely self from college, because my bangs were so big they’d take up this whole screen. Go ahead and laugh. I’m right in the middle, surrounded by ’80s bangs.
After college, my first real job was editing Usborne children’s books that were written in England but sold in the U.S. My job was to “Americanize” the books, i.e., change “biscuit” to “cookie,” etc. To this day, I have a hard time deciding if the word “grey” is spelled with the “e” or an “a.” It looks more right to me as grey. Ditto “colour” vs “color.” It was a super fun job and when I had to leave, to move to Austin so Trevor could start grad school at the mighty University of Texas (HOOK ‘EM!!), my going-away party looked like this:


Randall White, the company president, and I cooked up a little show in which he pretended to insult me, and I shoved a piece of cake in his face. No one else was in on the joke, so it was a bit shocking. No wonder I have such a problem with authority, if Randall taught me these kinds of hi-jinks at my very first job.
Fast-forward through my next editing job, for Harcourt Brace, in Austin, and onto my next career: that of a mom.
Baby Payton got me out of the 9-to-5 lifestyle and into that of a full-time mommy. Keeping up with a hungry baby’s schedule and later chasing after a busy toddler made me wish I had an office to go to again, but only on some days.
Until Baby Macy arrived. 
Then I really wished I had an office to go to again!
Little did I know that chasing two kids around all day every day would be the adventure of a lifetime. 
Being responsible for the care & feeding — not to mention the character-molding — of two small kids was a big responsibility. Luckily, I had a great mentor. Just wish she’d have stuck around to help get me through my little darlings’ teenage years.
Raising my kids to love each other,
enjoy each other’s company,
appreciate family ties,
savor family time,
exercise self-sufficiency,
and sit still for a photo shoot are important to me.
May not be all that important to them, but it’s my day, right?
Knowing that my kids are happy, healthy & safe is a great birthday gift. Knowing that they are pursuing their passions is the icing on the cake.
Watching my boy pursue his true love (baseball) is pretty great. It reminds me a lot of my childhood, in which I spent a whole lot of time at the ball fields watching my brother and shagging fly balls. Sharing an unabashed love of the Red Sox with my boy is one of my life’s true joys.
The day Macy met Mo Willems stands out as one of the all-time best. He was so entertaining, and we love his books so much. When it was Macy’s turn to visit with him, she told him she likes to write, too. Instead of asking him some goofy question, she asked for his phone number. In parting, he told her be sure to not let Pigeon drive the bus. She replied: “As if!” I predict those two will collaborate one day. 

On the day of my birth, I’ve been thinking a lot about the things that make me happy. Like my family (everyone says that, right? Unless you’re on Maury Povich, you say that).
Like my doggies. Maddy, sweet Maddy. My first dog as a grown-up. I saw her being born, and will never forget the shock of how easily the pups just slipped right out from their mama, the polar opposite of all the pushing, sweating & grunting I’d seen of births depicted on TV. Sweet Maddy entered the world easily and wormed her way into my heart. 6 pups were in her litter: 3 black, 2 blond, and 1 white. Everyone who came to look at those pups wanted the white one. But she was mine. I loved that dog all the way to the Moon and back. When she died just shy of her 15th birthday, my heart broke into a million little pieces. 
She was the best dog, and a really good sport. I guarantee she didn’t want to wear bunny ears — she was much too smart & sophisticated for that — but because her girl asked it of her, she complied. Sweet old thing.
My dogs bring me a lot of happiness. A lot of dog hair, but happiness, too. Harry and Pedey make me smile every single day.
The day we picked out Harry from the Houston Humane Society, I swear he was smiling. And that made me smile.
Later, of course, we learned it’s because he’s insane. They don’t always tell you that at the Humane Society.
Pedey’s not crazy, but he is a weasel. A weasel who makes me smile. Who wouldn’t love a dog who wants to help with the chores?
Then there are the side-kicks. Harry & Pedey’s best friends, Sugar & Snoopy. Having 4 dogs around creates quite a ruckus, and I love it. 
Raising my kids with an all-consuming love for dogs is a very good thing for me. Little kids and puppies make me smile.

Appreciating traditions makes me happy, too. This one is a classic. Seeing my kids straddling the state line between Massachusetts and New Hampshire on our annual family vacation makes my heart sing. 
As does spending time with my tennis girls. Oh, how I love that. If I weren’t planning to drink so much champagne today,
I’d have to get out on the court. Going to tennis camp and playing nonstop for an entire weekend was one of the best things ever. I need a re-do! Come on, girls — get your racquets and let’s go. 

It’s been a crazy year, for sure. When they say it’s all down hill after 40, they really mean it! Going from 40 to 41 brought more than the usual changes for me. But I’m on a roll now.
There’s been the influx of new friends


And the stability of old friends.

The past year brought me the finer points of home-health care and wound care–what a joy it is to not need either anymore!

Being 41 and a fledgling cancer survivor taught me to strut my stuff, both at the Couture for the Cause and every day.
As I strut my way into 42, I’ll hold my head high and my glass even higher. This is indeed a year for celebration.
Cheers to a cancer-free birthday! Cheers to the rest of my life!
Posted: December 28, 2010 | Author: pinkunderbelly | Filed under: breast cancer | Tags: Brazil, breast cancer, breast implants, China, crazy, economic reform, facelift, flat chest, Hunan, liposuction, new boobs, plastic surgery, surgeon, surgery |
I read an article about plastic surgery in China (you may have, too, and if so, were you as freaked out as I was?). It told the story of Wang Baobao, age 28, who has had some 180 plastic surgeries. She started with her first operation at age 16, and has 6 or 7 procedures each time she goes under.
She’s had something done to “nearly every part” of her body: she’s had her eyes widened (and more Western-looking), her nose & jaw narrowed, and her chin reshaped. She’s had fat sucked out from her hips, thighs, stomach, and rear end. She even had heel implants, to make her taller (didn’t work). She’s had her breasts done, of course, and she says, “I had to keep having operations to repair them.” Yeah, me too.
China is third in the world of most plastic surgeries performed, behind Brazil and the U.S. No data, though, on how many procedures in any of those countries are for non-cosmetic problems.
The “official” estimate is that 3 million plastic surgeries were performed in China last year. The Deputy Secretary of the Chinese Association of Plastics & Aesthetics says his hospital sees 100,000 plastic surgery patients a year, and that all of Shanghai could see 300,000 a year. Try getting a hospital room there.
However, the Deputy Secretary points out that “most people don’t have surgeries at officially regulated hospitals. Many patients go to beauty salons and other unregulated facilities.” A beauty salon??? Egads. That’s a major infection waiting to happen. Trust me, I know.
Before the economic reforms of the 1980s, people in China were only allowed to have plastic surgery to correct a physical deformity, mostly hairlip patients. Cosmetic procedures were considered a bourgeois way of life. What’s so bad about the bourgeois? Doesn’t everyone deserve a perfect physique? (says the girl with the flattest and most scarred chest in the Western Hemisphere.) I’m all for economic reforms, and think in general prosperity is a good thing for society, but when the rising tide of affluence is outpaced by the pursuit of physical beauty, we may be headed for trouble. Xi Shirong, the senior plastic surgeon at Beijing Hospital, says he sees at least 20 patients a day, mostly women in their 20s. That’s right, in their 20s.
24-year-old Wang Bei, a singer in China, died in the OR during a facelift. Can someone explain to me why a 24-year-old would need a facelift?
Back to Wang Baobao. She says the technology wasn’t good enough and the surgeons not skilled enough. One might think she’d be able to find a better surgeon, though, considering how many times she went under the knife. Isn’t that the definition of insanity: doing the same thing over & over but expecting different results? She says she kept “needing repair operations.” Again, me too. Sigh. She’s spent some $600,000 on her surgeries and says “the effects are not that good. And all over my body, there are too many scars.” Ya think?
Posted: December 22, 2010 | Author: pinkunderbelly | Filed under: breast cancer, cancer fatigue, drugs, food, infection, kids | Tags: Bactrim, baseball, Biaxin, bloodwork, bone scan, BRAC, breast cancer, cancer diagnosis, Cefapime, champagne, Christmas, Christmas list, Cipro, collection agency, CT scan, dogs, ER positive, flat chest, genomic testing, good girl, health insurance, HER2 negative, home health, hospital, Houston, infection, infectious disease, injections, IV antibiotics, kids, L-Dex, lymph nodes, mastectomy, minocycline, MRI, PET scan, plastic surgery, post-mastectomy, PR positive, Santa, survivor, tamoxifen, Vancomycin, wound care, wound vac, x-ray, Zyvox |
I’ve been a pretty good girl this year. I’ve smiled at fussy babies in checkout lines at HEB. I did my time at the grade-school class parties (not my scene, to say the least). I called the collection agency back — yes, I really did — when they left me a message saying I owed money on a past-due hospital bill that my insurance company says has been paid. I donated nearly-new clothes & home goods to charities multiple times. I helped out with the school fundraiser, even though I really, really, didn’t want to. I’ve said please and thank you and bring my own bags. I was a big girl and good sport about all the trips and baseball games I missed this past summer.
And while we’re on the topic of this past summer, dear Santa, do ya remember all the hell I went through? It all started on April 27, 2010, when I was diagnosed with breast cancer. Talk about an “aha” moment. The timeline quickly unfolded like this: the rest of April and first part of May were consumed with tests, tests, and more tests: BRAC analysis, CT scans, x-rays, PET scan, bone scans and MRI. In case that’s not enough acronyms for ya, there was also the L-Dex and then the genomic typing of ER/PR positive and HER2 negative. More injections and blood draws than my poor left arm’s veins could keep up with (literally; there’s a permanent knot in the big vein). Countless appointments with the breast surgeon (Dr Dempsey, who is on the “nice” list) and plastic surgeon (Dr S, who may be on the naughty list), and 3 different oncologists.
Meanwhile, there was research to be done and crushing decisions to be made as I prepared for surgery. The phrase “life and death” took on a whole new meaning, sweet Santa. There’s a strange juxtaposition between packing school lunches and signing field trip permission slips while also filling out my medical directive and living will. I learned pretty fast how to act normal when everything around me had been turned upside down. I think, dear Santa, I also did a pretty good job of adjusting and adapting to the new normal. I think, fat man, I’m still doing a damn fine job of that. One quick look at my profile tells you that there most definitely is a new normal around here.
Santa baby, I was a good girl after the double mastectomy and the lymph node removal that left me battle-scarred and weary. I was an especially good girl in the face of the plethora of prescription drugs I could have used & abused. I was a diligent girl when it came to choosing green drink over Diet Coke, all-natural hormone-free yogurt over Blue Bell.
Santa, I was a brave and good girl when the nasty infection set up shop in my still-raw chest wall. I endured the 103-degree fevers, 22 days in the hospital, multiple tissue excisions and untold poking & prodding without much complaint. I missed the comforts of home, my dogs & my kids more than words can say, but I only cried twice. And even then, it was when no one else was around to see.
We don’t even need to recount the 18 days during which I was attached to the wound vac 24-7. I would really like, dear Santa, to permanently erase that memory from my grey matter, por favor. But I would like to remind you that I was a trouper during the home health days, and all those hours that were consumed with wound care and the administration of IV antibiotics. And while I’m at it, can I get a little shout-out for not killing Dr S, even though he probably deserved it?
Oh Santa, I do crave some credit for all the antibiotics I’ve endured — and continue to endure. From the Vancomycin to Cefapim, from the Cipro to the Zyvox, from the Biaxin to the Bactrim and Minocycline. Those last two will be part of my daily routine for a few months yet, but I’m already looking forward to the day in which I don’t have them on my kitchen counter anymore.
So Santa, how about we make a deal? I’ll set out all the milk & cookies you want in exchange for one little thing. All I want for Christmas is to have it easy for awhile.