Pink Glove Dance

You guys, check it out. This was sent to me by an angel.  It was sent to her with this message: 

Our daughter-in-law created, directed and choreographed this in Portland (OR) last week for her Medline glove division as a fundraiser for breast cancer awareness.  This was all her idea to help promote their new pink gloves.  I don’t know how she got so many employees, doctors and patients to participate, but it started to really catch on and they all had a lot of fun doing it.  When the video gets 1 million hits, Medline will be making a huge contribution to the hospital, as well as offering free mammograms for the community.  Please check it out.  It’s an easy and great way to donate to a wonderful cause, and who hasn’t been touched by breast cancer?

Here’s what’s going on

A little update for you all who are curious about making or reading comments on this blog.  Check out the new page at the top ‘stapled’ between the ABOUT and WALK4HOPE pages.  There is instruction about how to post/read comments.  Thank you so much for asking for this, and know that we love hearing from you.  You’ll all be bloggers yet!

As the dust settles from Monday’s little bomb, we are finding balance.  I am reminded every day that it is endurance I must pray/hope for, NOT certain results from the next test or scan.  We are chasing something we have no control over when we wish for the golden ticket.   I have had so many conversations with friends and loved ones recently for which I am very grateful.  We are being shown so much about our spirit with this experience.  You all are feeling every bump and continue to hold portions of this experience that we just cannot manage ourselves.  Your endurance is astounding.

We have agreed to show up at the hospital at noon Friday for a 1:30 surgery appointment.  They will host me for 23 hours if we feel I need to stay.  We also have the option to come home after recovery.  I have had conversations with my PCP, the oncologist and two with the surgeon over the past two days.  Oncologist answered lots of questions and basically said that her treatment recommendations are based on the national protocol for this stage of cancer, which is somewhere between 2b and 3a. 

I told the surgeon that I did not mean to be a pain with my calls, and her response was “you are the most painless patient I’ve ever had”.  How about that one.  She explained that she did not do a frozen section on the two nodes she took out because of their small size and squishiness.  She explained that the pathologist saw fibrosis in the nodes which apparently is the chemo affect on a cancer cell.  There was a lot of this, and that tells us that the chemo drugs used were effective.  Unfortunately there remained some individual cells in each node, and microscopic or not, they could be the host for another attack on my system if we don’t get them out.  It will be helpful to the oncologist in her planning for the next stage of this treatment to know the extent of the involvement of this bunch of nodes.  Surgeon  explained that the surgery room is booked for 2 hours because of the time it takes she and her assistants to identify and avoid the nerves in that area.  She will extract a triangular bunch of tissue in which the nodes are enveloped.  It’s the pathologist’s job to locate the grapes, as it were, in the tissue.  Surgeon will go into the healing incision to access this area, and will most likely take out the breast drain, so I will only have the arm pit drain to contend with for the next week or two.    PCP had not yet received the information from the pathologist, but she was able to understand my report, and was very supportive of the decision we have made. 

I continue to feel good most of the time.  I worked myself away from the pain meds fairly quickly and stopped the advil yesterday.  I’ve been given permission to work up to 30 hours a week at my discression, home or in the office, and am grateful to be able to do that as I feel up to it.  Obviously recovery from this next procedure will take precident.

9 days post mastectomy I am feeling good about the decision not to get reconstruction right away.  The area where my breast was is very numb.  When I put my hand over it, I am feeling my heart very strongly with no interference from the breast tissue, it’s really an interesting sensation for me.  I do not want anything there right now.  I’ve been wearing B’s flannel shirts a lot since last week, and in addition to feeling like lumberjack woman, I am comforted by knowing his shirt is wrapped around me.  (I’m hooked, what can I say?) I do not think I’m feeling self conscious about the shape of my body, but it’s easy in this cooler weather to camouflage that if it were important to me.  It’s sort of like how I feel about having no hair, wearing hats and doo rags works this time of year and I’m nice and warm.   I have started having what I call  rookie warm flashes.  I was told that I may go into menopause, and I may go out of menopause, and no one really knows how to judge what will happen.  SO I’m just prepared by not wearing stuff I cannot shed quickly. My big sisters who are experienced at having power surges think it’s cute when I whip my hat off and shed layers, and are sharing great bits of wisdom about managing such things.  I have not worked up to being hot enough during one of these for people to warm their hands around me like a camp fire, but I’m working on that. 

At this point I’m getting familiar with the surgery procedure and feel fine about the anesthesia tomorrow.  Again, that idea of closing my eyes one minute and opening them the next in the recovery room fascinates me.  I’m sorry people who will be thinking about me during that period of time cannot join me in lala land.  We know the ponies will be swirling all around us.

11/15/09

Some of you may be happy to hear that I engaged a driver yesterday.  I woke A from a sound slumber around 8:30 (on a Saturday morning, mind you) to take E and I on some errands.  She was very willing, I’m grateful to say, but asked today that we consider waiting to go upstairs until she is awake!  She scored a new winter coat in the deal.  She also had a thrill of a life time when Uncle M came to visit from NY yesterday and let her drive his fancy shmancy BMW black convertible sports car.  All is well in the life of the 15 year old today.

I continue to get visits from our angel nurses, every day.  In fact a friend was over last night who is a student in a nursing program and I gave her a run for her money as we examined the incision and I showed her how the drain works.  I’m finding these nurses among the most willing to talk about body fluids with me!  Those of you who know me well, might know that I love talking about that stuff, so you can imagine what a thrill this is.  You are off the hook for now!

I am sponge bathing because of the drain.  Not as relaxing nor steamy as a hot shower, but I am finding it a time to spend time with my body, which may seem like a statement of the obvious.  It’s so easy to ignore things in the shower, ya know?  So as I take care of my daily needs I feel like I’m growing into this body on many levels.  So far so good.  I almost get too excited, but what is a G.O. to do??  It’s getting to the point that I get so excited to show the nurse-o-the-day the incision, that I’m afraid I’ll be asking anyone who comes through the door to check it out.  Imagine me, an exhibitionist.  So if you come for a visit I’ll do my best to restrain myself.

I went for a walk on the golf course today,  avoiding the biggest hills for now, and feel really good.  My plan is to nap and then do some quiet stuff at home for the rest of the day.  Your energy is felt, your calls, cards, food and visits are appreciated more than you can possibly know.

11/5/09 Day 16

This morning I’m watching the first snowfall from our dining room window.  It’s not amounting to much, which is good because I have some appointments this afternoon, but it still gets me in the mood.  I love the change of seasons, whatever time of year it is.  I feel really close to normal today.  I just cleaned the house before the woman who comes to clean arrives.  Ya know?  Never having had a cleaning person in my house, it’s something to get used to.  It’s the first Thursday that I’ll be home when she gets here, and not on my way to get a neulasta shot, or some other treatment…in 8 weeks. It’s funny to tell the kids to clean their rooms on cleaning lady weeks.   If she cannot find the floor to vacuum, there’s a problem.  This cleaning lady is and angel sent by an angel.

I went to work a couple of days this week, but truthfully I am getting more work done from home than from work because much of my time is spent entertaining loving hugs, questions, and visitors when I am at work. (Not that I mind this one bit…)  I’m working about 20 hours this week, and feel good about this.

A friend left a message for me at 3 pm yesterday that went something like this:  “I ‘m sorry I didn’t reach you, I wanted to wish you a Happy Day 15!  Hopefully you’re napping and NOT working…”  I was so happy to call her back first to thank her for the Day 15 wish, and to say that I was neither napping nor working.  I was with A and some friends at the Eastern Maine Soccer finals.  I actually felt like I was playing hookie from work for the first time!  We left the game and I was reminded that the sports recognition night at the high school was at 6pm.  We had no time to get home and back to school.  Alas.  I went to bed at 8:30, as soon as I could say hi to B and E, stare at the beautiful fire in the fireplace for a minute and pet the katz.  Boy didn’t the felines have a lot to say.  I think I left the house at 9:30 am…ooops.

Thank you all for continuing to read this and for sending all the love and hope that keeps us buoyant.  Some of you have asked about the surgery, which tells me that I/we did not exactly include specifics.   I’m getting a mastectomy without reconstruction.  Both B and I thought that waiting to see if I want reconstruction after living without it for a while, was the best thing to do for many reasons.  The first reason is just that, I don’t know if I’ll want reconstruction.  Another is that I am thinking that removal of one breast is enough for now.  I don’ t know if I want a foreign object to deal with too.  I am told by some women who went this route that they are glad they did.  They felt ready to make decisions about whether or not to do reconstruction, and what type of reconstruction, after they were 6-12 months out, a bit clearer headed, and less emotional about the whole ordeal.  I have been told by several who had reconstruction at the same time as the mastectomy that they wish they waited.  That was enough for me to feel good about the choice.

I think I may have said this before, “never have my breasts caused such a sensation”.  I have been struck by the willingness of women to talk openly about their bodies.  I mean all women, not just those who have dealt with cancer.  I am also struck by the men who are interested to get in the conversation too.  Not as many men have asked about the nitty gritty, my brothers maybe, but not many others.  It’s got to be an interesting thing to contend with.  I don’t want to get started on the breasts and society thing.   But truthfully, I have found myself wondering how much do we share?  Who cares what goes on underneath my shirt?  Here I am, essentially in a public forum, sharing my thoughts, decisions and feelings about my own breasts.  It’s not all about that in my opinion.  This is about my health.  People keep on reading.  I love that.  I appreciate the people who are asking “so what exactly are you having done in surgery?”   If you want to know, just ask.  Obviously we are interested in getting the word out, and helping someone who may come across this blog some day.  I have to say, the idea of people thinking about my breasts makes me smile.  It’s about time!

I asked the surgeon to draw a picture to show us what exactly gets done during a mastectomy.  She did so in a way that gave us a good image of the process.  I never thought about the fact that mastectomy crosses no other barriers, if you will.  The tissue is scooped away from the skin, and the muscles that used to be removed during the days of the radical mastectomy are left in tact, unless the cancer cells have attached to the muscle.  Even in that case, apparently, only partial removal is necessary.  I don’t know if radicals are performed any more, but believe me, I’m so grateful that medical advances have taken place.  Our surgeon said the physical recovery from this is fairly simple, and is easier than dealing with chemo for most.  This was confirmed over and over by others who have had mastectomies.  She was sensitive to the emotional material that is attached to this whole experience.

I have emotional material, but at this moment, not as much as one might think when the idea of losing a breast is posed.  You know there are some things that define us as men or women to others.  There are some of us who don’t care whether someone can tell if we are male/female.  Losing my hair and now the prospect of losing a breast has me thinking about this.  At this moment I do not feel that it is a loss of identity.  My hair may be a bigger loss for me than my breast, truthfully.  BUT I’ll keep you posted when the hair grows back and the breast doesn’t.

I was quite a diary queen when my kids were born.  In fact I remember that I was nursing my kids at my parents house one day.   E was brand new and had finished and A came by for a sip, and Pop looked over and said “that’s my girl”.  I could not get over the fact that he looked like a proud peacock about something like this.  I also had the honor of donating milk to a friend who adopted a new baby when I had more milk than we had freezer space for.  She was trying to stimulate her own production.  This was incredible for me.  The best part of that was the day she showed up at our house for the next cooler full, and when B opened the door, she said “look!” and lifted her shirt and squeezed her nipple and milk was coming out.  (B’s expression was priceless, by the way.)

I asked the women I will call my mentors what they were thinking/feeling before, during and after.  As expected I got a myriad of responses.  The consensus was that they were really ok about it.  Many said that they were reassured by their partners that they were loved for who they were.  Some said that the emotional processing went right along with the events at hand, some noticed that processing happened months/years after the surgery.  The extent of grief in these women was variable.  All said that dealing with the drain was a pain, but generally it was because after the first 2 or 3 days, they were ready to get up and go, and the drain flopping around was annoying.  Well now with the spiffy new and improved drain pocket that can be velcroed anywhere around my ribcage, I feel like I’m going to be the happy patient, frolicking about with no cares in the world!  Yea, ok, maybe not exactly, but you know what I mean.

There is a practical side that B and I spoke about regarding the fact that my clothes fit me right now, and it would be nice if I could wear the same clothes after this is done.  There is a balance thing, but after looking at me, the “fitta” told me (with tact) that I shouldn’t have as much of a balance issue as, say, someone who is a 44 J cup.  🙂  I’ll keep you posted on that one.

Cycle 3, Day 14

Welp, here we are at the end of the feel good part of cycle 3.  This past week I have truly felt well and as normal as a bald woman can feel.  I went to work for a couple hours both yesterday and today, and it was truly great to see my colleagues who have been pulling for us all along the trail.  I even got a few work related things done!  It felt good to know my brain could still function in that capacity.

A loving friend came today to help me put the garden to bed, and another has been helping us stack the wood that we just have not gotten to.  The angels continue to fly around us.  I am in the midst of my intentional rest time right now.  Even if I cannot nap, if I am reclining, the katz make sure that I do not move for a good long time by either sitting on my legs, or wedging themselves on either side of me.

I just want to get through this last cycle of this phase so we can get on with things.  It feels like it’s been a long haul, and I’m ready to take the next steps on the trail.  We will keep you posted.

10/13 Simplicity on a better day

A rainy day, a kat on my lap, a big fire in the fireplace.  A good cry this morning.  A visit from my loving twin brother who arrived with a new, sure to be famous (at least in our house) chili for dinner.  Acupuncture relief.  A wonderful nap with my furry companions.  Laughter.  Several supportive conversations, one from a sister survivor.

Talking with others who have gone through chemo certainly puts things into perspective for me, and that’s what I really needed this week.  I’m not the only one who has had to deal with this, brilliant, I know.  It definitely will pass.  Brain fog happens, low energy, not knowing what one wants or does not want, not being able to tune into one’s body messages.  There’s an end to this.  Hope.  Thank you, L,  for telling me more of your story that I may understand my own better, and see the forest through the trees.

SO, writing this blog is not exactly like journaling, but there is an element of exposure when I think of others, unknown but known, reading our story.  All I ask is that if you get the sense that I’m slipping into brain mush and writing Dear Diary material, please exit and “Don’t pay  attention to the (wo)man behind the curtain!”

Today is a better day.

10/12/09, Pick’n’um up and put’n ‘m down

P, keeps pressing me to articulate the partners experience of breast cancer and chemotherapy. The other day I was having a wonderful conversation with a co-worker, a 20 year survivor of lymphoma. And, she has really taken a concern in my well-being, very sweet. The point however, was I mentioned that an essay was tumbling about in my thoughts about exercises that produce mental toughness, emotional resilience and spiritual alertness. In my conversation with M I wondered about partners, unlike me, who after dinner flick on the TV and zone out till bedtime, perhaps they get some golf in on the weekend. How do they handle the intensity of this experience? M pointed out that she had attended a support group during her treatment and that she saw a lot of families breaking up – that indeed the partners couldn’t handle the added stress.

There are certainly people who train longer and harder than I do, and, I salute them, my point in this is not to boast about that, but, rather to examine the unintended consequences, the side effects that exercise offers (or, perhaps, we have it backward and the muscular power is the side effect, rather the mental toughness is the sought after). P, was pressing me a bit last evening as she struggled to deal with her own lack of energy, and general malaise. She asked me how I kept going. I found myself calling upon the dead lift, and a statement that the yoga teacher makes regularly in class – to explain. Coach Glassman of CrossFit, prefers to call the dead lift, the “life lift” since it is such a fundamental movement, picking up a toddler, our car keys, or a bag of groceries. I’m a profoundly lazy man, and so, I look for efficiency in everything I do. The dead lift gives me more bang for my buck than many other movements. Really, if there is a weakness here it is that usually the lift is done with really heavy weights and hence gets done slowly. Its focus becomes strength, rather than power, but one can use lighter weights and jump, or pair it with something explosive, like dumbbell snatch and overcome that easily. To the point, P, said how do you keep going? And I slipped into a metaphor – I just squat down and grab the bar with my right hand, and then my left hand, and then keeping my back straight I stand up – simple, mostly.

Some days, I can do that a lot, others, not so much. But, using the words of the yoga teacher, “Just, observe what you can do, don’t judge it. Make a note of it and then get back to breathing, and working.” I had the concept before, just not the words, and so it is nice to have the words. Some days the emotions make it difficult to do anything let alone to work out, and on those days, I give myself double credit for attendance, but, I make certain that I’m in attendance. I don’t set high goals for those days, but I do try to make certain work gets done and I don’t beat myself up for what doesn’t get done. Mostly for me the emotion I’m experiencing is anxiety: too much energy to burn and no place to point it. I recall this summer waiting for test results and being so anxious, my bullshit meter was pegged. I asked my boss to please shelter me a bit, because, I knew that if some whiney, self-absorbed, dufus got past the safety barriers, I was going to rip their head off and shit down their neck – fairly anti-social — without context. My boss has been a dear about that. The gym is a place to pit that anxiety and aggression against inanimate and indifferent weights, and to re-create myself. The anxiety is probably the same as fight or flight, and remembering back to my friend M and her observation about couples breaking up I suspect the partner ended up with overwhelming flight response – nothing in their lives prepared them for it, nor did they have a way to convert it to fight and then to burn it up. I’m fortunate to have experiences with martial arts and in the gym that give my points of reference and words for what might otherwise just be an acid bath of emotion. Pick’n’um up and put’n ‘m down that’s how I get through.