Saturday, March 9, 2013

What's underneath the bra I'm wearing?












My energy is coming back and I’m starting to feel better.     I had my 1 week post op appointment with my reconstructive surgeon on Thursday, March 7th.    This was my first day out of the house in a week.  I decided to hold off on taking any pain meds because I wanted to be coherent for the appointment.  My mom has been caring for me full-time, which includes driving me to appointments. 

My reconstructive surgeon’s office is in Sacramento.  I thought this field trip would drain me of any energy I had.   We arrived at the hospital in Sacramento, only to find there were no parking spots in sight.  We circled the parking lot for about 12 minutes and decided we better look elsewhere or I was going to be late for my appointment.  I was pretty excited about seeing my doctor because I knew more news would be shared.  I was very hungry to hear everything she was going to tell us.   We found parking across the street.   It was quite a hike from our parking location across the hospital and up the escalator to her office.  Normally this would be a synch to do.  By the time we reached her office I was out of breath, my heart rate was elevated and the pain begins to creep up on me.    As we sat waiting to be called back, I practiced my yoga breathing to slow my heart rate and work through the pain that was lurking in my rib cage, chest wall, pectoral muscles and upper abs. 

In a few short minutes my name was called and we strolled back to the room.   By this time, my bandages are completely soiled from the external bleeding that had occurred on and off throughout the week.  My skin was itching daily, so I was ready to get the bandages off!

Prior to my surgery my reconstructive surgeon said it was really important to look at myself after surgery and not to look away from my chest in the mirror.  This thought was a bit daunting as I had seen many pictures on the internet and they all caused my stomach to turn.  I thought I would have to sign up for therapy to get through what she was asking me to do.   After surgery, they put clear bandages along the side of your chest/upper ribs, where the drains come out.  You are able to visually see the incisions through these bandages.   They had taped white gauze over the vertical incision made on each breast and placed two large gauze pads over my chest and wrapped a special bra around me.   I wasn’t able to see anything with the bra on, however when the nurses would check on me at the hospital I would look down when they opened my bra and I could see the top of what used to be my breasts.   I thought, wow that actually looks really good…I think I want to take a closer look.  I reached down and pulled the large gauze that is loosely lying over my chest/breasts…not sure what to call it right now since the area is flat.  Anyway, I pulled the gauze away from my body and looked down.  I could see a very small curve at the top of my breast.  This was the tissue expander, which has been placed underneath my pectoral muscle.  They place them behind the muscle to stretch the skin and muscle beyond normal expansion in order to insert the permanent implants in 4-6 months.

When I got home and was able to move around a bit, I would go into my bathroom and open up my bra and look at my “breasts”.  I was familiarizing myself with my new look.   The only thing that was covered was the vertical incision where the nipples once were.  Because I couldn’t see anything, my mind and I still visualized nipples being under those bandages.  The first few days there was no bruising. The skin was clear, soft and quite lovely to look at.   I was surprised I could do this without freaking out.  As the swelling lessened the bruising appeared.   I have green, purple, blue and yellow coloring that covers both breasts, rips and goes down to my upper abs.   It’s really important to familiarize yourself with your breasts and to look at them every day because you need to look for changes.  If there is unusual swelling or discoloration, you need to be seen.  You can’t know this unless you are brave enough to take a peak.  That peak has led to daily looks in the mirror.  Sometimes I look at them several times a day.  I’m fascinated by my new look and want to see more!

The doctor sits down with us and removes my gown.  I’m not referring to a gown you would wear to a ball or party…this gown is far from that look ;-).   She looks at both breasts, feeling them from top to bottom and all around.  Everything looks and feels normal.  She looks at all four drains and asks which ones are draining less than 30 ML of blood.  We tell her #2 and #3.  She says, we will remove those drains and leave the other two.  I’m ecstatic!!!  I had no idea I would be getting any of my grenades or balls as we have been calling them, removed.  Happy Day!!!

My mind starts to drift and I suddenly realize I haven’t taken a Norco (pain meds).  Oh my gosh, this is going to hurt.  It will probably feel like sharp stabbing pains when she removes these drains.  The tubes snake from the sternal head (cleavage) of my pectorals, out through my ribs.   That distance just seems like there will be pain with it.  

She’s removed all the gauze and tape and takes drain #2 and says, take a deep breath and blow out, when you blow out I’ll remove the drain.  I take a deep breath and am ready to feel everything…I blow out and viola she is done.  I didn’t feel a thing.  Wow, that was easy!  Let’s do the other side.   She has now removed all the dressing from the right side and I repeat the breathing.  Only this time, I’m looking down at the breast.  I can see the end of the tube at my sternal head and want to watch it snake its way out of my chest.  She pulls as I blow out and I can feel and see the little tube withering its way out of my chest.  AMAZING!  No pain at all.   If anything, I feel fantastic.  She’s cleaned the areas with alcohol which felt absolutely divine.  It soothed all the itching I had.  I didn’t want her to stop it felt that good. 
Now she starts to pull of the tape and dressing that is covering the vertical line.   I can’t feel a thing.  My breasts are still completely numb.  She tells me it will be like that for quite some time.   All the dressing has been removed on both breasts.  I ask my mom how it looks and she nods and smiles letting me know it looks good. 

We head out of the doctor’s office and I have never felt better!  My energy level is up, I’m thrilled to only have two drains dangling from my sides and my blood pressure was at its all time low since my diagnosis.  Thursday was the happiest day I’ve had with my cancer.  It now feels like we are getting ahead of it.
As soon as we got home, I rushed to the bathroom to look at my breasts.  It is a trip to look in the mirror and see that I have no nipples, no reals breasts at this point and all this bruising, but I still love who I am.  This does not change me inside.  I look different, but I’m excited to watch my breasts grow each week as they get filled with salt water.  As my girlfriend said to me…I get to grow my own breasts!  I can’t think of a better attitude to have about that.

My pectoral muscles are working on a regular basis.  I have pectoral contractions throughout the day.  For those women who have been pregnant, they feel like Braxton hicks contractions, only in your chest.   For all you guys who have had your blood pressure taken; that’s the sensation I’m having in my chest.  This is a normal reaction the muscle is having to the stretching process.    I continue to believe that life has prepared me for this moment.  I know all the weight training and cardio workouts I have done over the past two years in the bodybuilding sport have allowed me to bounce back quicker.   Most women feel much pain with their pectoral contractions.  The contractions are slightly uncomfortable, but more annoying than anything.   They aren’t painful for me what so ever.  I believe that is due to the amount of weight-lifting I’ve done.  My pecs are used to be stretched and torn on a weekly basis…this is just another exercise for them!    Interestingly enough, I have very thin muscles so I have to be extra cautious about my movements so that I do not actually tear the muscle apart, while I am in recovery.    My arm movement will continue to be below shoulder height until told otherwise.

I finally got my hair washed and styled after a week of not being able to wash it.  I can’t take a full blown shower yet.  I’m not allowed to get my breasts, or drains wet.   I’ve been using a wash cloth to clean my body and yesterday my hairdresser washed and styled my hair.  I feel really good!!!  Outside of my pain, stiffness and inability to be able to work out, everything is OK!
I’m enjoying each day and not looking ahead or worrying about what is on the next page.  It will be 2 weeks before we hear what my treatment plan is going to look like…why spend those precious days stressing out when I can spend them relaxing, visiting with friends and enjoying all the delicious food they are bringing over for my mom and me.

Everything is perfect…I wouldn’t change a thing and I don’t have any negative feelings about being struck with cancer.   My favorite quote is “God gives us only what we can handle.  Apparently God thinks I’m a bad-ass”.   AMEN to that.

Love to you all,
Teresa 

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