Jolie, the day after

I follow many blogs written by woman who either have breast cancer, are BRCA positive or have had a prophylactic mastectomy.  Yesterday after reviewing several of those blogs most covered Angelina Jolie in some way of another.  What struck me as very interesting is the wide range of opinions on her story.  Most women like myself who underwent BPM surgery commend Jolie for using her platform if for nothing else to get the conversation about breast cancer risks flowing.

I was very interested in some that took great offense in how for lack of a better word , simplistic Jolie made the event seem.  In her article she makes a statement, “but days after surgery you can be back to a normal life”.  Now, I had a different surgery since my reconstruction was done by DIEP flap surgery cutting my entire abdomen.  This required many different steps be taken including not being able to move a muscle in the hospital for 48 hours and having someone checking for a pulse in my new breasts every hour which was fun for all. (not!)

When I got home I was no where close to back to a normal life.  Honestly there was a great deal of pain, many tears and for many weeks the belief that there would never be such a thing as “normal”.  I remember weeks after the surgery attempting to walk around the block with the girls and feeling like I would not make it home.  I remember being unable to get in and out of my own bed. I could not lift my arms, bend over or lift anything for what seemed like a lifetime.  I could not shower for well over a month because of the drains which left such large scars that shaving was an issue for months.  I could go on and on but the point is the same, it was less than a normal life for a very long time!

Normal.  I guess it is all in how we define the word.  I will be reminded for the rest of my life every time I take a shower.  60+ stitches left a more than noticeable scar across my abdomen.  I had wonderful surgeons whom I would recommend to anyone. Angelina describes her “small scar”, I am sure she had the best medical care that money could buy and she probably had a better outcome from it than many.  I do not fault her for that at all.  All I do is say that I will agree with those who fell she does paint a much rosier picture than what I found to be my reality.

One thing that was normal for me was the fear that after multiple years of biopsies that the next one would be the one to show cancer.  That the next mammogram would be the one.

With that said, the many of use who have shared our stories could never reach the audience that she has with her name recognition.  As I stated yesterday in my post, if her experience results in women being tested, educated and empowered well God bless her for sharing simplistic story and all!  Maybe it will cause women to take to the internet to read more realistic stories of the process. Causing women to act is the important thing.  Get your mammograms, question your history, talk to your doctor.

I thank god everyday that I had the strength to make such a decision.  I too now only have a 5% risk of developing breast cancer.  Even with the worst of the memories running through my head about the surgery and recovery, I would do it again tomorrow.  I look forward to many healthy years with my family!

Closure

While other celebrated Independence day last year, I laid perfectly still in a hospital bed,  IV’s and monitors attached everywhere.  Glass walls ensuring not a second of privacy. Less than 48 hours removed from a bilateral prophylactic mastectomy and DIEP flap surgery,  I laid in the ICU with crazy beeping machines and alarms because my heart rate continually dropped too low due to excessive (yet needed) pain medications.

I did not yet realize the struggles I was about to face in recovery.  I was not aware that my husband had moved a bed into the family room for me.  I did not think about how many additional surgeries would follow.  At the time I lived 10 minutes at a time. That is how long it took before the little green light on my hand-held pain button would light up communicating I could once again push for a dose of Dilaudid.

Tomorrow I see my surgeon and will be released from his care.  A final ending to this extremely long chapter in my life.  It has been a life changing set of months.  It has made me a better mother and wife.  It has helped me put things into better perspective as to what is really important in life, my family.

I am both lucky and truly blessed.

Waiting for the call….

As 2012 began to wind down, my mobility had returned to almost normal.  Three surgeries were now a thing of the past, just a memory.  The scars from the bilateral prophylactic mastectomy and DIEP flap procedures were healing nicely and the aches were improving with every day.  I began to set my sights on 2013 and a new start, one without worries about cancer risks or surgery.

Then came a visit to the gynecologist in October.  Based on the findings of lobular carcinoma in situ during the BPM, the doctor felt it would be smart to have a pelvic ultrasound due to the link between breast cancer and ovarian cancer.

On November 7, 2012, my thoughts of a worry free 2013 quickly came to an end when complex cysts were found in my right ovary.   January 14, 2013 I repeated the ultrasound hoping for improvement but found worse news.  The cyst was still there and larger, one was now also located on the left and something was seen in the lining of my uterus.  Worry free 2013 was long gone! A biopsy was performed as was a CA-125 blood test.  Both came back showing no cancer.  Instead the item on the uterine lining looked to be a polyp.  An endometrial ablation was recommended.  I decided to wait until a third ultrasound could be performed so we could make a decision about the cysts at the same time.

April 2, 2013 I went for that final ultrasound.  After I did something I do not normally do, I made a list of questions.  I was done having ultrasounds every few months and wanted to be ready for a real conversation about moving forward. Questions such as, Do we remove the cysts in the ovaries at the same time as the ablation? Do we remove an entire ovary or both?  Do we go fully radical and remove it all?

I was prepared for everything except for what came next.  The call came along with the normal pleasantries, how was our trip to Disney?  How was I feeling?  Although I do personally like my doctor, I wanted the results.  She stated with a long “WELL”, I was a bit nervous.  She continued, “the cyst on the left is gone, and the one on the right has reduced in size”. Ugh, what?  Gone?  The words swirled for a second in my head until I finally realized, this was good news!  I actually said to her, “well that is good news, right?” No more ultrasounds!  Not so good news about the uterine lining which showed a new cyst/polyp but we already knew that would not correct itself.

SO, I have a pre-op appointment at the end of May to prepare for the endometrial ablation.   My list of questions went onto the trash. In the greater scheme of where I have been and what I was expecting, a minor surgery! I would much prefer to stay out of hospitals yet, compared to the alternatives, I am pleased, and thankful!