Tag Archives: breastcancer

Back on Maui

Jack and I arrived on Maui Wednesday the 15th, just al little over a week ago. We got somewhat settled, our daily routine in the morning with shower and dressing the left takes my husband about 1 1/2 hrs in the morning. I still have to two hip drains and those are emptied and logged 2x daily. Unfortunately the incision started to pull open. Our communication with the PA in Louisiana asked my husband to pack the opening after cleaning it with Dakin’s Solution. Well, we can not purchase Dakin’s Solution anywhere on this island, we ordered some on amazon. There was also a piece of tissue sticking out that they told my husband we can cut off with sterile scissors. This was a bit beyond what my husband was willing to do. Unable to get get at the Wound Care Clinic here on Maui, my PCP Dr. H. Haynes managed to get me to be seen Monday with Dr. Lugo here on Maui. I can not tell you how grateful I was that he worked me in on Monday.

Dr. Lugo assured me that the flap was doing well and that the healing process would just take time. He changed the dressing which included snipping off that hanging tissue and showing Jack how to clean and pack the open wound. Since we are unable to get Dakin’s Solution we are using sterile saline, which the surgeon in Louisiana said was ok.

On Tuesday we talked to the surgeon in Louisiana and discussed the wound care. On Thursday (yesterday) I gave them updated pictures of the open wound. We give them pictures on Monday and Thursday. This morning (Friday 3/24) the P.A. called to let us know of the meeting with the surgical team they had with the pictures I have been supplying them with. They asked we would be willing to return to Louisiana so that they can be more hands on wound care. Jack and I leave on Sunday arriving in Louisiana on Monday, will go straight to The Breast Center, where I will be seen at the clinic than admitted to their hospital.

Physically I feel really good, I am literally not doing anything. I pass my time reading, painting by numbers and doing puzzles on my iPad. The picture above is a completed puzzle, you have the option to save it as a picture when done.

I am no artist, but below is a drawing. Normally I would add pictures, however I am choosing not to, due to how graphic they are.

Tomorrow I am entering a new decade (as my dear cousin put it, we are both 1963 babies) I will be relaxing and prepping for our trip back to NOLA.

Mahalo for reading and all the well wishes…love to all

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Recovering From Surgery

I have been wanting to blog for a couple of days now. I was discharged from The St. Charles Surgical Hospital on Saturday March 4th. My husband Jack stayed with me the whole time as each room is private and has a Murphy Bed for you significant other. Each day nutritional services takes down your order for breakfast/lunch and dinner for both patient and family member.

I remember when I was taken back to pre-op shortly after arriving at 6am, Jack was told that he can wait for me in my room (more like a suite), Suite 217. After changing into the gown the Physical Therapist came in and wrapped my left arm, which stayed wrapped for several hours after the surgery. It was challenging for the team to find a vein for I.V. access, one of the Anesthesiologist is the one who was able to get it after they placed my arm in a heated blanket. With that being said they did not have multiple nurses attempting to access my vein. They immediately let the Anesthesiologist know that they were unable to start my I.V. After the I.V. was successfully started I was taken to the O.R. I remember getting wheeled out of pre-op and that’s it!

The operation was over eight hours long, I do not know the exact length. I was brought to my suite between 7-7:30pm, making the surgery 12 hours, but I do not know how long I was in post-op. Either way , it was long. My incision is 360 degrees around my waist line. Bilateral SGAP and they harvestesd veins from abdominal area, hence the incision across the belly. I knew going in that, that was going to be a possibility if the veins from the back side were not long enough, they would harvest veins from abdomen. Drains were a total of six. Right side; Breast, Abdomen, Hip. Left side; Breast, Abdomen, Hip. I was up and walking the next day (March 2nd) and was going to be released on Friday the 3rd. However because I threw up my breakfast they opted to keep me till Saturday the 4th. Jack then took over my care, keeping track of pain medication times, draining the tubes, documenting the fluid for each individual drain, helping me shower, shampooing my hair and redressing the incisions, putting back on the compression girdle and compression bra.

My post-op was on the 8th, four drains were removed, I still have both hip drains. Everything is looking really good. Challenging for me is that for the next four weeks I have to sleep on my back, can not sleep on my side (I am a side sleeper) or tummy. Also the compression garment that I have to wear. My next post-op appointment is Monday the 12th, I should be released to travel back after that.

I am really trying to make these blogs short, one last thing. Thank you for all the prayers and get well wishes thru this blog and social media.

Aloha Pina

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Surgery Number 9, But Who’s Counting?

Tomorrow is the day! Over a year in planning, the day has come. I’m excited for the end result. I am emotionally ready, SPIRITUALLY READY, physically ready and with the love and support of my husband, family, friends and medical teams both here in Louisiana and on Maui I know this will be it! Since the beginning of this year every Friday I have had countless appointments leading up to this. Labs, urinalysis, physical therapy, dental cleaning, EKG, wellness therapy appointments have been non stop. Surgery number 9, but who’s counting! The day has finally arrived!

Todays appointments consisted of Physical Therapy, went over lymphedema of the left arm. My left arm will be wrapped from fingers to just above the elbow. My upper body strength and range of motion was documented, and we went over post-op therapy. I was then taken to radiology to have a Cat Scan and sat with nurse to discuss what would happen once I arrive at The St. Charles Surgical Hospital tomorrow morning at 6am. The pre-op nurse went over all the pre-op instructions, and gave us (my husband and myself) plenty of opportunities to ask questions. The Anesthesiologist also sat with us and went over everything. My final appointment was with the Surgeon and his clinic with one of the facilities P.A’.s. To say that this hospital is well organized, kind, empathetic and know how to place one at ease is an understatement. My body has been marked with the purple pen mapping out the plan. I have been given the Hibiclens (very familiar with that). The challenge for me will be NO products on my body, hair etc. after my shower this evening and tomorrow morning. It going on 9pm here in Louisiana, time to start prepping for tomorrow.

Mahalo for all the well wishes and prayers (KEEP THEM COMING)…Aloha Pina

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HEADED TO NOLA

#69 HEADED TO NOLA

It has been a bit since I have blogged. Initially the purpose of this blog was to keep my mommacita informed, she was my biggest fan. Since the summer of 2019, when she passed, so much has happened. Got situated on Maui, back at work at Maui Diagnostic Imaging. Then we rolled into 2020, and we all know what happened that year. I stepped into Lead Mammography position as my co-worker left the island that summer.

In December of 2021, I contacted The Center For Restorative Breast Surgery, which is a hospital dedicated to breast reconstruction. My husband and I had our first zoom appointment with them. I then spent the first months of 2022 gather all and requesting all my surgical notes ( 9 breast surgeries) from the hospitals were they took place. It was a process doing all by phone and email, faxing etc. Once I had all my notes I then forwarded them to the Breast Center. Their team then reviewed all, along with pictures of myself that were sent thru a private portal. We were then offered an in person consultation which we did on October 17, 2022.

I was nervous and excited. Meeting them in person was the right thing to do vs. zoom and or conference calls. My husband and I sat with the surgeon and one of his assistants, he was extremely kind and thorough in explaining what could be done in my particular case. The in person consultation was exactly what I needed to put me at ease and hear his explanation of the recommended surgery vs. reading about it. When we left, I felt really good and hopeful. The decision was made to do the surgery in early 2023, since it would require 2 surgeries. Having it done in early 2023 would allow both surgeries to be done in one billable year, the Breast Center pointed this out. This center is so well organized, different teams reached out to me after my consultation. Scheduling, Financial team, Housing recommendations contacts, pre-op test etc.

Surgery is scheduled for March 1st! We have had our airbnb reserved since last year when the surgery was scheduled. When we were in Louisiana for the consultation we stayed in the French Quarter and did a little sight seeing then. This time around will be different, our stay in New Orleans will be post-op and recovering. I will be required to stay in NOLA for two weeks, before giving the okay to fly back to Maui.

The Procedure: Surgery will be about 8 hours long, it’s called SGAP breast reconstruction. For those of you that have been following my story, know that my right breast was a prophylactic mastectomy, currently with an implant. The implant will be removed and both my reconstructed breast will be with my own adipose. This being done for symmetry and realistic volume of both breast. At this point all I want is two breast. I am so over wearing a prosthetic breast and having the void of a left breast and being uncomfortable in certain clothes. I know that my breast will never be like pre-cancer breast, and I’m okay with that, I just want my new normal to feel a bit normal.

The picture above of my mom and I is one of my favorites, I miss my mom, that picture was taken on March 26, 2012. My birthday is the 25th, we always spent the day together for my birthday. My mom throughout my breast cancer surgeries always prayed for me, I know that she will be looking over me.

Mahalo for Reading my blog…much Aloha, Pina

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#64 DIEP FLAP RECONSTRUCTION

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Mischief and Repose, 1895 Oil on Canvas…The J. Paul Getty Museum, Los Angeles

How does one prepare for a surgery like this? The name is intimidating, Diep stands for Deep Inferior Epigastric Perforator artery, which runs through the abdomen. A lot of people think Diep and Tram Flap are the same…not so. The Tram Flap utilizes the muscle where the Diep uses adipose (fat) and the skin along with blood vessels. I am fortunate that my Plastic Surgeon, Dr. Frederick Eko performs this microsurgery.

With that being said my surgery date has been set, it will be on October 24th. I will be hospitalized for three to four days, two of those days will be in ICU. The surgery will be performed at Eisenhower Medical Center in Rancho Mirage.

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My husband and children are all making plans to care for me post surgery, I am blessed to have them available for me. My Diep Flap surgery will be on my left breast. My left breast is the one that had to have the implant removed due to “implant failure caused by irradiated skin”. When the left breast implant was removed on April 4th, all the dead skin was removed as well. Now that is has healed completely you can literally feel my ribs! I tell people that it is like the pictures of the “Radical Mastectomies” from the 1960’s. The right side will also be worked on…a revision is necessary, I have excess skin. That implant will be removed and replaced with a slightly larger one, and some skin will be removed.IMG_6779.jpg

The black lines indicate where my current scars are. The scars on the left side will be gone, the new scar will look similar to the picture above. For the right side revision the scare will remain the same. My OR room has been booked for 10 hours. I have a preoperative anesthesia assessment appointment on the 18th, body marking on the 23rd (that’s where the surgeon will draw on my body) and surgery on the 24th.

It has been one long journey….I just want two boobs..or shall I say “foobs” (fake boobs)

Above is one of my favorite pieces from the Getty Museum, the shear fabric, the detail….I could go on and on. I see this picture, and it’s like she is saying “uhh, I just want my reconstruction to end…two boobs…I just want two boobs”

MANY MAHALOS FOR READING MY BLOG

Prayers and well wishes are received with gratitude and love……Pina

 

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#59 Post Surgery

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Author unknown……..who wronged me…..Cancer

It has been 12 days since my surgery, every day is better. The expanders have been removed and the Saline Implants have been inserted. My surgery was done on an outpatient basis, therefore after a long day that started at 630 am, I came home that same day. The surgery itself took about 4hrs then about……honestly the drive home is a blur, I do remember it was already getting dark.

My husband picked up my medications (pain med and an anti-biotic) at our local pharmacy, the time on the receipt is 7:34 pm, so that gives you an idea of how long of a day it was. Once I was home I was fine, not nauseas, however all that changed a couple of hours after being home.

The vomiting started, apparently steamed broccoli and red rose potatoes with a dairy free cheese sauce is considered a “heavy meal”……..my discharge papers did say “regular diet”. However after calling the plastic surgeon to let him know of my inability to keep anything down, he said I should be on a light diet till my entire body wakes up from the effects of the anesthesia. He immediately prescribed Ondansetron for the nausea.

Dr Eko did offer to admit me into DRMC for one night following the surgery which I declined. My history from waking up with projectile vomiting after general anesthesia prompted this offer. I was not experiencing  nausea when he asked me this question, so I told him I wanted to go home that night. The anesthesiologist, fully aware of my history had given me anti-nausea medication during the surgery………..here is the sad part,  I immediately thought of the insurance and would an overnight stay be covered! My surgery that took place on August 22, 2017 did require an overnight stay, however the insurance is fighting paying the bill! They are challenging it saying that an overnight stay was not necessary. I don’t understand how they could think that it was not necessary….I should send them the picture from my blog with the four drains!!!

Speaking of drains, this surgery did not require drains, just stitches with a transparent dressing across the chest. The dressing was removed at my first post op appointment on February 7th. I am a little swollen, I do have completely mobility of the arms.

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The pink restricted arm band is due to my having my Lymphnodes removed on my left side when I had my mastectomy. I could only have blood draws and or I.V.’s on my right side now….this did not hurt, my veins were hiding. It bruised up pretty ugly, also bruised up at the wrist in two areas where she attempted to start the I.V., she was successful in the end…………I actually felt really bad for her, and I do remember when we were chatting I asked her how long she has been a nurse, it was 30 something years. At least she was gentle.

Whats next? I can not exercise (Pilates) for 6 weeks! I could only walk, however I think I might have broken a toe! Yes, that’s right…..I walked into a chair slamming my right foot into it. The bruise in now surfacing, the toe hurts like no other, I am beyond upset about it. My husband offered to go on a walk with me as he knows I want to do some type of physical activity. I put my tennis on, oh and it hurt. We walked down the street, I was in pain but refused to give in….I wanted to go walking! It was painful!!!!! When we got home and I took my tennis shoe off my foot was throbing…..can not believe I did that to myself. Jack had no clue as to the pain level, because I did not say anything!

If you have read to this point I thank you so much for reading my blog

My next follow up appointment is next week on the 21st, we will be discussing the procedure to create a nipple on my nippleless breast! Stay tuned!

Pina

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55: Reconstructive Surgery

 

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Ok, This shit just got real! Warning graphic picture included in this blog

My surgery was one week ago today. It is kind of hard to describe what goes through your head as you are going to the hospital, walking in, registering, signing the anesthesia consent and being told the risk……reconstructive surgery is a choice, not a medical necessity. I decided I wanted this. As a licensed Mammogram Technologist, when doing a mammogram on a patient with implants, sometimes I wondered why they did it. Especially when they appeared to have adequate breast tissue in front of the implant. And what didn’t make sense, is when they had risk factors for breast cancer and got implants placed! I always thought I would never get implants, just wear good bras to bring the girls up some! LOL! My road to implant placement is different, it’s reconstructive surgery after breast cancer.

I will be forthright in sharing my experience as this has always been the purpose of my blog…..to share truthfully, to educate, to share my BC journey, so my apologies if anyone is offended by words typed or pictures posted.

I was wheeled out of pre-op into the operating room about 1250, with the surgery ending about 1830hrs, making surgery time just under six hours long. I was admitted to the hospital third floor at DRMC. I don’t remember much of the first three days after surgery, I think the pain pills had something to do with that! I do remember vomiting when I got to my room and feeling like my chest was going to burst open! Once we got home after my one night stay at DRMC, I do remember my eldest daughter (nurse Nikki)  making me eat regularly and giving me a slew of pills on a regular basis, draining and stripping my drains, documenting the fluid from each drain three times daily, showering me and dressing me.

My arms ached and the did not extend out much, initially after surgery.  I was so thankful that by the time I had my first bowel movement (4 days later) I was able to clean myself! I would have been mortified asking my husband or daughter to wipe my #@** ! My daughter was not too concerned that I had not pooped till then as I was passing gas regularly…..I realize this is one of the TMI moments! OK, enough of that subject.

My husband (quite the comedian)  says I have Tyrannosaurus Rex arms! He is having fun (at my expense) about my limited reach! (maybe I should have had him wipe my #@** ! However,  he has been quite helpful with draining my drains, showering and combing my hair etc. You don’t realize all the things that you can not do for yourself after a surgery. The plastic surgeon was clear when talking to my family that I could not do anything! So it has been a little hard on me know that I am more mobile. Simple things like tidying up the kitchen, or wiping a spot on the tile floor….I just have to look away, my family has been great doing everything.

How does it look?

The expanders are placed really high on the chest wall, literally just below the clavicle! I knew this so I was not freaked out when I saw them for the first time…..I am swollen, with time this will go done. I have the four drains coming out of my body, which I know some people get freaked out about. I have an appointment tomorrow Wednesday the 30th with the PS, two of the drains will come out. (ouch) Right now the scars are held together with a type of Dermabond (skin glue). For me too look at my chest wall right now I am a bit taken back on the appearance of them. But I know that this is not the end result, this journey will not be finished till the end of this year. So please keep that in mind when looking at the picture that I will include with this blog. I thank you for reading this blog to this point, as I realize it is a long blog.

I am literally a little nervous about the following picture, but if these pictures just helps one person out there debating weather of not to go through reconstructive surgery then  it was worth posting. And if you are on the fence of decision making please follow my blog to see the end result towards the end of this year, if that is too long to wait then research reconstructive surgery pictures……your Plastic Surgeon should be able to provide you with pictures as well.

I seem to have breezed through Chemo, Mastectomy and Rad TX, but honestly this shit just got real! I remember my husband telling me not to do reconstruction for him! My response: Oh, IF I have to go through this shit (meaning treatment) I’m going to get new ones out of it!………..So bring on the final phase………Reconstructive Surgery.

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The first pictures was taken on our 20th wedding anniversary trip to Maui…here we are in our 30th year of marriage, who would have thought we would be going thru this (notice I said “we”) because your diagnosis affects the whole family! I am blessed to have a very supportive one ……….#bumpintheroad

Thank you for reading……Pina

 

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52 & 53: Reconstruction

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I’ve never been one for selfies but I wanted to share how much my hair has grown and how curly it is! My hair BC (before cancer) was curly but not as curly as this…. I will take what I get as some women that were given Taxotere are not getting hair growth back.

June 20th marked one year since my last Radiation Treatment, I had a total of 29 rounds to the Left chest wall at The Pacific Cancer Institute on the island of Maui, from May 11th to June 20th. The plan all along has been to do delayed reconstruction. My team at PCI thoroughly explained skin care to me which I followed to a tee. The week after I started Radiation treatment I was referred to a physical therapist for John Barnes’ myofascial release technique massage. I saw my therapist twice weekly thru the month of July 2016.  I was also prescribed Mometasone Cream for me to “gently” apply post treatment. Hence, my skin flap is pliable, and not hardened.

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These pictures are of  just two types of reconstruction surgery known as Autologous of “Flap” Reconstruction. This is not the type of surgery I will have but the surgeon did go over the details of these two types of surgery. Reason being, IF my body rejects the Implant Reconstruction, this is “Plan B”. I will pray that my body does not reject the implants as these surgeries are more invasive.

 

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53:  A Show and Tell Moment

In February of this year at my first meeting with my Plastic Surgeon he gave me homework. He wanted me to research as to how many cc’s I wanted my implants to be. I told him on how before cancer my breast were not symmetrical, my left breast was larger than my right breast. Although this was not noticeable with clothes on, I was limited to style of bras and swimsuits because of this. So, I told him I wanted them to asymmetrical (same size)…..he smiled and said he can do that. My husband chimed in and asked the surgeon if he can place a set on my back so he would have something to hold on to when we slow danced!!!!! We burst into laughter….got to love my husbands sense of humor!!! ( I hope this doesn’t offend anyone)

So, how does one determine reconstruction size? You google it, Pinterest it, or simply ask a friend! I was at the Cancer Center talking to my good friend and fellow Mammography Technologist Extraordinaire. I mentioned my dilemma to her, before I know it Catherina and I are in the bathroom for A Show and Tell Moment. She was quite impressed with how pliable my skin sparring mastectomy is, as Mammographers we are oh too familiar with what a post radiated breast can look like. She showed me her implants and her size, decision made, I will shoot for a “C” cup! I also have to keep in mind and make it clear to my readers that mine is a “reconstruction, post mastectomy” and not a “breast augmentation”, so end result can vary…..I will have no nipples, they can get tattooed on later!

Exactly what is a Modified Radical Mastectomy, Skin Sparing? Basically my nipple was removed (I opted for non-nipple sparring) along with all the breast tissue. For those of you that have been following my blog from the beginning, you will recall that the Breast MRI that was done when I was first diagnosed found an additional cancer on my left breast,  4mm away from the fascia of the chest wall, straight back from the nipple at clock face 12:00. What is left behind is a deflated breast, all my breast skin was sparred minus the glandular tissue…….I have a deflated boob.

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I was in Redlands last week signing a release of medical records for my primary doctor in Palm Springs, he wants surgical notes of my Hysterectomy/Oophorectomy from 2009. (I sure am missing a lot of parts now!!). I stopped in at the Women’s Health Imaging Center to say hello to Renee, we chatted a bit about my blog amongst other things. I showed Renee this picture and how I wanted to share what a “skin sparring” mastectomy was. I took this the above picture after doing my exercises, I was cooling down, stretching. But I wanted to show more, I wanted to share the actual skin flap.

So what does a good friend do….offer to take photos for your blog!!! Renee and I quickly go into one of the mammography room, off comes my blouse, bra and Betty (that’s my prosthesis name) another Show and Tell Moment! Mahalo Renee for taking these pictures for me on a whim!

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Needless to say, I am ready for reconstruction. Today June 21st I went to the Plastic Surgeons office, the appointment went well. My husband Jack was with me. There was a moment of laughter when the topic of the prophylactic mastectomy was discussed, the surgeon asked if I was going to spare (keep) the right nipple? I said no, I don’t want to be like a one-eyed pirate when the nipple is hard! I closed one eye and said “arrrrggg”, the surgeon laughed……it was a funny moment. So what’s next? The  Breast Surgeon’s office will be contacting me to schedule labs, chest x-ray and an EKG. The surgery will then be scheduled. The Breast Surgeon Dr. Laura Lee will do the Right Prophylactic Mastectomy and the Plastic Surgeon will be doing the reconstruction placing the expanders. Post operative I will have four drains, two on each side. Two of them come off one week post-op. The other two come off after the fluid drainage has subsided. Expanders will be expanded every week until desired fullness is obtained. Then, three months later, like in December sometime the expanders will be switched out for the implants.

Holy smokes this is a long blog! If you read it to the end, many thank yous.

Mahalo, Pina

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48:Time Flies!

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Aloha everyone, my how Time Flies! It has been one whole month since leaving Maui back to our California home in Yucaipa. I am adjusting daily, the hardest thing has been the weather. I don’t believe there has been a day where it has reached 70 degrees! The above picture was taken last night from my home…..one can never used to how beautiful sunsets are.

I have established with my new medical team here in southern California. My new medical Oncologist is at the Cancer Center where I used to work prior to moving to Maui. I have had two appointments with him last month, the first being on February 13th. I was a bit overcome with emotion on that day, it was just surreal to walk in there as a patient and not an employee. Everyone that recognized me gave me hugs and well wishes, again the morning was rough for me. I really like my new Oncologist, he took the time to talk to me about my past treatment and the plan moving forward. I still have my medi-port, so he had the nurse flush it, and draw labs before I left. I have nurse visits for port flush for the next two months with my next Oncologist and labs appointment on May 25th. I established with a Primary Care Physician (PCP), also in the Palm Springs area, he ordered labs as well, I go back to see him next week to discuss the results of those labs. My PCP also asked about my decision to do a prophylactic mastectomy. My response “dense breast”. For those of you that have been reading my blog from the beginning you will recall that my breast cancer was not caught early due to the composition of my natural breast tissue. Which brings me to the picture below! Looking at the formation of those clouds reminded me of my dense breast tissue!! The white represents dense tissue and the blue representing fat. LOL….only a Mammography Technologist will look at the clouds and compare it to breast tissue!!!!…..yay,  try to find a tiny cancer starting in that hot mess!

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Plastic surgeon appointment:

I met with a plastic surgeon to discuss my reconstruction options. My husband was with me which words can not describe how much his presence there made a difference to me. The plastic surgeons office had an extensive questionnaire which was emailed to me and I had plenty of time to properly fill it out. We talked about the options of reconstruction (which I will save for another blog)

Basically, my last Radiation Treatment was on June 20, 2016 I had 29 rounds…..so, he will not do the surgery until one year has passed from that date, giving my skin enough time to heal from the mastectomy and the radiation treatment. My next appointment with him is on June 21st, which at this time we will proceed and get the prophylactic mastectomy and reconstruction scheduled.

Mahalo for reading my blog

Pina

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47: MDI Ohana

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Much mahalo MDI for all the love and support since my Breast Cancer diagnosis! God has a plan for all of us and I truly believe I was meant to discover my breast cancer while living and working on this beautiful island of Maui. My decision to stay here and go thru my cancer journey here with all of you was the right choice. Because of all the love and support from my MDI Ohana, the Maui Canoe Club, friends we have made on this island and my family, I was able to kick cancers (you no what!) It was an honor to work with such an amazing team. My Oncologist thought I was nuts when I refused to get put on medical leave during my treatment, this job is what kept me motivated, and helped me thru the aggressive treatment with flying colors!

To all the patients that have reached out to me to wish me well, I thank you from the bottom of my heart. Mahalo Ruth (printed with permission) for the dinner date, I enjoyed our visit and will keep in touch

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Today was my last day working at MDI, this time next week I will be on a plane to California. This will be my last week end living here, so until February 3rd, I will be tying up loose ends before I leave and enjoy the island.

Mahalo Maui for being so therapeutic for me!!!!

Mahalo for reading my blog……Pina

 

 

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