Tag Archives: mastectomy

62: Blog Pictorial

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Aloha,

This blog will be a little different, as it will not be attached to social media. This will be a pictorial blog of my progress, since my last revision in late April.

 

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This is NOT infected, fibrous tissue was removed to help the healing process.second.jpg

This is how it looked after the debridement. My husband did really good in my wound care, he was instructed by my Plastic Surgeon how to care for it.

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This is a healing slow due to the 29 rounds of Radiation Therapy I had May-June of 2016. The latent effects of radiation treatment is the gift that keeps on giving. And because my treatment was on my left side, five years post radiation I will start seeing a Cardiologist, (add that to my long list of doctors)fourth.jpg

Got to LOVE my husband.fifth.jpg

Its coming along……remember that my left breast implant was removed on April 4th, and here we are in the month of June…this is not infected…it is actually healing really nice (finally)seventh.jpg

Skip to the month of July….from an original April surgery. My surgeon has given my the okay to get in our salt water pool ……YAY!eigth.jpg

Here we are three months after the left breast implant was removed. The trifurcation area of the scar is coming along. July 6th I met with my PS, he is pleased with the progress and my next surgery has been set…October 11th I will have my Diep flap surgery . Throughout this healing process, I have managed to avoid infection, by little home projects, caring and intertaining a four year old….Hulu and Netflix!!!

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54: Surgery Date Set

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It seems like just yesterday my breast cancer journey started. As a matter a fact this month marks two years since my diagnosis. It was August 18th that I had my biopsies that resulted with those dreadful words….”you have cancer”! Many of you have kept up with my journey via this blog, and I thank you for your messages and support.

Now that Chemotherapy, Left Breast Mastectomy and Radiation Treatment are behind me, it is now time for reconstruction! The decision to have a Right Breast prophylactic Mastectomy was an easy one for me as I am aware that I am high risk for a reoccurrence.   This past month (July) I had a little scare, I had a Breast MRI, and was called back for a second look on the right breast! I immediately thought “oh crap….here I go again”! Fortunately it was nothing and I was given to go ahead to proceed with the surgery! (sigh)

The surgery will happen on August 22nd, as of today I do not have a time. I will have two surgeons working on me. While the Breast Surgeon is performing the skin sparring mastectomy on the right side, the Plastic Surgeon will be placing an expander on the left side. When the PS is finished with the left side and the right side mastectomy is complete he will the place an expander on the right side. When I wake up, I will have four drains, two of which will be removed one week after surgery. The other two drains will be removed when fluid has subsided. After the scars have healed somewhat, the Plastic Surgeon will then start to fill (inflate) the expanders weekly till desired fullness has been reached. After about three months of healing and praying that my body does not reject the expanders, the expanders will be switched out with the implants. The goal is a C cup:)

People have to understand that this is Breast Reconstruction after treatment for cancer…..it is not an Augmentation…….huge deference! I am thankful for the medical team that I have, but most of all for my husband and family without them this journey would have been impossible,  I know that I am in good hands!!!

I always mention a little something about the picture I include with my blog. My husband  and I took a quick little getaway trip to Maui the last week of June. This sunset picture was taken using a sunset setting on my camera, it cracks me how people (tourist, visitors) leave the beach as soon as the sun disappears from the horizon. This pictures was taken approximately 20 minutes after the sun had set! Dependent on the clouds, there is usually a show of colors AFTER the sun has set….you just have to be patient….dinner can wait !

Mahalo for reading my blog

I just got a call from the hospital, they verified name and insurance etc…. they will call me the day before the surgery with the time of the surgery!

 

 

 

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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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27: Post Mastectomy

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Aloha Friday! Happy April fools day 🙂

Sunday evening I prepared the clothes I would wear to the hospital the next day. I  had been NPO (without food/water) since Sunday 7pm. I had a lite dinner as instructed, which we enjoyed at Monkey Pod here in Ko Olina. We chose Monkey Pod because we were familiar with the menu, now was not the time to try something new.

Getting up at 345 am on Monday March 28th was easy for me. I did sleep well,  however I was anxious to get it done. We pulled up to the valet attendant in front of the Outpatient Surgery attached to Queens Medical Center. Yes “Outpatient”! Lots of people were surprised to learn that this surgery would be done as outpatient! We arrived at about 520am, I was asked to be there by 530am. I signed in, and was attended right away by registration. Shortly after registering I was taken back to the pre-op holding. Everyone who has had any type of surgery knows the drill, you change, vitals are taken, you verify name, date of birth numerous times and confirm what it is you are having done. I had a clear view of the dry erase board that had the surgery schedule on it. All my Rad-tech family knows what board I’m talking about. I was the first surgery scheduled for Dr. Nakashizuka. Patient names were not on the board, the list was separated by surgeon then listed by type of surgery. Each surgeon was color coded, my surgeons schedule  was written in green.

I was her first case, Left Modified Radical Mastectomy Skin Sparing…….715am. Followed by two Lumpectomies and one subcutaneous mediport placement. Today was an observed holiday so the schedule was lite! All vitals were taken, I was ready! The anesthesiologist came to talk to me, he asked if I had a problem waking up from general anesthesia? I let him know that I usually wake up vomiting. With that being said he would give me something for that.

Just before they took me back I was listening to my “Fight Song” by Rachel Platten……it was on repeat!!!!! They Gurney I was on was put side by side the operating table, the room was cold. My gown was untied in the back and I scooted over. I laid with both my arms spread out. I remember Dr. Nakazhizuka coming over and placing warm roll under my left shoulder. Music was playing in the room, but I don’t remember the type.

Surgery was done by 945am.

I woke up fine, with out they usual projectile vomiting. Shortly after I was given a dry piece of toast and a small cup of juice. I didn’t take long after consuming it that the nausea set in. My daughter Monique told me I’m a “clean thrower upper”, cause I managed to get it all in that small emesis basin they give you. I’m a pro at vomiting, after chemotherapy!

The picture above was taken before the 12:00 hour. I was discharged before noon. Yup, up and walking!!!!! Monique went over to the Women’s Health Center at Queens and purchased this robe for me. Patients who get a Lumpectomy vs. Mastectomy are taken from the Mammography department after their Needle Localization to the Out Patient Surgery Center via wheelchair. They are given this spa like robe to cover them up versus a blanket over them. When one of the Lumpectomy patients was wheeled over she noticed the robe and asked about it. She surprised me with one! I love it!

The past days have been spent relaxing here in this house we are renting till April 30th. My son found it thru VRBO. We are staying in the Ko Olina area of Oahu right down the road from Aulani Resort by Disney, my daughter Monique is in heaven……she loves all things Disney!!!

Right now I feel fine, shoulder feels a little numb but other than that I’m fine. I will continue to blog periodically throughout this month…….tired of typing.

Aloha Friday

 

 

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