Thursday, August 2, 2012

One step at a time!

First I want to take a moment and say thank you for all of the text, emails, and phone calls today. I know I said it before but it really is something how many amazing people I have in my life! I literally had to buy a new car charger today because my phone battery kept running out! I promise I will do my best to respond to everyone!

Ok, so back to the info! I had my first appointment with my surgeon on Monday, July 30th. Now the fact that my primary made the appointment before I even had my biopsy kind of clued me in that there might be something else going on. My primary had also loaded me up with a ton of reading material so between that, Lizabeth and google I actually felt pretty prepared for my appointment. Oh and of course Andre was in tow with his note pad and pen as well! 

After a few formalities and mountain of paper work again I was back on  a table for another ultrasound.  Yep...tumor was still there! Guess we really are here and this is real! After the ultrasound we went to "the comfortable room" to talk about what was next. My surgeon and I joked that the room really wasn’t that comfortable but at least it didn’t feel like a hospital room! I really like my surgeon. I immediately felt comfortable and confident in him. He didn’t beat around the bush and was totally straightforward about everything. He commented and commended me on how calm I was. I mean I know at some point I will probably get anger and upset and scared and all of the above but all I can think right now is what would that do? Now is the time for action! Ok…so yes…my life is on a bit of a stand still but hey! I’m getting new perky boobs and some much needed time at home! Oh right cancer…back to what the Doc was saying. So far cancer treatment seems like a pick your own adventure book . Except you cannot go back and choose another answer if you do not like your outcome!
Im sorry I have a warped sense of humor but these titles are hilarious! 

First Chapter – Boobs! What to do with them?
A)  Lumpectomy – they will go in and remove the tumor as well as some healthy tissue around it.
a.    Radiation
                                              i.     Chemotherapy
                                            ii.     Hormone therapy
1.    Breast augmentation at some point

B)  Mastectomy – full removal of the breast
a.    Full reconstruction
                                              i.     Implants?
b.   Chemotherapy

Second Chapter - What harmful crap needs to go into my body now?
    A) Hormone Therapy - I am E3+ and HER2 - 

    B) Chemotherapy

Third Chapter - one step at a time! not there yet :)

Well of course me being me I made up my own! I asked what he thought about a lumpectomy with a reduction. I mean…I’d always wanted/ needed one. Why not use this cancer thing as an excuse to have insurance pay for it right? To my delight he thought it was a great idea. Not only would we be performing the lumpectomy but they would be removing a much larger portion that would give them a better margin of getting everything. 

Now, some of you are wondering why I’m not contemplation a full mastectomy. Honestly I have no family history of breast cancer, I’m young, we all know I have more then enough to loose half and still have more then most of you reading this! Haha…sorry…might be a few that doesn’t apply to! 
My surgeon said it was purely as personal choice at this stage and that many women choose it because they did not have the time or want to commit to radiation.  (we’ll get to that) Or mentally didn't or couldn't deal with the thought that there might still be cancer in the breast they still have. 

So….I choose to look into option C more! That takes us to my appointment today with a plastic surgeon. the short version is this! My next step is a lumpectomy and removal of lymph nodes. During the lumpectomy I am also contemplating a reduction.  It will take about a week to get the biopsy back and then we will be able to accurately stage my cancer and know if it has spread anywhere else. Regardless I will then have to do radiation. I will go five days a week for seven weeks.  Good times!

Well…time for me to get going. Lots to talk about today with the plastic surgeon! Depending on what we decide will dictate when my surgery is but below is what i know so far

Thursday August 2, 2012 – Consultation with plastic surgeon
Tuesday August 7, 2012 – MRI – one last test of both breast to make sure there isn’t anything we’ve missed before surgery (oh btw Happy Birthday Mom on this day)
August 15,16, or 17ish – Surgery
5 days after – receive biopsy results and figure out what the next step is!

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