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Tuesday, November 12, 2013

11.12.13

Todays date....11.12.13

I've been told this won't happen for another 100 years so I thought I might as well take this opportunity to put it in print.

I've blogged this 5th day post op already but it's now the end of the day and I'll update my activities a bit more:

My hands remain strong and I'm able to do most of the house work. I ran the sweeper today, and mopped the kitchen floor, made a meatloaf with potatoes and fresh candied carrots. I did take a lot of down time on the sofa this afternoon but only because I had done all the housework that needed to be done.

Tonight is supposed to be the coldest night of the year so far. Frost warnings are out. I've seen where my home state of WV has already got their first snow fall so winter is officially here and I'm thrilled. I step outside occasionally to feel the brisk air that is our current temperatures. Winter in this state is my favorite time of year!

I'm looking forward to the time when I can get the JP drains pulled and be free of them. Each day there is less and less drainage to collect.
20 cc on #1, 22 cc on #2 and 20cc on #3. Number 4 was removed on the 4th day post op.
And that's my final update for today.

Tuesday, Day 5 Post Op

Clinically: The drains are collecting less and less fluid. I'm now wearing a wonderfully flowing Maui Maui (clueless on correct spelling of that) but it works wonderfully to not hooking those tubes from the wound site on the bed posts as I careen around the bedroom and on other pieces of furniture as I wander around the house. I've been told that "walking" was not what I do. I speed and I have only one speed which is HIGH.

I'm getting antsy around here. I'm ready to get the drains out and get out and about. The pain level remains low, some stinging and burning is answered with a Tylenol ES. I drained the JP's last night, relieving my daughter of the task and assured her I would be alright taking care of them this morning.

Yesterday, without stress, I washed dishes, did laundry after stripping the king size bed and replacing the sheets, swept the kitchen floor, shook out the rugs and placed them in the washer. I really haven't lost any strength in my hands. I can grip a lid on jars and open them. I can get in and out of bed with ease. I'm sleeping through the night on my back. Occasionally I will wake because I have rolled onto my left side and become uncomfortable. I reposition myself and go back to sleep. I am taking my Ambien at bedtime.

 I'm doing small tasks spaced apart in time.

Last night as the husband was watching Monday night football, I slipped into the living room and turned on the TV. Piers Morgan was on and interviewing women with breast cancer. Some of these women had already had their bilateral mastectomy. It really struck home as I am just days out from that same surgery and all the emotions that went along with having it done. It's a surgery that impacts a a persons psyche like no other. Some of these women just wanted the cancer cut out immediately while others feared and mourned this loss. I watched the video of the doctor in the OR dancing with her surgery team prior to her bilateral mastectomy. I never arrived at the "joy" prior this surgery. We all handle it differently.

I have yet to see the incision site. I'm not ready. Carrie has already questioned me about when she can see it. I told her we would look at it together soon. I want to be able to have her view it as any other scar, be it on a leg or on a arm. I don't want her to be cultured to believe that breasts are the most important accoutrement on the female body. We stress that her brain is the most valuable part she has.

  I'll have some pretty camisoles to wear by the time all the tubes and dressings are removed. We will view it unemotionally is my hope.

I left a message with the Cancer Center for my oncologist to let them know the surgery was finished. I'm sure I will have weeks dedicated to recovery before the remaining chemo and radiation is started.

It's not over with this surgery. I might be 1/2 way there though!






Monday, November 11, 2013

November 11th, First Post Op Visit

This will be a short post to record the first visit post op from the mastectomy.

The PA came in and inspected the site. She changed the bandages and looked at the drainage recorded  to each JP drain. Number 4 drain has less then 10 cc for the past 24 hours so it was pulled. She snipped the stitch holding it in and gave a little tug and it was out. No pain noted. I have an appointment in a week for her to check the site again. She said I could come in any time during the week and get other drains pulled if they showed 10cc's or less drainage in a 24 hour period.

We talked a bit about the surgery. She said it took the doctor longer then expected because of the size of my breasts. She wanted to know if I could tell a difference now that they were gone. Was my balance off? I must admit, the first time I stood up at the hospital I staggered a few steps. The nurse thought it was because of medications but at the time I thought it was the difference in what was missing!

Eleven pounds of breast tissue was removed. A gallon of milk weights 10 lbs. Imagine a 10 lb bag of potatoes strapped to your chest? Ok, I'm just trying to relate!

I did tell this young flat chested PA that I wasn't interested in a reconstruction. I think being flat is awesome and something I am going to embrace. She said there were young women who were fine with not having reconstruction and that there were 80 yr.  old women that wanted reconstruction. "It's a very personal choice." she said. I'll be interested to know if I have a change of heart a few years from now. And this same PA said she had never been interested in having a bigger chest! Bravo!
I think even small busted women's breasts pass a stage where they are no longer perky. Breasts have an expiration date on "firmness, perky and sexy." Age stamps the expiration on both large and small.

I don't want to spend more time then necessary focusing attention on a chest. Had it been a leg or arm, I might feel differently.

My question now is since we here in the USA have such an aversion to nipples, can I go shirtless? The women on the beach wearing nothing more then pasties and a thong are "legal".  Will I get arrested in New Orleans for removing my shirt at Mardi Gras?
I'm off here to relax for a while. I'm not allowed to drive so I'm dependent on others still. I'm always impatient  on this kind of thing. Chill...breathe....relax.

Day 4 Post Op

How did I sleep you might ask on this 4th day post op?

I woke a few times when I tried to position myself on my side. The drains offer up a protest if you lay on them just right. I wiggle around a little bit until I find a position that takes the weight off my back and hips from lying flat so long in bed. I managed to spend the full night in bed. My usual routine is around 0300 hrs. if I wake, I slip out of bed and into the living room, get beneath a blanket I keep there just for this purpose, flip on the TV and watch until I fall back to sleep. This habit keeps me from disturbing the husband's sleep.

I feel that making it through the entire night without the sofa visit is quite an accomplishment.

The daylight started filtering through the bedroom window which was my cue that it was alright and the right time for me to get out of bed.

Yesterday I switched from Percosets to Tylenol ES. I think the Tylenol is all I need to manage the soreness from the incision sites. Today I visit the surgeon so he can examine his art work on my chest. The drains have slowed in output but I'm sure he won't remove any of them today. I don't let them bother me or restrict my movements. I have them safety pinned to the little corset thing I wear so they don't flop around and I have to be careful not to get the tubing hooked on, say the bed posts, as I pass by. The husband squeals really loud when he sees this happen. OK, so it has happened a couple of times and unfortunately he has witnessed it. I'm sure his imagination sees blood flying every where in the room should they become disconnected. His plan of action is to disappear should that happen so he gets nervous and scolds me for not being more careful. He would rather I sit still in one place and he get up and get what I need.

I try to tell him I need to get up and move around. Blood clots are not a pretty thing and a big hazard to ones' health post operative.

I noticed this morning as I was brewing a pot of coffee, the rugs on the floor need to be shook out and run through the washing machine. I can do a lot of things but bending over when I drop something or picking something up from the floor is impossible. Now when I drop something, I get so frustrated because I have to ask for help. I have been able to sweep and do dishes and help make the bed but a simple thing like dropping a piece of paper or a pill on the floor has me dependant  on help.

I got into bed last night and I pulled the comforter down, and then expected to peel the blanket back and then the top sheet. The husband has put the blanket on before the top sheet. I didn't say anything. I just slipped beneath the blanket onto the fitted sheet and pulled the bedding up thinking "I will fix this tomorrow". I'm blessed that he is trying to help. I must appreciate that fact alone. Before he gets to the laundry room, I might have to get a load started and let him take care of switching them over to the dryer.

The old saying "two women can't share a house" probably originated from house hold chores and the differences in how they are done. I have never minded cleaning house and have never really felt as though it was done unless I did it myself. We all have our quirks!


Carrie will be driven to school by her mother this morning. I think they are going to stop by before they go. One of the first things I want to ask my doctor this morning is "when can I drive?" I think the only reason they would restrict me is because of the pain management and since I'm on Tylenol now, it shouldn't be a problem. That's my theory anyway.

Clinically speaking, I have more soreness in the right axillary then in the left. The incision site is deeper on the right side so the pain and soreness correlate. The drainage is down to 30 cc on the right and about 10 cc on the left side.

The pain is at a "2" but only if I strain with that arm. No continuous aching. I am able to lift my arms above chest level with no consequence.

I'm getting dressed and see if I can talk April into letting me
ride to school with her and Carrie this morning. She might even let me stop by a store to pick up some Tylenol!