Bosom:
(noun) the breasts of a woman; the breast, conceived of as the center of feelings or emotion; a state of enclosing intimacy; warm closeness: the bosom of the family.

Monday, April 24, 2017

Heigh-Ho Heigh-Ho It's Off to Work I Go: 7 Weeks Post-Op Update

                                      WARNING:  THERE ARE GRAPHIC/NUDE POST-OP PHOTOS IN THIS POST.



Today is 7 weeks post-op...7 weeks!  It is crazy how quickly time passes.  My next appointment to start planning for Phase 2 surgery is just over 3 weeks away and surgery could be as soon as 6 weeks from now.  Wow!


I filmed a quick video update for y'all today, so I won't bore you by typing out everything too.   I will however, show you a couple of updated photos (see below the video).




Just like most women in the world, my body looks waaaaaayyy better first thing in the morning!  My abdomen is pretty flat....I could even be tempted to wear a two-piece in public sometime (or not).  My abdomen still gets pretty puffy in the evenings.  My breasts are still very symmetrical and really only get a little swollen in the evenings.  These pics were taken this morning:




As far as being back to work, I was pretty swollen after my crazy shift on Saturday.  Other than that, no real issues other than being a little more tired than usual.  It is good to be back to work and taking care of the little ones and families.  

Next MD appointment is May 19, 2017

Talk to y'all again soon!


Tuesday, April 11, 2017

Battle Scars!

                                 WARNING:  THERE ARE GRAPHIC POST-OP PHOTOS IN THIS POST.

Just for fun and my fellow Lethal Weapon fans...



My scars aren't as exciting as Riggs' but my new ones sure come with quite a story, huh?
 4 Weeks Post-op:  This is my lymph node biopsy incision just under my left armpit.
It looked "lumpy" up until about a week ago, but now it is very smooth and flat.  I kinda like this one...
it peaks out from my tank top and bra like a badge of honor...my reminder of what God has done!
Just wanted to post an update this week to let y'all know how things went at my one month post-op appointment with my Plastic Surgeon (if you follow my page on Facebook, you already know....@bosomthing) and let you know what I've been up to:
Waiting on Dr. O to come in for
my 1 month follow-up!

It was a great visit and basically, Dr. O said that I am ahead of the curve for one month out!  He was happy with my progress and how all of the incisions look.  He was also quite pleased with the symmetry of my new breasts as the swelling has gone down.  Dr. O feels like there will not be much to do during the Phase 2 Revision surgery since they look so symmetrical now.  He will do some fat grafting, lipo, and scar revision, but we will discuss that in more detail at my next appointment.  He wants to see me in 6 weeks to get started planning and scheduling Phase 2!!


 4 Weeks Post-op:  My incisions are all pretty much healed...one small
spot under my right breast still has a scab.  I am doing twice daily massage
w/cocoa butter lotion and it really helps with the firmness in my breasts that
I feel in the evenings.  Everything is quite symmetrical on top!
Dr. O also released me to  return to week next week!  I'm ready but not ready for that one. Feeling a little nervous about the long hours and being so busy, but I spread my days out a bit so that I'm not working two shifts in a row.  I am excited to get back to see my coworkers and taking care of the babies and families.  6 weeks is a long time to be gone!


 4 Weeks Post-op:  You can tell better at this angle, that there are little
"overhangs" now on both ends of my incision.  Dr. O said this is normal and expected
as the swelling goes down, but he will remove them in Phase 2.
One of the best things....he said as long as I wore a bra, I could lay on my side! It is AWESOME!  Just to get off of my back is fantastic.  I have also been able to lower my incline and can actually lay flat this week.  

Overall, I feel good!  I am experiencing the common "shooting" nerve pains every so often across my chest.  It doesn't seem to have any real rhyme or reason, but I do think it happens more when I am tired and/or have done a lot with my arms.  Other than that and a little abdominal tenderness by bedtime, I have no complaints.  I am trying not to overdo things, but I am pretty much able to do the regular day-to-day stuff without issue. There are still a few top shelves in the house that I can't quite reach yet!  

On Saturday, I walked in my first 5K!  Yes, I walked the full 5 K exactly 1 month and 2 days post-op!  It was exhausting but so worth it.  My son walked with me and it was a really cool experience.  If you have not had the opportunity to participate in a Komen Race for the Cure event, I highly encourage you to do so.  Being surrounded by ~30,000 Fighters/Survivors/Supporters is an amazing thing!  I'm not going to pretend that I wasn't worn out afterward because I was!  Pretty much spent the rest of the day and evening chillin' on the couch, but it was a good kind of tired and I'm so glad I participated!
#pinkchampion   Komen SA Race for the Cure 2017


#pinkchampion   Komen SA Race for the Cure 2017

#pinkchampion   Komen SA Race for the Cure 2017
I walked the wh0le thing!


Since I'm headed back to work in 5 days, my parents gifted me with a cleaning crew to come deep clean the house today!  Waiting on them now and trying to resist the urge to clean house BEFORE they arrive!!  This is a sweet gift and much needed!

Anyway....that's my past week! How about y'all?




MY TIMELINE:
12/22/16  Routine Screening Mammogram
01/18/17  Repeat Imaging and US of left breast; LUMP found.
01/20/17  Core Needle Biopsy
01/24/17  Biopsy results positive...Stage 0 DCIS, left breast
01/25/17  Meeting with Breast Center Navigator and Genetic Testing
01/30/17  Consultation with Surgical Oncologist, Dr. K
02/08/17  Consultation with Plastic Surgeon
02/21/17  Pre-op Visit with Dr. O's nurse
02/27/17 Pre-op Labs and Testing
03/05/17 Lymph Node Injection
03/06/17 SURGERY DAY!
03/10/17 Home!
03/16/17 10 day Post-op Visit with Plastic Surgery nurse
03/20/17  2 week Post-op Appointment with Surgical Oncologist, Dr. K
04/07/17  1 month Post-Op w/Plastic Surgeon, Dr. O
04/16/17 Returning to work!
05/19/17  Appointment with Dr. O to schedule Phase 2 Surgery!



Wednesday, April 5, 2017

Preparing for Mastectomy with Reconstruction: What Worked for Me for the Hospital and Home

I've been planning this post since before I had surgery....knowing I wanted to wait until I was post-op to tell you what worked, what didn't, what items were the most helpful, etc.  Like some of you, I read a lot of "lists" and "tips" and tried to research as much as I could before going to the hospital for surgery.  As a single mom of a high school kiddo, I felt the need to be extra-prepared.
So here goes a long post....my opinion based on my experience with a Bilateral Mastectomy and immediate DIEP Flap Reconstruction....

FOOD
Even before I was diagnosed, I had already started using my grocery store's new Curbside Pick-up option....it is awesome!  This has really been great post-op too.  I order my groceries online, pay online, and schedule a pick-up time.  This is less expensive than a subscription delivery service and the store is just down the road. My parents picked up my order a couple of times and yesterday I did it myself!  (My first time driving since surgery was yesterday!)  You might try it before surgery just so you get a feel for it.

My appetite was hit or miss while in the hospital, but it slowly returned and getting good food into your system is important for healing. Popsicles were my favorite treat especially the first couple of weeks due to my mouth and throat still being a bit irritated from intubation.  I've been keeping a box in the freezer ever since. 


A great gift idea if you are looking for something nice to do for someone preparing for surgery is a stack of restaurant gift cards!  Some of my friends did this for me and even included some $1 bills for tip money.  They picked up cards from a variety of places, including sit-down restaurants for when I was feeling up to it and fast food for quick stuff; all located near my house.  These will come in handy for awhile!
A variety of food gift cards makes a great gift idea for post-op!

One thing I do fairly regularly is "freezer meal prep".  This comes in handy when life gets busy, which is often when you have a freshman athlete and work full-time!  If you have never done this, now is a great time to start!  Having something that I (or my son) can toss into the crockpot or stir-fry pan has been wonderful.  Eating restaurant take-out or fast food gets old (and expensive) and sometimes all you really want is a home-cooked meal. You won't be allowed or able to cook for awhile, so this can be a nice help.  About a month before surgery, I made my menu and spent an afternoon assembling some meals. Within three hours, I had 12 meals and an appetizer in the freezer!  Nothing is cooked ahead of time, just prepped.  If you need ideas on this, feel free to message me or check out my Pinterest Board dedicated to "Freezer Stuff".

12 meals & and appetizer ready for the freezer in 3 hours!


DRAIN MANAGEMENT
One thing I read a lot about was drain management.  Those stinkin' JP Drains become truly annoying after awhile.  Almost every blog post or list you read recommends some type of "drain holder".  My Great Aunt mailed me a "drain pocket" that she received as a gift before her mastectomy and one of the sweet ladies in the Sewing Circle and my parent's church made me a "drain apron".  The hospital provided lanyards and rubber bands as their solution.  There are pros and cons about all three and I used all three at different times. Here's my take on drain management:  

My 3 JP Drains hanging with
rubber bands on a lanyard.
In the hospital, the lanyard and rubber bands were easiest, especially while in bed.  Once I was getting up and around by myself, the lanyard, while convenient, pulled and tugged on the insertion sites.  It was especially awkward when I started going to the bathroom myself...the drains would "fall" when I bent over. I started placing them on top of my IV pump to prevent that big tug, but once my IV was out I didn't have that "shelf".  I found that shortening the lanyard helped with this while I was up and around. Once I was in bed for sleep, I lengthened it again.  The lanyard also worked best in the shower since you don't have to worry about it getting too heavy when wet.  The hospital gave me several when I left and I already had two in my post-op stash at home.  I kept a dry one in the bathroom to switch out after my showers.
She made this one with two large pockets since we
were not sure how many drains I would have.
The drain apron was nice when I went for walks in the hospital hallways and at home.  I couldn't comfortably wear it around my waist, so I tied it up higher (which looked funny, but felt good to me).  It was a nice change from the lanyard around my neck.  It felt too bulky though for sleeping in bed and I got so hot at night the extra layer wasn't comfortable.  I always went back to the lanyard at night.  
Not the best "in use" pic, but you can see the drain apron
is on my abdomen as I'm chillin' on the couch
right after I got home from the hospital!
The drain pocket is similar to the lanyard because it goes around the neck.  Again, this does get tiresome and you'll want a break, so having options is nice.  The pocket was especially nice toward the end of my drain days when they were not as full.  I could fit all three in the pocket at that point!  Just like the lanyard, I tied a knot in the string to make this one shorter when I was up and about.
In this pic, I have the drains still on the lanyard tucked
into the pocket. Shortening the length seemed to provide some
much needed relief to my neck.
I did a very short video the day I came home (POD #5) on stripping my drains, if you want a better look at how they worked:  




PILLOWS/SLEEPING
This is an adventure.  I am a side-sleeper so being propped-up and on my back is an adjustment.  Lots of folks recommend a recliner for sleeping.  I do not own one and am not a fan in regular life, so I did not borrow one for surgery.  That being said, I probably would if I had it to do over again.  Not necessarily for sleeping, but just to change up where and how I am sitting all the time.  My tailbone was getting sore the first week at home, so I recommend having some extra padding or foam cushions handy.  And, you can never have enough pillows!  

I purchased 2 wedge pillows at Walmart prior to surgery and wound-up asking my family to get me 2 more after I got home.  I have stacked these in different ways for both my back support, as well as my legs and feet.  I keep one on the couch  for watching tv and as I am slowly lowering my incline in bed (per MD orders), I can remove or adjust a wedge as needed.
Wedge pillows, regular pillows, and body pillows!

I have 2 body pillows that I use on either side of my body when in bed.  These help keep me from trying to roll-over in my sleep and give me cushioning for my arms.  

The Breast Center and my Plastic Surgeon's office each provided me with an underarm post-mastectomy pillow (both made and donated by volunteers).  There are different varieties of these.  They are nice, esp. in the beginning when you are a little more sore due to the drains.  Honestly though, I never used them. Instead, I used my special "weird" pillow that a lady at church made for me (blue one below). 
Mastectomy recovery pillows


http://bosomthing.blogspot.com/p/helpful-links.htmlI saw this mastectomy recovery pillow online and knew I wanted one!  My mother gave a friend the measurements and she made it for me before I went to the hospital.  This pillow has been used in all kinds of ways!  Several people at the hospital took photos of it and asked about my "weird" pillow.  It is soft and easily folds or bends. I have used it in the way it was intended (as pictured above) and I used it behind my neck in the hospital bed, behind my knees, under my feet, etc.  One of my nurses laughed every time she saw it someplace new!  I have included the measurements and my recommendations for tweaking it on my Helpful Links page.  This pillow has definitely been a great must-have!  This was the pillow I used for the car ride home too.

Another family friend bought me these sweet pillows that velcro around your seatbelt:
Velcro seatbelt pillows

These are nice and will hang out in my car for awhile.....just a little extra padding over the tender incisions.

CLOTHING
Pretty much my outfit until those drains came out!
You will most likely have a fun bra and binder from the hospital to live in for the first couple of weeks.  I was also told NOT to have anything that went over my head (unable to raise your arms).  In the hospital, I stayed in the gown until they took my catheter out. After that, I had some loose fitting knit shorts with a wide, soft waistband that I wore. A lightweight robe is nice if you are uncomfortable with visitors seeing you in your "armor".  As I mentioned before, my room had to be kept warm (for the microvascular connections on my skin flaps), so I was hot all the time in the hospital and since everything was covered, I didn't care who saw me in my surgical bra and binder!  I made the mistake of wearing satin pajama pants one night and was miserable.

My Plastic Surgeon's office had me purchase white cotton t-shirts and cut them straight up the front to make them like a jacket.  I was instructed to bring one to the hospital to put on after my first shower.  The shirt helped keep the bra and binder from rubbing on my incisions and if any of the drain sites leaked, it helped keep the bra and binder clean.  I wore this outfit until my drains came out and I was cleared to change into a regular bra and binder.
After my first shower in the hospital.

For doctor's appointments and stuff, I wore button-up blouses.  I have a couple of pairs of pull-on, stretchy capri pants that I have been using for these trips too.  You definitely want stretchy, soft fabrics and things that are comfortable on you.  I have been living in tank tops and knit shorts.

ENTERTAINMENT

Being at home and unable to really do much gets boring!  Try to line-up some entertainment for yourself ahead of time.  Now is a great time to binge on some Netflix shows you've been saving or go ahead and add a movie channel package to your cable if you can afford it temporarily.

A couple of friends gave me coloring books and pencils, books, and a big stack of magazines!  Of course, I have my iPad and I've been blogging to help pass the time too. Some folks prefer journaling, but I do encourage you to write stuff down as you go.

Cards, flowers, balloons, & gifts from friends and family
Friends from high school over
for a lunch visit!
I enjoyed having visitors to break-up the days.  Don't be afraid to tell people "no" if you aren't up to it, but for me, I was happy to have people visit even when in the hospital.  I looked forward to hearing about the "outside world".  :) Once you are up to it, see if you can schedule a lunch or a mani-pedi time with some friends.  I didn't do this until my third week, but it was good to get out.

FINANCES

Obviously, this is a BIG one!  If you are on this journey, be sure to make yourself very familiar with your insurance coverage and how much your out-of-pocket will be...then plan on extra just in case.  

For me, this is a tough one. I'm used to being pretty self-sufficient. Asking for help is hard for me....especially financial or physical help!  I've learned on this journey though, that you HAVE TO ACCEPT HELP!  You need it and people who care WANT to provide it.  


I am supposed to be out of work for 6 weeks. I already knew I did not have enough PTO to cover that long of an absence nor do I have short-term disability to help.  This means, that I will be short just over one whole paycheck (if I get to return at 6 weeks as planned). Thankfully, I have some money in savings  and I submitted my taxes prior to hospitalization so that I could get my tax refund sooner....every little bit helps.  


For those of you who have even bigger treatment expenses than I do, this can mean needing to think about fundraising, etc.  I did a small fundraiser...more for the moral support than the money, but the money sure came in handy!  I posted about it in a previous post...my t-shirt campaign via Bonfire.

More friends wearing #TeamJules tshirts!
Another thing I did was check all of my bank cards and credit cards for "rewards points".  I earn points for every dollar spent on my debit card and the credit card I used to pay my portion of surgery.  I was able to turn those points into $125 worth of gift cards prior to surgery.  Usually, I do this right before Christmas, but this seemed an appropriate time and has come in handy already.

HANDY MISC. ITEMS

Chapstick/Lip Moisturizer!!  This is a must-have especially that first week in the hospital.  Your lips and mouth are pretty dry after being in surgery for so long.  Both the Breast Center and my Plastic Surgeon's office gave me chapstick and I received some from a couple of friends as gifts.  My absolute favorite one was given to me by a friend...Tom's Peppermint! It is so smooth and the peppermint smells wonderful.  I wish I had taken this one to the hospital.

Be sure to follow your MD's orders and recommendations for things. Mine had me pick-up all of my prescriptions the week before surgery.  This was a good idea and I was glad not to have to wait for a prescription to be filled once I was home.  I also recommend having Benadryl on hand.  I had a delayed allergic reaction the week I got home and needed it.

My grandmother bought me one of those reacher-grabber things since bending isn't something you can do for awhile.  These are always handy around the house anyway....although I usually use my teenage son!  :)  Putting things within reach is really important though and it's not something you might think about. There are things I was surprised I could not reach...don't seem high or too low normally...but post-op my arms just couldn't go there.  For example: I had my son put a few of my drinks on the top shelf of the fridge every day because bending over to reach the bottom shelf was hard.

I tried using a shower chair, but it was not helpful for me.  I did much better just standing in the shower and using the removable head.  Although, I have kept a chair outside the tub to sit on while drying my legs and feet.


Stock up on regular use items and paper products...one thing you don't want to run out of is toilet paper when you are home alone and can't drive! 

I'm sure I'm forgetting all kinds of things, but this post is plenty long already.  :)

If you have questions or have other ideas to add, please leave a comment below!

I'm going to start working on a hospital packing list too.