21.097494K

I am half way through.

Okay, okay… I never even updated about the when and what and where of surgery on here…. I was too nervous.

Let me tell you guys about that, now that it’s over.

I was terrified and I have no idea why. It was my 13th surgery.  I had been put to sleep and had insane things done to me 12 times and for some reason, I was having horrible, GRAPHIC, TERRIFYING thoughts and images go through my head any time I really sat down let my thoughts roam free. I am not kidding when I say that I thought I was going to die. It was a gut feeling and I hated it.

Then the day came and I was so at peace and ready for whatever was going to happen and no longer thought I would die, because the gut feeling was gone.

Being ready for anything came in handy, because right before I was wheeled into the operating room, a change was made. But let me start from the beginning.

I had planned (along with my surgeons) to have a prophylactic mastectomy on the right side, because of the scary large fibroid adenomas and the amount of grief that was sure to cause every time I had a mammogram. We would go in and move my lattisimus dorsi muscles on BOTH sides in order to reconstruct. Even on the prophylactic side, despite it being skin sparing, so that both sides would match. Implants would go in under the muscles. Skin would be moved from my back as well. Most of you know all those other ‘minor’ things that also happen during this whole process. They aren’t so minor when you realize what is actually being done to your body, but they are surgically.

The morning of surgery, my surgeon came in and told me that Dr Long (Plastic Surgeon) would start. He would start with the muscles. I’ll explain how that works:  he would detach the back muscles and possibly the skin needed. He would not be finished, at all, at that point. Then Dr Bland (Surgeon) would perform his part- the prophylactic mastectomy. Next, Dr Long would come back in and tunnel those muscles and any skin he left attached to them under a small tendon and the skin on my side. At this point, my back would be closed back up and Dr Long would reconstruct.

Dr Long came in after Dr Bland… a little late, to Blands dismay. He drew allllll over me and assured me that my tattoos would not be touched (HOORAY!!!), and asked if he could use an expander on my left side so that I would end up with breasts the same size I started with- I am too small for much actual tissue to be moved- as it would be easier to do with an expander and then an implant. I was so calm that I just told him to do whatever he needed to do to get the results he wanted.

He loved that answer.

……Surgeons. Those egos are so big.

So, I was only in the hospital for 3 days following surgery and I left with all six drains and some necrosis on the left side (the side with the expander), though I had expected it on the small circle of skin moved to the prophylactic side, because I have read that it’s common there. In the hospital nearly half of the tissue that was moved was dusky. Within a week only a quarter was and just a few days later that duskiness became hard, which is good.  I had four drains out after 2 weeks. The last 2 came out this past Monday, 2 days before the 3 week mark. He said my necrosis is healing way faster than he is accustomed to and I begin filling my expander on the 31st, because we could safely guess that the necrosis would be healed by then. I think it will be completely healed by the 4 week mark, which is next Wednesday.

The very next day- April 1st, I will have a mammogram. Can I tell you how scared I am? Not that there will be any abnormalities, but that it is really going to hurt to put a recently filled expander into a mammogram thingy. Is this a cruel joke?!

Pathology has come back on the mastectomy that was performed and all was clear. Three nodes came out and the fibroids were so large that they went on and on about it on the phone with me for quite some time. I just laughed and said I knew- I mean, they had been in my tata since I was about 16 and one of them really was huge. I mean… HUGE.  More than 6cm in diameter and so rubbery that when the biopsy was performed last year, the marker wouldn’t stay in it. Not to mention how hard it was for them to biopsy the thing. Manually.

So glad that’s over!

Anyway, I cannot use my crutches or my arms (nothing that requires weight on them) for about 2.5 more weeks. I have gotten really good at putting on shirts and moving around without using my shoulders at all. Haha! I’ve also learned how to target specific muscles when I move (sitting up was the first thing I had to do, so my abs do most of the work, but eventually turning my torso became necessary and I had to learn to NOT use my lats. Now, I can turn and my boob wont flex. Hooray! Haha)

Anyway. I am relieved. But of course, there is at least one more surgery once the expander is full. Number 14 will be an easy outpatient surgery but, of course, it will signal relief once it is complete, now matter how fast and easy.

Here are some links about what I had done- essentially 3 different surgeries took place, but I wanted to share some lat flap info if anyone needed it.

A video, if you can handle watching a surgery: https://www.youtube.com/watch?v=ALIrQGX03dE

http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-topics/cancer-treatment/surgery/breast-reconstruction/ld-flap.html

http://breastcancer.about.com/od/reconstructivesurgery/tp/latissimus_dorsi.htm

That should cover it!

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