Tuesday, February 23, 2010

What to do next...

Reaching the two year mark was a HUGE milestone. Three and a half years ago, it seemed impossibly out of reach, and boom, here we are. Cavanaugh is a little walking reminder of how much time has passed since my diagnosis. Since she was only six week old, nearly everything she's ever done has been mentally recorded on my "after cancer" calendar.

Two years also means I have some decisions to make. Actually, one big decision, and that's whether or not to "finish" my plastic surgery. I can stop where I am and live with a prosthetic forever. In fact, my oncologist is totally cool with that decision, though he mentioned sometimes women in that position find themselves having a lot of back problems... um, doc? Let me reintroduce you to my husband, the chiropractor....

There are other drawbacks -- mastectomy bras, no matter how cool the colors (my fave is the completely impractical pink and black leopard print), are still cut differently and get kind of uncomfortable. It's tough to wear "normal" clothes with them sometimes. Even a relatively modest scoop neck shirt will allow one side to sometimes peek out. Don't even get me started about mastectomy swimsuits.... clearly not designed for the recovered 34 year old.

My other option, of course, is surgery. I'm told its a six week recovery, but frankly, putting six weeks of "down" time together these days is a challenge. So is six hours... The surgery basically entails using my tummy extra to create a real living prosthetic -- one that would obviously be permanently attached. Because I continue to eat correctly, exercise, and have been blessed with great genetics (among other things!), I don't have enough tummy to make a full breast. That means I'd also have to have an expander put in. If you've followed my journey for a while, you'll remember the expander is the softball-like thing that's placed under the skin and is periodically injected with saline to stretch, or expand, the skin. I call it a softball because it feels like that's what you're lying on. Not sure how long I'd have to have that in before another surgery would remove it to replace it with a silicone implant. Again. I feel like we've done this already...

One more procedure after that one to do some cosmetic touch ups, then some tattooing. Phew.

Currently I'm thinking I owe it to myself to meet with my plastics doc to look at a timeline. I don't know that I want to have this surgery at all. I'm torn, really. I'm also slightly superstitious as it was just a few months after I was "finished" last time that I had the recurrence. I know that's crazy, but cancer does that to you. So... I'd love you to give me your thoughts, or if you know other people who've had the tram procedure done, let me know! I'm fishing for opinions here... can't make one on my own!

Carpe diem.
Trela