Flat AF!

Well, I did it! Just about 3 weeks ago I had my bilateral mastectomy and, despite the way I envisioned it, I am alive to tell my story! Before going in, I was terrified about the aftermath. Not so much about how I was going to look (I got over that pretty quickly), but how I was going to feel. I truly thought I was going to be in bed for weeks, not able to move, and in agonizing pain. Much to my amazement, I have been recovering SO much better than I ever thought I would.

This step has been different than the chemo part of treatment. With chemo, I felt like crap for about a week, then I'd feel better for a bit, have infusion again, and continue the roller coaster ride. After surgery, the only direction I was going was up. Each day felt better and better, and I could move more and more. It was frustrating not being able to drive or shower, hold my kids or reach things in the cupboards, but my range of motion improved everyday! I am so very grateful at how quickly I've bounced back!

Now, let me take you back to the morning of surgery...

I had to be at the hospital for 9am Tuesday, March 5th. We dropped the kids off at Grammy's the night before (thanks Mom!) so my husband and I were actually able to have a quiet dinner together and get a decent sleep despite the anticipation of a surgeon slicing me open the next day! Of course, I also had to fast beforehand. It was only from midnight the night before, but whenever anyone tells me that I can't eat, I feel as if I'm lost on a deserted island scrounging for food and all I can find is fucking tree bark. I may be exaggerating, but the fasting might have seriously been the hardest part.

So my husband brought me in for 9am. We checked in with the nurse, the hubby made sure he knew where the cafeteria was 😜, and we waited for them to call my name. When they brought us in, they gave me my oh-so flattering one-size-fits-all gown to wear with matching gripper socks. I was ready to rock and roll! Just kidding, I laid in bed for about an hour and a half, stomach growling while meeting different nurses, residents, my surgeon, the anesthesiologist, and signed a bunch of papers. Before they could wheel me into the OR, I had to go upstairs for the first part of my sentinel node biopsy. A radiologist injected a special blue dye into my breast that spread to my sentinel nodes, staining them bright blue so the surgeon knew where they were once I was opened up. Once she was in there, she would be able to remove them one by one and pass them on to the pathologist who was in the OR with us. Based on the pathology of each node, they could determine how far out they needed to go. This initial biopsy was a quick, painless procedure, and before I knew it I was on my way back downstairs. Shortly after my little field trip, they gave me a happy drug that felt like a couple glasses of wine. After this, it gets a little blurry (maybe it was more than a couple glasses??). I remember being in the OR with a ton of people around and they injected a nerve block into my arm that was actually quite painful! It only lasted a couple seconds, then before I knew it I was awake and in the recovery room being told that everything went well while i stuffed my face with chicken fingers and fries! Yum!

I'm not speaking for my husband when I say this, but I actually ended up sleeping pretty well that first night, all things considered. I mean, I probably would've slept better if they didn't keep checking my vitals and if they didn't give me a good wake up call at 6am with a team of about 10 doctors all staring at my unwashed face, but it's all good. Even soon after waking up from surgery, though, I was moving my arms more than I thought that I would be and I felt well enough to get up to use the bathroom - which BY THE WAY remember that blue dye they injected into me?? Yeah, my pee was bright blue for at least 24 hours! Crazy! Anyways, that next day, my surgeon came to visit me and we discussed the pathology of the lymph nodes and breast tissue. She told me that she removed a total of four nodes. The first two had micro-metastases so she removed a third one that came back clear! Just to be safe, she took out one more which was also clear so she was comfortable enough to stop there, YAY! As for the breast tissue, she said that there were some scattered, non-invasive cells but this was MUCH better than my initial diagnosis of 12cm of invasive cancer cells!! The cells that were remaining were not of too much concern, especially because she did everything she could to remove it all anyways. Not only did this report show some good news, but I was feeling just as good! This next day, I was slowly, but surely walking around that hospital floor struttin' my stuff. I had on this fancy, pink, floral, stretchy tube top along with some sweatpants, a hospital gown, and some new accessories hanging out of my sides - the infamous drains!

At home with my new "accessories"

I guess fasting wasn't so awful after all...those 'pain-drains' were definitely worse. I had one on either side of me. Picture a thin tube sticking out of my ribs with a little bulb at the ends collecting excess fluid my body was producing after surgery. Blech! Just thinking about them makes me quiver! They weren't so much painful as they were annoying and in the way. I didn't want to move too quickly in fear that they would get snagged on something and pull out. Showering was not going to happen because I get light-headed with things like that, but even taking a sponge bath was miserable! I couldn't even wear more than a couple different shirts, because the bulbs wouldn't fit... For over a week I was a hot, stinky mess! There are several companies that make accommodating shirts, though, that have pockets for the drains and button up nicely to make it easier to slip on and off. Lanyards and drain belts are also easy enough to find to get you through the couple weeks with drains (check out the Products I Love section above⬆). As with everything else I've been going through, I kept reminding myself that this was all temporary and they would be removed soon. Oh my, but once they were gone, I felt like a new woman! I had no idea that the majority of my discomfort was from those damn drains! Thank goodness I only had them in for 8 days. They were the longest 8 days of my life, but some people have them in for 2 or 3 weeks! No fun.

Drains are gone 8 days post-op!

I ended up staying in the hospital for 2 nights. As much as I missed being home with my children, I knew that once I was discharged, I would feel like I needed to do more than I should, and I was worried about the kids jumping on me. We made it home Thursday, and I was pleased to find that I was able to get into bed comfortably! Some people need to sleep in a recliner for a month before being comfortable enough to get in their beds, but with my pillows positioned just right (including my wonderful u-shaped pillow I mentioned in my last post!!) and scooting myself around like a dog, circling the perfect spot to lay down in, it was perfect. After coming home, a visiting nurse came to check on me once a week. She checked my vitals, monitored how my incisions were healing and what my drains were producing. At first I didn't think I would need a visiting nurse, but for a quick visit, it's reassuring to have a professional look me over and be there to answer any questions that came up before I followed up with my doctor.

Now, I am happy to say that my pillows are back to normal, I can wear pretty much my entire wardrobe, and I am feeling human again! I usually sleep on my back anyways, which was convenient, but every once in a while now, when I want to lay on my side, I can! At 3 weeks, with the help of lots of stretching and some yoga, I can reach my arms above my head and get things out of the cupboard on my own again! Even at the 2 week mark, I felt comfortable enough to be at home by myself with the kids, drive, and even run! I ran 3 miles two days in a row, which is back to what I ran just before surgery! It feels so good to get my body back and exercise simply because I CAN! Looking at my life right now, I don't think I will ever take advantage of this body that I have. We have one body to live in for the rest of our lives, it is up to us how we decide to use it.

For anyone reading this who has a mastectomy in their future, just know that there is a light and each of these steps is temporary. You will get better and you will get your life back! However, some people do not bounce back so quickly. I am young and I like to think of myself as a pretty active person. These things definitely help with recovering from anything, but I also opted for a less extensive surgery. If I had chosen to do reconstruction right away, my story would be completely different. I think that getting my butt back to the gym between chemo and surgery was the BEST thing I could have done. I built up my strength and got into a rhythm that I knew I wanted to get back to. My Livestrong program at the YMCA was my incentive to get moving again after surgery, even if it was just to walk on the treadmill. It got me out of the house and allowed me to pencil something into the calendar for myself that wasn't a doctors appointment! I am so relieved I only had to take one week off from the program. My team helped me out with the transportation for a bit, but it felt so good to be back. Sadly, I am almost at the end of my 12-week mark with Livestrong, but that will be a post for a different day...