- PRO TIP! I did wake at 11pm on Sunday night to drink a chocolate protein shake with banana and peanut butter to stave off hunger since I was not able to eat after 12 midnight before my surgery. I did not eat until 7 or 8pm on Monday night, so the shake was a good call. I was not too hungry at all before I was wheeled back for surgery at 2:30pm!
- Arrived at 11:30am at Inova Alexandria (no traffic), process started immediately. As I talked to all the nurses, doctors, etc., I had to remember my 3 key things: 1.) anti-nausea meds (patch could stay on for three days; took off on Th) 2.) I would need to go home with a catheter, which is NOT STANDARD. 3.) I have an advanced directive on file.
- Nurse had trouble finding a vein (so I have a nice bruise on my forearm, Life with Cancer came in. Amazing what they expect you to take in while in bed waiting for the surgery. It was good for Frank to hear the drains maintenance for the first time (my second) and then after I woke up in post-op, though I have NO MEMORY of that!
- Anesthesiologist came in and was perplexed by note in My Chart re: my trouble with anesthesia. Upshot, I am not allergic to propofol. I did inform him that flat closure warrants the expertise of a plastic surgeon! Dr. Hammer drew all over me! Dr. Bruce came in as the last person to see me and said they were still waiting for mag trace dye and when it was delivered, they would start. Started at 2:30pm (1 hour late)
- Surgery at 2:30pm and woke up from anesthesia at 6:45pm. Coming out of anesthesia, there is so much weirdness, like remembering dreams. I wanted to remember some of the surreal-ness, but I don’t. I did hear the man next to me had a visitor, and I said out loud, “Why does he get to have a visitor?” The nurse explained to me that he was going to be admitted and visiting hours were almost over. I did a bit of shaking as I came out of anesthesia, which I now know is pretty common. Frank was allowed to come into post-op, probably because I was the group of the last surgeries of the day.
- Left at 8-ish from Alexandria back to Reston and one slow down on the way home :( I was well packed with foam padding between my skin and bra, so no real issues with bumps in the car. Foley catheter, packed well and drains, almost faint, food is like sawdust in mouth
Monday - Tuesday, March 22:
- Catheter kinked up and felt discomfort (good sign re: bladder), unkinked, and the bag was extremely hard to empty. There was this container and chute through which all the urine had to flow through to be emptied. In the middle of the night, we went searching for a better shirt. I thought I had been so organized, and I thought all the shirts had pockets, but Frank pulled every shirt off the hanger, and no pockets. I ended up with my pool cover-up dress because the pockets were in just the right place.
- Antibiotics (cephalexin) every 6 hours and Tylenol (500 mg) or Ibuprofen (600mg) every three hours. We emptied drains in the middle of that first night before we got on a 9pm/9am twice daily schedule.
- Probiotics (kefir, kombucha, coconut probiotic yogurt, and Greek yogurt) as much as possible but not within an hour of the antibiotics.
- Zach spent the night away, so just me and Frank stumbled through.
Tuesday, March 22: Zach stopped in before school and brought me a tulip from his teacher, Senorita Quintenilla. He brought it home on the bus. So sweet! Mom and Dad too, a blur of emptying drains, which were not as messy as I anticipated. Felt surprisingly okay. Lidocaine pain meds were in my system for 72-hours - probably why. Paige unearthed old photos of us, sent videos and TikTok’s with her niece. Teehee. I felt surprisingly good, though I would have sharp pains at times.
Wednesday, March 23: Again, a blur of drains at 9pm and 9am, catheter emptying, starting to walk, drains, meds, etc. Felt pretty good. The weather bounced from warm to cold, and one day I wore pants that really pulled on the catheter, so back to my pool cover-up dress with pockets. It was the best! Mom and Dad came by. Skin felt amazingly good. Not tight or stretched. Katie stopped by, which was so nice. I did feel often in those first days that I would loose my train of thought, and I watched a movie that I recommended to my sister, and I have no memory of the movie at all.
Thursday, March 24: Drains, meds. Visit to the urologist. Potomac Urology was playing funny animal videos in their lobby. I surprised myself by laughing out loud. In the appointment they suggested that they would remove the catheter, and then I would come back in the afternoon. Uh, no. Not to Alexandria. No. So, they removed it, we drove home, and my bladder was working by the time we got home. Wahooo!!!! The PA did say that my condition was pretty common, and I said he needed to spread the word, because no one I told had heard of it. They were astounded!
Afraid my urine was a weird color for a couple days - sort of brown-ish? It was not blue from the dyes (mag trace and sentinel node)
Friday, March 25: Drains, meds. Started off well. I took Zach to the bus stop and saw Nahid and Jonathan. Told Mike about my surgery. Things seemed to be fine, and then I felt off in the afternoon. (I had taken off my nausea patch on Thursday afternoon.) I started to take anti-nausea meds leftover from hysterectomy. That helped. In the afternoon, my pathology report was posted to My Chart, and everything seemed okay, except there was mention of a “malignant neoplasm.” As we researched and found resources like “how to read your pathology report,” I could not find any definitive answers. We were heartened that my pre and post diagnosis were exactly the same even though we didn’t know how DCIS and a “malignant neoplasm” fit together. I managed the stress and anxiety and was mostly able to put it behind me. I wasn’t feeling well enough for the family dinner at Emily’s house and stayed home.
Saturday, March 26: Drains, meds, anti-nausea, still felt off. Mom and Dad had been helping with Zach in the afternoons. They went home on Sat AM. Tuesday’s date to remove drains felt very far away, and felt sad, anxious, and lonely. I was worried about my pathology report and what it meant. I used LOVEE meditation and breath-focused meditation to deal with anxiety.
Sunday, March 27: Drains and meds, but stopped the anti-nausea. Emily came by and brought coffee. I felt better and was not dwelling on the pathology report, though I did mention it to Emily. Frank, Emily, and I all agreed that the fact that the pre-op diagnosis and post-op diagnosis being the same thing was a good sign. Still, sadness and melancholy permeated along with thanks for sleeping well, a comfy bed, and the generosity of family and neighbors for flowers, food, and treats.
Showered, viewed, and touched my swollen and battered chest. Pretty distressing.
Monday, March 28: Drains, meds. I did more LOVEE meditations and prepared myself for the pathology report revealing that I did in fact have invasive cancer. I needed to be prepared to hear that devastating news. Drain removal still felt very far away. Very tough day. Chest area quivered a bit at times (near pecs)
Tuesday, March 29: Meds and probiotics. Drain removal. Dr. Hammer just went for it and pulled them out, which felt very strange - like a snake slithering out from under my skin. Gross! I cried after she took them out, and she said, “Are those tears of joy?” No, no, they aren’t. That is a lot, and I’m still in a VUCA world (volatility, uncertainty, complexity, and ambiguity). She mentioned that I should massage and keep my skin hydrated, but the idea of massaging that battered area felt like it would be very painful. Dr. Hammer lightly touched my skin to show me how gentle I could/should be. It was big to celebrate drain removal, though waiting for pathology review appt with Dr. Bruce still weighed on me.
Wednesday, March 30:
- Meds and probiotics. Yay, no drains, still taking antibiotics until drain holes close. They seemed pretty well closed. That was fast! I did some massage with lotion, and my chest was not as tender. I continued to marvel at how good my skin felt, but at the end of the night at 8:30/9pm, my chest began to feel chafed. This has continued (Wed, Fri, Sat, Sun and I’ve started applying ice packs). Maybe it’s nerve damage?
- Frank took off the morning to hang out with me and take my mind off the anxiety, which was really great! Katie and Suji took Zach in the afternoon and took him to Lifetime Fitness (we called it and now he calls it “the Mecca.” Teehee). He played basketball and rock climbed and then had dinner with them. He had a blast!
Thursday, March 31:
- Meds and probiotics. In the morning, I took my shower and yesterday’s band aid pulled off a bunch of steri strips. Owww! I looked up and watched funny animal videos to laugh and distract myself from waiting to go to Dr. Bruce’s for pathology results. I laughed a lot. I watched some lip sync battles and found that Kathy Bates had breast cancer and went flat. She’s an inspiration! Dr. Bruce was running late, but when she came in, the pathology results were great in her opinion. She asked if I’d looked and if I had questions. Um, yes! What is a “malignant neoplasm”? Apparently, it was a cut and paste error. What?! Really?! She asked, “Does the report say, ‘no invasion present’? It usually says that.” Um, no, IT DID NOT SAY THAT. I did “control f” for every variation of invasion! Bleepity. Bleep! Well, bottom line, there was no invasion, and the margins were close, but not THAT close. Dr. Bruce is presenting me a “the tumor conference” next week, but she doesn’t expect that anyone will suggest any change to the next steps. Which are --- nothing!
- I sent off my good news and loved hearing back from folks. I picked up Zach from the bus stop and shared the conversation with my neighbor, which he then told his wife through the upstairs window while she was gardening. Funny visual. She brought over a daffodil. So sweet. We chatted for a long time, and it was so good to share my story. She listened and told me I was brave. Rachel and the kids brought us cookies. So much celebration! I went for a walk and attempted to go too long. It was hot. Emily picked me up. We talked about some details of our cousin’s cancer journey. She was 27 when diagnosed almost 35 years ago, and she had “no node involvement.” We wondered how they even found it that early since she was so young. Remarkable! We laughed and shared snarky cancer memes. Well wishes from the GC team!
Friday, April 1: Meds and probiotics. This was Zach's first day of spring break, and Frank took him to Great Country. I had most of the day to myself. Emily and I had lunch together and laughed about cancer. She sampled some cookies. I had my amazing Federal Brewing Co kombucha. So good. It was a lovely day weather-wise - the best - blustery and cold and crisp. I watched the first episode of Brene Brown’s Atlas of the Heart series on HBO Max - AMAZING - and the first episode of Heartland Season 14. When Frank got back from his Great Country Farms excursion with Zach and a hand off with Mom and Dad, we got Ethiopian food and I had my non-alcoholic Sovi rose to celebrate. We watched the last episode of Station Eleven (for Frank’s first and my second viewing). So good. A wonderful night of sleep.
Saturday, April 2: No more antibiotics or Tylenol or Advil. I’m only still amping the probiotics and protein shakes with kefir, fruit, and protein powder. I felt up to drive down to my beloved Sperryville, and it was another perfect day. Cool, but not too cold. We stopped for a walk at the Inn at Little Washington’s garden and chatted with a couple from Baltimore. Nice connection. We walked on the Thornton River Trail in Sperryville, picked up food from Rappahannock Pizza Kitchen, sat in the sun with the beautiful view. Perfect. We ended up reading in the car, and then picking up Zach. It was great to see Mom and Dad, and we luckily had a quick trip home - no traffic and hit the lights pretty well. Yay! I had pushed it a bit too much and was TIRED when we got back. I had tea and the chocolate cookie with peanut butter icing. So good. And read and reed and read The Mother Tree.
Sunday, April 3: Zach came in my bed at 6:30am. “I love you, Mommy.” Plenty of time for gratitude. Reading. A nice morning. A walk. This post. The mysterious chafing discomfort of my chest continues.
Overall
Hearing and connecting over text was a balm.
Generosity of family and friends was amazing.
I was walking pretty quickly and keeping it short. I breathed deeply and could feel my ability to move growing. I would move shoulders forward and backward and arms out to side. I could not get into regular bras until day 11 or 12, and now I can get into my Girlfriend Collective sports bras.
Just wearing my glasses, not sure if I’ll go back to my contacts.
I didn’t have the pressure in my system that I had from my hysterectomy. Emily made the good point that that was an internal surgery and not an external one, so the anesthesia was/played out differently. I appreciated that because that tightness and difficulty breathing for 7 days post surgery in June 2022 was hard!
Listening, reading, watching
Unlocking Us and Dare to Lead podcasts and the Amishi Jha’s Peak Mind on Audible
Reading: You Got Anything Stronger, How the Word is Passed - so good!!! and Finding the Mother Tree: Discovering the Wisdom of the Forest
Watching: I am Not Your Negro by James Baldwin on Medgar Evers, MLK, and Malcolm X. Wow! That puts our current suffering in perspective
Marvelous Mrs. Maisel
Heartland Episode 14
A movie: The Book of Love on Amazon, which I liked and recommended to my sister and cannot remember the story at all.