FREASTS: The Right Choice...Part II

When the alarm clock went off at 5:15am, I had only napped about an hour.  Although I was exhausted I was in good spirits. I had made peace with my decision and the changes it would bring. But I did tear up when I kissed my toddler as he slept, praying I would see him again. I went in alone, which was what I needed. As I lay in pre op, I meditated and focused on coming out of surgery and healing like a rock star. I was so calm as I changed into a gown, emptied my bladder, got weighed one last time (Whoa) and let them begin to hook me up to all of the machinery. I answered the same questions over and over about allergies, last time I ate, etc. Then my handsome (in a quirky way) plastic surgeon came in and marked up my body. When I told him how much I’d miss my belly button, he told me I would still have the same belly button, it would just be moved. This gave me comfort.  
Then the anesthesiologist  came in, explaining that I would have an a an epidural that would numb my chest muscles so that I wouldn’t feel pain when I awoke.  I leaned over on a pillow; the nurse held my hand, and the needle in my lower back was the last thing I remembered. 
This is what was happening while I was completely unaware:

 My oncologist would cut and remove both of my breasts, removing the fat, the muscle, mammary glands and all. Her reputation is that she is thorough and would scrape away all of the breast tissue. Like all. Next, my brilliant plastic surgeon and his team would begin what is called DIEP flap reconstruction.According to BreastCancer.org, DIEP stands for the deep inferior epigastric perforator artery, which runs through the abdomen.  In other words, they would cut a large portion of skin and fat from my lower stomach, and then transplant them to my chest wall in the shape of breasts. Crazy, right?  But not simple. It involves microsurgery, reattaching the veins and arteries one at a time.

This is a diagram showing one breast. I had both breasts removed and reconstructed

For my surgical team, it took 15 hours total.

 This meant that while my family thought I’d be done by 8 or 9pm, I was not out of surgery until after 1am (Tuesday).

            When I opened my eyes, my two aunts were there like angels…

Gloria(L) and Saundra(R) my mother's sisters

 because my vision was blurry. I was distracted by the breathing tube that was still in my throat. Panic set in, medical staff tried to calm me, but I kept trying to speak. I could hear myself saying, I can’t breathe, I was gagging telling them to please take it. When they didn't listen, I tried to remove it. I felt people grabbing my arms and I heard “Sedate Her” , which they must have because the next thing I remember  (12 hours later apparently)  I was waking up with straps on my wrists. But at least the breathing tube was gone. What I didn’t understand in my panic was that they had to keep it in because, just like with any transplant, there was the risk that my chest wall wouldn’t take its new FREASTS. If the tissue didn’t stay alive, they would have to take me back into the OR and remove those. Not to mention, they needed to make sure my throat wasn’t too swollen and that I could breathe on my own. Which was kinda important.This is why I was in the ICU, being checked in half hour intervals. I was under heavy IV pain meds (thank God) so the first 24 to 36 hours were a blur of nurses brushing my teeth, wiping my dry cracked lips and putting petroleum jelly on them, cold cloths on my forehead, I remember them being so great, and feeling comforted despite the fact that I could only open my eyes seconds at a time, and my voice was weak. Unfortunately, I also had a fever of 102 and they worked vigorously to drop it down with IV medication. What I also was unaware of was that they were trying to keep me awake and get my body’s systems going. One of the nurses had me verbally complete the health care proxy form and sign off on it.  I had no concept of time; I just remember when they told me it was safe to move me out of ICU and into a regular room because my FREASTS were still viable. As they wheeled me on a stretcher, I passed a blond haired, fairly young, handsome doc. He introduced himself (I can’t remember his name) and said that he was on the surgical team. He told me I was brave and bad ass for my decision and that I made the right choice.

          According to my family, I was out of ICU by mid-morning on Wednesday and into my room. It was there I remembered that I was going to be a rock star in terms of doing what I needed to heal quickly. I asked that the catheter be removed so I could go to the bathroom on my own. (Why not, I was on morphine?).  It was so weird. I didn’t feel pain, I just felt stiff and tight as I walked in  cave man like baby steps, escorted by a nurse. I still had a low grade fever, so they were constantly checking in on me; they still needed to check the FREASTS every 1 to 2 hours.  I remember it was hard for them to find that swooshing sound in my left breast, so that had to put it in a special spot.

They put on a surgical bra, which I would grow to hate over the next 3 weeks, which matched my waist binder, which I’d grow to love and hate. They wanted me to sit in a chair. I did, and I slept there. But I also walked the hall, ambulating like it was suggested. I was determined to be model patient.

 The next few days would include daily visits from my angel aunts, my fiancé, and my uncle, and special visits from cousins, my dad, my brother, my oldest son, and my sister.   It was my sister and one of my closest friends who took a lesson in how to change my drains (we’ll discuss those in part 3).  I had my friend take this picture of me:

I wanted to document this journey, which would be hard because apparently I had multiple conversations under the influence of drugs that I don’t remember. It was a blur of Law and Order SVU reruns in the TV, multiple sleep interruptions, wraps on my legs to prevent blood clots, breathing into devices to restore my lungs, picking out my meals, taking sponge baths. Great nurses and PCAs, and awful nurses. Looking at the clock, not sure if it was 4am or pm.

The day my fiancé finally brought my toddler to come see me, it all came full circle. He was soooo happy to see me. At one point I glanced up at my wall chart with all of the nurse’s names and the date. It was Friday, September 4th. The anniversary of my mother’s transition. I looked at my toddler, I was about his age when I would go see my mother at the hospital, and like I saved my dessert for him, she’d save her dessert for my sister and I. It was mind-blowing to me, and I was rushed with emotion.  I was sad for the little girl in me who had no idea that one of the times she left the hospital would be the last time she saw her mother. I felt sad as a mother, for my mother, who at 23 knew she wouldn’t be around to see her kids, and that one of those hospital visits would be that last time she’d hug her little girls.  But I felt grateful that because of modern medicine, I would be there. I would be there for my toddler, and despite missing me dearly, he’d see me again. That doctor was right; I’d made the right choice.

My oldest son

My 4 year old