Monday, November 24, 2008

Moving on to the next step in this journey

I have only two chemotherapy treatments left. (not counting the herceptin treatments that continue for another year) Tomorrow is the next to the last one... (yay!) But that means that now its time to prepare for surgery.

I already have a general surgeon, Dr. Lee. Interestingly enough... she entered the scene quite early and has been really helpful and supportive throughout the process. She explained to me awhile ago, that it is possible to have the mastectomy and reconstructive surgery at the same time. I had no idea.

In the past, many woman had their breasts removed first, and then months (or even years) later, they had follow up reconstructive surgery. Isn't that crazy?

Naturally, I have lots of reservations about this whole process but the more I learn, the more I'm calmed. Well, calmer. :)

There is a surgical option that will also allow me to have my breast reconstructed from my own body -- rather than have an implant shoved into my body. I'll be honest, I was not pleased with the thought of losing my own breast and having to replace it with a bag of salt water. Just not happy with that thought at all. But after Dr. Lee mentioned this procedure that can take fat and skin from my abdomen and use that to construct a new breast -- I've been really interested in it.

Also... what's even more fabulous is that the reconstruction can happen while I'm in the operating room having my breast/tumors removed in the first place.

So, I can (if things go well)... go into the hospital with two breasts and 4 tumors... I can come out a few days later with two breasts, no tumors and a tummy tuck.

Wow.

I've spent a good portion of the day, researching the plastic surgeon that my general surgeon recommended and also looking for information on this procedure. It is called the DIEP Flap.

DIEP (Deep Inferior Epigastric Perforator) flap sounds like a pretty intensive procedure... but I am really hoping that I am eligible for the procedure. (and that my insurance will cover the cost)

Here's a link to a medical facility in Wisconsin that performs the procedure: http://healthlink.mcw.edu/article/1031002690.html

If you want to read more about how its done and all that.

My goal this week, is to get on the plastic surgeon's calendar for a consult right after the holiday and hopefully coordinate with her, my general surgeon and my oncology team -- so we can keep this ball rolling.

Honestly speaking... I do not ever want to wear a prosthesis. Of course, I will if I have to. And if I have to endure having a body with just one breast -- even for a short time -- I'll do it. But I'm praying everyday that neither of these options are in my future.

~Nic

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