Breast Cancer, breast cancer recurrance, Chemotherapy, Coping with Cancer, expander, Lymphovascular Invasion, mastectomy, moms and cancer, Moores Cancer Institute, Oncotype, reconstructive surgery, Tamoxifen, Uncategorized

But are you sure, sure?

Silv, my grandmother, basically hitchhiked across the country in the 1930s because women weren’t supposed do that kind of thing. Until the ripe old age of 93, at 4′ 10″ – no one questioned Silv. You wanted her in your corner, not looking across the ring at you. So when you start to doubt yourself, (Inner dialogue… “It’s not you. It’s me.”) repeat after me “WWSD” (What Would Silv Do?)

I recently had an ultrasound following a mammogram. Totally routine visit. Nothing to panic about. You know me well enough to know that there is always an ‘except’, ‘but’ or ‘however’… so this should come as no surprise. Since a mammogram can only be done on the right side, I assumed that the ultrasound would focus on my left side and remaining lymph nodes. You know what happens when we ass-u-me…

After leaving the radiology center- I called my oncologist who said that she only ordered an ultrasound on the right side because there is nothing to see on the left side. “You’re going to have to trust me. I’m your doctor.” You’re cured!” she declared.

OHHHHH!!!!! I get it now! The surgeon was able to get every single solitary microscopic cancer cell that had already invaded my vascular system. Got it! So there is NO POSSIBLE way one of those little buggers could have gotten lose and wandered off. Right-o! No need to worry! Check and check!

sheathed             sheathed too

Delving into the bottomless pit of despair (AKA the Internet) – I was guided to Thermography Screening? Ever hear of a mood ring? It’s sort of like that but bigger! Here’s how it works: when your body is cooled down in a temperature-controlled room, normal blood vessels constrict to conserve heat. Blood vessels that are fighting infection or multiplying like bunnies are working so hard that they create their own heat source.

Our ‘ladies’ are teaming with estrogen fed, law-abiding breast cells that follow their own vascular rules and patterns.  The Bales Thermal Image Processor camera’s job is to screen for any no goodniks before they recruit other no goodniks and form the No Goodnik Gang of No Goodniks.

lVI PARTY

 

The WISE AND POWERFUL FDA has not yet approved this type of voodoo witchcraft, so I decided to pay out of pocket and give it a go. I was guided into a really REALLY cold room and told to disrobe from the waist up. Next, the thermographer put an ice pack on my back to make me even colder. Maybe the FDA was right…  “We” were now ready for the next step where the Bales TIP (thermal camera) was used to take pictures of my ladies (who were at full attention). Thankfully this only took about 15 minutes, after which time I was allowed to chip the icicles from my disrobed torso. Now all I had to do was wait for the doctor to call with the results in two to three days.

You can image my surprise when two short hours later the Dr. Sellens at http://www.mypinkimage.com/called with the results. That’s never a good sign. But it’s okay since it’s just witchcraft after all. The thermography showed that lefty has vascular patterns and heat patterns well outside the normal limits. Righty, tired of being left out, also had ‘atypical vascular patterns’ but still within normal limits.

no goodnick

 

I called my Physician’s Assistant (PA) to help me navigate my ‘should I panic?’ emotional state. She has been, and continues to be, the only person who doesn’t tell me that anti-anxiety meds will make all my problems magically disappear. She actually… wait for it…

listening ears

 

She ordered an MRI with contrast and promised to call me as soon as she got the results, which was later that same day. I recently found out that all this happened while she was on vacation. Vacation! What kind of amazing person does this??? I’ll tell you who- Annie (I have to keep her last name secret from all you PA Poachers!).

Are you dying to hear the results? To find out if you should start making a voodoo doll and practicing witchcraft?

Righty has mild background enhancement (laterally) with nonspecific foci. Well that cleared things right up, didn’t it! And… back to the pit. According to the University of Washington (2015), breast cancer survivors whose MRI showed mild to moderate background enhancement were nine times more likely to develop recurring breast cancer than those with minimal to no enhancement. Are you thinking what I’m thinking? What’s one study? Meh. Oh… Wait. The Journal of Radiology (2016) concluded that moderate or marked background enhancement is associated with significantly greater odds of breast cancer. Oh.

Interesting… what about Lefty you ask? No suspicious enhancement (whew!), but there is a 1cm nonspecific internal mammary lymph node ‘situation’ that may be reactive. (In our house we use the word ‘situation’ a lot by the way). Common causes of nonspecific reactive nodes include infections like a common cold, an autoimmune disorder and, cancer. Huh. You don’t say.

So now what? I have another MRI scheduled in three months from now “just to check”, says my oncologist. “It’s probably nothing but we’ll redo the test in three months just to be sure”.  Be sure? I thought you were sure? 100% sure to be exact.

In truth, it probably is absolutely nothing but I, on the other hand, am 100% sure that I am Silv’s granddaughter and that you do not want to be looking across the ring at me. Of this I am sure, sure.

 

 

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expander, mastectomy, Moores Cancer Institute, reconstructive surgery

His friends call him Mike.

Dear Vince,

Let’s begin with a lesson in history and art. Michelangelo’s David is one of the most well-known sculptures in history. But why? What makes him so special (I mean besides… well… you know…).

In the early 1500s, at the ripe old age of 25, Michelangelo decided to try his hand at the same piece of marble abandoned for decades, by two other artists who tried to create a work of art but ultimately left the mammoth stone to be taken to a 16th century landfill. Along came Mike, I bet that’s what is friends called him. He was always up for a challenge. If someone says “Well… this just isn’t possible”, Michelangelo di Lodovico Buonarroti Simoni says “Let’s do this!”

He chipped away at that marble block until David emerged, in all of his perfection, standing ready for battle. Michelangelo took something misshapen and discarded and created David, a symbol of courage and civic duty. David is a cool statue (he’s even kind of old-skool super-hot) but without knowing the back story, you cannot truly be awe-inspired by his accomplishments. Let’s be honest, what were you doing when you were 25-years old?

The three of us have had some good times together, Vince: You, me and Lefty. For the past six months we’ve visited you regularly, even looking forward to it (just a little)…  chipping away, little by little, at that proverbial marble slab. You’ve seen us through thick and thin (and thick again), as we’ve been sculpted and molded. But to truly appreciate you, Vince, our readers must know with what you’ve given to work.

I am not the suppleness of clay, I am not pliable balsa wood and I do not soften like heated wax; I am the marble slab. And you, Vince, did not shy away from the challenge. Quite the opposite; like the famous Michelangelo (AKA Mike), you said, “Bring on Lefty and the pain in the ass to whom it used to be attached!” Since coming toe-to-toe with this 17-foot marble impenetrable boulder, you squared your shoulders, sized up the job, chose your tools, rolled up your sleeves and got to work.

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