Summer Update

Since my last update, there has been little news, however there are a couple things I would like to note.

Firstly, shortly after completing my herceptin treatments in April, my oncologist sent me for another MUGA scan to check my heart function after herceptin was completed. Now just for reference, I'd like to mention my first MUGA (prechemo) came back at 60%, which is perfectly normal. My second MUGA came back at 54%, I believe, so we could see the rounds of chemotherapy had taken a small toll on my heart function. Ever since that point, my MUGA results have only increased, and my final MUGA reading came back in May at 76%!!! I have no idea what the explanation is for the increase of my heart function while taking a drug which is notorious for damaging the heart, but I'm sure God has an explanation. Our prayer through my treatment was that I could complete herceptin, as we felt completing this drug was key to the most positive outcome possible. I feel God heard our prayers and the prayers of many others and not only protected my heart, but somehow allowed it to strengthen!

Secondly, all the surgeons and nurses are finally going to be able to put me back together again! Come mid-August, we once again travel down to Mayo to complete the reconstructive surgery process, almost exactly a year from the start of reconstruction. This surgery should be a much simpler and less painful surgery then my last and should be done as outpatient. I have also been given the OK from my oncologist to remove my chemotherapy port, so I will have that done at the same time as my reconstructive surgery.

I will never regret choosing a double mastectomy. Nobody knew until after surgery how widespread the cancer was in my breasts. My old breasts were housing a disease which tried to kill me, so honestly, I'm thankful they are gone. Emotionally, yes, I wish I could be 100% me, and have never got cancer and had to change my body. But after living completely flat chested for over 6 months after my mastectomies, I know that not having reconstruction was not an option for me either. The mastectomy bras and prostheses were uncomfortable and not very pretty. Going flat chested made shirts fit horribly, so for me, reconstruction was the best solution. So, yes, my breasts are now fake, but frankly, that is an upgrade from the breasts which housed the disease that was trying to kill me!

Can I get a drum roll please?

Da-Da-Da-Da-Da DONE! Tomorrow, my absolute very last chemotherapy treatment is scheduled! I am so excited to check that off the "TO DO" list! I've decided oncologists have this drug treatment schedule set up the way it is for a reason... they hit you with their uppercut that knocks you on your back first, so they can say "It will get better.". Then they order the drugs in such a way that you are actually thankful to get the gut punch after the uppercut, and then the slap in the face feels mighty fine after the gut punch. If they slapped you in the face first, and then said "Just wait 'til next time, it only gets worse", it would be very hard as a patient to comply with treatment. So the last few months, I've been getting slapped, but it sure beats the uppercuts we started out with! So tomorrow is my last slap! Ha Ha!

As hard as chemo was to do, in all seriousness, I could not be more thankful for all the drugs they have to treat breast cancer now! I had the discussion with my Oncologist a couple of days ago as to how much better the prognosis is for my type of cancer then it was 10 years ago, thanks to the advancements that have been made in the drugs to treat the cancer. At that time, my type of cancer had a very high rate of recurrence, where as today, my Oncologist says they hardly ever see recurrences after the drug regime I've been on. Just imagine how much better things will be in another 10 years? Amazing!

As of this week, I now only have to visit my Oncologist once every three months, until I hit five years out, and then I will switch to once every six months, until ten years out... and then I can say goodbye to Oncology forever! Again, thankful for what they did, but won't be sad to check that off the list when the time comes.

So right now my doctoring schedule is getting my port flushed every six weeks until I have it removed (probably another six months or so), Oncology visit every three months and I have my last reconstructive surgery to schedule down at Mayo clinic some time this summer.

I've been thinking the last few days more about all the people/situations I have to be thankful for in my life. You know the song "Count Your Blessings"?

"Count your blessings, name them one by one. Count your blessings, see what God hath done!"

Seriously... I need to go back to school, 'cause I can't count that high! I am so very thankful for so much!

Update Time

Well, I figured it was probably about time for an update, so here it is...

Medically, things are clipping right along. I'm still doing herceptin once every three weeks. I've had an array of side effect (headaches, rashes, full body aches, chills, sore throat, and tiredness) but nothing that slows me down too much. I do occasionally get frustrated and wonder when/if I will ever feel "good" again, but I know that this too will pass. I will be done with my infusions (herceptin) in early April. I just had another MUGA heart scan this month, and everything came back excellent! It was actually the best reading I've had yet, so herceptin doesn't appear to be messing with my heart.

As far as reconstruction, I am down to only needing one more expansion (next week!) and then I call my plastic surgeon down at Mayo for instructions as to what happens next. My understanding is that there will be a few months waiting period (to allow tissue to fully expand and stabilize) and then I will have the implant surgery.

I visit with a nurse practitioner from oncology once a month. She checks my blood work, my incisions, chest wall, axilla, heart and lungs. So far, everything has been excellent!

Spiritually, I have come to the conclusion that the simpler I can make my faith and let God take care of the big stuff, the more freedom I feel. After ending chemotherapy (the bad nasty stuff), I went through a rough time where I dreaded cancer returning. My odds of getting cancer two years ago was ~ .2%, but I managed to get cancer. Now, as a survivor, my odds of having a recurrence are anywhere in the range of 7-20%. Not very comforting, at all. I was trying to have faith in these odds, in the medical field, in my doctors, but I still felt defeated and incredibly discouraged and felt like I was just waiting for my world to be rocked apart again. Then God showed me I was putting my faith in the wrong place. He assured me that no matter what happens in the future, He is big enough, He loves me, and He is good all the time. And no matter what happens, if I keep my faith in Him, my world will not be rocked apart. I could be diagnosed with a recurrence tomorrow and He is still big enough, He still loves me, and He is still good ALL the time.

Emotionally, I've been trying to process why our society (myself included) is so adverse to feeling any discomfort. We try so hard to avoid tough situations or mask our pain. Isn't it through feeling discomfort that we learn some of the best lessons? Isn't tough situations where most of our growth and maturation occurs? It has been a rough year emotionally, physically and spiritually, but I'm trying to learn to embrace the good times with the bad, and realize that both are a part of life and make up our stories. Life is really worth living and feeling... all of it!

Breast Cancer Does Effect Women of ALL Ages

Us younger women are lulled into what I would say is a false sense of security when it comes to breast cancer. (Mistake #1) If we don't even have to consider getting a mammogram until we are 40 years old, the odds of getting breast cancer must be extremely small when you are younger then 40. And yes, that is true, the odd are very small, but you still have the possibility. And if you are like me, your odds of getting breast cancer are 100%, and really those are the odds that truly matter... your own personal odds.

One of our main tools for detecting the early stages of breast cancer as young women is the monthly self breast exams, but in all seriousness, how many of us actually do it monthly? I never did. (Mistake #2) I was the check in the shower if I had a spare minute every once in a great while kind of girl. Thankfully, I believe I did find my lump right away because I happened to find a spare minute in the shower when my youngest baby was about 4 months old. But then I made another mistake. (Mistake #3) Instead of running straight to the doctor, I decided that there was no way I could have breast cancer because I was too young, the Internet said my symptoms were not like breast cancer, and frankly, I was way too busy to deal with cancer. I should have just drawn a large, bright red "D" (in the most fashionable shade of lipstick, of course) on my forehead to stand for "Dumb" or "Denial" or both. But beating oneself up does no good, so I will stop.

What I'm not going to stop is trying to get the word out to other young women that A) younger women can and do get breast cancer. And when a younger woman gets breast cancer the odds are that cancer is more aggressive and nasty and is going to try harder to kill us then our counterparts breast cancer. As far as I know, doctors don't really know for sure why this is but younger women's breast cancer is nastier. Which leads me to B) DO YOUR MONTHLY SELF BREAST EXAM. And do it religiously. If you don't know how to do a breast exam, ask your doctor. They should show you how and/or give you literature to explain it to you. This is your most powerful tool in detecting cancer early, so use it ladies! And C) if you find a lump, don't run to the computer and research it on WebMD or Mayo Clinic's website, or any other site. My symptoms all pointed to the facts (obtained via online research) that I didn't have breast cancer, but I did! Instead, spend your time much more wisely, and make an appointment with your doctor who has the knowledge to help you figure out if you should or shouldn't worry about your breast lump. Learn from all my mistakes!

I also want to impress on you younger ladies that there are some doctors out there that may blow you off because you are so young. From my understanding, the only real way to confirm whether a lump is cancerous or not is a biopsy. Mammograms and Ultrasounds can tell doctors if there is reason to do a biopsy. But I have yet to hear of or meet a doctor who can tell just by feeling a lump in the breast if it is cancerous or not. So insist on further testing until you are satisfied that cancer has been diagnostically ruled out. You may have to push your doctor a little or a lot, or even go see a different doctor (or ask for a referral to a breast center) until you feel the doctor is concerned enough to prove to you thru medical testing that you shouldn't be concerned.

October Update

Things are going relatively smoothly here, which is good. We seem to be adjusted to fall routines and all that entails. The kids are closing in on the end of their first quarter at school and we all have enjoyed our beautiful fall weather here.

On the medical front, not much has changed, which is also good. I go for herceptin treatment every three weeks, see my oncologist's nurse practitioner once a month and have my tissue expanders expanded every so often. So I am averaging about four doctors appointments a month, which is doable. Family and friends continue to selflessly step up and so willingly take care of the two little ones while I have doctor appointments and that is so appreciated! I know that taking care of an almost 2 year old who throws a good fit every time I leave her somewhere and is hitting that age where tantrums come at the drop of a hat, and a very energetic 3 year old boy is not easy. But I am thankful that my kids get time away from me to socialize with other children and other adults. It is a little sad that anytime we take the two little ones somewhere they assume that "Mommy has to go see the doctor." and they are perplexed when another member of the family has a doctor appointment, because in the reference of their memory, I am the only one that has doctor appointments.

A little more tangible medical news I have received lately is my last Muga scan (done in early October) came back with excellent results. My heart function is remaining stable while I'm on a drug (herceptin) which can be very damaging to the heart. I have also deduced that herceptin apparently takes a toll on my skin, as well. The last few weeks I have been dealing with a very interesting skin rash that appears to be related to my herceptin treatments. Within a few hours after treatment, my body looks like I've got a case of the chicken pox. The rash doesn't itch or bother me in any way, it just looks really nasty and takes anywhere from a few days to a couple of weeks to resolve itself. The nurse practitioner's advice is to monitor this rash situation and since the rash itself does not cause any bothersome effects, continue on my herceptin schedule as planned, which makes total sense to me.

I have also been experiencing some vision issues since chemotherapy has stopped. My vision is more blurry, so the nurse practitioner advised I get my eyes checked, as the chemotherapy drugs and steroids I was on have been know to effect vision. Sure enough, I got my eyes checked, and I need glasses. I wasn't specifically told this change is due to my treatments but I was told that it is very possible treatments changed my eyes and there is the possibility that my eyes could get better the further out from treatment I get, but for now I need glasses.

Nobody told me that once you hit your 30s, everything falls apart... If I'd know that I would have had more fun in my 20s ;-). Fake boobs, glasses, very little hair, and a polka dot rash... I told my husband I'd might as well go in and get fit for my dentures next. :-) He accused me of being somewhat dramatic... ha ha. I think he may have been right. :-) Again, a little humor goes a long way.

Thank you all for your thoughts and prayers as the journey continues. I have been blessed, am blessed and will be blessed, and I challenge you to believe the same about your situation.

The Beauty of Birthdays

Today, I've been thinking an awful lot about birthdays. Probably because it is my birthday. I've been thinking about how I haven't had a birthday this special in a long time. Birthdays, for me, lost a lot of their appeal once I turned 25. That birthday was tough for me... a quarter of a century old! Yikes! That sounds ancient (I know it isn't). And ever since then I've viewed birthdays reluctantly... they're not horrible, but they served more of a reminder that I was getting old(er) then anything else for me.

Since having cancer, my view on my birthday has changed. I view my birthday a little more positively. I realize how easily I may not have celebrated this birthday, or how much harder I could have been fighting to hang onto life at this point. Today, I view my birthday as a blessing. God has seen it best that I stay on this earth into my 34th year! How cool is that?!? I'm enjoying it! Birthdays are awesome!

I've also gone from thinking about my birthday to the birth of my children and how special each one of them are to me. I cherish each of my children's "birth" days and their birthdays. They each have their own batch of memories and life changing moments.

The scenario that surrounds the birth of my fourth child keeps running through my head today. That event is so special to me because my heavenly Father sent a special message to me. I didn't hear it that day, though. Actually, it took me several months to hear that message. And now that I've heard it, it nearly brings me to tears (happy tears) every time I think about it.

You see, part of having breast cancer as a young women, is losing your fertility. Not everyone loses it and you might not lose it forever, but the treatment that you go through can make you infertile for a very long time. That was one of the first things the doctors asked me when I went to Mayo to set up my treatment plan. Was I done having children?

Now, as a mother of four, with my youngest having just turned one my response to the doctors was "Heck, yes, I'm done!". But you see, if I was in charge of our family planning, I wouldn't have been done when they asked me that question. Now, don't get me wrong... ever since deciding to try for a third child, my husband and I have wanted four kids. We had our first two almost exactly two years apart (and swore we'd never do that again). We had a nice five year gap, and then had our third. My plan was to wait about three years and then have our fourth. Spread things out a bit... so I hopefully didn't go so crazy this time :-). Well, thankfully, my heavenly Father is in charge of our family planning. You see, nine months after having my third child and as I was just managing to crawl out of a postpartum depression hole, I found out I was pregnant with my fourth. This is the only time I have ever gotten pregnant without planning it and my husband and I both were shocked that I was pregnant.

I'll be honest... I was not happy at all when I discovered I was pregnant. I was barely holding my head above water the way it was and God wanted to throw another baby at me? I'd barely had time to hold and snuggle my third child, and now I was going to have to spend the next four months with my head over a bucket trying not to puke from morning sickness, and then the next five months become progressively more whale-like, until I had two babies to care for. It wasn't supposed to work out like this... not according to my plan.

But you see, everything worked out according to God's plan. God knew my heart's desire was to have four children and God also knew that that fourth child would not happen if He allowed things to happen how I wanted them to happen. You see, if things were going to happen the way I wanted them to happen, I would have just become pregnant with my fourth child right before being diagnosed with cancer, which may have seriously compromised my treatment or I would have been planning to become pregnant very soon, and our fourth child would have never been.

It was a month or so after being diagnosed with cancer that this reality hit me and I heard my heavenly Father's message loud and clear. "I love you, my child. I am allowing things to work this way because I love you. Your child was a gift from me to you. A gift that shows you that I do care about you and what you are going through. I care enough to orchestrate the details of your life. And I'm orchestrating what you are going through right now. Even when you feel like I am working against you, child, I am working so very hard for you. I love you, my child!".

I love birthdays!

What a difference a week can make...

A week ago today, I endured an eight hour road trip across the state with my husband and four kids, post surgery. The kids did awesome on the way home from Rochester. Our youngest never even left her car seat, and  our next oldest did only for a diaper change. They were very patient. I experienced bad motion sickness during the trip and ended up getting sick a few times on the way home. Every time I threw up my three year old would shout from the back "Momma puke?" and my older kids were so impressed that my throw up didn't stink... I guess I'm talented? :-)

Surgery went great. My surgeon said I was his easiest patient of the day and everything sounded like it went textbook. Thankfully, we didn't have to be at the hospital very early (8:00 a.m.) and we had a while to wait before they took me back for surgery (I think it was 10:30). I didn't wear my owl scarf (see previous blog), as I wasn't feeling very humorous that day... too nervous. There was only one point where I'd wished I had worn it. My anesthesiologist's name was Dr. Bacon and he pointed out I could remember his name by looking at the pictures of bacon which were on his scrub hat. At that time, I was wishing I could say, "And you can remember what procedure I'm having done by looking at my hat."

Speaking of my anesthesiologist, he had some great drugs, but I've never felt so much pain from an injection. As he injected the drug in my I.V. to put me to sleep, he said, "Now, some people say this stings a little..." and at that exact moment I felt this intense burning sensation spread from my I.V., up my arm and across about half of my body, before I was out. I still remember arching my body, clenching my fist and trying to breath thru the pain before the world went black.

When I came too, I just remember thrashing my legs in the bed from the pain and vocalizing that I was in pain over and over again. I remember hearing a nurse's voice tell me to hang in there as she was injecting my I.V. with some pain meds. I think I remember her giving me two injections before I could settle my body.

They transported me to my room, where they began giving me hourly doses of morphine. I think it was after the second dose, the nurse noticed a rash spread from my I.V. site. She deduced it must have been a reaction to the morphine. She was going to give me intravenous Benadryl, until I told her the issues I'd had with that during chemotherapy. I told her that my oncologist had had better luck with small doses of oral Benadryl. So she tried that, and within about 20-30 minutes I started to get more of a redness in face and sort of a panicky feeling (just like before I reacted to the intravenous Benadryl during chemotherapy), but it passed. I soon asked for more pain meds, so they decided to try Phentenol (sp?). It took the pain away, and the next hour the nurse gave me another dose. As I started relaxing and started to dose off, my O2 saturation monitor started going off. My O2 saturation had dropped significantly. I started feeling like my throat was beginning to close in, and my rash started spreading. More Benedryl, which pretty much made me super itchy and rashy all down my body. The decided they were going to have to cut me off the intravenous pain meds, as it was too risky considering how my body was reacting to them.

By this time, I had to pee... pretty bad. So the nurse and my husband tried to help me get out of bed, so I could go use the bathroom. I no sooner got the top half of my body upright, then I knew there was no way I was leaving that bed. I was in so much pain, I was sweating profusely and could hardly talk. So my option at that point was a bed pan... how humiliating... but not as humiliating as still managing to pee all over the sheets while trying to use the bed pan, which is what I managed to do. So now the nurse had to change sheets. I have no idea how long it took them to change sheets, but it felt like an eternity of rolling me from side to side... I was in so much pain I could not make a noise. I felt like I was in a torture chamber...it was horrible, but eventually, it did end. By this time, we were way behind on pain meds and the pain was bad. They gave me a dose of oral oxycodone, and an intravenous anti-anxiety med (I was pretty upset at this point), and I soon fell asleep. They kept me on a regular schedule of oral pain meds thru the night, and by morning I felt much better. I could finally slowly make my way to the restroom (thank goodness). And by mid-morning they had begun the process to check me out of the hospital. I was out by noon, I think. I went to my brother's place and rested for the remainder of the day and that night. And then we started our long trip home last Saturday.

It is amazing how much the human body can heal and recover in so little time. I could feel my body turn the corner by Tuesday evening and actually start feeling better. By Friday, I was off my prescription pain meds and only taking Ibuprofen as needed.

I go back to Mayo Clinic in September for a recheck and my first reconstruction expansion. It sounds like after that, my expansions can be done locally, which will be nice.