Saturday, September 8, 2018

Anniversaries


Thirty (yes, 30) years ago today, I gave birth for the last time.  We now have 4 children in their 30’s.  5 years ago yesterday, Hollis and I returned from our cruise to Alaska.  On Wednesday our newest granddaughter will be 3 months old.
One year ago today I had the mammogram that started my breast cancer journey.  There will be several anniversaries for me in the next few weeks that I am struggling with just a bit.  I am in the middle of a 9 week workshop for breast cancer survivors that has been really interesting.  Though I am very close to lots of people, I guess I am a pretty independent person.  I always assume that whatever I am going through, my thoughts and feelings about it are uniquely mine.  I truly couldn’t tell you why I signed up for this workshop but it has proven to show, first and foremost, that I am not even a little bit unique.  It is faith based so it has driven home quite deeply that I am also never, ever alone in these thoughts and feelings that I have been experiencing.  My faith has not been tested by this journey at all but it has been wonderful to be reminded that I am created in God’s image and that He will not desert me in any trial. 

The idea behind this workshop is that once treatment is over and the body is healed, it doesn’t mean the survivor is whole again.  Cancer fundamentally changes you in ways you don’t see coming.  While recurrence for me is unlikely, I don’t plan to be caught by surprise again.  This means that while Hollis, the boys and their families think this chapter is completely closed, I’m on guard for it to be reopened.  I’ll see an oncologist every six months for a long time to be on guard for any return.  My basic trust in my body to be healthy is shaken.  My scars are a whole other set of issues.  I’m getting better about them but, well, they’re still jarring at times.

Now to be sure, I do not lay awake at night worrying about a recurrence.  It’s more a passing thought.  But the thought passes every single day.  Sometimes more than once a day.  There are other ways my body has changed.  I have (and really hate) hot flashes!  I tell people they are from the devil.  They laugh; I’m not being funny.  They are ridiculously bothersome so I take non-hormonal meds to minimize them but they are not gone.  There’s a chance they never will be.  Did I mention I really despise them?  Mine emanate from my core and spread outward in a most unpleasant sensation day or night.  It’s been a really hot summer here and that has made things even more of a challenge.  Let’s change the subject before I have a hot flash. . .

Though the scars are extensive, I do have to say that I am ridiculously blessed to have them.  This fact also contributes to feeling like it’s not over.  Even though in my shallow moments I feel mutilated, I know that I am crazy lucky to live in a time when the treatment available to me is so incredibly amazing.  As I meet more survivors and hear their stories, I am reminded regularly that for no good reason I can explain, I landed in front of a really good general surgeon who didn’t just tell me what we were going to do.  He gave me a list of treatment and surgical options.  He gave me a list of plastic surgeons and told me that PRMA was a group that did really good work.  He gave me a list of oncologists and told me that he had worked well with several of them.  He didn’t presume to make any decisions for me.  I’m finding out that not everyone has that experience and it makes me really angry!  I’m looking for my advocacy voice and it might be in this area.  Any one facing the awfulness of breast cancer should know ALL of their options!  There is something about going through this experience that calls you to help others facing it.  I don’t yet know how this will manifest itself in my life but I sure feel the need to help somehow, some way.

When I was about finished with my plastic surgery treatment, I made a video testimonial for PRMA back in May; it was just recently posted to their website and several social media forums.  I even posted it to my Facebook page, too.  It was edited pretty substantially but I like the result.  When I think about Dr. Pisano, his nurse Kathleen and the PRMA team, I am really, deeply thankful that they exist.  The reconstruction I had is called “DIEP Flap” and it is considered to be the gold standard in breast reconstruction.

There are also so many “ifs”.  If I had chosen implants instead of transplanted tummy tissue, I’d probably need to have them redone in 10 years or so; that would be at my expense.  If I had gone to a different general surgeon, I might not have been given options.  I don’t even want to talk about the “if” of skipping my mammogram last year.  So as I face these anniversaries, I am thankful to be aware of the “ifs”.  September 25th is the anniversary of the horrible biopsy experience.  September 26th is when I got the call from my OB/GYN.  I will never forget her words.  I’d had a biopsy 5 years ago that was negative for cancer.  When she called last year she said “Well, we weren’t so lucky this time.  They found cancer in both biopsy samples.”  We sat on the news for a while so that we could get more information before telling the boys and extended family and friends.  I was fearful like I’d never been before; I was threatened like never before.
 
All those feelings are coming back as I face the anniversaries but there’s been a bright spot.  The Patient Liaison at PRMA asked me two weeks ago if I would be available in the evening on October 25th.  “Sure,” I said.  “That happens to be the one year anniversary of my big surgery.”  “I know!” she said.  “We would like to invite you to be our honoree at the annual Bras for a Cause Gala that night.”  This Gala is a fundraiser for a group called Pink Warrior Angels.  Businesses in the area decorate a bra; really bling it out.  At the Gala, New Braunfels Fire Fighters model the bras and they are auctioned off.  Tickets sell out!!  Quickly!  Hollis and I will be their guests and hopefully some family and friends will be able to attend as well.  I had no idea such a great thing could happen to me on the anniversary of the hardest day I’ve ever had in my life.  My friends took me gala dress shopping last weekend and we had a blast!  I picked out and brought home the most amazing dress!  There will be photos for sure and I know we will have a wonderful evening.  How did I get this lucky again?  I wonder if I will ever get used to using the word lucky in conjunction with getting a life threatening, body mutilating, brain altering disease.  

Please keep me in your prayers over the next few weeks.  Pray that I feel grateful and not threatened.  That I remember being skillfully treated with top notch medical people and not remember being in pain.  That I remember being tenderly, carefully cared for by many people and not worry that my body and mind are all so different now.  That I remember I am now physically healed with little chance of recurrence and to not worry that this awful, unfair disease won’t be zero risk until I am dead.  So many of you prayed for my healing last year and I appreciated every one of them.  If you’d remember me one more time, I would be thankful for that as well.