A Day for Doctor's Appointments - progress update

Yesterday was my Doctor's appointment day.  I took the day off work to schedule all my appointments in one day and get them over with.  There were some glitches with insurance authorization, and wrong coding, but I made it through.  It was exhausting.  Here's the update on my health both with my breast cancer and general health and weight loss. 

Appointment 1:  Genetic Testing for the BRCA gene.  My insurance approved me for genetic testing after my second time with Breast Cancer and given that I had also had colon cancer.  The test is very important because it determines if you are a carrier of the breast cancer gene or if your cancer was just some random fluke.  The test is nothing more than a blood test, but they test down to your DNA so the lab work up is quite extensive.  I will post the results as soon as I'm made aware, but I don't know who will contact me with them.  My primary doctor or my oncologist. 

Appointment 2:  Consultation with the surgeon for post op check and to discuss part 2 of the breast reconstruction.  Everything went well.  Doctor B was really happy with my progress.  I have been feeling "thicker" around the waist/rib area.  He said this was a natural byproduct of the tram flap procedure but said as far as results go, I was doing really well.  We discussed the reconstruction.  I have an area of scar tissue (near the right outer side of the reconstructed breast), and I have an area of necrosis (less circulation of blood flow so causes a hardened area) on the right inner portion.  During the time of the reconstruction, he will cut around the old incision site (areola) and reshape the necrotic area.  The scar tissue will remain.  And then he will create a nipple.  This is all going to happen some time in October, which is good for me.  I'll be done with the Avon Walk, and it's before the holidays.  It's an outpatient procedure and will require 2-3 days out of work.  I asked about drains.  Will I have to have drains?  (Hate those!), but he said it was doubtful, but not an impossibility.  So I'm keeping my fingers cross.  He will dictate the report and we'll wait for insurance approval.

Appointment 3:  My regular doctor.  Check up. I wanted to talk to her about my weight.  I have been working very hard for almost 2 years now on weight loss.  I had lost 92 pounds...and then once I had my tram flap surgery, I couldn't exercise, bend, etc.   Basically all I did was sit around recuperating....and, well, eating.  And the pounds started creeping back.  So I'm 18 pounds heavier than I was.  Despite all the walking in training that I'm doing, eating right, etc...the pounds are just at a standstill.  So I wanted her input.   I love Dr. M.  She said I may have been thinner back in February, but I was also at that weight because I had been sick with gallbladder issues etc...and to not be so hard to myself.  She was very happy with my progress and the fact that I had been maintaining (I wish I were as happy).  We decided that I would need to be more disciplined, and write down everything I ate.  She asked, "Could it be that you're taking more than you think?"  Anything is possible.  :::shrug:::   I'm walking a lot...so the exercise is not a factor.  But she suggested that I ask Dr. B if it's okay to go back to my yoga class or to the gym.  Anyways, the plan is to write it all down and try to cut back 200 calories daily...and then reassess in 4 weeks' time.  I also have general fatigue from everything.  I get tired more readily just doing what I used to do normally. She said this was due to having 3 major surgeries in 6 months.  Okay.  I get it.

After three appointments (and no coffee in the morning), I was exhausted.  Special thanks to my daughter Ani for coming with me.  She always makes the worst situations better.

A Little Help from My Friends

My daughter Ani leaves for her hospital rotations pretty early in the morning.  I always like for her to tell me she's leaving (if I'm not up), and also to let me know she's made it to the hospital by texting me when she gets there.   I know, I know...it's a bit overprotective, but it's what we do.  Anyways,  because I wrote that post last night, I was in the mode of "thinking" about taking a walk at some time today.

When Ani left this morning,  I looked at my blackberry at my bedside.  The usual email notifications, one more pink ribbon bracelet sale (thank you!), and a "comment" on my blog post from my dear friend in Japan telling me basically to get off the couch....or even think about selling the couch...but basically a call to get up and out and get moving.  So I'm lying in bed reading this...and another comment came in.  This time on Facebook, from my friend Sandra.  Another word of encouragement. 

So I didn't roll over and go back to sleep.  I didn't wait for Ani's text saying she got to the hospital. I washed my face, brushed my teeth, put on my clothes and laced up my shoes.  And off I went.  I have to tell you, it was beautiful out.  The air was cool and scented with jasmine that's blooming all over my neighborhood.  And according to mapmyrun.com my first morning walk totaled 1.13 miles!  Yay me.  Tomorrow I will go further!

I was trying to take in, with fresh eyes, some of the sites and goings on around me.  Here's some of what I saw:

A grandma sweeping the curb while her grandson waited with his backpack for his ride to school
The fog hugging the foothills
Some beautifully manicured yards
Some very dead and not so beautiful yards...yellowed from no water?  water shortage? or just lack of care?
Cactus blooming at curbside in a very unsuspecting rock garden
A car with a C-clamp clamped to its hood to hold it down while driving!
A jasmine-scented corridor where about 50 feet of my walk was permeated with this beautiful fragrance
A really old dog on his walk with his not-so-old owner
A neighbor's fence made entirely of nautical spools?  Round and wooden.  Very cool. 
Dewdrops on roses
The white mulberry tree on the corner is starting to blossom/make berries
Crazy, vining morning glories
Pomegranate trees blooming!

And I took a few pictures...just so you believe I was there.  : )
Thank you everyone for your encouragement and prayers!  I am on the road to feeling better everyday!  I get by with a little help from my friends!

Here's the cool cactus flower!

My neighbor, Dave's garden...always nice.  That's my car in the driveway just beyond.  This was as I was coming back home.  You can see the foothills in fog in the background...sort of.

I don't know what ths flower is but it's a huge, drought tolerant scrub.  I had heard that it's called a Mexican Rose.  It's really very showy and beautiful.

I saw lots of roses with dewdrops.

And here's that incredible wall of jasmine.  As I approached it, there was no fragrance...and then about 10 feet into it, you get hit!  and after you pass it, the fragrance hangs in a cloud beyond it. 





It's time to get off the couch

I can tell I'm starting to feel better because I'm starting to get critical about myself, (sad but true).  It's been three weeks since surgery.  I haven't been able to bend or move my right arm normally.....I haven't been able to exercise at all, and I can't do anything that would use my ab muscles because of the mesh that's healing inside me and the incision itself.  Prior to surgery, about three weeks, I was rushing for tests, biopsies, appointments and exercise took a back burner to life and it's complexities.  So it's been a couple months of no yoga.  And in February, I had a colectomy (resection of the colon due to colon cancer). so no exercise then.  And I'm starting to feel schlubby.

But I need to do something.  The inactivity is making me gain weight  (7 pounds since surgery!)...that and the "being home" factor.  The doctor says I am still swollen and that is the reason for the gain, and I feel that, yes.  But I also feel more jiggly.  Those of you who know me, now how hard I've worked over the past year and a half to lose weight, so you can maybe understand my panic.

So tomorrow is Monday.  The plan is to get dressed and take a walk.  I don't know how far I'll be able to go, but I don't have to rush...I can take my time, but I've got to start moving again, and walking is something that I can do.  Let the training begin!