A recipe for living with cancer.

Archive for February, 2013

A Place Where Everyone Knows Your Name

When we went to the surgical center this morning it was a reunion of sorts. First up was check in where I filled out a form, spelled my entire name, recited my birthdate, allergies, why I was there, and no I was not staying overnight. Then Tom was handed a form and the same beeper/responder you receive at a restaurant to let you know your table is ready. In a surgical center it goes off when your loved one is out of surgery. She handed these items to Tom and instead of the usual instructions she merely said, “you know the drill!”

I then was called to registration where again spell your name, birthdate…all the same info…and are given a wristband with your name and birthdate -“please check the spelling etc.”- this individual looked at me and said, “you were just here, what are you doing back so soon? ”

Then into preop where nurse Doreen -who was my nurse the last time- saw me and immediately said, “hi, what are you doing here?” it is naturally wonderful to be recognized and welcomed back unless it’s in the surgical center when you are returning for an oops!

I am doing fine, discomfort, some pain and knowing the last piece of visible cancer is gone. I hope the next time I am recognized in the surgical center the discussion will be like the song from Cheers

Hi everybody.
Barrrrrrb!

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Surgery

What is there to say, I have an unexpected surgery tomorrow. The surgeon forgot or missed the lymph node with the titanium marker from the original diagnosis. I could leave it in but there is still cancer in the node and why leave any cancer that we know of in my body. It should be a quick surgery but I am still anxious. Quick or long, the preparation process for surgery remains the same, pre op exam, blood work, no food after midnight, no meds, and get up early and wait. I should be out of surgery in an hour and home by late afternoon.

My niece on the other hand goes in for surgery on Friday and faces 8-10 hours. My prayers and good thoughts are with her and the family and I hope their wait goes quickly and is I uneventful.

Lympedema-a percentage here, a percentage there

I am participating in a program which carefully monitors breast cancer patients for lymphedema. The idea is to identify any symptoms even the smallest early on and treat it before it becomes even obvious to the naked eye and prevent it from becoming uncontrollably awful. There is a numerical scale and if you move 10 points or more you need to address things immediately. What this means is going from not wearing a compression sleeve to wearing a compression sleeve.

In my continuous search for information on cancer, mastectomies, chemo therapy I have now added lymphedema to the list. The internet has been amazing with the quick availability of information but especially lectures from doctors, specilists in field like reconstructive surgery, cancer therapy, lymphedema research, are among the tens of thosands of lectures out there now avaialble to us. For those of us that can remember, think about the hours researching in a library through the Dewey decimal system, books, papers and microfish, remember those crazy machines…I digress.

I found a lecture from Stanford Universitthaty which was tremendously helpful in my understanding and decision making for surgery. And found an equally good series on lymphedema also from Stanford which was helpful in understanding it and towards the end disturbing for the changes lymphedema can cause. I don’t have lymphedema, but want to be prepared just in case.

I had a baseline test done in November and today I had my second test, I went up six points. In discussion with the nurse there are so many variables; was the first value correct and is todays number correct? You cannot have any metal on or in your body as this will change the value and the skin expanders have a bit of metal. I will have another test before radiation therapy starts and will have regular measurements thereafter. Only 20% of breast cancer patients get lymphedema, so once again I am faced with chance and percentages.

When my lumps were first seen, the radiologist was a 98% sure it was cancer. When my chemo therapy was over, the tumors had shrunk 50% and 33%. The oncologist said I have a 90% chance of being cured. Since my tumors didn’t disappear with chemo I need radiation, the radiologist said women in my category who don’t get radiation have a 20% chance of recurrence, with radiation, it goes to down under 5%. Lymphedema, there is a 20% chance I will have it and 80% chance I will not. And the thing about lymphedema as of the 2010 lecture, they don’t know what the risk factors are in getting it.

I am 100% sure of one thing a percentage here a percentage there…this is nuts!

Just Pluck it Out

I went for my CT scan on Friday to “map” the area they will radiate or is it irradiate for my therapy.  The radiation therapist was terrific, efficient and supportive.  Instead of giving me one of those blue and white faded gowns, ties askew, nasty things, saying–take off everything from the waist up, open in the front… she took me over to a rack.  She explained there is a group of women who make these special velcro tops/shirts for radiation patients.  They look like a scrubs top but there are two velcro strips in the front, top to bottom, you simply strip off when you need to have your radiation.  They went from size XS up in lots of bright colorful cotton materials.  She said “choose one and it is your personal top, bring it home and bring it back with you each day for radiation.  Instead of the awful gowns, you’ll have your own shirt.”

What a pleasant change.  I put it on and she did her thing which consisted: on my back under the “machine”, settling my head into a scrunchy pillow, my head turned left, my right arm up over my head grabbing a handle, and then inflating the pillow around my head and neck.  This impression is how I will lay each time I come in for radiation.  She then measured and marked my chest with lines, arrows and dots in different colors.  These marks will be replaced by five tiny dot permanent tattoos exact placement which will be calculated by a group of physicists as to the exact spot to aim the rays.  Geez, if I ever wanted to get a tattoo it wouldn’t be five tiny blue dots, it would be something cool and awesome, maybe a burst of peonies, or a picture of Isabel, or me helping to cut up the elk in Jackson.  But what do I get– five tiny blue dots.  Maybe I can get them to do red…

I get my CT scan and figure in 10 days I’ll start radiation, 6 weeks and I’ll be done with it. Then I can go visit Marge in Florida, and or Revi in Wyoming.

I run a few errands and come home to three messages on my phone.  I figure they are from: Josh driving to a meeting (he always calls when he is driving somewhere), an automated voice telling me to switch electric companies (I get at least two a day of those) and the third would be a toss-up between an automated reminder of another doctors appointment for me or Toms reorder of his meds.  Oddly enough the automated voice that calls to remind him its time to reorder his meds is this lovely female sing-song voice that says…hellooo this is Curascript, its time to reorder your medicine… That is the sum total of phone calls we get on the house phone.  Reason to consider getting rid of that phone, but I like our phone number.  I am sure no one realizes, the phone number is 363-KLEY.  When we moved here the operator who set it up was a funny guy, tried to get 412-KLE-YMAN, couldn’t but said how about 363-KLEY!!

To my surprise and alarm there were two messages from the radiologists office saying he needed to talk to me asap, not a good thing.  I panicked and played the third call.  It was my breast surgeon, not her assistant, but she herself letting me know when they looked at the CT scan they saw…at this moment I held my breath and thought more cancer someplace else…and she continued, they saw the titanium clip marker in the lymph node under my arm. It was apparently not one of the sentinel nodes they removed  (they MISSED it) and they really should remove it before radiation.

Long story short, after discussions with both docs I need to go in to have this one node removed before radiation.  She said they would do it under heavy local sedation and just “pluck it out.”  After this minor surgery, I will need to let the scar heal and then go back for another CT scan and marking and then start radiation which looks like it won’t start until mid March.

How time flies when you are having fun, or breast cancer treatment!

Another day another IV

Today is my Herceptin infusion and it’s the first infusion I’ve come to all by myself. Seemly not a big deal but it’s the small steps and simple things that remind me of how lucky I am on this crazy journey. As I sit and write I am interrupted by two police officers walking into the women’s cancer unit. What would be the first thing to come to your mind as the reason two police would come here?
A parking infraction?
An accident?
Someone died?
They stopped at the front desk and then in walked three more police surrounding a humongous bald man in a mustard colored jumpsuit hands and feet shackled with chains. They walked him into the back and all I could think was hmmm.

Of course prisoners get sick, get cancers and need treatments, but until one walked right in front of me I’d never given it much thought, or any thought. Men, women, children, friends, family, personalities, fighting cancer and thousands of people walking for cancer, but never have I considered being incarcerated with cancer. I cannot imagine getting one of the ACT or Taxetere infusions and then heading back to the comfort of my 6×6 cell-at least the toilet is close.

Food at prisons is not the best and i don’t imagine they cater to your needs should you find what they are serving unpalatable. Nor would they be willing to serve you 6-8 small meals during the day. All in all glad I am free to come and go as I please, drive myself to treatments.
Another day another IV!

Does this Make Me Look FAT?

Some things never change, like our perception of our body.  I have always been overweight heavy thighs, big butt and as I age growing waistline.  I have dieted up and down hundreds of pounds and have been obsessed with the way I look from the waist down.  My breasts and my hair have never been part of this obsession because you can always cover hair, pull it back or wash it quick in the sink if all else fails.  My breasts were always just there, an ok size and shape and neither offensive nor of particular concern.

Therefore I guess it was no surprise when I decided to “go commando,” as Tom likes to say, and not cover my bald head after losing my hair.  Apparently I have a nice shaped head with “no divots” as Brent and everyone else commented.  And caring for a bald head as opposed to a head of hair…incredible, fast, easy and you NEVER have to worry if it looks good! The hardest part was actually losing my eyebrows and eyelashes because this has a dramatic effect on the appearance of your face.  Judy mentioned the word ghost and I realized that is a perfect description of how you look without them.  I would get up each morning and there was a washed out ghostly look to my face and a person who I did not recognize.

As my eyebrows and lashes have come back (eyebrows are really thin, oh well) I look in the mirror and there is color once again and I am starting to recognize the reflection.

Having my breasts removed has also been a bit odd in that I have not “mourned” their loss, but been grateful to have the cancer taken out.  I am alive, what more could one ask for.

After all of this– Tom and I walked out Saturday morning to take a walk in the beautiful weather.  As we walked out the door I turned to Tom and asked, “do these sweatpants make me look fat?”

He looked at me in disbelief and said, “I can’t believe you are asking me if you look fat after going for all these months with no hair.  Are you crazy?”

Some things never change.

Here is a great picture of Tom and me at Elizabeth’s wedding in October.   We are starting to look like twins as my hair grows in! Do you think this dress makes me look fat?  Just kidding!

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Happy Valentines Day-I’m Back!

Happy Valentines Day-I’m Back!

I have rebounded amazingly in the last two weeks. I am getting stronger, I can do more in Pilates, I am able to walk all the way up to Starbucks, i can walk the dog and I am baking, a lot. My chest is still rather uncomfortable but since I can do so many other things it’s no biggie. I get lost in activities so the discomfort becomes background noise. Working through cancer therapy is the best road…

Valentines Day is one of my favorite holidays to bake because the heart is so much fun to decorate.

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A little red royal icing and I am happy as a clam and could decorate for hours. They are pretty tasty too, here is the simple recipe I use for sugar cookies which is actually a really versatile tarte dough. Its an old recipe from my grandmother from germany that is my go to for so many things. I doubled the recipe and got 5-6 dozen 3″ hearts.
Merbe Tieg Dough. 350 10-12 minutes
1/2 cup sugar
1 stick butter or smart balance (4 oz) room temp
1egg
1/2 tsp vanilla
2 cups APF
1/4 tsp baking powder

Combine sugar and butter and blend till light and fluffy. Add egg and blend, add vanilla, flour baking powder mix until dough just comes together. Divide into two discs, flatten and either use immediately, refrigerate, or even freeze.
I like to roll the dough pretty thin, 1/8 inch. Do whatever you are comfortable with. Place on cookie sheet, you may use parchment or place directly on ungreased pan. Bake 10-12 minutes at 350 until edges begin to brown.
Ice with royal icing, confectioners sugar icing, chocolate icing, sprinkles, have a blast.

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