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No Radiation

I guess when I’m feeling decent I forget to update everyone!

I’m very thankful that I’ve been feeling mostly normal lately. This latest chemo infusion treated me much better than the first. I still had all of the same side effects, but they were much less intense this time. By the time a week had passed I was mostly normal again. I’ve had a few lingering headaches and now have insanely dry, flaky skin and a ridiculous rash on my face, but I can live with those things.

Surgical healing is great. The incisions look good and are healing well. I’ve had no complications or setbacks and have about 95% use of my arm and muscles back!

Sunrise 11-13-14

We have had an interesting run with some illness over the last couple of weeks.

Back when I had my surgery the kids stayed with some friends. Well, they all went to Awana at those friends’ church that night and little did they know, but they were all exposed to a nasty stomach virus while they were there. The day after I came home from the hospital Eli got sick with it, then one-by-one that entire other family of 7 got knocked down with it (along with a lot of other people that were at Awana that same night), but no one else in my family got it. Or so we thought… Fast forward TWO whole weeks and Rachael came down with it on a Thursday night, at the same time Michael was coming down with a cold and I was immune boosting the heck out of all of us, especially me. As Rachael was recovering from that stomach bug she caught Michael’s cold and got some nasty respiratory junk. THEN early Tuesday morning Jacob got sick with the stomach bug.

While there’s not much that can be done for a stomach bug, I hit Rachael really hard with essential oils, elderberry syrup, vitamin c and tried to force some nutritious food into her and she finally began to improve. She was very sick for those several days and basically slept from when she first got sick Thursday night until Tuesday morning when she woke up a normal, rowdy 6 year old. I was very thankful Michael had a 4 day weekend for Veteran’s Day.

Everyone is healthy now, yet it appears I may have the beginnings of that cold.

Sunset 11-18-14

Since everyone was well, we were able to do a bit of exploring last weekend. We actually just set off on a meandering drive, but we can never simply drive and look, we always have to stop and explore – even if we aren’t all dressed appropriately for the weather! We stopped to explore the frosty landscape and frozen Reflections Lake near Wasilla, Alaska at sunset. That’s not snow on the ground and trees, we actually hadn’t had any precipitation, it’s all frost. The way the frost settles here causes it to actually build up and it eventually looks like it has snowed. The ice crystals that form are so beautiful.

I guess the last thing I should update you on is the radiation situation I mentioned a couple of weeks ago.

I did meet with the radiation oncologist. Prior to our meeting he had spoken to three other radiation oncologists to get their opinions, my surgeon, my oncologist, and had even contacted the pathologist to sort out a discrepancy in the pathology report. We discussed all of the pathology findings – things like the size of my tumor (1.3cm diameter), proximity of tumor to the outer edge of the breast tissue that was removed (9mm), lymph node involvement, risk factors, pros/cons of radiation, and the radiation procedures, etc. In the end he felt comfortable saying that if I wanted radiation to feel better about my risk of recurrence, it would be appropriate, but that if I declined, that would also be appropriate. Basically, I have a rare situation and there’s no black and white with my type of situation, only a lot of gray, so either way we decided would be appropriate and he wouldn’t think I was making a poor choice by declining.

After consideration of all the findings, etc. we have declined radiation.

Dropping off their Operation Christmas Child shoeboxes!

I have another chemo infusion this coming Tuesday.

We have also made a decision on the route we’re going to take for reconstruction, but that deserves a post of its own. I’ll try to get that put together in the next week or so.

Two Weeks Post Mastectomy and Treatment Update

Surgery: I am feeling great! Praising God for how wonderful it has been to have so little pain in this healing process.

I saw the surgeon this past Friday for my follow up. He said everything looks great and was even able to remove my drains! Sleep has been much easier since then.

I’m healing well, and have regained approximately 75% range of motion in my left arm. He released me from any restrictions and told me I could return to whatever activities I wanted, just use common sense and stop if something hurts. I won’t need another follow up with him for three months.

Late October sunrise

Treatment: Today (Tuesday) I met with my oncologist to discuss the next steps in treatment. We decided that continuing chemo and finishing the original plan of 4 treatments (I’ve already done 1) is what will be best in my situation. I am doing very well with the ulcerative colitis and there doesn’t seem to be too much concern that I’ll have more issues.

Chemo will start back up tomorrow, Wednesday, November 5 with treatments being every 3 weeks. Barring any complications, my last treatment should be on December 17. There will be other, more long term (likely 10 years), hormonal treatments to follow chemo, but my oncologist hasn’t completely decided on the best treatment course for me yet. I’ll tell you about that once we’ve got it all sorted out.

I will also meet with a radiation therapist on Friday, but it really is only to make sure they agree that I don’t need any radiation treatments. The results from the pathology on the breast tissue do not seem to indicate a need for radiation, this is more of a precaution for the future.

Daily life: It feels great to be wearing normal clothing again and to be able to get myself into (and out of) most pull over tops. I also took my first non-supervised shower today!

I am back to most daily life activities. I can cook, teach school, do most household jobs (though some do require a little modification or help), drive, and generally be my normal self. I have very few limitations and they’re things like lifting heavy items, bending/twisting/stretching certain directions, and I’m still very skittish about most close physical contact – so don’t be offended if I step away from you or flinch if you try to hug me!!

Early November sunset

 

How a High School Volleyball Team Blessed Us

Our new community here in Alaska has been amazing! I told you earlier this week that we have received incredible support from so many different people and groups, but I haven’t told you about the Eagle River High School volleyball team (we live in a small community called Eagle River, just north of Anchorage)! Today, I’m going to share that story with you.

In September, a friend of ours, Kim, contacted us asking if we would allow her daughter’s high school volleyball team to support us financially through their game day breast cancer awareness bake sale donations. This isn’t the first year they’ve done this, but I believe it is the first year they’ve chosen an individual, rather than a charity or local organization. The parents, coaches, and players provide baked goods at the concession stand during each home game and they are sold for a donation. At the end of the season, the proceeds from all the the games are then given to the charity or person they have chosen to be that season’s beneficiary. This year, that will be our family.

It has been a true blessing to see this in action. The day following each home game, Kim has dropped off all the remaining baked goods to our home. Our children have loved having so many goodies and desserts available! I think they’re going to miss that since volleyball is now finished. The ladies on the team have also given several different goodies to our children. They have received school spirit items and even hand made candy leis last night (the night before Halloween).

We were able to attend three games and cheer these young ladies on! One game we attended was “Pink Night.” This was a little out of my comfort zone as they actually introduced us to the crowd, told a little of my story, and presented me with a beautiful bouquet of flowers. The players, coaches, and their families went all out on this game and decorated or “pinked out,” as they referred to it, the entire gym.

This experience has been incredible. To see a group of high school girls, their coaches, and their families truly making an impact in the community is refreshing. They have done this so selflessly and it has been an honor to be part of their circle.

Coach Lindsey, the head coach, was also interviewed by Alaska School Activities Association and they’ve written a wonderful article about what this team is doing. *There are a few mistakes in the article – 1) our daughters aren’t friends, it’s us parents who are friends!! 2) Sierra Perry is a right side 3) The check will be presented after this weekend’s tourney and isn’t the amount quoted in the article. However, even with these mistakes, the article is well written and really captures the hearts of these girls.

It is my prayer that these players, coaches, and families take away much more than a sense of service from this experience. I hope it truly resonates with them that breast cancer can happen to any woman (men, too) at ANY age. Breast cancer awareness is so much more than being aware that breast cancer happens. It is about knowing your body well so that if a change occurs, you know and can have it checked out.

Lady Wolves, you have been a blessing to our family and we are grateful for each of you. Thank you.

 

One Week Post Mastectomy

Fancy sign that was above my hospital bed.

I am blessed!

Though this journey has not been something I would consider easy or one I would have chosen, I can honestly come to you and say that I am blessed and completely covered in prayer. I could not have imagined the outpouring of support we have received.

And that support hasn’t only come in the form of prayers. We’ve received so much in the form of tangible support and help that I have have been amazed. Child care, meals (so much food), care packages with all sorts of goodies, drop ins, calls/emails/texts, gift cards, and a huge care package of fun stuff for the kids are the things I can think of that have been provided that have helped us all tremendously. These things not only show us that friends, family, co-workers, and even friends of friends are eager to help, but they truly do brighten our spirits, relieve some of the how of daily life and really give us peace that we’ve connected ourselves with people that will love on us. I know this really shouldn’t come as a shock to me because, in truth, I do the same things for others. I guess it just feels different to be on the receiving end (as I’ve already mentioned…).

Well, I guess I should get to the actual update part!

I’m doing great! Since my last update, I’m having no pain and have only taken pain medication twice and that was the first two nights I was home, just to help me get comfortable to sleep.

I’m healing well and requiring less help to do normal daily hygiene activities. In fact, I was able to dress myself (in something other than pajama pants and a bath robe!) completely today! Button/snap/zip front tops have been wonderful combined with a stretchy cotton tank top underneath. It was also nice to discover how much a fleece or puffy vest hides!

I spoke with my surgeon this morning and he released me from needing the compression wrap I’ve been in for the last week. So, today I’m in a step-in (not over the head) spanx type camisole to keep everything in place.

I will also see him on Friday to have my drains removed!!!!! I know they are absolutely necessary to the healing process because they keep the fluid draining from the cavity left by the mastectomy, but whoa are they a bother.

He also had the pathology results from all of the tissue he removed. Everything came back exactly as we had expected. He actually removed two lymph nodes (he previously told me only one was removed, but they’re small and sometimes hidden in other tissue), and the one he intended to remove tested positive for the same cancer cells as the tumor in my breast. This means that if we hadn’t done the surgery so quickly after stopping chemo there is a chance it would have begun to spread, then it would have required a more invasive surgery and/or more aggressive treatment.

I will continue on my daily blood thinner injections until mid-November, to ensure that I don’t develop a post-operative blood clot. I told you that my post-op care was glamorous!

I also have a follow up scheduled for next Tuesday with the oncologist. There we’ll discuss what my treatment will look like moving forward.

Another blessing? My treatment team has been amazing. All of my doctors (oncologist, surgeon, GI) have been continually working together, in addition to meeting with other local cancer specialists, to come up with the best action plan in every stage of this journey. From the beginning, Michael and I have felt very comfortable and confident, and I personally have very high standards when it comes to doctors. It has been wonderful to feel listened to, have all of my questions (and there have been tons) answered, never once have I felt inferior or as though I’m just a “patient” I’ve been a real person to each of them all along.

 

Home and Doing Well

Going home!

I had planned to update you while I was still in the hospital, but I had ZERO cell signal and the wi-fi was so slow I could never get it to connect.

Surgery was a success! The surgeon was able to remove all breast tissue and there was only ONE lymph node affected. He was able to locate that one and remove it. Then the radioactive test revealed no other signal, so that means he got the correct node out!

I had a very rough time following surgery. I’ve had surgeries before, but have never been under general anesthesia for more than about 30 minutes. This surgery took about 3 hours. I had a very hard time getting the anesthesia out of my system so that I could wake up. It took nearly 3 hours for me to wake up enough for the nurses to be comfortable with my situation. I was also VERY sick as I was waking up. I had severe nausea and was vomiting from the effects of the anesthesia. It was all around a rough day because being sick when you’re barely conscious is hard. My blood pressure was also very low, so most movement would make me incredibly dizzy and nauseated again. Getting out of bed around 6 pm for the first time made me sick all over again – even though we went very slowly.

The vomiting and severe nausea (even with all the nausea meds they could give me) also made it so that I couldn’t eat or drink, which definitely didn’t help my blood pressure problem.

I was finally able to eat around 9 pm and that helped quite a bit and I progressively got better. I was able to drink plenty during the night, but my blood pressure remained very low until around mid-morning Wednesday.

Around mid-morning Wednesday, just after the surgeon came to talk to me, I got sick again… However, after another dose of nausea meds, it was as if all the effects from the anesthesia had finally worn off and I improved dramatically. So much so, that when the surgeon came back to see me in the early afternoon, he said I could go home!

We arrived home around 5 pm on Wednesday and I am doing really well. I was able to sleep in my own bed last night and actually slept pretty well, considering.

I am having very little surgical pain and have been able to keep that pain under control with essential oils, rather than taking the narcotics that have so many side effects. I am actually having more back and neck soreness than any other pain. Hospital beds are notorious for being uncomfortable (WHY???) and due to the nature of the surgery I had, I am not holding my body in the correct positioning which is also causing soreness.

I’ve been able to find some more comfortable positions at home and have been able to use heat, massage, and essential oils to help relieve some of that soreness throughout today.

Overall, I’m doing really well. Taking things slowly, enlisting lots of help from Michael and the kids, and generally just relaxing.

Maybe in a couple of days I’ll update you on all of my glamorous home post-op care.

Surgery Tomorrow

Interestingly, I’m not very nervous about the surgery itself. I’m very comfortable with my surgeon and the quality of care I will receive in the hospital I will be in, so I feel like I’m in good hands. I’m not even really worried about the physical recovery.

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