Greetings from this side of cancer treatment! It's been a while, I know, but for the longest time there just wasn't much to tell. Still, I felt I should post something just to let you know that I haven't run off to join the circus. Not that it hasn't crossed my mind.
To recap, I had surgery to remove my much-reduced tumor on June 28th and then a second surgery to acquire a proper cancer-free margin on July 8th. Surgery was not bad and the most discomfort I felt was from my lymph node dissection incision that took up most of my arm pit. My surgeon was pleased with the results and set me up to start radiation on August 8th. After the "marking" session (my last post), I started treatment on the 9th and was scheduled for thirty daily radiation treatments over six weeks.
The radiation itself was painless. The only discomfort I felt was stretching those tender tissues under my arm to get into the required "Hollywood" pose which exposed both incisions (lymph node and breast) to the probing eye of the radiation machine. Everything was rocking along nicely for a couple of weeks when I realized I felt something new in my left breast. Not pain. There was some swelling which I attributed to surgery and healing and some feeling of fullness, but no pain. Still, on August 15th I mentioned it to Dr. S. during our weekly Monday visits.
She immediately pulled up an image that showed a large volume of fluid that had accumulated in my left breast. She told me I had a seroma and that I should see my surgeon to have it drained. So, obedient soul that I am ... I made an appointment to see Dr B. on August 24th.
Dr. B's assistant told me via telephone that the doctor's philosophy on seromas was to let nature take its course. Removing a tumor created a void that the body wanted to fill, and in this case, with fluid. Removing the fluid not only risked introducing an infection, it also set the body up to refill the void. She said this was a normal reaction to surgery and that unless I started having pain, a fever or if the seroma interfered with radiation, she would just let things be. And, August 24th, those were all the things that Dr. B. stated. It was no big deal unless there was pain or fever. Okey dokey then.
For the next two weeks I watched my breast grow larger wondering if there was a maximum capacity before the body would finally relent and suck all this fluid back up. We made jokes at radiation about "Mt. Biggietata" and while I was uncomfortable .. I still couldn't say I was in pain. Not really.
But that all changed on Sept. 9th. I woke up feeling like I had the flu. Weak, feverish and just plain yucky. I had an appointment before radiation with the physical therapist but she realized I wasn't feeling well, and cut her evaluation short. I asked the nurse to check my temp and, sure enough, I had a fever of 101 degrees. After radiation, Ashley came to pick me up as I had driven myself and neither of us felt I was well enough to drive back to her house. I went to bed immediately and slept all afternoon. Dave arrived (presumably to take me home for the weekend) and I barely noticed. Ashley (God love her!) was in contact with my radiologist's office all afternoon and when my temperature spiked at almost 104 degrees, Dr. S. told her she should take me to M. D. Anderson's ER immediately.
I was so sick I didn't care what they did to me. I had 97 blood draws (give or take), a very painful ultrasound and a chest x-ray. Twelve hours after arriving, I was admitted. Ash never left my side. I was told my surgeon was out of town but that my infected seroma would be drained by MDA staff in her absence. But, upon landing back in Houston, my surgeon checked her emails, saw that I was admitted and called to halt the drain. She stopped by to see me before even going home from the airport. Despite my fever and symptoms, she still wasn't convinced I had a breast infection and wanted to continue the IV antibiotics while she searched for the true culprit.
Sunday, she came back to see me and again on Monday morning when I finally told her I had reached my tolerance level. My breast was huge, red, hot to the touch and clearly infected. She agreed to drain it that afternoon and, as promised arrived with a resident to do just that at 4:30 pm.
I spare you the details, but I will tell you this: the catheter they inserted (ouch!) was a quarter or less in diameter of a soda straw. In less than a minute, I drained over 13 ounces of disgusting fluid. Within 24 hours .. I had drained over 20 ounces. The relief I felt was immediate and I knew I was on my way to recovery.
I was hospitalized for five days and the culture of my infection confirmed that it was MRSA - a staph infection that used to be highly resistant to the usual antibiotics but that now, thankfully, is treated easily with oral antibiotics. Still, it's a highly contagious infection and required stringent gowning and gloving and isolation procedures. I completed my antibiotics and will get a nasal swab at my next appointment to be sure that I am MRSA free so that it can been expunged (truly!) from my medical record. I swear - I feel like a biological felon!
So, as soon as I was released from the hospital, I had to go right back to radiation and, of course, they had to take extra precautions due to my infected, nasty state. It was all very humiliating but we all laughed through it. My radiation fairies, Karrie and Sajan, were just awesome. So was my nurse, Laura. She went above and beyond the call of duty.
Despite the set back from the infection, I completed radiation (and rang the bell!) on September 23rd. I still have the drain but hope to have it removed this week as I am now draining less than an ounce per day. Of course, the week after I finished radiation treatment I hoped to get my life back. On Monday. Morning. When my feet hit the floor ... Instead, I was weak and sleepy and useless the whole week.
The last five radiation treatments are called "The Boost". They are super-charged, highly focused intense beams that, apparently, pull the plug on whatever energy you have managed to hold on to. Getting my life back, regaining any stamina and feeling "normal" was clearly going to take some time.
More time.
And so, here we are ... chemo, surgery and radiation are all behind me. All that is left now are the routine visits for blood work, CT scans, x-rays, ultra sounds and mammograms that will confirm I am cancer free and, ultimately, alert my docs to any recurrance. I'll have to take an estrogen blocker for five years as my tumor was estrogen responsive. I will likely start that in mid-October when have my next appointments for bloodwork, CT scan and x-ray and then, the following day, see my oncologist for the "all clear" report that I am so sure will come.
So, I guess that just about wraps this up!
I'll check in from time to time when there is something to tell .. or to record some major epiphany I've had regarding my cancer experience. I know you won't want to miss that!
Till then, I will close with this:
I can't imagine having this experience without the loving support of my husband, Dave. He has been on guard, side-by-side, and holding my hand through almost every single experience. He brought cold rags, chicken noodle soup, laughter and those premium, grade A hugs that only he can give. When he couldn't be there Ashley, my beautiful girl, took up all the slack and then some. During radiation, she provided a beautiful, comfortable room for me in her home, the boundless entertainment of Trey and Molly, the awesome breakfast creations (and jalapeno tuna!) made by Chef Hooch, "ice cones", encouragement, transporation, love and ICE CREAM SANDWICHES. Dave's aunt and uncle generously provided many overnights at their home for us (and Maggie!) during my chemo phase. Dave and I will always be grateful for our family and friends who have been a constant, abiding source of encouragement, love, prayers, giggles and kicks in the pants when I needed them. I know I will be grateful until the day I die ... like, in forty years or so. (Smile.)
Herschel, who?
The End
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