Reality is setting in. I'm pretty much freaking out! There is so much going on and its adding so much stress to all of this. I feel like my body is shutting down. I just want to curl up in a vall and sleep through the next couple months.
I have been reading stories on the DIEP Flap Support Group on Facebook. I don't think I should have looked at the pictures. Pretty freaky looking! I know that the scars will eventually fade, but still. I decided it might be a good idea to ask the ladies what they considered "must have" items for after the surgery. I got some awesome ideas from them. Here are some of the items that they mentioned that I plan on picking up:
- Cotton tank tops (dark colors so that if I leak or bleed it won't stain)
- IPad loaded with books and movies
- Little pillows (have some in the car to put between me and the seatbelt)
- New wash cloths to wash and dry incisions (maybe baby wash cloths because they are soft)
- "Grabber" (for if I drop something, so I don't have to get up out of my bed or chair. Also because I will not be able to raise my arms above my head for several weeks)
- Lollipops (for the two days post op that I won't be able to eat or drink other than ice chips. The lollipops will help relieve the dry mouth)
- Camera
We found a hospital bed on Craigslist for $150. This was another thing that several of the DIEP ladies suggested. Now I just need to decide if I want the bed upstairs or downstairs. If I have it downstairs I will either sleep downstairs or we will move the recliner upstairs for me to sleep in at night.
The biggest Godsend I will have will be my dear friend Jen being here for two weeks. She will be flying in from Texas and I am so excited to see her! Having her here to help get the kids off to school and help me as needed will be wonderful. The kids will get out of school the same day that she leaves so I will have the kids around to help me a little.
So, the countdown begins.......just five more days.
7:02 am
I'm sitting on the ferry waiting to head over to Seattle. Today I have my pre op appointment and also have to do an abdominal CT scan. I guess during the scan they use dye to locate the main artery and veins that they will connect to my tissue during the surgery.
Just 13 days until the the big surgery. I've had a lot of anxiety the last week or so. Its becoming real that its right around the corner. This is the big one, and its a little scary. Josh will only be home for the first week or so after my surgery so I won't have the support around the house afterward and that worries me.
10:13 am
The CT scan went well. The dye causes a weird feeling. A warm feeling starts at your head and really heats up between your legs, which makes you feel like you are actually peeing on yourself. Oh yes, LOADS of fun!
I visited the gift shop on the way through to get food. I picked myself up a new breast cancer awareness bracelet. I have a hard time passing up Breast Cancer products, especially when donations are made with each purchase. After I left the gift shop I stopped at the cafeteria and grabbed breakfast. I couldn't eat before the CT scan so my tummy was a growlin. Feeling much better now.
10:49 am
Sitting in the Surgical Specialties Clinic. I'm way early for my 11:30 appointment, but I found some Avon catalogs on one of the side tables so it's time to start shopping!! Josh just showed up so it will be nice to have him in the room when they are giving me all the info today. I am in a daze and he is so good at remembering details.
1:00 pm
The appointment went well. I didn't actually get to see my surgeon, it was a Resident I believe. I am a little disappointed about that, but I guess I just need to keep the faith in my surgeon and the hospital staff. The Resident went over the way things are going to happen. This is going to be a really tough recovery. They gave me a thick folder of reading materials and told me that I would hear from someone on Friday to tell me when my check in time would be. This is really happening!!
I spent the weekend worrying for no reason! Thank GOD! I emailed my previous Plastic Surgeon and he took care of it right away. Everything is a go for June 4th. I have my preop appointment tomorrow to go over the details. It will be here before I know it!
Josh is telling me not to worry, that is most likely a big mistake, but how can I NOT worry. When I opened the letter my eyes seemed to scan directly to the words "Bilateral Breast Reconstruction with DIEP.......our physician/peer review have DENIED request." I instantly felt sick to my stomach and my heart start racing. I could hear my voice screaming in my head "This CAN'T be"! Not after all the last eight months of enduring HORRIBLE pain, my body getting through numerous infections, not after FINALLY feeling like the end of this terrible ordeal was possibly in sight.
I know he is probably right. They wouldn't have scheduled my surgery if they hadn't gotten the approval right? I know they had called and told me that they needed me to contact Dr P and have him send them a referral for the actual procedure because they only referral they had was just for the consult. He emailed me and told me that he had sent what they said they needed. UWMC sent me a letter with my upcoming appointments on there, so this HAS to be a mistake.
I will have to go through the weekend TRYING not to worry........sure. :( Lots of prayers and positive thoughts would be appreciated. I really need this to be a mistake.
Again, I am super behind on blogging. Sorry! One of these days I will get caught up with typing out the entries that I have written in my paper journal and it will help fill some of these gaps.
My plastic surgeon basically gave up on my reconstruction. He basically said that it looked like my body was yet again rejecting the tissue expanders and he wasn't sure what else to try. He chose to refer me to the University of Washington Medical Center to hopefully have a procedure done called the DIEP (deep inferior epigastric perforator). The DIEP flap is a tissue flap procedure that uses fat and skin from your tummy to create a new breast mound after a mastectomy. This procedure takes its name from the deep inferior epigastric perforator artery in your tummy area and is a form of autologous reconstruction -- a surgery that uses your own tissue. This is a pretty specialized surgery and UWMC is one of the few hospitals in the Northwest that perform this surgery.
There were only a couple surgeons that were recommended to me, one was a male and one was a female. I chose to go with the female surgeon, Dr C, because I felt like she might try a little harder to give me something as normal as possible in the end.....because she is a woman too. I had my initial consultation with my new plastic surgeon on April 27th. I spoke to a resident first. He explained the DIEP surgery in depth and then brought out a binder that had before and after pictures. It's a little different than what I had pictured in my head, but mostly just the scars will be different, and I plan on eventually tattooing over my scars, so it won't matter. At one point he said "After going over your info I can see you have been through ALOT in the past several months. I just want you to know that you are at the right place and are in very capable hands." that was very comforting, for sure. After he went over everything he left the room and then returned with the surgeon. My first impression of her was a good one. She was very sweet and told me that she does the surgery all the time, and not to worry.
The tentative date for the surgery is June 4th. I am scared.....BIG TIME, but I know that the love and support from all my family and friends will carry me through this. The surgery itself will take 4-6 hours and I will be in the hospital for probably 3-5 days. The recovery will be a rough one. Most likely won't be feeling very good for 2-3 weeks and the full recovery will take closer to 4-6 weeks.
I have been through SOOOOO much through this journey and I am hoping and praying that the new surgeon and hospital will be just what I need. I have my pre op appointment on the 22nd so I will have a little more information on exactly what is going to happen.
Please keep me in your thoughts and prayers as I try to prepare myself emotionally for this next phase.
