Wednesday, September 28, 2011

SBE May Save Your Life...It Did Mine!

When I started this blog 38 days ago, it was primarily just for me...it was my "Easy Button".    Telling someone that I was diagnosed with breast cancer was difficult, but re-telling was even harder.  Thus, "TaTas For Now" was born as a way that I can share the latest updates with family and friends, in addition to being a form of  "cheap therapy" for me.  Over the past seven weeks, as I've shared my journey,  another goal has come about from my blog...awareness!

As we come upon Breast Cancer Awareness Month in October, I pray that I can make a difference, in encouraging at least one more woman to do her monthly self breast exam (SBE), or schedule her annual mammogram.  I have begun returning to work in between medical appointments, and am striving back for that "normalcy", with limits of course.  I can't tell you how many people have said, "Shelby, what if you didn't go get your mammogram?"  "What if you hadn't felt the lump?"  My husband, my principal, co-workers, friends, and family have all asked the same question...WHAT IF?  Fortunately by the Grace of God and my meddling husband and mother, I went!  (In that case, saying thank you for minding my business just doesn't have the same effect, does it?)

Out of all of the posts that I have written or will write, this is probably the one that I want you to remember the most...women and men should complete their monthly self breast exams.  I've already shared that the current statistics are 1 in 8 women will be diagnosed with breast cancer in their lifetime.  (Granted, there aren't too many of them diagnosed at age 38!)  Did you also know that 1 out of every 100 breast cancer cases diagnosed are to a male? 

There are lots of different methods for completing self breast exams.  BreastCancer.Org has a five step plan.  The American Cancer Society has these instructions.   Other suggestions for the breast self exam are offered on the WebMD web site.  Once a woman reaches the age of 20, she should begin doing monthly self breast exams.

It doesn't necessarily matter if you do your exam in the shower, standing or reclining on a bed...the point is that you do it religiously at the same time each month.  One of the neatest things I've found are web sites that will send you monthly reminders to complete your self breast exam.  Bright Pink has a reminder email sign-up program.  The UCSD Cancer Center also has a monthly reminder program.  Regardless of whether you utilize one of these email programs, put it in your smartphone calendar, Outlook calendar, or just remember....do it!  As cliche as it sounds, "Feel Your Boobies". 

Current mammography recommendations differ, in that some organizations state routine / baseline mammograms should begin at age 40, while others suggest age 50.  If you are over the age of 40...when is the last time you've had a mammogram?


The Susan G. Komen for the Cure site shares the following warning signs:
  • Lump, hard knot or thickening inside the breast or underarm area
  • Swelling, warmth, redness or darkening of the breast
  • Change in the size or shape of the breast
  • Dimpling or puckering of the skin
  • Itchy, scaly sore or rash on the nipple
  • Pulling in of your nipple or other parts of the breast
  • Nipple discharge that starts suddenly
  • New pain in one spot that doesn’t go away 

Another important factor in breast health is to know your family history.  Ask around...did Aunt Paula have breast cancer, or Uncle Steve have prostrate cancer? (Did you know that they are genetically linked?)   Forget about tending to your relative's business, but if a female relative has a lump, cyst, etc... she needs to share it with the family.

"Feeling my boobies" most likely saved my life...and it might save yours also.  (Remember that 1 in 8 statistic.)  If you don't gather anything else from my journey, remember how important your breast health is.  Complete your monthly self exam.  Sign up for an email reminder.  Schedule your routine mammogram.  Have your health care provider exam your breasts during physicals.  If you are a male, remind your female loved ones, as well as become familiar with your breast health. 

As mothers, we often postpone our health needs for the needs of our children or time constraints. This is one case where you need to put yourself first.  I'll tell you like my mother told me, when she found I put off getting a mammogram for a few months, "If you don't want another woman raising your children....go get it checked!"

(This post is lovingly dedicated to my husband...who will never let me forget how he made me go get my mammogram - via Helen!)

TTFN,
-S

Monday, September 26, 2011

Look Good...Feel Better Class

Monday night, Adelia and I attended a class, "Look Good...Feel Better", sponsored by the American Cancer Society.  The program is open to all women who are undergoing chemotherapy, radiation, or other medical treatment, and focuses upon the appearance related side effects of chemotherapy and radiation on your body.  I would probably say that the class mirrored breast cancer statistics, as the cosmetologist teaching the class and I were the only individuals there (with the exception of Adelia), who were born in the past fifty years.  The best part of the evening was that we walked away with a free bag of cosmetics!

As I await my next oncologist appointment, and find out exactly what chemotherapy regime I will be prescribed, I've been researching. (Aren't you surprised to know that?  LOL)  There are approximately twenty different chemotherapy drugs on the list for breast cancer treatment.  The majority of the drugs are combined to form combinations for treatments.  All of the characteristics of your cancer, as well as your menopausal status determine which drug combination you are prescribed. 

Over the past few days, especially during the class, it has become very real the side effects that I most likely will experience on this journey.  Chemotherapy is a systemic treatment, which means it's not localized, but administered to the entire body through the bloodstream.  Chemo drugs are given to weaken and destroy cancer cells.  I'm praying that my chemo will "seek and destroy" any little cancer cells floating around and blow 'em up...just like on Griffen's video games!

The "Look Good...Feel Better" class emphasized what we already know.  If you look good, you'll feel good., or at least better!  Sure, there are days that we want to lounge in our comfy flamingo night shirt (thanks to my Mother, I'm now the owner of flamingo covered sleepwear, which Jeff has taken to calling it the "Florida Lottery Nightgown!), but we know that it would be better for our "spirit" if we get up, put your face on, fix your hair, and get dressed.  If you look your best, you'll at least feel better.


I learned many things during the course of the hour-long class.  (Don't you just love it when you learn something!)  We are all taught about cosmetic safety, and the lifespan of your cosmetic products, but let's face it...most of us never follow the suggested guidelines.  As a chemotherapy patient, it is imperative that I now begin thinking about keeping my cosmetics "clean", as to avoid risks from bacteria or other infections.  While on chemo, it is advised that you utilize disposable make-up applicators, like cotton balls, cotton swabs, disposable mascara wands, or even a sanitized hand.  It was also advised that you never, ever place your hand into a jar, container, etc..., but instead, use a cotton swab to dip out of the jar or container.  This is probably a tip we should all utilize!

Information was presented about skin and nail care, in addition to make-up tips and head coverings. Yours truly was the make-up model.  (Remember, I was the only one under 50!)   Don't moisturize your eyebrows, and they'll stay in longer.  When you don't have eyelashes, it is better to "dot" your eyeliner, rather than harsh lines.  You can visit the website for the make-up guide, as well as the information on scarves, turbans, and head wraps.  One of the neat things I learned was how to take an old t-shirt and turn it into a head scarf.  I think I'll be going through some of Jeff (and even Adelia's) t-shirts, to decide which colors I need for my wardrobe!

Do you think I'll "Look Good...Feel Better" with an old camo t-shirts as a head wrap?  Exactly what ensemble would one wear with that?

TTFN,
-S

Wednesday, September 21, 2011

Awful Pain from the "Vampire Machine"

The Vampire Machine that attacked me!
My life has a new nemesis...it's what I refer to as the "Vampire Machine", and it lurks in the treatment room at Dr. Martin's office.  In real life, it's not anything out of a Charlaine Harris "Southern Vampire / Sookie Stackhouse" novel, or even related to Bill or Eric from "True Blood", but a medical grade vacuum.  Unfortunately, I had an appointment with the Vampire Machine on Tuesday.

 I noticed Monday that I began retaining fluid around my incision, and under my arm pit, so I called Dr. Martin's office.  It is fairly normal for mastectomy patients to need additional draining after the drainage tubes are removed.  Yours truly, was no exception, and had to undergo treatment from the fang-ridden, blood sucking, pain machine!
 
The covered needle and plastic tubing
Dr. Martin used the Vampire Machine to drain lymphatic fluids, blood and other juicy stuff from my breast area.  A sterile needle and tubing is attached to the vacuum, and then inserted into the breast area.  The vacuum was then turned on, collecting fluid into a canister.  I may complain from time to time, but I was not prepared at all of the pain that was inflicted by the blood sucking machine.  The needle was moved in different direction to suck fluid from different areas, and it was by far the most painful thing I have experienced.

I am at the stage in my recovery where much of the "feeling" is returning to my breast and arm area from surgery.  Regardless of whether it was the sensation of regenerated nerves or not, this was extremely painful.  Let me say that once again....it hurt!  I had to take pain medication all night, and even bled through my bandages.  Please pray that I do not need to meet the Vampire Machine any more during recovery!

More than 100 cc of fluid was collected
Dr. Martin is very pleased with the way my incision is healing, and was excited about the range of motion that I have regained already in my arm.  My exercise booklet is from the American Cancer Society.  You can see the exercises here.  This appointment also served as my pre-surgical consult for my chemotherapy port.  My port will be inserted by Dr. Martin on October 3, as out-patient surgery.  Pre-op for outpatient surgery will be on September 27.

My stamina is improving everyday, as is my ability to move my right arm.  There are still some issues with tightness and swelling, but perhaps some of that is strictly from nerve re-generation.

Regardless of the reason, please pray that I have no more encounters with the Vampire Machine.  I'm traumatized...scarred for life, from this little" blood sucker on wheels".  Please pray that there is no "next time" encounter for me and this horrid machine!

TTFN,
-S