Showing posts with label breast reconstruction. Show all posts
Showing posts with label breast reconstruction. Show all posts

Wednesday, September 7, 2016

Amanda's Pain Scale Principle

Last week I met with my breast surgeon and she gave me the “official” report that no cancer was detected in my pathology reports. I already knew this because I emailed the office a week prior and my nurse gave me the condensed version. All that chemo I had endured, all those days and nights of prayers and pleading, all the fundraisers and shows of support…all for this day…this big announcement. I am cancer free! Woo Hoo! Why didn’t it feel so Woo Hoo though? Maybe because I’m just exhausted? Maybe because I’m afraid to take that sigh of relief for fear that I might jinx things?

Or maybe it’s because these gosh-forsaken tissue expanders are so uncomfortable and horrible that my every thought is skewed because it’s surrounded by pain. Pain is a hard word for me. They give you these “pain scales” 1-10. I hate those. Is this as bad as the pain I had at the beginning of my diagnosis when I threw my back out? Is this as bad as the headache I had after the first Neulasta shot? Is this as bad as the pain I had in my legs after the Taxol? Hell.if.I.know. Yes, it seems worse. It seems worse because this is what I’m currently going through. You know the rubber band they put around your arm to make your blood vessels pop so they can stick you? Or the way the blood pressure cuff squeezes your arm until you can hardly stand it? That’s how I currently feel in my breasts 24/7. Combine that with a feeling of sunburn—sometimes I feel hot, sometimes chills—just like a sunburn does. I am super sensitive to cold and hot things that I drink because I feel it more pronounced than ever before when it’s going down. The last time I got an expander fill up, my muscle literally jumped in my left breast! The nurse could see it! And it hurt.like.hell. And for that entire day, I felt like I was having a heart attack. True story. I had the most terrible pain in my chest that day and I’m sure it was muscle related but it was terrible. And then there’s this other feeling. It’s so hard to describe. I guess it’s akin to the “phantom” pains they describe, but the best way for me to describe it is like a feeling of anxiety except it’s in your breasts. You may not have anxiety, but all of us have experienced some sort of anxiety from time to time and you know that weird sort of tingly, butterfly-like, yet kind of dull constant pang that you get when you are on your way to a job interview or a blind date or any number of anxiety inducing situations? Yeah, well I feel that in my chest constantly. I take Ativan for muscle “spasms” but I wouldn’t say I have ever had a muscle spasm as in a jumpy, spasm-y type way but rather, my “spasms” are more like when I had a horrible pain in my back a couple of years ago and had to go to Med Express and he could actually feel a knot in my lower back and he said your muscle is “in spasm.” That’s the feeling I have had since August 10. I had pain meds that I took in the beginning and please forgive me if I texted you or called you and said something ridiculous that first week Ha! I was loopy and should not have been allowed access to any means of communication! Ha! I went back through and found where I had emailed my nurse at the breast clinic and I had absolutely no recollection of that! The email was totally fine and grammatically correct I might add, but zero memory of it. Everybody who came over to visit, I showed them my boobs. And they were totally gross with the stitches and the glue and bandages still there and then my drain tubes hanging out my sides and I was flashing my boobs like somebody was throwing beads to me on Bourbon Street at Mardi Gras. Gaaah. No wonder people get hooked on pills. Talk about releasing your inhibitions! Whew! I’m off the good stuff and I’m strictly on OTC plus the Ativan for the spasms (which I don’t actually think is really that effective but I try to convince myself that it is.)

When I had my mastectomy, tissue expanders were put in. I posted a video explaining the tissue expanders on Facebook the other day but basically they are like a balloon or an IV bag that’s really tough and has a port inside of it that is accessed and saline is put in on a weekly basis. You can actually sit there and watch the breast inflate as they are putting the saline in. It is totally wild. And not uncomfortable believe it or not…until I have checked out, gone down the elevator from the fourth floor, and am walking out the main door and then BAM! Omg I feel like my boobs are going to literally EXPLODE! I say that every time I walk out the door. It seriously feels as if someone would poke me with a straight pin that my boobs would blow up like something you would see on some twisted adult cartoon. Ha! Pain. Yes. Lots of pain.

I naively thought that this would be the so-called “easy part.” I thought the hard stuff was behind me. Turns out it’s all hard stuff. I can’t do the 1-10 pain scale because I don’t know. Pain is relative. This might not be as bad as something I have already gone through or something I am going to go through in the future but right now as I am going through it, it is all consuming. It’s a solid 7. It’s not crippling. I can function in the world but there’s never a time that I forget that I’m in pain. There’s never a time that I don’t feel like I have bowling balls under my arms. Oh yeah, I forgot that part. On the arm that they took the seven lymph nodes, I am numb on the underside of my arm to my elbow. When I put my deodorant on every morning—can’t feel a thing. And then there’s the range of motion thing. My right arm is almost back to normal but my left arm isn’t. When I reach really far with my left arm, I hurt all the way to my wrist. I have been doing exercises to try to regain my range of motion but for now, it sucks. My husband wanted me to turn the ceiling fan on the other night and I honestly couldn’t do it. I couldn’t reach that far.

Ok, back to what I was saying. Pain is relative. Yes. I started thinking about how the same is true in our lives. Whatever it is that we are going through at this moment (when it’s stressful and hard) seems like the worst possible thing that has ever happened to us in the history of the worst possible things that have ever happened to us. Divorce—10 on the pain scale! Financial problems—10!  Illness—10!  Addictions—10! Death of loved ones—10!  Depression—10! Ingrown toenail—10! Raising teenagers—10!

Whatever season of bad stuff that you might be in at this moment or that moment seems like the worst at that particular time. I’m not sure if I have a point here…I’m still waiting for it to come to me! Haha!

I guess my point is that when you get through things and you look back on them, the pain scale reduces from where it was. When we feel like we can’t possibly endure another day, look back through your life and think about the things you HAVE endured and know that you CAN endure whatever hardship you are currently going through. What seems like a 10 on the pain scale right now (and it very well may be) will lessen with time. Better days will come and those better days will be even sweeter because of the hard days we have endured.

John 16:33 says something like this…
I have told you these things, so that in me you may have peace. In this world you will have trouble (like a freaking 10 on the pain scale!) But take heart! I have overcome the world.

I’ll never be perfect (not even close) and my life will never be pain free or exactly the way I plan it or want it, but I do know I will never have to walk it alone.


  -lightningbug


Tuesday, August 30, 2016

Fragile: Contents Under Pressure

You know that feeling when you've had a long, hard day and you come in and the first thing you want to do is take off that gosh-forsaken bra? Well that's what it feels like after a mastectomy but you can't take it off. Because it's not a bra, it's your skin. I've had that feeling since Aug. 10. And it sucks. And it makes me very grumpy. Yesterday I was cleaning the dog's water bowl and Colby knocked his head up and it busted my lip and I cried. I mean I came inside and I bawled. And not because it really hurt that much. I mean, I'm not a total wuss but just because some days that's all it takes for me to lose my shit. I can't feel the backs of my arms from the shoulder to the elbow. I feel like I have a sunburn all the time and I get hot and cold like I have a sunburn. My balance is all out of whack (totally fell down walking into the football game Friday night,) neuropathy is still messing with my feet.

I went for my first boob fill last week and my breasts are starting to fill out into a somewhat lopsided round shape. They are swollen in all the wrong places and they're just weird and ugly. They have scars all the way across each of them. Ugly scars. Like a boob through a meat grinder. People have been congratulating me on being cancer free and I smile and I AM happy. I am completely happy. Nothing is any more important that knowing that cancer has been served its eviction notice and it's crap is laying out on the front lawn for the garbage man. But this is hard. This is very freaking hard. And the kids are all back to school so it is so quiet and lonely. I have a lot going on in my head right now and the wheels seem to turn and turn and never stay still.

The pieces of me look to be all coming back together from the outside--my hair is growing back, my eyelashes and my eybrows are back--I even have to shave my legs these days--but I feel completely opposite inside. I feel like my pieces are falling apart on the inside. I know this is all a part of the process and I'm human and I'm allowed to have emotions and blah blah. Yeah, yeah. I know that. But I'm the kind of human who likes the good emotions. I like smiles and laughter. I don't like sad and lonely. I looked at Kevin the other day and said, "All these years I have thought I was a free spirit but I like a plan I think I may even be OCD. I am a total fraud." And I do like a plan. And I don't have a plan right now. I have tried to go back to my regular work schedule (which is a very modest part time) and that wears me down and I can't focus like I used to be able to do. 

When I put my deodorant on, I can't even feel where it's going. I feel nothing under my arm. I feel like I'm not "enough" right now. I so want to be complete and back to me. I wasn't any superwoman to begin with but I was me. I worked a little and I came home and did my home thing and I carted kids all over creation and I entertained and I had a pretty great life. And now life is not normal. And I feel guilty for EVERYTHING. I feel guilty that I can't be and do everything that I used to do. I know it will come back but I'm impatient. I'm telling myself that I'm not going down to visit my dad this evening because I am physically and emotionally drained, but I will. The guilt will get to me and I will go. My dad even said to me last night, "Honey, you don't have to come down here every day." But I do. He has always been there for me and I will always be there for him. That's how family works. And that's what I will do.

I know my boobs will look and feel better over time. I'm just impatient right now. I know my energy level will increase over time. I know life will go back to normal before too long. For right now though, I am sad. And Ecclesiastes 3 tells me that it's ok for me to be sad right now.
There’s a season for everything    and a time for every matter under the heavens:2     a time for giving birth and a time for dying, a time for planting and a time for uprooting what was planted,3     a time for killing and a time for healing, a time for tearing down and a time for building up,4     a time for crying and a time for laughing, a time for mourning and a time for dancing,5     a time for throwing stones and a time for gathering stones, a time for embracing and a time for avoiding embraces,6     a time for searching and a time for losing, a time for keeping and a time for throwing away,7    a time for tearing and a time for repairing, a time for keeping silent and a time for speaking,8     a time for loving and a time for hating, a time for war and a time for peace.
A time for laughing and being silly and a time for sitting at the bottom of the stairs with a pillow pulled to your chest crying until breathing becomes laborous and then going upstairs and making a cup of coffee and getting your shit together because normal people don't sit at the bottom of the stairs and cry into pillows.

Have you ever bought something and took it out of the package and then it NEVER would go back in the package? When I was visiting my aunt in Florida, we took the rollaway bed out of the package and it was SO TIGHT getting that thing out that we knew it would never go back in the package. Well that's kind of how I feel right now. My old life was my package and the cancer made me come out of my packaging and I don't think I will ever fit back into my old packaging. I'm just going to have to figure out life outside of my packaging. And that's really scary to me. It's a very vulnerable and terrifying place. And here lately it feels a lot like taking a ride on the coo-coo caboose.

-lightningbug