I had my mammogram and ultrasound this morning. I actually got a cat nap while waiting for the tech to begin my ultrasound. I was in a quiet room with a hot blanket. I am extremely excited to report that the measurements showed a little over 50% shrinkage of the tumor! YIPPEE!! I knew I'd kick cancers "boohah"! They saw no other tumors and lymph nodes looked clean.
My appointment with the plastic surgeon took forever - so much information. I won't go into ALL the details. His recommendation at this time is a mastectomy with a DIEP reconstruction. He thinks this will provide me the best results in the fewest number of surgeries. This type of surgery is basically taking the tissues and blood vessels from my abdomen and using that to reconstruct. That is a 4-6 hour surgery. I would be in the hospital about 5 days. Recovery is about 4-6 weeks. Everything depends on whether I need radiation. Both doctors really feel that I won't need radiation if I choose mastectomy. If I do the lumpectomy or breast conserving surgery, then I will have to have radiation treatments. The plastics Dr said that radiation can really make reconstruction more difficult because of the effect it has on the skin and tissues. He said my skin is thin so radiation could effect it more. I did learn something - not only can they take the tissue from your stomach but also your buttocks and your thighs and even your back. I will meet with my plastic surgeon again in March to finalize surgery.
I met with my medical oncologist, Dr. Theriault. He was just as pleased with the results of Taxol. We discussed all of my side effects and the issues I am having with my eyes, my fatigue, and my chemo brain. All of which are normal side effects. We are going to proceed as planned with the FAC treatments. I will have treatments every 3 weeks with a total of 4 treatments. If I begin next Friday then my last treatment is projected to be April 20th. My treatments will be longer, he said about 2 1/2 to 3 hours. It will be 3 precautionary drugs (steroid, nausea med, and a Valium) and then the 3 toxic drugs (FAC). He said normally you feel pretty good that first day. You are very tired on days 2-3 and again on days 10-14. That is when your blood count levels drop. I will have to have my blood tested weekly. I will need to keep anti-nausea meds on hand. He said to take them at the first sign, not to wait until you are vomiting.
Surgery will come after I'm done with this chemotherapy. They will wait until my blood count levels come back up and then proceed. I'm thinking first of May, of course after Relay for Life.
I know I am leaving out some information. I will post again if I remember some more details. Jim has my notebook in his car. All of my notes from the appointments are in there. He had a work dinner so he is not home yet.
I will call Dr Popatia's office tomorrow and get my treatment schedule set. I hope to start next Friday. I will post needs on the calendar tomorrow when I figure out the schedule.
Thanks so much for the meals and child care for the past week and especially today. I really love all of my supporters!
God is Good,
Terrie