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	<title>stronger sarah</title>
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	<link>http://strongersarah.com</link>
	<description>This Princess Has A Pea</description>
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		<title>Breast Cancer -versary #2</title>
		<link>http://strongersarah.com/2012/02/10/my-second-cancerversary/</link>
		<comments>http://strongersarah.com/2012/02/10/my-second-cancerversary/#comments</comments>
		<pubDate>Sat, 11 Feb 2012 02:44:18 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Photo Updates]]></category>
		<category><![CDATA[Updates]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[gummy bear implants]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Oncologist]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Surgeon]]></category>
		<category><![CDATA[Tamoxifen]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=540</guid>
		<description><![CDATA[<p><strong>Just the Facts:</strong>  It&#8217;s now my 2nd Cancer-versary. I was diagnosed with breast cancer on February 12, 2010. And it has been an entire year since my last post on this blog. An update is due! Rest assured, the news &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts:</strong>  It&#8217;s now my 2nd Cancer-versary. I was diagnosed with breast cancer on February 12, 2010. And it has been an entire year since my last post on this blog. An update is due! Rest assured, the news is all good: I am <strong><em>fine</em></strong>! In fact, I think I&#8217;m healthier than I&#8217;ve ever been!</p>
<p><strong>Details:</strong>  Thankfully, the last year has been pretty quiet in terms of cancer treatment.  It wasn&#8217;t without some ups and downs, though and they primarily revolved around my taking the prescription drug, Tamoxifen.  The doctors recommended that I stay on Tamoxifen for its estrogen-limiting effect for a full 5 years following my breast cancer surgery. The clock started in June of 2010. Side effects were manageable at first, limited to some fatigue and hot flashes, but as the year went on, things got a lot worse. The fatigue became severe, and I also experienced mental fog and assorted &#8220;female&#8221; problems. But probably the most difficult side effect for me was significant hair loss. I was losing a lot of hair in the shower everyday and it seemed to be worsening with time.</p>
<div id="attachment_555" class="wp-caption aligncenter" style="width: 310px"><a href="http://strongersarah.com/wp-content/uploads/2012/02/Scan-32.jpeg"><img class="size-medium wp-image-555 " title="Scan 3" src="http://strongersarah.com/wp-content/uploads/2012/02/Scan-32-300x216.jpg" alt="" width="300" height="216" /></a><p class="wp-caption-text">My hair after about 11 months on Tamoxifen</p></div>
<p>I was more than a little troubled by this and so was my oncologist. When I saw her in July, she suggested I take a break from Tamoxifen to see if my side effects went away.   From the beginning, taking Tamoxifen was like having an insurance policy.  We were certain that my cancer was all gone after the surgery, but the drug was to ensure that any remaining cancer cells would not be able to grow. It wasn&#8217;t until a few months later, when I had been off the drug for a while, that I could see how much my quality of life was truly suffering while I was on Tamoxifen. By the next time I saw the doctor, the hair loss had slowed down and according to my hair stylist, I even had new &#8220;baby&#8221; hairs coming in all over my head. I had also begun to feel much better in general.</p>
<p>&nbsp;</p>
<div id="attachment_556" class="wp-caption aligncenter" style="width: 310px"><a href="http://strongersarah.com/wp-content/uploads/2012/02/IMG_07051.jpg"><img class="size-medium wp-image-556   " title="IMG_0705" src="http://strongersarah.com/wp-content/uploads/2012/02/IMG_07051-300x245.jpg" alt="" width="300" height="245" /></a><p class="wp-caption-text">My hair today, after being off Tamoxifen for 8 months. Can you tell a difference? It&#39;s not completely back to normal yet but it&#39;s getting there! The baby hairs are the ones standing up! ha ha</p></div>
<p>My oncologist suggested that I stay off the Tamoxifen a few more months and consider re-starting it in early 2012.  I had made it a year on the drug, just 20% of the recommended amount of time.  But even so, she estimated my chances of recurrence to be very very low, all things considered. After being off the drug for about 8 months now, I can&#8217;t imagine going back on it, and I don&#8217;t plan to. The bottom line is: I am very confident that I am cancer free and will stay that way.  I know it is a risk, but I believe in the path I&#8217;m taking. My next visit to the oncologist is later this month, and I expect a good report.  After this visit I will see my breast cancer surgeon for a follow up in May or June, and then I will switch to a biannual rather than quarterly check-up schedule.  That&#8217;s a milestone!  It must mean that the docs are pretty sure I&#8217;m ok, too!</p>
<p>April 6, 2012 is the anniversary of my cancer surgery. (I&#8217;m so weird about anniversaries and dates. They are all emblazoned into my memory. And each one carries its own set of emotions and issues.)  On one hand it seems like forever-ago that I had the mastectomy surgery.  On the other hand, I&#8217;m still trying to get used to the sensation of the implants on my chest, and the lack of sensation in many other parts of my torso.  But April 6 is an anniversary I celebrate! I think of it as the day I beat cancer!</p>
<p>&nbsp;</p>
<p>The cancer may be gone, but like a ghost, it continues its haunting.</p>
<p style="text-align: center;"><a href="http://strongersarah.com/wp-content/uploads/2012/02/candle_skull.png"><img class="size-full wp-image-560 aligncenter" title="candle_skull" src="http://strongersarah.com/wp-content/uploads/2012/02/candle_skull.png" alt="" width="129" height="200" /></a></p>
<p>There is not a day that I don&#8217;t think about the possibility of a recurrence. The choices I make everyday with the way I eat, exercise, sleep, think, pray, etc are all framed within the context of being a cancer survivor. The haunting is fading with time, but on some level, breast cancer will remain a battle for me to fight from now on. Good thing I&#8217;m StrongerSarah! <img src='http://strongersarah.com/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /> </p>
<div id="attachment_563" class="wp-caption aligncenter" style="width: 310px"><a href="http://strongersarah.com/wp-content/uploads/2012/02/396223_10150674725556654_386056616653_11299894_601878884_n.jpg"><img class="size-medium wp-image-563 " title="396223_10150674725556654_386056616653_11299894_601878884_n" src="http://strongersarah.com/wp-content/uploads/2012/02/396223_10150674725556654_386056616653_11299894_601878884_n-300x274.jpg" alt="" width="300" height="274" /></a><p class="wp-caption-text">picture credit: the Girlfriend Book</p></div>
<p><strong>What&#8217;s coming up?</strong> Routine check-ups with my oncologist, breast surgeon and plastic surgeon. According to my plastic surgeon, a new variety of silicone gel breast implants, called the &#8220;gummy bear&#8221; implants, may receive FDA approval sometime soon.  He believes that this style would work much better for me. (I still have some problems with my implants.)  Apparently the FDA has been &#8220;almost ready&#8221; to approve them for years now, despite Europe and pretty much everywhere else having approved them years ago. Should this happen, I may consider getting the new implants before the time when my current ones would normally need to be replaced (10 years or so).  My plastic surgeon advised me not to &#8220;hold my breath&#8221; on the FDA approval.  In the meantime, I&#8217;m very happy to be done with surgeries.</p>
<p><strong>Prayer Requests</strong>: Besides a prayer of thanksgiving for my good health,  my prayer is the following:  that women would take their risk of breast cancer seriously, be proactive about their breast health and their health in general, and have their screenings done on time.  Sometimes it&#8217;s easy to think of cancer/diseases as things that just happen to others. But breast cancer strikes 1 in 8 women.  Some say that statistic is an <em>under</em>estimate!</p>
<p>As for me, I&#8217;m doing really well.  And I expect to continue for another 50 years or so, at least! Thanks so much for your prayers and support through all of this.</p>
<p>&nbsp;</p>
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		<item>
		<title>Cancer-versary</title>
		<link>http://strongersarah.com/2011/02/12/cancer-versary/</link>
		<comments>http://strongersarah.com/2011/02/12/cancer-versary/#comments</comments>
		<pubDate>Sat, 12 Feb 2011 05:01:30 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[Biopsy]]></category>
		<category><![CDATA[Chemotherapy]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[Kettlebells]]></category>
		<category><![CDATA[Lymph Nodes]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Oncologist]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[radiologist]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Recovery]]></category>
		<category><![CDATA[Surgeon]]></category>
		<category><![CDATA[Tamoxifen]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=523</guid>
		<description><![CDATA[<p><strong>Just the Facts: </strong> A year ago today I was diagnosed with Invasive Mammary Carcinoma &#8212; a &#8220;pea&#8221; was found.  Ironically, I had one of the last visits I&#8217;ll need with my plastic surgeon this week.  In the course of a &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts: </strong> A year ago today I was diagnosed with Invasive Mammary Carcinoma &#8212; a &#8220;pea&#8221; was found.  Ironically, I had one of the last visits I&#8217;ll need with my plastic surgeon this week.  In the course of a year, I&#8217;ve discovered I had breast cancer, had a bilateral mastectomy and had two follow-up surgeries to reconstruct my breasts.  This journey really has no end, but, thankfully, I am through the rough part.  My health is now excellent and on top of that, I&#8217;m pretty much looking myself.  This year hasn&#8217;t been easy but it&#8217;s over, and I&#8217;m ready to focus on other things!</p>
<p><strong>Details:</strong> On February 12, 2010, I answered my cell phone to hear a radiologist&#8217;s voice.  I knew that since the doctor was calling (not a nurse), this was bad news.  He proceeded to tell me that the biopsy I had two days prior had revealed Invasive Mammary Carcinoma. Life changed instantly as I realized what might happen as well as what would have to happen.</p>
<p>Later I would learn that I had not one, but two tumors.  They both turned out to be sort of small, each slightly larger than a pea.  My choices for treatment were really not too difficult to make.  In order to be most aggressive in this fight, I needed to have both breasts removed.  Thankfully, I found a wonderful breast surgeon and an equally incredible plastic surgeon.  I had a bilateral mastectomy with immediate reconstruction on April 6, 2010.  That was the day I conquered the cancer!</p>
<p>Following the surgery, we learned that my lymph nodes were cancer-free and that the margins from surgery were clear.  My cancer had apparently been confined to the breast tissue, which was now gone.  Later a special diagnostic test was performed on the tumors and it revealed that the cancer would not respond particularly well to chemotherapy, but would be responsive to hormone therapy.  We rejoiced at that news! No chemo, although five years on the drug, Tamoxifen, was essential.</p>
<p>Through the summer I went through the strange process of tissue expansion in anticipation of a second surgery to place silicone breast implants.  I am thankful such procedures exist, but it was both exciting and highly annoying.  On August 31, 2010, the tissue expanders that had been placed at the time of the mastectomy were replaced with silicone implants.</p>
<p>Life with implants is somewhat strange too, but so much better than expanders.  At first, I  was very pleased with the outcome of the exchange surgery.  Then, something went wrong.  The internal sutures on the left side did not hold as my plastic surgeon had planned, and the left implant shifted.  It was not good.  So on December 27, 2010, I had that fixed.</p>
<p>I am technically still recovering from that surgery.  It has been about 6 and 1/2 weeks.  My plastic surgeon says that 8 weeks is the absolute longest it should take for the implants and sutures to be &#8220;set&#8221;. I am taking every precaution to make sure that things don&#8217;t shift again.  For this period, being &#8220;careful&#8221; has meant among other things: no kettlebell  training nor any form of weight training, no heavy exercise, no lifting anything heavier than a milk jug,  and sleeping in a recliner with pillows propped all around me for support to avoid any shifting.   Yes, I have been sleeping a recliner for almost 7 weeks.  (And will continue for another week.) This is <em>that</em> important!</p>
<p>I see my oncologist every three months.  I will be doing that for another 2 years, then less often.  I go back to my breast surgeon for one more follow-up with him in a few months.  And I still have a few things for the plastic surgeon to finish up, though overall we are generally pleased with the outcome of this last surgery. As far as we know (and we certainly HOPE) there should be no more breast reconstruction surgery.  Just a few finishing touches.  <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />   Those will be completed later in 2011, probably.</p>
<p>Sometimes I still can&#8217;t believe all this has happened.  Aside from some  symptoms from the Tamoxifen, I feel great.  It&#8217;s weird to think that I am a breast cancer survivor.  But I am!  And as predicted, I am certainly STRONGER now!</p>
<p><strong>What&#8217;s coming up:</strong> Some more healing, physically and mentally.  More doctor visits.  More plastic surgery.  But the worst is definitely over.</p>
<p><strong>Prayer Requests:</strong> A year later, I am cancer-free and strong.  Please thank God with me!! The blessings I have received through this trial far outweigh the difficulties I have had to endure.  It&#8217;s okay to pray that the cancer stays away, too.  <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p><strong>This blog:</strong> Given that this journey is winding down in a big way, the blog is too.  I can&#8217;t tell you how much the support from friends here has meant to me.  But it is time to move on.  I&#8217;ll only update this blog a couple more times, probably.  It will have to be something huge to do so, and I&#8217;m hoping that there really isn&#8217;t anything else huge that happens.  However, I&#8217;m leaving the blog here, in case there is someone who might want to learn about my journey.  Unfortunately, breast cancer is running rampant, and we will all know someone who will be diagnosed with it at some time. I don&#8217;t know if reading about my journey would help someone else facing a similar path, but it will be here, just in case.</p>
<p>Thank you for reading and commenting over the last year.  I pray that everyone who has reached out to me in any way would receive tenfold blessings in return.</p>
<p>Wishing good health and happiness to all!</p>
<p>((Hugs)),</p>
<p>Stronger Sarah</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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		<item>
		<title>New Year, New Sisters</title>
		<link>http://strongersarah.com/2011/01/01/new-year-new-sisters/</link>
		<comments>http://strongersarah.com/2011/01/01/new-year-new-sisters/#comments</comments>
		<pubDate>Sun, 02 Jan 2011 02:03:24 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[Alloderm]]></category>
		<category><![CDATA[Hospital]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Revision]]></category>
		<category><![CDATA[Surgery]]></category>
		<category><![CDATA[Surgical Drains]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=507</guid>
		<description><![CDATA[<p><strong>Just the Facts:</strong> I had revision to breast reconstruction surgery 5 days ago.  I handled the surgery and anesthesia well and returned home the next day, after 24 hours on antibiotics. The doctor actually did more revision work than he &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts:</strong> I had revision to breast reconstruction surgery 5 days ago.  I handled the surgery and anesthesia well and returned home the next day, after 24 hours on antibiotics. The doctor actually did more revision work than he had planned, spending almost 5 hours instead of 3 in surgery.  I went home with 2 surgical drains, but they were removed after a couple of days.</p>
<p><strong>Details:</strong> On Monday, December 27, I underwent more plastic surgery to correct problems with my prior breast reconstruction.  Alloderm was to be used over both of my breast implants.  I was to receive new implants, and the left side was to be reconstructed, pulling it toward the middle.  All of that was accomplished.  In addition, the doctor revised the &#8220;pocket&#8221; that held the right breast as well.  He discovered that this was necessary when he assessed the situation at the beginning of surgery, and discovered that the right side was beginning to shift just like the left had.  This lead to an addition 1-2 hours of surgery to correct that problem, but I am very thankful that the work was done then.  It potentially saved me from another revision surgery in the future.</p>
<p>I stayed in the hospital until the next morning when my course of antibiotics was complete.  I had 2 surgical drains, one on each side, but the drain tubes were much smaller and easier to manage than those I had after the mastectomy.  They still had to be tended, and pulling, twisting and catching them wrong had to be carefully avoided.  I was only able to do sponge baths while I had the drains, but thankfully I was able to have the drains removed on Thursday and I&#8217;ve had no fluid build-up or other problems since then.</p>
<p>The pain has been a bit worse this time.  That&#8217;s probably because so much work was done on both sides.  The right side is especially tender.  The pain meds help but I don&#8217;t like feeling groggy from them, so I&#8217;ve stopped taking them except at night.  Of course, I&#8217;m still groggy from the general anesthesia anyway.  But going off the narcotic pain killers is the first step toward feeling more normal, and that&#8217;s a good thing!</p>
<p>As usual, the &#8220;breasts&#8221; are covered with bandages.  I can only tell so much about how they are going to look.  But what I see looks SO MUCH BETTER than before!! I am thrilled, relieved, and also concerned that I will somehow &#8220;mess it up&#8221; again.  Every time I use my arms to reach or pick something up, I think about taking it easy and worry that the glass of water, piece of laundry, etc that I just picked up will stretch or pull me too much.  It&#8217;s nerve-wracking.  I&#8217;m really looking forward to my appointment next week with my plastic surgeon so I can review what is safe to do.  I DESPERATELY DON&#8217;T WANT TO MESS THIS UP! It looks good.  I like these &#8220;Sisters&#8221;.  I want to keep them!</p>
<p>This time around we have a recliner for me to sleep in.  It has made a huge difference in how comfortable I am at night.  After this type of chest surgery, lying flat is really uncomfortable.  Being able to be in a semi-reclined position makes all the difference.  I am so thankful for my recliner, but at the same time, I&#8217;m really looking forward to getting back to my real bed.  Based on my past experience, it will probably take several weeks before I can tolerate lying flat.</p>
<p><strong>Me:</strong> Nervous that I will damage the delicate work that has been done, but very hopeful.  Thankful for a great doctor, good insurance, and a wonderful husband who has selflessly taken care of me every step of the way.</p>
<p><strong>What&#8217;s Coming Up:</strong> Bandages come off on Thursday, when I see my plastic surgeon for a post-op appointment.</p>
<p><strong>Prayer Requests:</strong> Please pray that this time I would heal properly, that the &#8220;Sisters&#8221; would stay in their current positions!  Pray that my pain would continue to diminish and so would the grogginess.  Pray that the blues would stay away.</p>
<p><strong>Thank you</strong>: to Frances for taking care of my children while I was in the hospital and to Paige, who always finds the perfect way to help.  Thank you, everyone,  for reading, tweeting, commenting and encouraging me in so many ways.  It has meant so much!!</p>
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		<item>
		<title>Surgery tomorrow, Maybe</title>
		<link>http://strongersarah.com/2010/12/26/surgery-tomorrow-maybe/</link>
		<comments>http://strongersarah.com/2010/12/26/surgery-tomorrow-maybe/#comments</comments>
		<pubDate>Mon, 27 Dec 2010 02:14:04 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Thoughts]]></category>
		<category><![CDATA[Hospital]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Recovery]]></category>
		<category><![CDATA[Surgery]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=500</guid>
		<description><![CDATA[<p><strong>Just the Facts:</strong> I am scheduled for reconstructive plastic surgery tomorrow, but have been sick and still have some lingering cold symptoms.  I&#8217;m not sure if the surgery will happen or not.  It will be the anesthesiologist&#8217;s decision when I &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts:</strong> I am scheduled for reconstructive plastic surgery tomorrow, but have been sick and still have some lingering cold symptoms.  I&#8217;m not sure if the surgery will happen or not.  It will be the anesthesiologist&#8217;s decision when I go to the hospital in the morning.</p>
<p><strong>Details</strong>:  Following a double mastectomy and reconstructive surgery earlier this year, I am scheduled for some of the reconstructive work to be redone tomorrow.  This surgery has been planned since late October, and it is important that it happens now, for various reasons.  However, since I have been sick with a pretty severe cold over the last two weeks and still have some symptoms, the surgery may not happen tomorrow.  When I called the plastic surgeon&#8217;s office last week to inform them of my status, they said the decision whether or not to proceed with surgery would be made by the anesthesiologist.  I have debated calling it off myself, but have decided to go to the hospital in the morning and discuss it with the anesthesiologist with hopes of having the surgery.</p>
<p>Right now my cold symptoms consist of a very stuffy nose, plugged ears, and a cough.  I have some pressure in one ear, too.  It pops and squeaks when I blow my nose.  I&#8217;m sure that eustascian tube must be clogged.  It&#8217;s possible I have an ear infection.  I am coughing a little, but it&#8217;s only occasionally, and the cough is productive.  It&#8217;s like the cough is almost over, but I still have the head cold. I don&#8217;t feel bad, but am really tired of dealing with these symptoms.  The cold started almost two weeks ago.  I finished a course of antibiotics on Friday.  My colds do not usually last this long.  It must be a really bad virus!</p>
<p>This is my third major surgery this year.  Normally the night before surgery I am pretty anxious.  Not this time.  Christmas and the cold have kept my mind off of what&#8217;s ahead.  I&#8217;m sure when my plastic surgeon begins drawing on me with <em>that blue pen</em> tomorrow before surgery, the reality will hit in a big way. But I want and need this surgery and I really hope it happens tomorrow.</p>
<p><strong>Me:</strong> Hopeful. Sick of being sick. Ready to get major surgery behind me and move into 2011 with a fresh start.</p>
<p><strong>Prayer Requests: </strong>That I will somehow be well by tomorrow morning &#8211; essentially leaving no decision to be made about my fitness for surgery.  That my excellent plastic surgeon would hit it out of the park this time.  For my health in recovery.  For peace for Tracy and my children while I am in surgery and in the hospital.  Please also give thanks and ask for special blessings for those who will be helping to keep an eye on my children over the next day or two.</p>
<p><strong>Tomorrow: </strong> I will update my status on twitter and facebook as I find out what will happen.  If we are able to do the surgery, Tracy will write on my facebook wall with updates.  I&#8217;ll be back online soon, probably sometime tomorrow night.</p>
<p><strong>Thanks for all the good vibes, thoughts and prayers. </strong> <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
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		<title>All I want for Christmas</title>
		<link>http://strongersarah.com/2010/12/18/all-i-want-for-christmas/</link>
		<comments>http://strongersarah.com/2010/12/18/all-i-want-for-christmas/#comments</comments>
		<pubDate>Sat, 18 Dec 2010 23:01:14 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[Alloderm]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[Hospital]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Surgical Drains]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=480</guid>
		<description><![CDATA[<p><strong>Just the Facts</strong>:  Surgery to revise my breast reconstruction happens on Monday, December 27.    I will be in the hospital overnight for antibiotics.  I have had my pre-op appointment with my plastic surgeon and the hospital pre-op appointment, to &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts</strong>:  Surgery to revise my breast reconstruction happens on Monday, December 27.    I will be in the hospital overnight for antibiotics.  I have had my pre-op appointment with my plastic surgeon and the hospital pre-op appointment, to speak with an anesthesiologist. Everything is ready to go.  The surgery will fix cosmetic problems, so by nature, it is much less serious than what I have gone through in the past.  However, I have been very unhappy with the outcome of the reconstruction, and am excited that the problems will soon be corrected.</p>
<p><strong>Details</strong>:  All I want for Christmas is not my two front teeth, but two reconstructed breasts that face the front!  Back in late August, my plastic surgeon (who I still believe is top-notch) performed the second phase of my breast reconstruction:  exchange surgery.  The hard and uncomfortable tissue expanders were traded for soft silicone-filled breast implants. He also did some repair work at that time, since my left side was troublesome-looking and had been ever since the mastectomy.  The doctor re-sected and restitched the left &#8220;breast&#8221; to make it move more towards the right, creating a little cleavage.  However, over the next few weeks, those internal sutures gave way, and the left implant began shifting back to what seems to be its desired destination: my left armpit. It is not evident with clothes on, but the reality is that the left side is messed up.  One messed up side is one too many.<br />
<a href="http://strongersarah.com/wp-content/uploads/2010/12/roadnarrowsleft2.jpg"><img class="alignleft size-thumbnail wp-image-488" title="roadnarrowsleft2" src="http://strongersarah.com/wp-content/uploads/2010/12/roadnarrowsleft2-150x150.jpg" alt="" width="195" height="192" /></a><br />
My doctor has other techniques to use to remedy the situation.  This time, he will add <a href="http://www.lifecell.com/alloderm-regenerative-tissue-matrix/95/">Alloderm</a> to give the left side more structure, and will move the &#8220;pocket&#8221; for the implant permanently towards the right by re-secting and suturing extensively in several different places. Alloderm will also be used over both &#8220;breasts&#8221; to correct fairly severe rippling, which often happens when someone &#8220;thin&#8221; gets implants.  (If you are thin, your skin is thin and cannot camouflage the implant under it very well.)  Excess skin will be removed from both sides, which should also help with rippling.  Both of my scars will have to be re-opened for this surgery.  I will receive two new implants, and I will need IV antibiotics for 24 hours. I&#8217;ll be in the hospital overnight and will have a surgical drain on each side.  The drains will need to stay in place until there is minimal output, likely several days.</p>
<p>When I look, I see &#8220;DEFORMED&#8221; right now, and am so glad to be doing something about this.  No one else (other than Tracy and the doctor) have seen the problem because it can be covered up in clothing.  But in bathing suit season, it would be no secret.  If there is a way to fix this, I want it done, and ASAP.  Thankfully, we have excellent insurance which is paying for this re-reconstruction.  Were it not for that, I would probably live with having a breast under my arm.  I am truly grateful that I don&#8217;t have to do that.</p>
<p><strong>Me</strong>:  Looking forward to getting this over with!  Excited about what the doctor described as my potential outcome.  I will forever be changed from breast cancer and my mastectomy surgery, but hopefully I will not always be uncomfortable with the way I look. I am grateful too.  This is cosmetic stuff, after all.</p>
<p><strong>Prayer requests</strong>:  That nothing, including a pretty severe cold (or is it the flu) that I have right now, will stand in the way of a smooth, uneventful surgery.  Despite my earnest desire to have this surgery, anxiety over the process in general has crept in before my other surgeries in the past.   Please pray for peace for me.  Pray that my children and husband would stay healthy and that they would also be free of stress from this.</p>
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		<title>Re-reconstruction</title>
		<link>http://strongersarah.com/2010/11/05/re-reconstruction/</link>
		<comments>http://strongersarah.com/2010/11/05/re-reconstruction/#comments</comments>
		<pubDate>Fri, 05 Nov 2010 15:10:25 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[Oncologist]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Revision]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=460</guid>
		<description><![CDATA[<p><strong>Just the Facts:</strong> It has been 9 weeks since my tissue expander-to-implant exchange surgery.  I had a follow-up appointment with my plastic surgeon last week and we concluded a revision surgery is in order. The surgery has been scheduled for &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts:</strong> It has been 9 weeks since my tissue expander-to-implant exchange surgery.  I had a follow-up appointment with my plastic surgeon last week and we concluded a revision surgery is in order. The surgery has been scheduled for December 27.</p>
<p><strong>Details: </strong>I have breast implants now, having had the expander-to-implant exchange surgery a couple of months ago. They feel so much better than the tissue expanders.  For a few weeks, I was happy with the way they looked. My plastic surgeon spent significant time repairing/altering the &#8220;pocket&#8221; for the implant on the left at the last surgery, and I had extensive internal sutures to hold the left into its new place.  Had the sutures &#8220;held&#8221; I think things would be just fine right now.</p>
<p>However, that&#8217;s not what happened.  My left &#8220;breast&#8221; shifted from its proper position, and in my opinion, it&#8217;s dramatic.  (My friends say they can&#8217;t tell.)  I tried for a while to ignore it, or tell my brain to see it as OK.  I practiced the massage techniques my plastic surgeon gave me in hopes that they would help improve the situation.  But over time, it has worsened. With things like they are, I feel pretty freakish.  And avoiding that feeling is the whole reason I had reconstructive surgery in the first place.  Some may say, &#8220;oh be happy with what you have, at least it&#8217;s something,&#8221; like that voice in my head kept saying. I continue to have that debate with myself.</p>
<p>I was quite apprehensive about seeing my plastic surgeon last week.  However, he acknowledged the problem (and a few other problems) right away, and began describing how he could fix the situation with other techniques.  I guess I figured that the exchange surgery would be the end of major surgeries to my chest area for a while.  But it seems that 40% of  women who have breast reconstruction need at least one revision surgery.</p>
<p>There is a question in my mind regarding whether or not I caused the sutures to fail.  I am super active and I haven&#8217;t given up any of my exercises, although I strictly adhered to the guidelines the doctor gave me after the last surgery.  I asked him again about this and he said &#8211; sometimes the sutures just don&#8217;t hold.  Yet, I still wonder if I added to the problem in some way, and in light of that, I may be taking a much longer hiatus from strenuous activity after the next surgery.  I&#8217;m researching it more and thinking it through.  If I&#8217;m going to go through this again, I want it to come out right.</p>
<p>We have also decided that at some point down the road, I will have the optional, last phase of reconstruction, to make the reconstruction complete.   It should happen in 2011, hopefully.  All revision work must be completed first.</p>
<p><strong>Me:</strong> Grateful in many ways: for good health, good insurance and I still believe, an excellent plastic surgeon.   I&#8217;m also very relieved and hopeful.  Although some people might choose to avoid another surgery and be content with this outcome, I entered into reconstructive surgery for a reason &#8211; to maintain a somewhat normal appearance despite having dramatic breast cancer surgery.  There seems to be a way to fix my situation.  From my perspective, this revision surgery is not optional, but mandatory.</p>
<p><strong>Prayer requests:</strong> Thanks and praise for my health being good enough that I even care what my breasts look like.  Thanks that I have insurance to pay for this and all the rest of the stuff I&#8217;ve had done.  For skillful hands and wisdom for my plastic surgeon.</p>
<p><strong>What&#8217;s coming up: </strong> A visit to the oncologist on December 1.  I expect this to be a quick &#8220;Hi, how ya doing?&#8221; and that&#8217;s the end of it because I feel great.  The revision surgery will be on December 27.</p>
<p><strong> </strong></p>
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		<title>What Happened to Me</title>
		<link>http://strongersarah.com/2010/09/26/what-happened-to-me/</link>
		<comments>http://strongersarah.com/2010/09/26/what-happened-to-me/#comments</comments>
		<pubDate>Sun, 26 Sep 2010 17:33:55 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Thoughts]]></category>
		<category><![CDATA[Biopsy]]></category>
		<category><![CDATA[Chemotherapy]]></category>
		<category><![CDATA[Komen Charlotte]]></category>
		<category><![CDATA[Komen Race for the Cure]]></category>
		<category><![CDATA[Lymph Node]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Surgical Drains]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=419</guid>
		<description><![CDATA[<p>Phone&#8217;s ringing.  The doc.  I&#8217;ve been waiting.</p>
<p><em>Yes, now is an OK time to talk.</em></p>
<p><em>Oh. </em></p>
<p><em>T-t-t-tell me what to do</em>.</p>
<p>Sit down. Swallow that lump. What next? Go talk to Tracy. Get hugs. Get help.</p>
<p>Deep breaths.</p>
<p><em>Kids, </em>&#8230;</p>]]></description>
			<content:encoded><![CDATA[<p>Phone&#8217;s ringing.  The doc.  I&#8217;ve been waiting.</p>
<p><em>Yes, now is an OK time to talk.</em></p>
<p><em>Oh. </em></p>
<p><em>T-t-t-tell me what to do</em>.</p>
<p>Sit down. Swallow that lump. What next? Go talk to Tracy. Get hugs. Get help.</p>
<p>Deep breaths.</p>
<p><em>Kids, don&#8217;t freak, please.  I am NOT about to die!  LOOK at me  &#8211; I&#8217;M STRONG!! Believe me, PLEASE!</em></p>
<p>Surgeons. Tests.  Biopsies.</p>
<p>Questions. Prayers. Decisions.</p>
<p>No decision to make.  It&#8217;s clear.</p>
<p>I&#8217;m ready.</p>
<p>Waiting.  Waiting.  Waiting.</p>
<p>Business.  No stopping. Training and training.</p>
<p>Must move out of studio. Coincidence? Another place found.</p>
<p>Ready but still waiting.</p>
<p>Finally, mastectomy.  Times two.  ATTACK!</p>
<p>Awake from surgery.  <em>Were my nodes clear?</em> Nurses won&#8217;t answer. <em> </em></p>
<p><em>Were my nodes clear?</em> No one answers.</p>
<p><em>TRACY, were my nodes clear? </em></p>
<p><em> </em>YES!</p>
<p>That news is my medicine.</p>
<p>Peeking.  Two small mounds, so very welcome on the flat reality.</p>
<p>Home.  Drain 1, Drain 2, Drain 3, Drain 4.  Learn to love them. Necessary.</p>
<p>Feeling pain<em>.  Who beat me up? </em></p>
<p>Days.  Healing.  Drains can come out. Gross. Moving on.</p>
<p>Scars: large. red. Shocking. A life was saved here.</p>
<p>Plastic surgeon doing his job. Pumping up the volume.  Week 1. Week 2. Week 3.  And that&#8217;s enough.</p>
<p>He says:  now we wait.</p>
<p>Waiting.  Waiting.  Waiting.</p>
<p>Confirmation: no chemo! RELIEF!</p>
<p><em>Just take this pill.  Everyday.</em> 365&#215;5.</p>
<p>The summer of expanders. Eagerly waiting to exchange.</p>
<p>Adjusting.  Feeling good.  Feeling strong.</p>
<p>Surgery pre-op.  Almost time to exchange.  Done waiting.  So ready.</p>
<p>Hospital. Here goes again.  <em>This time it&#8217;s outpatient.  OK, I like that better.</em></p>
<p>Beat up again. Sore. Same sore. Hallelujah &#8211; no drains!  But foggy head.  Foggy foggy head.</p>
<p>Bandages off.</p>
<p><em>Improved? Yes.  How much? A lot.  As good as you hoped? No.</em></p>
<p>Grateful nonetheless.  So grateful.</p>
<p>Stumbling. Feeling sad for no reason. Mad at myself. So much has gone right.  Why feel sad?</p>
<p>Tears.</p>
<p>Not myself.</p>
<p>Staring.  Whose chest IS this? What happened to me?</p>
<p>Priorities change. Need to do all I can.</p>
<p>Re-evaluate. Think. Pray. Heal.</p>
<p>October will be Pink.  A race. A team. Important.</p>
<p>Ask. Receive. Grateful.</p>
<p>Abounding kindness.   Amazing generosity.</p>
<p>Got my shirt.  It has the word.  Survivor.</p>
<p>Tears.</p>
<p>Healing.</p>
<p>I am a breast cancer survivor.</p>
<p>Still healing.  I&#8217;ll get there.</p>
<p><strong><em>My breast cancer was detected early, at Stage I, and my prognosis is excellent.  Efforts by Susan G. Komen have made my walk through this difficult time easier.<br />
</em></strong></p>
<p><strong><em>From the Susan G. Komen For the Cure website: </em></strong> For more than 25 years, Susan G. Komen for the Cure has played a critical role in every major advance in the fight against breast cancer, transforming how the world talks about and treats this disease, and helping to turn millions of breast cancer patients into breast cancer survivors.  Over the next 25 years, an estimated 25 million women around the world will be diagnosed with breast cancer if we don&#8217;t find a cure.  Susan G. Komen will not stop until we discover and deliver the cures. That&#8217;s our promise.<strong><em><br />
</em></strong></p>
<p><strong><em>On October 2, 2010 I will walk with my family and my team in the Komen Charlotte Race for the Cure.  When I cross the finish line, my name will be announced as a survivor.</em></strong></p>
<p><strong><em>Please consider supporting my team, StrongerSarah, in the Komen Charlotte Race for the Cure.  Donating any amount is easy by going <a href="http://charlotte.info-komen.org/site/TR/RacefortheCure/CLT_CharlotteAffiliate?px=7015315&amp;pg=personal&amp;fr_id=1833">here</a>.  Although my individual goal has been met, our team goal of $2,000 has not yet been reached. Your donation will help raise awareness and fund research so that our mothers, sisters, daughters and friends may never have to get that phone call.<br />
</em></strong></p>
<p class="divider">
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		<title>Not bad!</title>
		<link>http://strongersarah.com/2010/09/10/not-bad/</link>
		<comments>http://strongersarah.com/2010/09/10/not-bad/#comments</comments>
		<pubDate>Sat, 11 Sep 2010 02:26:52 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Scars]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=403</guid>
		<description><![CDATA[<p><strong>Just the facts:</strong> Yesterday was a follow up appointment with my plastic surgeon following the Exchange Surgery ten days ago.  Bandages were removed.  The doctor is pleased with the way his work turned out and I think I am too.&#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the facts:</strong> Yesterday was a follow up appointment with my plastic surgeon following the Exchange Surgery ten days ago.  Bandages were removed.  The doctor is pleased with the way his work turned out and I think I am too.</p>
<p><strong>Details: </strong> There were stitches and lots of dermabond across me when they removed the bandages Thursday.  I guess they do the glue thing to minimize scarring. The scars are huge, reddish/purple and &#8220;angry&#8221; looking right now.  Not much different from right after the mastectomy surgery, but that is to be expected.  The scars really should fade to a white line eventually.</p>
<p>The implants do look pretty nice, I must say.  What an improvement over the expanders!!  I look human now! <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />   There is still some swelling and the implants will &#8220;settle&#8221; over time.  My plastic surgeon gave me some special massage techniques to do to make sure that the settling process happens properly.  It will make me look more natural, he says.  It also will prevent capsular contracture, a condition which happens sometimes and could require early implant replacement.  (The lifespan of the implants is typically about 10-15 years, after which time I will have them replaced.)</p>
<p>There are some imperfections. My doc worked hard for improvement, and even used techniques which included perforating my left pectoral muscle and the existing Alloderm in order to reposition the tissue for a more pleasing look.  (Side note: the athlete in me GASPED at the thought of a perforated pec, but although I can&#8217;t test it at the moment, I sense there is no real loss of strength or function.) The doctor&#8217;s work seems to have turned out well.  Although I see imperfections, in all honesty, no one else will probably ever be able to tell that anything is less than ideal there.  It truly is amazing what my fine doctor was able to do.</p>
<p>I return to see the plastic surgeon in a few months for another follow up.  Then we&#8217;ll talk about whether or not I might want the additional finishing touches which are available as part of complete breast reconstruction.  No, I will not be going into details about those here.  If you are interested in what in the world I might be referring to, you can read <a href="http://breastcancer.about.com/od/lifeduringtreatment/qt/nipple_reconst.htm">this</a>.</p>
<p>I&#8217;m doing better after speaking with the doctor and getting through the big unveiling.  I still don&#8217;t feel like ME, but I can tell I&#8217;m moving in the right direction.</p>
<p>Retail therapy continues to be high on my list.  Tomorrow I&#8217;m heading to a store called the Unique Boutique, a store that supplies mastectomy patients with garments and items for their needs.  Fact:  Most insurance companies will pay for mastectomy patients to have four new custom-fitted bras.  I believe this may be an annual provision also, but I know for sure that it works for me right now.   I visited the Unique Boutique before my mastectomy to pick up some other things and I know the quality and caliber of the items they carry.  These will be among my options as part of the insurance provision.    I&#8217;m pretty psyched!  <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p><strong>What&#8217;s Coming Up? </strong>Not a whole lot.  I&#8217;m still on restricted activity for a while.  My next appointment with the plastic surgeon is in late October. I see the oncologist again a month after that.  There are no other appointments on the books at this point! WOW!</p>
<p><strong>Prayer Requests: </strong> Praise and thanks.  It is good to be here, and I would not be here except by the grace of God.</p>
<p><strong>Note:</strong> Thank you for all the encouragement, kind words and comments this week.  It is/was not easy to talk about being down, but I felt it was important to be REAL.  Your kind words helped me so much.</p>
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		<title>Now Presenting . . .</title>
		<link>http://strongersarah.com/2010/09/08/now-presenting/</link>
		<comments>http://strongersarah.com/2010/09/08/now-presenting/#comments</comments>
		<pubDate>Thu, 09 Sep 2010 02:16:34 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[mastectomy]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[Recovery]]></category>
		<category><![CDATA[Tamoxifen]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=388</guid>
		<description><![CDATA[<p><strong>Just the Facts:</strong> It has been 8 days since my Exchange Surgery.  Tomorrow I will see my plastic surgeon for the first time since surgery and the bandages will be removed.  I have had a more difficult time recovering from &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts:</strong> It has been 8 days since my Exchange Surgery.  Tomorrow I will see my plastic surgeon for the first time since surgery and the bandages will be removed.  I have had a more difficult time recovering from anesthesia this time and more pain than expected but I&#8217;m beginning to feel much more like myself now.</p>
<p><strong>Details:</strong> My tissue expander-to-breast implant &#8220;exchange&#8221; surgery for breast reconstruction was August 31.  The last 8 days are truly a blur.  I have literally been dizzy and groggy most of the this time. I am not sure why recovering from general anesthesia has been worse for me this time but I&#8217;ll blame it on the tamoxifen I&#8217;m taking.  (Why not? I blame everything else that goes awry on the tamox.  It&#8217;s convenient, if nothing else.) Today is really the first day that I haven&#8217;t felt like someone played games with my brain that zapped upwards of 20 points from my IQ.  ( I only feel about 10 IQ points down today.  <img src='http://strongersarah.com/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' />  )</p>
<p>Here&#8217;s another thing that has happened in these post-anesthesia days, and after other surgeries in the past.  This takes courage to say.  It doesn&#8217;t matter how much better off I am for having done whatever I did, or surviving what I survived, but after surgery, I get blue.  Maybe you could go so far as to say: slightly depressed.  I know I have been through a lot lately and it&#8217;s probably understandable even without the surgery, but the logical side of my brain is quite annoyed with all these emotions.  After all, I have attacked and I like to believe, conquered cancer.  I have muddled through a summer of the dreadful process of tissue expansion, and FINALLY, had the second and last stage of surgery for reconstruction, with the sole purpose of improving the way I look.  I should be THRILLED.  Meh.  Instead, I am teary and blue, and can find little to be happy about. At least I know this will pass.  I can&#8217;t wait.  This is stupid.</p>
<p>So tomorrow, my most-excellent plastic surgeon will remove the bandages to reveal the (almost) final product.  There is still some swelling, and I believe that the implants will still &#8220;settle&#8221; a bit more, so what we will see is still only &#8220;close&#8221; to final. But I can tell already that things are MUCH improved.  I can&#8217;t wait to hear what the doctor has to say because honestly it&#8217;s tough for me to judge.  I see some imperfections, but hey, all in all, what they are able to do is pretty incredible.  <img src='http://strongersarah.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>There will be a tense moment for me when the the bandages are removed and once again, the scars are revealed. It shouldn&#8217;t be that way, I suppose.  When the bandages were removed revealing the scars for the first time a few months ago I was a bit unprepared.  It was dramatic.  Maybe even breath-taking, in not-such-a-good way. But the scars are just reminders of what I&#8217;ve survived (by God&#8217;s grace), and the ways I have been blessed.  They have been a part of me since April 6 and have only been hidden 8 days. I don&#8217;t know why I feel even the least bit apprehensive about seeing them <span style="text-decoration: line-through;">for the first time </span>again.</p>
<p>Today I got a manicure and pedicure.  Yeah, it&#8217;s fun.  But when I walk out of the nail salon I feel all girly and pretty: a boost to my self-image.  Boy, do I need it.  The mastectomy surgery saved my life but was also a mental blow.  Afterwards, I suddenly felt sort of un-feminine.  Since then I&#8217;ve been consciously and unconsciously searching for ways to fill that loss.   I have grown my hair to the longest length it has been since childhood.  My wardrobe now includes skirts and dresses, of all things.  And the nail salon trips: oh, yes.  It should begin to improve now.  Thank goodness &#8212; my bank account needs a break.</p>
<p>So, mid-morning tomorrow I get the full view.  The doc will reveal the breasts he built me.  I&#8217;m going to do my best to make sure the &#8220;blue&#8221; me stays home and the happy, girly me is the one who shows up in the doctor&#8217;s office.  Maybe afterwards, the blue one will leave for good.</p>
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		<title>Done with that!</title>
		<link>http://strongersarah.com/2010/09/01/done-with-that/</link>
		<comments>http://strongersarah.com/2010/09/01/done-with-that/#comments</comments>
		<pubDate>Thu, 02 Sep 2010 01:45:35 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Updates]]></category>
		<category><![CDATA[exchange surgery]]></category>
		<category><![CDATA[implants]]></category>
		<category><![CDATA[Plastic Surgeon]]></category>
		<category><![CDATA[Plastic Surgery]]></category>
		<category><![CDATA[Reconstruction]]></category>
		<category><![CDATA[tissue expanders]]></category>

		<guid isPermaLink="false">http://strongersarah.com/?p=384</guid>
		<description><![CDATA[<p><strong>Just the Facts</strong>:  Yesterday was my exchange surgery.  Everything went well and we were home by early afternoon.  I don&#8217;t have ANY drains after all &#8211; what a blessing!</p>
<p><strong>Details</strong>: Everything pretty much went like clock work for &#8230;</p>]]></description>
			<content:encoded><![CDATA[<p><strong>Just the Facts</strong>:  Yesterday was my exchange surgery.  Everything went well and we were home by early afternoon.  I don&#8217;t have ANY drains after all &#8211; what a blessing!</p>
<p><strong>Details</strong>: Everything pretty much went like clock work for the surgery.  I think we got started on time (7:30am) and it took about 3 hours in all.  I spent a couple of hours in recovery and then we were on our way.</p>
<p>The pain is worse than I expected.  I had figured that it would be less than with the mastectomies, but not so. I&#8217;m taking the pain meds but they are making me very groggy.  No fever, but I just feel sort of sick.  Hopefully a good night&#8217;s sleep will clear up most of this.</p>
<p>Apparently, my doctor was pleased with how the exchange came out.  I have not seen him since then to get the whole story.  I do know that I ended up with the &#8220;High Profile&#8221; implants.  It&#8217;s too early to say for sure as I&#8217;m very swollen now, but I think it looks pretty nice.  For sure, it is a big improvement over the tissue expanders.   I am so thankful that this type of reconstruction can be done, and that we were able to work with a great doctor.</p>
<p>Taking it easy and spending lots of time on the sofa is tough for me, but I am doing my best.  My priority is making sure I heal well, so I will comply with the doctor&#8217;s orders, INCLUDING the ones that say no strenuous activity and no lifting for 3 WEEKS.  *gasp*  Having this turn out right is too important.</p>
<p><strong>Me:</strong> Relieved to be DONE with surgeries!</p>
<p><strong>Prayer Requests</strong>: Praise and thanks for a successful surgery.  Also please pray for complete healing for me.</p>
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