Sunday 9 March 2014

Brave, Strong, Smart

Promise me you'll always remember: You're braver than you believe, and stronger than you seem, and smarter than you think. (Christopher Robin to Pooh – A.A.Milne) 

The most difficult one to write yet

Firstly let me start with an apology that it has taken me so long to write my update after the end of my chemo which finished on December 6th.  I then had to face the start of stage two my mastectomy.  I don’t really know why I have put off writing my blog, well perhaps I do that’s a fib, I just did not feel like bearing my feelings and a lot has happened.  Get yourself a cup of tea it’s going to be a long blog!

Let me start with New Year’s Eve; I have never liked it and for a person who is generally upbeat most of the time I turn into the most melancholy miserable and quite frankly annoying person to be around. (Just ask Jo!)  It makes me sad, I know not why but it does, I always end up having a good cry and reflect the ‘what might have been’s’ that have happened during the year.   This year, as you already know has been the most challenging yet for me.  ‘Bastard Cancer’ diagnosed in June, followed by my company going into administration in August, yep, as years go 2013 (unlucky for some!) was diabolical and this was going to be a NY’s eve that my ‘one night only’ of melancholy was really going for gigantic proportions with the aim to wipe out the old with a good weep and welcome in the new and the thought of finishing my treatment and resuming some normality into my life and let me tell you it was appealing. 

Joanne and I had booked in for afternoon tea at a posh tearoom  (we really know how to live !)  Unfortunately when I woke up on NY eve I had a temperature of nearly 40 degrees and my cancer breast was bright red and clearly something was not right. Turns out I had an infection on top of the cancer in my breast and was told that there was no way they could operate and do my mastectomy the first week in January as it was too risky.

Now when you have gone through 8 rounds of chemo and you feel as weak and sick as a kitten and you have come to the end of it knowing you have to gain quick strength for your operation you really have to pull out all of the stops to carry on regardless.  The end is in sight, you want the ‘bastard cancer’ to be cut out of you and so to be told that it cannot be done due to an infection is heartbreaking.  Your worst fears of the cancer spreading take over and you become paranoid with every ache, pain or itch.  My consultant finally gave the go ahead for the mastectomy at the end of January but gave me the news that they where no long prepared to do the reduction of my other breast and put the tissue expander in preparedness for the reconstruction and that the main priority was for the them to get the ‘bastard cancer’ out.   This was because they felt that my weight, coupled with the recent infection meant I would be under for too long and they felt this would be too risky for a 51 years old heavy woman. Seemed sensible but secretly I was devastated.

So, four weeks ago I had my mastectomy, all of the medical staff in the park hospital, including my consultant Mr Ali Jahan were amazed that I was up and doing lap rounds of the ward so quickly and that my healing process went as it should.  I have developed a seroma which is quite common  Seroma  (The Science Bit)
http://www.breastcancercare.org.uk/breast-cancer-information/treating-breast-cancer/surgery/after%C2%A0surgery
 Many people who have had breast cancer surgery or lymph node removal develop a collection of fluid called a seroma. This can either be under the arm and/or in the breast or chest wall. The build up of fluid may cause some discomfort, but is not a cause for concern and is usually reabsorbed by the body over time.
If the seroma is large, restricts arm movement, causes discomfort or doesn’t subside, your specialist or breast care nurse may decide to draw off (aspirate) the fluid using a needle and syringe.  This is usually a painless procedure as the area around the wound is still likely to be numb.
Sometimes a seroma will refill after it has been aspirated. Some people may need to be aspirated several times over a period of weeks before it goes away completely. This can be a frustrating experience.
My take on it!
My consultant told me the record in his hospital is 1000ml (A litre), I have been aspirated now each week and the average he has taken out has been 450ml, told him we need to go for the record as I am competitive but he is having none of it!)

Honesty is the first chapter in the book of wisdom:  (Thomas Jefferson)

For those of you who know me, you will understand that for the most part I am strong, I am resilient, I like to work my way around problems or knock walls down.  However, what I did not bargain for was how low I feel about my body image which was the very last thing I thought I would feel.  I have always carried weight, it has never really bothered me the way it affects other women, I don’t know why I just thought sod it and only the health side of carrying weight made me at least try off and on to diet.  I was rubbish at dieting, still am!  I therefore did not bank on feeling distraught at the lack of symmetry, the lopsidedness and the sheer pain of trying to cover up.  What makes it worse is that mastectomy bra’s which tend to fasten at the front and have a pocket to hold prosthesis in only go up to a certain cup size as they assume that you have already had a reduction in your other breast.  If you wear an ordinary bra it rises up so you end up with lobsided breasts which although we have laughed at to start with really does cause misery and sadness and makes you feel unwomanly.   

During these past few weeks it has really made me introvert and a little withdrawn and although I do still go out I cover myself artistically with elaborately tied scarf’s and wraps but as the warmer weather beckons I really do not know what I will do.   I am not scheduled to have my reduction for a while yet.

Ironically I don’t mind my mastectomy scar, It’s my battle wound and I am proud that I have come through it so well.  It’s my remaining breast.  Boob’s are plural for a reason,  I am growing to hate it, I can’t describe really how it affects a woman I will never underestimate the words ‘even’ ‘symetrical’  ‘proportioned’ and ‘regular’.  It’s strange not having a cleavage, its strange the way clothes hang.

Now I feel strange, I am numb where my breast was, under my armpit and down the inside of my arm, I feel alien and uncomfortable and I find myself putting my hand up to cover myself if I am out and engage in conversation with people.  I have always been confident but this last few weeks have been harder than I imagined.

BUT and there is always a BUT
I am alive and kicking,  spring is in the air and at this moment about to start the final stage of treatment radiotherapy tomorrow for three weeks.  I am not looking forward to it but everyone tells me it’s a doddle compared to chemo.  I have also started taking the drug Anastrozole which prohibits estrogen the hormone that has caused my cancer, I will be on these for five years and the hot flushes have already started to such a degree I now sleep with a fan on every night but this will hopefully keep the cancer from metastasis in other words from forming secondary cancer somewhere else in my body. 
They say that it takes at least a year out of your life and they are not wrong, but hey what’s a year in the grand scheme of things.
At the end of May I am doing another cycle challenge, my biggest yet in that it’s for 100km throughout the night in London, some might say ‘Are you Mad?’  to which the answer undoubtedly is ‘Yes, Yes, I think I might be!  Then again there is a little madness in us all……..


If you are able please check out this site and read the most powerful, amazing, determined, heartbreaking stories from amazing women who in the face of adversity are brave, strong and smart.  Just like me………


when you see the navigation panel click onto ‘a letter to my body


Love Wendy x

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