Operation #2

20 Jun

I’m glad I made use of the time I had before heading back to Pindara Private Hospital. It turned out to be quite a fun day in the scheme of things (punctuated by some of those ‘reality check’ moments) and keeping my mind occupied certainly helped curb the anxiety.

The operation didn’t begin until late afternoon, so it was very late by the time I was back chatting to Mum, Paul and friend Sarah – who walked in to find me bare chested! I wasn’t phased and was very happy not to see a ‘mangled’ boob. Dr D did promise it wouldn’t be ‘nightmare-ish’ and he’d do the best he could to make the remaining tissue resemble a breast. Still though – it was a rather odd, considerably flatter and my nipple seemed to want to point in a different direction!
Aesthetics aside – the aim of the surgery was to remove the cancerous tissue and achieve ‘clear margins’. Trusting he’d done everything possible to do that – I was pretty content.
When Dr D came to visit the following morning he told me there was in fact more cancer there than they thought, and it was a “flip of a coin as to whether I’d need a course of radiotherapy, or to undergo a mastectomy.” Big, but not surprising.
I had around a week to mull over that and let my body recover from its second anaesthetic in ten days, before we’d discuss again at my next appointment.

Getting ‘plastered’

18 Jun

I was well aware of the seriousness of the second operation – but a sense of humour certainly helps.

My surgery was booked for late afternoon, so I had plenty of time to kill.

Given the fact I had to fast from 10am, I decided to rally the troops (family, friends, current/former workmates etc.) and have a nice big brekky at a local restaurant. Not only did it mean I went into hospital very well nourished, but I had some good quality ‘laugh’ time with them – while it didn’t hurt to laugh!

They all thought I was completely bonkers by booking a session to be ‘cast’. Yes – here’s the proof.

My dear Mum walked in to find me clad only in my underwear, with two bits of glad wrap over my nipples (to protect the still-stitched scars from the first operation).

My simple reasoning was that as Dr D worked to remove the cancer from my right breast that afternoon, I knew my ‘bust’ would never look the same again..


Around 20 minutes later the plaster had dried, and my real boobs were assigned to history.

We’ve picked up some changes…

18 Jun

Three days after my initial surgery, was the follow-up consultation with Dr D. We weren’t expecting anything more serious from the pathology, so there was no obvious reason to be dreading what he might say, however my beautiful little dog signalled I needed to be prepared. As I got ready for the appointment she hopped up on my lap and ever so gently rested her head on my right breast. It was barely touching, but I wondered if her uncharacteristically sad and sympathetic eyes were a warning.

There was no “I’m sorry Kate – you’ve got cancer.” It was simply “we’ve picked up some changes.”

B's 1st diagnosis

Those changes were DCIS, in the margins around the bigger lump in my right breast. As Paul tried desperately to take it all in, I went into ‘work mode’. The poor specialist was hit with a barrage of questions – “What do I need to know, what has to happen, who do I need to talk to, where do I need to go?”

Dr D asked repeatedly if I was okay, and commented that I was “very calm, and handling it very well considering.” He also asked how I felt. “Lucky” was the over-riding emotion and my immediate response. How incredibly lucky was I that he saw fit to remove the lumps in the first place. Had he not, those cells would not have been picked up at this early stage, but instead left to fester.

Operation #2 was booked for around a week later.

Operation #1

18 Jun

April 20, 2009
No nerves, just keen to get the lumps out ASAP.
I’d had a frantic couple of weeks at work in the lead up to the surgery, so was quite ready for the anaesthetic to kick in. An early arrival at hospital, the admission process complete, paper undies, sexy surgical stockings and gown on and I was ready!
The young male theatre nurse who’d come to collect me commented that I was “rather jovial for someone about to have a double lumpectomy.” Truth be told, I was having a quiet chuckle to myself, then had to share. Grabbing my boobs I joked “I always thought if I was having my boobs ‘done’, they’d be getting bigger not smaller!”
On a more serious note I told him I’d heard this Dr was the best and asked whether this was true. His response was very comical given the approach to the operating theatre “put it this way, if I was having my boobs done – he’d be the only one I’d want to do them!”
Dr D had explained he’d make the incisions basically around the very edge of my nipples. We had a quick chat before the icy fluid flowed up my arm and I was out to it.
Cool, done. Bit of a natter with the nurses in recovery, downed a cuppa, said thanks to Dr D and I was home just after lunch.

Gut Feeling

14 Jun


Put simply – it can be a life saver.

For well over 12 months I’d been back and forward to the GP – complaining of being tired. Not just the usual ‘had a full-on week at work, I’m zonked’ kind of exhaustion, but real fatigue.

Blood tests (plenty of them) returned nothing significant.

This may, or may not be related – the jury is still out. My gut feel, was that something wasn’t right.

In January – I noticed a lump in my left breast. Two Doctors later, I had a referral for an ultrasound. During examination the sonographer picked up a larger ‘mass’ in my right breast. My response was “it’s the wrong boob!” And – the lump I had felt (in my left breast) wasn’t showing up on the imaging, despite the fact the sonographer could feel it. He called in a Doctor and the Senior Radiologist. They could all feel it – but not find it with the machine.

Both GP’s I’d been to previously dismissed the ‘masses’ as nothing serious. “You’re only 31” they said. My point exactly. One refused point blank to send me for an FNA (Fine Needle Aspiration/biopsy) commenting “it’s just the imaging company trying to get the money for an unnecessary test.” I wanted it done, so went back to my family GP. It was done on the ‘big lump’ and came back as atypia – where cells are starting to become ‘abnormal’. A Mammogram and Core Biopsy followed. Although I wanted both lumps removed immediately, I was assured there was nothing to worry about. Another line I got was “the lumps don’t warrant the scarring.” Scarring! I hardly walk around with my boobs out! I resorted to begging, if for nothing more than peace of mind. No luck.

After vigorous discussion/debate with my husband Paul and others close to me, I stopped protesting at the lack of action on the boob front and agreed that yes ‘they’re the experts’ and surely if it was necessary, they’d recommend the lumps be removed. Still – that feeling in the pit of my stomach would not go away.

We’ve been trying to have a baby for years and had recently started another round of IVF treatment. I got two days into a cycle and called the IVF people to initiate the next phase. They knew of the lumps and asked if they’d been removed. When I said “no, no-one is overly concerned” I was met with a caring, but firm “there’ll be no IVF cycle Kate.” I was told the drug treatment involved could ‘feed’ any potential cancer.

That was it. I ended up in my Gynaecologist’s rooms for a breast examination. I told him I wanted the lumps out, no big deal “just get rid of them.” After telling me “there’s been a huge increase in the number of younger women undergoing unnecessary invasive procedures since the cases of Kylie Minogue and Jane McGrath” he decided to give in to my demand for a referral and sent me to his ‘mate’, who just happens to be one of the most highly-respected breast specialists in the region.

Dr D and his staff had done their homework on me before my initial consultation – films, pathology results etc.. I had an incredible sense of calm on entering their rooms and just knew I was in good hands. This was immediately obvious when he found that mysterious lump everyone could feel and no-one could actually find. On seeing that lump displayed on the screen I didn’t know whether to cry or scream. All I could say was “thank you.” He did a fine needle biopsy then and there. We agreed that should it come back as something even slightly suspicious, he’d get rid of it during the surgery to remove the bigger lump. The operation was booked for around a week later.

Extra Padding

10 Apr
These ‘breast pillows’ have been such a blessing.  Made by sewing volunteers in a smooth satin, they provide extra padding underneath the arm, to lighten the load of the arm from the surgical site on your chest.  So clever.
SL370360
They also continue to be of use between tender chest and seat belt!
Floaties for adults…