Nearly there

All stations go today.  I wanted to get my house clean and tidy (whoops even found the duster), the fridge cleared out, washing and ironing done, bills paid up to date etc etc so that when I come home after my next operation, I don’t have to do anything.

Hmm but as the first thing of the day was making a cup of coffee (not such a difficult task me thinks), but I put the kettle on, coffee in the cup, poured the water in, added the milk (the final bit from the fridge), stirred it all up and put it to my lips following which I realised that it was cold… oops I neglected to notice that the kettle was cold and the water wasn’t steaming!   Doh!

Still jobs to do and lunch with my Dad and his wife.  We had a lovely lunch and both of them were very sympathetic but I’m always anxious about worrying Dad with what’s going on.  I’ve noticed that when he gets anxious he gets more forgetful and slower – I don’t want to cause him anymore anguish.  Love him and love his hugs.

Jobs done, fire lit, settling down to a bit of TV and an early night.  I’m watching How to Look Good Naked on Channel 4 TV at the moment.  The subject of the show is someone who has had a mastectomy following breast cancer.  All her insecurities I can understand as I think I’ve thought them but need to resolve them, as I’m sure she will with the help of Gok Wan and no doubt many many others.

Gosh one of the things I truly miss with all this, is a huge great big hug.  But as it hurts when anyone is near my breast and certainly couldn’t cope with being squished I can’t ask for one.  And people are so (sweetly) cautious of me I don’t get so many offered.  Sounds daft but there’s nothing quite like a good comforting hug and I can’t have one!

2 more sleeps to go and I’m aware that I’m getting more and more anxious…. think my heart rate is going through the roof… bring on the pre-meds!

3 more sleeps to go to Surgery No. 2

I woke this morning and noticed that my pillow was wet.  I’d obviously been crying in my sleep again.  It’s a toughy at the moment, trying hard to look on the positive side in that they WILL get the tumour and a clear margin and I’ll then be fine (subject to post op radiation therapy and regular tests).  Although I am incredibly fortunate to be able to see the positive in almost every situation and have a giggle at myself when I get upset, I’m struggling with this as the operation looms and more, of the same, questions are rerunning in my head.  Should I just elect for a mastectomy to maximise the chances of it’s clean removal?  If so, would I have reconstruction surgery?  Could I cope without a boobie?  If I didn’t have it reconstructed would I (should I) remove the other one too again reducing the chances of it coming back in the other breast.  But I’m still young (ish – I’m 41 going on 4!) and my boobies are important to me… I’d need a whole new wardrobe (which I can’t afford)… I love my lingerie… I’d look so very different… and I’m single… could I find someone to love me who’d want to see me naked?… BUT then again there’s heaps that I could do without boobies that I haven’t been able to do with them… like going running (they were always sooo painful when I ran or did aerobics type classes), even Pilates when I needed to lie on my front was painful… But then again, would I still feel feminine without one or both of them?  OK, so today you’re really getting my inner ‘mares on this one.  Gotta be positive.  The next op will be the end of it and they’ll get it all.  I don’t need to worry about being lopsided.

Right best get up and do some cleaning.  Some of my colleagues are coming over to see me for lunch.   Hmmmm will they bring Percy Pigs with them?

Lovely to catch up with my colleagues for lunch but am now exhausted again.. a little nap me thinks.

Slow start

Slow start this morning.  Am exhausted as mind is whirring again.  Think I spent most of the night thinking and rethinking and just in case I hadn’t already thought it out, thinking some more – sleep evades me!

A friend called me from Australia to find out how I was.  She has been investigating and searching for information about Malignant Phyllodes Tumours.  Luckily as she works for a publishing company she is able to access medical books that aren’t available to the general public and has found some indepth details.  But still no definate reports or clinical trials that would ensure a complete structure to my treatment.

We also discussed the Scar Project (www.scarproject.org) and the images of stunningly beautiful women who have had mastectomies.  She believes (as I do) that this sort of project should be properly printed and distributed to get more acceptance of something that is happening to so many people.  Fingers crossed the publisher she works for will take this seriously!

I have thought so much about how I feel about a mastectomy.  I don’t know at this point if I will need this but I’m trying desperately to think all these things through as so many of the people I’ve contacted say that it helps so much to be mentally prepared.  I’m so scared and frightened by this though but not sure if it’s because of my own vanity.  As a single girl, I’m not over meeting new people and having relationships but think that many men would be totally put off by a mastectomy… but then again if they are, they aren’t good enough for me.  I deserve someone who will love me whatever I look like.  (If only I could believe that 24/7!)

Shattered

Shattered this morning but had to wake early to get to the Doctors Surgery for a swine flu injection.  Whooohooo with everything else that is going on, I now qualify in the ‘high-risk’ category for a free jab.  Although the doctor mentioned that she was confused why I was at risk until I mentioned that it was a malignant phyllodes tumour.  She looked closer at the NHS notes and commented that it was added as a benign tumour as there was no NHS code for a malignant phyllodes tumour.  How on earth is this going to help any research or statistics regarding this type of tumour in the UK if there’s no way of searching for it?  My doctor has said that she’s going to try to get the code added to the NHS database.

Although as a treat after the jab I’m off to see my friend H and her family for the day.  It’s been ages since we met up as it’s been difficult with my not being well and able to drive and her having two adorable small children that don’t understand about illness – and whom I just LOVE having cuddles with but can’t at the moment.  It’s heartbreaking that little Alex (aged 2.5) and I can’t have our ickle and huge huggles.

Tired and in pain in the afternoon, those stabbing pains are back.  Long drive home.

Exhausted

I’m exhausted and my boobie is painful again but I need to do my bit at Mum’s house with some final sorting.  All of a sudden I’m very conscious that there’s so much to do and organise and I can’t leave it to my brothers to do.  They’ve both got their own businesses and young families not to mention that of course their boys, which means they’re less sentimental about the bits and bobs and pieces of paper.  My fear is that I’ll come out from all of this and discover that the stupid little things that made up my Mum (God knows she was great at giving us odd presents) would be gone, along with all those little memories… the big stuff is always there but the little stuff is harder.

I managed to sort out a lot of things and pack up some pictures to sort later when I’m well again.  But the thought of unpacking them all when I got home was just too much and I was wincing with pain on the way home and then getting cross with myself for doing so.  Luckily a colleague had texted me to offer help and I took him up on his offer.  He bought some other boys with him and they helped unload the pictures.  There didn’t seem that much and I did feel a little silly asking them but was at the bottom of my energy fields by the end of the day.

I do feel better having ‘done my bit’ with Mum’s house and possessions and I hope that my brothers think I’ve done the right thing.  I can’t help but every now and then think however that I’m not sure why I’m trying to save my memories of Mum in possessions  when perhaps I’ll never actually have the chance to have these things around me… It would be ironic if I’d fought with my brothers over something silly and won, only for them to have to divide up my possessions soon.    Ooops I’ve gotta think positively so that’s all rubbish… but it is what I’m thinking when I’m low!

The Internet is my friend too

Today I realised (although I’ve worked and used the internet for 20 years) how it really can be an invaluable tool for research and support at times like this.

I hope and pray you’ll never need to use it in the same way that I have. Faced with virtually no information available to me via the hospital, nurse or on the UK cancer sites, I had to google different questions to get a good cross-section of information and to be able to sieve out the unnecessary information, to learn how to not always read the worst case scenario and more importantly find as much validated medical information about my longterm health.

Trish posted a message on her Facebook wall which just goes to prove that there are angels alive and amongst us:

…ATTN: My fellow phyllodes friends – request Anna Wallace on my friends list,she’s brand new and recently diagnosed with a malignant phyllodes tumor and needs our support! Let’s show her how beating breast cancer is done! WONDER TWIN POWERS ACTIVATE!

I now have quite a few friends who understand what I’m going through and understand the daft insecurities and concerns, the frustration at not being able to easily get information about this type type of tumour, about why post-operative bras have to be quite so hideous (why can’t underwear manufacturers realise that we (and there’s quite a few of us) would buy buy buy something practical and sexy – we’re still women who want to be feminine!!).

I can’t stress enough how fantastic it has been to have friends who are going through a similar experience to exchange thoughts with and to ask questions of.

At Mum’s

I’m incredibly lucky in that I’ve got such good friends in Millie and her family. They offered and I accepted, to come down to Mum’s house and help with the packing and carrying. We got loads done – I’m always surpised how long it takes to pack up china and ickle bits. But what a joy to have such happy helpers and the children were just the most useful and caring too. It was just so much fun doing the task and playing Racing Demon card game in the evening. As always it’s also been fantastic having someone who knows me so well (we’ve known each other since 1986) and who has been such a support and researched lots on the internet and understands my head! Thank you Millie.

Pain

There’s a post on the forum answering my question about the sharp stabbing pain.

“I think the pain is probably caused by the op but I have had a couple of bouts of fat necrosis which can be caused by trauma to the breast either in something like a car accident or as in my case with lots of surgery and I have to tell you, you certainly know when you feel that.”

I also received a response from Trisha;

“I got these pains after my 2nd surgery. It’s called “mondor’s disease” which is a fancy way of saying I had a blood clot in my breast. The clot was occluding bloodflow to various veins in my breast which is what led to the hardened “strands” throughout my breast and ribs. After meds for 2 weeks the strands are getting softer and pain is getting much better. I was only on anti-inflammatories and that’s the only treatment. It may take as long as 6 months for the strands to completely soften up. These veins arent going anywhere too important so the chance of the blood clot breaking free and getting into my heart or lungs or brain is not as issue. Easy fix!”

I’d never heard of Mondor’s Disease and have now done some more research on it. I’m not sure if the pain I have is either of the above or more intensified version of the pain I was getting before treatment. BUT just to know I’m not alone and that it will pass has helped enormously.

I received a further email through the forum from Trish which gave me the most enormous support:

“I’m so sorry you’re going through this right now. I used this site to get me through and you will do the same. That’s why we’re here! I’ve even met a couple of friends on here and have met in person. We phyllodes friends have this special little bond, and I’m sorry you’ve found us, but welcome to the family!”

Trish also asked me if I was registered on facebook. I ‘friended’ her.

AND I didn’t cry today. This is the first day that I haven’t cried since Mum died. Yippeee

Trisha

Desperate to find some answers I resort once again to the internet and start searching through the forums on the Rare Cancer Support Alliance website.  After a few hours reading postings and also searching other sites, I find a posting from Trisha in Vegas that sounds similar and a link to her blog.  On Trisha’s blog I find the below text and email her through the site:

“”I celebrated the VERY first day of awareness month with a visit to my doctor. I kept getting these insane tearing/ripping pains just below my surgical breast on down to my ribs. Sometimes for no reason but usually with movement these horrible pains would strike. The other day I attempted to pull my shirt over my head and HOLY SMOKES!! Out of reaction I grabbed my breast and rib area and felt the craziest things. If you were to run your finger from the middle of my chest just below my breast and out towards my armpit, it would feel like you were strumming a guitar. Underneath my skin were these very thick, hard, ropey strands that ran up and down my ribs. Some even extended as far as down to my waist. Freaked me out. My doctor felt these strings, smiled, and said to me “Boy it’s always a pleasure to see you!””

Rare Cancer Support Alliance

Whoohoooo, finally, I have discovered the Rare Cancer Support Alliance (www.rare-cancer.org) which not only lists details about a malignant phyllodes tumour but has forums where other ladies have posted and answered queries, given their stories about their journey, what worked, what didn’t work, what they were advised, shared their histopathology reports etc etc.

I posted an introduction to me and my predicament whilst also looking through the various postings and forums for other information.  I also researched previous postings where I note that there are some posts that refer to similar pain being due to surgery and the nerve endings settling down.

I can’t explain how relieved I am to have found somewhere that has honest information and balanced views about this type of tumour.

I also found reference to a Barth report that’s been recently published… Barth Report which although I don’t have access to the whole report has given me food for thought regarding mastectomy, metastasing and radiationtherapy.  Finally I feel that I’m getting a better picture.