You have probably heard of the Seven Wonders of the World, and perhaps you have even had the opportunity to visit one or two.
I have titled this blog reconstruction wonders, because that is how I feel about the surgery and results so far. Now be warned, this blog has some graphic description of breast reconstruction and is not for the faint at heart.
But let me start at the very beginning, just over a year ago after I was diagnosed with breast cancer and had stepped down from my role with the Canadian Cancer Society, a good friend, Dr. Al, called me to see how I was doing. Dr. Al was the heart surgeon who saved my dad's life back in 97, and he is now located in Manitoba.
To make a long story short, he basically informed me that Dr. Buchel and his team were doing some pretty impressive work in Manitoba for women with breast cancer. He offered to provide some contact information and I readily accepted.
Not long after my discussion with Dr. Al, I had lunch with another friend from Manitoba. She had undergone immediate breast reconstruction at the time of her cancer surgery and was pleased with her results. She also praised the program in Winnipeg.
Now this is a bit hard for most that live in the province of Ontario to accept, but the fact is, after months of research and meeting with three different plastic surgeons in Ontario, Winnipeg is miles ahead in the type of micro surgery that they do and the priority they place on breast reconstruction.
As an example, if you are diagnosed with breast cancer in Manitoba, and told that you need a mastectomy, the program is designed so that you meet with a plastic surgeon within two to three weeks of diagnosis. You are able to find out your options and if you choose immediate reconstruction the plastic surgeon becomes part of your cancer treatment team.
Contrast this with Ontario and the picture is truly not so bright. If you meet with a plastic surgeon within six months of diagnosis you are doing well. And usually that only happens if you beg and plead, as I did. More often then not, they don't even want to see you for your first consultation until six months to a year after you have completed radiation, and reconstruction surgery is usually months down the line. However there are some physicians that are doing immediate reconstruction, you just have to find them.
All that being said I carefully weighed the pros and cons of immediate reconstruction. And I decided after consultation with my oncology team and family and friends, to fight the cancer first, with chemo, surgery, and radiation, and to have reconstruction surgery second.
And again after weighing the pros and cons of reconstruction options, and knowing that I did not want surgery that involved implants, back or stomach muscle, I decided on the newer micro surgery. And the reality is that no one in Ontario has done many SGAPs or IGAPs period; and only one that I could find has actually done a bilateral SGAP.
Now this is where the story is truly not for the weak stomach. But so that you understand, the preferred surgery for my body type was the bilateral IGAP, which involves using the tissue from my buttocks and creating a flap for my new breasts. And yes, it is as invasive as it sounds.
But it was my best option, so I signed up for it and that's why I find myself flat on my back in Winnipeg recovering from surgery for the next week or so.
The results so far are much better than I was expecting. To be frank, they will not be perfect or symmetrical at first or maybe never. And I have been warned that I am not out of the woods yet, there is a chance my body could still reject the tissue flap transfer. However, I am following the doctor's orders, laying flat or standing, going for short walks and eating healthy (thanks to Jo-Anne who is out here with me!)
However, perhaps I should back up a bit and also explain that this surgery requires a strong support network. And once again my dear friends enlisted to help me out!
Barb flew out with me on the Saturday before my surgery to help get organized and to stay with me throughout my hospital stay. And we quickly discovered that Winnipeg is indeed much colder than Windsor!
The day before my surgery, I had a chance to reconnect with Dr. Al, and meet his wife and son. We all met for a lovely brunch at the Fort Garry Hotel. It was a great chance to catch up, and to learn a little bit more about Winnipeg. It also took my mind off the surgery scheduled for the next day. Barb and I also had a chance to take a walk to the Osborne Village shopping area, and pick up a few things at the Safeway and Shoppers. Barb also picked up a bottle of wine....I think she thought she was going to need it to get through the week!
Surgery was scheduled for 7:30 am Monday morning, which meant we had to arrive at the hospital at 5:45 am. And it took about eight hours (so I am told). Pain medication kept me very sleepy for the first 24 to 48 hours after the surgery.
I must admit that it is truly a nice feeling to have someone watching out for you, talking with the doctors and nurses, and monitoring your care. Barb was at my bedside from early morning to late at night while I was in the hospital. And I am certain that it is due to her care and concern that I was able to return to the condominium seven days after the surgery!
It was also due to the amazing care that I received at the hospital. The nurses were incredible, and most were very experienced with IGAP patients and knew exactly how to move me around. They also were good at pushing me to do my breathing exercises and eat my food.
I was pretty excited when the doctor said that I could get up on day three with physio. What I wasn't expecting was the total dizziness that accompanied it. Suffice it to say that I stood up for probably less than five minutes the first time. But on the second day, I actually walked a little with physio, and later in the day with the nurse and Barb's assistance I walked a bit more. I was determined to get out of the hospital and back to the condo where I could have a good night's sleep.
The weekend doctor wasn't as positive about my possible discharge on the Monday, but that only made me more determined to get out of bed and move around as much as possible. Perhaps I was a bit too determined as a couple of night nurses were a bit hesitant in helping me up which I found a little difficult to deal with.
One of the most challenging and frustrating issues I faced in the hospital was trying to use the washroom standing up. But eventually I managed this task as well. (And I used to think losing an election was a humbling experience!)
The weekend also brought a visit from a woman who had undergone the same procedure two years earlier. She and I had communicated many times via email and also on the phone prior to the surgery. It was a great relief to see living proof of a successful surgery. She truly looks amazing and is very happy with her results.
And I am not sure who was more excited, Barb or me, when the doctor said early Monday morning that I could leave the hospital that day. Although there were a few official items that needed to be completed before I could be discharged, it was shortly after lunch when I found myself lying in a comfortable bed back at the condo.
Jo-Anne had arrived earlier that morning, and I am pretty sure Barb was ready to turn over the reigns to her and go back to Windsor for a good night's sleep!
It was truly nice to have a home cooked meal of salmon and broccoli for dinner. It was also nice to have hot tea and homemade hermit cookies. The condo has a counter/eating bar which is perfect for me to stand at and eat or drink, as I am not supposed to sit for at least another week.
As one day blends into the next, I continue to regain my strength gradually with great home cooked meals and care, courtesy of Jo-Anne, phone calls from friends back home, lots of sleep and short bouts of exercise. If it wasn't for the fact that I can't sit properly, I would say that I am about seventy to eighty per cent back to normal.
My check up at the clinic on Thursday went very smoothly once we found a taxi with a seat that reclined in the front. That was something of an experience due to the new rules being implemented in Winnipeg for shields around the driver. And it was an incredibly snowy day on Thursday as we inched our way to and from the hospital clinic for the check up. Have I mentioned that Winnipeg is having a record snowfall for the month of November?
Home at the condo again meant scrounging through the fridge for leftovers. For me, Jo-Anne's spinach pie is amazing and I could eat that every day, so it wasn't leftovers to me! She tells me that I am a fussy eater and I laugh, because I don't think that I am, however I just like my food quite simple in its preparation. And since I can't have chocolate because I can't have caffeine, desserts are definitely a bit challenging these days!
For me, reconstruction is a huge step forward to full recovery. It will hopefully bring some peace from my cancer experience and allow me to move forward in so many ways. I know it is early days yet, but it feels like this enormous weight has been lifted from my shoulder.
And it is important to recognize that breast cancer survivors are all very different, and reconstruction may not be the path you wish to follow for you or your loved one. Both of my grandmothers lived long lives and I believe that I am going to live to be ninety. I want my body to be somewhat normal as I go through life's journey, so reconstruction was definitely important for me. I don't want to wash my breast prosthesis every day, nor do I want to buy special bras or swim suits for the rest of my life. But again, this is a very personal decision and any kind of surgery should not be considered lightly.
The best news about my reconstruction surgery so far, is it is truly a wonder to have the support and care of my family and friends as I go through this step in life. Although some were not in favour of another surgery, they have accepted my decision with grace and supported me every step of the way. Yes, reconstruction has truly been one of the wonders of my life.