Tag Archives: skin-sparing

Now is the Time – A Loving Fight

Now is the Time When You Show How Much You Care – Ronnie Lott

I was driving to work today listening to talk radio and heard Hall of Fame defensive back Ronnie Lott talking about his foundation and giving.  I was thinking to myself about how hard it must be to give at this time of year and in this economy.  Doing some of my own fundraising for our kid’s school I was sensitive to his comments.  But he inspired me by saying how he didn’t get as much from everyone but got more people to participate.

I’m feeling that right now.  As I ran last night I was thinking about my “Secret Santa” exchange which our family set up and just remembered how fortunate I feel that my wife is still with me and that my kids still have their mother.  I’ve decided that I have all the gifts I need.  If someone wants to give me a gift, they can donate those dollars to my wife’s cancer clinic, the Carol Franc Buck Breast Care Center.  My family is pretty bitter that I’m ruining their Secret Santa because I don’t want anything, but that is truly how I feel.  Even if they gave me something I truly want or have wanted, I just can’t enjoy it this year.  Now is not the time for me to be greedy.  I know my family wants to give me something, but I’ve been a materialistic person my whole life and right now my wife is the only thing I want and am so glad to have her.  

Maybe it is the stress of the holiday season, work integration projects, the bad economy, and my wife’s upcoming surgery this Friday, but I just can’t sleep or feel like I can rest.  Now is not the time to be selfish.  No matter how bad life is, the only way to feel better right now is not to feel sorry for onesself, but to make yourself feel better through the gift of giving to others.

Maybe my wife’s energy level is what is driving me.  She seems to be so strong now while on OS, Tamoxifen and bisphosphonates while staring surgery in the face again.  I just don’t know how she does it, but maybe for her now is the time as well.  I can only gather strength from her this holiday season which will be the greatest gift of all.

Being Thankful – Life is a Highway

You share a bond and friendship that can’t be broken – Fortune Cookie

Given what we have been through this year, some might wonder how Thanksgiving might be different or how we can be thankful.  In fact, on my run tonight I spent a half an hour just thinking of all the people and things I am thankful for.  Well this Thanksgiving was different for me.  For one, I never before had a Thanksgiving where I didn’t sit down for a big Turkey meal with either side of our huge family.

In fact, today marks the 4 month marker since the day she was diagnosed with cancer and our world was set spinning.

The thought of almost losing the love of my life and the mother of my children at an early age to breast cancer has been a bit of a wake up call to me / her / us.  I am so thankful that she has been able to endure her skin sparing mastectomy to remove the cancer and has been given a new lease on life.  Today was spent “being thanksful” and thanking all those who have helped us to get through this year.  We also spent the morning helping out those less fortunate than ourselves.  Is not all about health and wealth.

To hear and see the stories of others we were able to see other people out there who are just as thankful as we are for what we have today.  In fact some definitely have more to be thankful for than us and I was happy to show our children how lucky we are.  This year though we have many friends, family, doctors, etc who are all part of the reason why we are thankful for their love and caring, for the health of my wife, and for the lessons we have learned from them to know what true compassion means 

In recent days we were happy to hear that my wife’s parents finally have decided to come out and see my wife.  I know it means so much to her that they will be coming to visit.  I guess we have one more thing to be thankful for this year.

Confidence is a Drug – Life is a Highway

“I am Superwoman, Put an S on my chest” – Alicia Keys

Continuing my theme of letting go, my wife is starting to do a lot of little things which are showing her confidence and need for independence from going grocery shopping alone to resuming her exercise.  It is a simple thing sometimes but I can trace this renewed energy just from a simple invite from some of the “popular moms” in our kids school who asked her to join them for an evening out.  It really made my wife feel good to still fit in.  I know her confidence wiill ebb over the next few months as she goes through her recontstruction and deal with both the emotional and physical scars.

Interestingly enough we had the same conversation about confidence with our own children.  We want to teach them humbleness.  While both are well liked by their classmates we want to teach them to be humble individuals and help them for the inevitable day when they receive rejection and teach them how to handle it.

Part of gaining confidence is providing exposure to as much as possible.  As a parent it is our job to show our children as much as we can while providing guidance.  As we go through our lives our parenting takes on many forms that are influenced by our own experiences.  We sometimes learn by giving our children things that our parents couldn’t give us or providing many of those same experiences.  For me, I miss those moments with my dad and this weekend I was able to take my son to his 1st  Big Game (Cal vs. Stanford football), but it is was more than just a game.  As I say, it is always the experience of getting there, and taking a 9 year old to Berkeley is always an eye-opening experience.  Blondies Pizza, Top Dog, the homeless, Rasputin’s Records, etc are all part of the mystique after taking Bart to Berkeley.  For our son (and some day our daughter) the experience started with listening to the Cal Band. 

After listening to the Cal Band we marched up to the stadium with them.  The smile and laughter that he had watching the band made me tear up.  30 years ago that was me with my dad.  I only hope my dad felt as satisfied with giving me that same experience and I showed him the same amount of gratitude.  The casual conversation about the history of the schools and the area were part of a great day of bonding that hopefully will create many pleasant memories for my son because they sure did for me.

My wife and I are still being cautious about the post-surgery experience and what it will mean to us.  I think we know how it will be physically but psychologically we’ve been talking about some of our concerns and issues each night.  We will have to work through it, but at the moment we aren’t sure what those exact issues will be.  What we do know is that we have to be observant of each other’s behavior and let each other know when we observe anything.

One thing we did agree upon though is that leading into this Thanksgiving, we will not be at a loss for things we will be thankful for.

Many Different Stories – One Destiny

“We have so many different stories, and one single destiny”

When I went running tonight (it is usually where I do my thinking) I replayed this historic week and its place in history.  Our first President of ethnicity is one piece.  The way he was able to gain the support of the majority of our country in just 22 months with a grass roots campaign through modern communication techniques was brilliant yet a throwback to traditional ways of fundraising and campaigning. 

Whether you were for or against the President-elect I looked at it as a big time in our society and a great learning one.  I wasn’t alive for JFK or for MLK’s “I Have a Dream” speech, I hear the stories of the many people who know where they were when they heard that speech.  I’m not sure, but I’m guessing Barack Obama’s “Yes We Can” speech will be one for the ages.

That is why I had my 9 year old son listen to both John McCain’s concession speech and Barack Obama’s victory speech with me.  My 6 year old daughter is too young.  While I know it might have been boring to an adult’s ear, I’m sure for a young kid that it might not have meant much.  I just wanted my son to remember sitting on the couch with his dad while he listened.  I told him that he didn’t need to remember the speech but to remember and take something from the speech.  When it was over, I asked him what he got out of it.  he mentioned the 100 year old lady who had seen a lot of change.  He then said, “We are country full of people with many stories, yet one destiny”.

I asked if he understood and he told me that like our family, we are four different people with different storied , but we do things together as a family.  Just like a team.  Kids are so great.  Their minds are clear and they help us see things in a different light.  I hadn’t even picked up that line until my son mentioned it.  Over the next several days I applied it on many different levels.  I applied it to Work, Family , and even my classmates that I saw at my 25th high school reunion.  The stories are diverse and should be celebrated.

Most importantly I thought about the many stories of the women such as my wife and mother who have battled or are battling cancer.  Their stories are varied yet all of these women have one destiny and that is to find the cure for and beat cancer.  Their stories have inspired me.  I was talking to my wife who told me that a mom wanted to interview her because she found my wife to be an inspiration.  While my wife does not find herself to be an inspiring figure, she was flattered and it made her feel good. 

I reminded my wife that change begins from within.  We recounted how my mother has changed in her fight over the last 5 years.  I told her that she shouldn’t passively be an inspiration, but to be a little more active in how she affects others.  We agreed that it is a time to say “Yes We Can” and I say that in a non-political way, but at an individual interest level. 

For me, as we approach this holiday season and I look forward to this work week, I will bring my own destiny and inspiration to my actions.

Remember, Reflect, & Learn – A Loving Fight Against Breast Cancer

“Time Heals all Wounds”

We currently await our final decision on the oncology plan as well as our final fill before the swap out.  This coming week will be the final fill, we’ll schedule a date for surgery, and then begin the recuperation period. Amazingly it is hardly the major topic on our mind these days 

I wish I could tell our children about the emotions of the world today with a global recession, a new political environment, and many other macroevents affecting their family, friends, and community around them.  Someday they will see how difficult it is to raise a family and live a clean life devoid of heartache and stress.  In their smiles and laughter and innocence I see inspiration and drive to keep them away from the pain around them.  Daily I hear about families having to sell their homes or move away and it saddens me to hear that people are having to take such sacrifices to keep afloat.

My dad used to say that Time Heals All Wounds, but actions are important to me as I’d rather not sit still.  It is time I believe to work overtime and put in the extra effort needed to make sure we can maintain the course in these tough times.  Fortunately as a family we have a diverse plan of action that will help us to syndicate our efforts and spread the risk as well as maximize our efforts.  Tough times bring out the best in some and I am hoping that in these tough timeswe can just stay the course.

Today finished a stretch of events which have been distracting our family beyond our fight against cancer.  With 75 days left in the year we will begin a stretch that will challenge our imagination, our creativity, and our inner fortitude despite the many distractions in the coming months.  

But first we need to decide on an adjuvant therapy plan for my wife and a schedule that we can use as a guide to bring back health and normalcy to our family.

We’re a Family Again – The Highway of Life

“Let’s keep our batteries charged as things usually get worse before they get better”

Almost a month since surgery and we seem and more importantly, feel, like we can do some normal things again.  As we had no appointments this past week, there was nothing to break up our schedule and we had what we might term to be a “normal family weekend”.  As we sat around the table at our favorite sushi restaurant on Sunday night, we had our team meeting about what we had going on this week (playdates, practices, appointments, etc.) we reviewed the past week with our children to ask them how they were doing and what they enjoyed.  Our son said he enjoyed playing in his first golf tournament.  Our daughter said that she enjoyed “being a family again”.  When we asked what that meant she said she enjoyed going out to dinner, going to her soccer game, and even playing a family board game  with all of us present.

She was right.  It was the first time we had energy to do things together rather than split up or outsource parenting to our friends and family.  We were smiling and laughing again.  The sushi dinner was never mentioned as such, but it was our first real time we had gone out together in a month for a meal and thus served as a bit of a celebration.  We needed the break, the laughs, the down time and I think we really needed to lavish our children with much needed attention.

They have seen and heard so much and partly because of their naivety and partly because they are mature for their age, they were able to process their feelings. Unfortunately, I think it wore on them to see their parents not having the fun they used to have and seeing their mom’s sunny disposition remain sunny, but at a cost of her strength.  Our daughter’s comment raised some flags for us to make sure we focused on them during the coming weeks especially if chemo becomes part of the equation.

Today marked the third of 5 appointments with the plastic surgeon post-surgery.  He says she is progressing okay but we’ll have to see how things are going with chemo to know our full schedule.  We have our 1st appointment with the oncologist on Thursday morning so we are a bit nervous.  I just wish we’d know a little more before we go in the first time to meet with her.  She’ll definitely tell us about the Tamoxifin (sp?) but all we are worried nabout now is the Oncotype score reading.  We are bracing for her to tell us she will need chemo and agreed that we just need to get our batteries charged and braced for the coming months ahead.   It is just natural to assume things will get worse before they get beetter.  In a peverse way we both agreed that everything so far has actually not been as bad as we thought it would be, but we have run across some things we never thought we’d encounter.

On this highway of life, cancer has been more than a bump in the road, but  a very windy detour that we hope leads back to the main road and let’s us get back to destinations unknown with many life adventures to discover.

If the boob fits, wear it? – Post Surgery Procedure

“You two are my favorite patients.”

Well our second visit to the PS was a little longer than expected.  More because he was busy.  By 9:30am he was running an hour and a half late. For the first time it seemed as we waited there that the patients all seemed older and more sick.  Many of them were asleep and to be awakened by the nurses as they were taken to the back.  My wife and I just held hands as we saw all these lonely people.  My wife later said that she was happy I decided to be with her as waiting in that room for 2 hours would have been real depressing although it is probably one of the more upbeat waiting rooms you could probably find in a cancer clinic with inspirational quotes from patients and pleasant music. 

Having visited the breast care clinic several times I have decided to contribute to their library of magazines.  Although I’m not sure many of the women want to read about golf, sports, photography or travel, I hope that the occasional husband or father or son who decides to go the extra step in this journey with their spouse, mom, or daughter can feel comfortable in doing so.

When we finally were called, Andrew, took my wife’s vitals.  He laughed and joked with us regarding my wife’s normally low blood pressure and how she wanted to be weighed on the “pound reducing” scale.  We actually notices one scale adds 5 pounds in the office.  Our respect for this office practice has grown so much.  While these physicians deal in a very “flashy” part of surgery, they have to deal with many real world situations that aren’t so glamorous.  Sitting in that room watching a 70 year old bald lady  walk in by herself in a very expensive suit, she still looked refined, but the sadness on her face was visible.  The chemo and the wear and tear of this journey had taken its toll.  When Andrew greeted her before us, he put on his best smile with a , “Nice to see you again, you’re looking strong”.  She finally emitted a smile. 

Our situation seems so minor compared to others and I’m sure emotionally seeing all of these sick people does affect the staff as well.  It did make us feel good though to hear Andrew say to us out of earshot of others, “You two are my favorite patients.”  Whether he meant it or not, we actually felt good that we were able to put a smile on his face.

As we waited another 20 minutes in the procedure room, the resident came in, then the fellow, then the nurse, then finally our PS.  My wife had forgotten her questions she had for him, but I was able to help her remember them all. It was good to ask.  They have so many patients it probably is hard to keep track.  We have to get another appointment so we will still need another 3 after the one we had.  That will make five visits post surgery.

He added another 100cc (total 350cc so far ) and gave my wife more recommendations for care and comfort.  My wife upped her dosage of her meds and felt much more comfortable to sleep and rest and was not awakened by the children this morning although she is still stiff.  The PS again was able to smile. He is such a serious guy, but even making him smile made us feel better.  He definitely had had a tough morning.  He had a better picture of where he was going with my wife and drew more pictures on her file.  He’s not a bad artist.  I think that is a good thing in his profession.  He told us enough to make us think we’ll have an exchange (barring chemo) sometime around mid-November. 

The real light hearted moment was when my wife asked him about implants – what kind, what size, etc?  He told her he won’t know until she’s in surgery again.  Depending upon the rib cage (the expander is currently sitting on the rib cage), any adjustments he decides to make depending upon what she tells him, etc. he will put what best works at that time.  When my wife asked him how he does that, he told her that they have this big storage room at UCSF just outside of the O.R. that has the largest consignment selection of implants in the US.  With the vision of this magical golden room full of implants my wife skeptically questioned, “Even more than they have in Beverly Hills?”  He proudly said that they have every imaginable size and selection readily available and approved in the US with more options than any other clinic in the country.

My wife’s eyes lit up, “So kind of like a shoe store, where you try on a few”.  She knows I hate shoe shopping.

He chuckled at the analogy, “Well we theoretically get one shot at this, so we try and get it right and there aren’t a selection of colors.  So if the shoe fits, that’s the one we’ll give you.  You might even have two different ones, but we try and match them.”  Great, we have an orthopedist and a comedian for a PS.

In the end the light conversation took my wife’s attention away from the growing discomfort that she was feeling in her chest.  She was too tight to drive home at that point, so it was fortunate I took her to this appointment. 

As a side note, my wife has had a cough almost since the day of her diagnosis.  The day the drains came out, it magically went away.  I always thought it might have been brought about by anxiety, but this almost proves it.  Interestingly enough, I think I developed a sympathetic cough.  My cough went away too.  I think last night was the best sleep we have had since this whole journey began.  Her chest still aches, but the exercises are helping and the higher dosage of pain killers is working.

On the way home, we decided that no matter if Andrew meant it or not, we would try to brighten the days of our medical team.  His comment of being his favorite patients meant a lot to us and reminded us that they are human beings too.  Each time we visit we would try and do something whether through nice conversation or a small gift of appreciation (more magazines for the waiting room, etc.) to let them know we care about them and appreciate all that they have done or are trying to do for us.  My wife reminded me that he referred to me as a patient as well and so did the PS.  Yep, we’re in this together.

Alright a Deep Breath and onto the Next Hurdle – A Loving Fight

“We’re in a good place but let’s keep on our toes”

And off she goes….I think my wife really is a new woman.  Although she has pain and deep discomfort from her expanders, her first full day without drains seemed to go without a hitch.  Although I still made breakfast and drove the kids to school, she had energy to go for a walk with our Principal’s wife, entertain my mother and sister who came by to check on her at lunch, and drive the mile to our kid’s school, read to our son’s 3rd grade class, and then make it home.  While still in discomfort, she said her energy level was more than back and all the exercise she had done to get in shape before surgery was a big help.

I sat at work worried and checking in on her.  I thought it was too much and stood at the ready in case she needed me.  I married a stubborn fighter.  She’s still soft inside, but she’ll fight when she needs to.  I reminded her that although she is feeling good today, the road is still long and we have some uphill painful battles yet to climb and we needed to keep on her toes.  That did it, I stepped over the line.  I needed to let her enjoy the moment.  Don’t rain on her parade, you fool!

The expanders though are our next hurdle and from what i’ve read the more they get filled the worse the pain  will get.  So although she says she doesn’t need me to take her there, I think I will just be there anyway to take her home just in case.  Funny we were so focused on the drains and then now our attention is on the expanders, the schedule for exchange and lastly the looming possibility of chemo.  It really is one step at a time.  While we are aware of each potential situation my word of advice is to cross the bridge when we get to it.  I think our physicians are amused by my wife’s lists.  My wife’s lists are famous in our house.  I don’t think there is a thing my wife won’t list.  I think our list of questions though will change from previous visits now that the drains are behind us.

Today she took her first shower and re-bandaged herself  Like many said it would, it felt good just tor un water all over her.  I think we’re going to have a water shortage here in California after that marathon shower.

One other note.  Sadly, someone out there on a message board thought it was “weird” that as a husband I was being an active information gatherer and was bothered by my being an active participant in my wife’s fight against cancer.  It really angered me and when I mentioned it to my wife, she gave me this big hug and assured me that many people don’t know what it means to have great support.  She’s right but I also think it is a sad state that someone would feel that there is some kind of perverted research that I am doing.  We’re talking about someone I love deeply and there is no end to what I would do to find out what I could do to help her.  I also feel saddened but understand that there are many out there who can’t feel open about what they share.

I also think she thinks it is weird mostly because I am a guy asking the questions as opposed to another woman . Many women ask questions but when a guy asks the questions she got scared.  This is sad because I think husbands need to be more active and help their wives through this.  The day will come when I will be in the hospital and I will need all of my wife’s support and I sure hope she can do for me what I did have been able to do for her.  People!  Cancer does not discriminate! Black, white, young, old, men, women, children….we need to fight the cancer, not the people!

Celebrate the Drains are Gone – 15 days post-Breast Cancer surgery

“Take Care of Your Body means Have a Nice Day”

And on the 15th day, we all sighed relief.  This morning we went into the hospital and had the drains removed.  They used Hurri-Caine spray to numb the area.  The nurse told my wife to breath deeply and as she breathed out the nurse pulled the drains.  First the right and then the troublesome left.  They were 6 inches in length each inside her and resembled long flat extension cords with little holes that the blood entered.  OIn the left side we saw that they were clogged and thus why we had leakage.

My wife said it truly is a relief.  She already seems like a new woman.  The laughing and giggling have started again.  She is still feeling small soreness and discomfort, but when asked to gauge her pain from a 1-10 (high), she said it was a 1.  This afternoon we took the first big step.  I had her drive to our kid’s school and back to pick up our son. She did it like an old lday with some soreness, but it made me feel good that she was able to accomplish this on her own. 

Ironically we ran into her surgeon at Starbucks on our way to the school.  She was surprised to see us out of context and glad to hear we were driving again.  “Just stay off the highways” she said.  Those in our neighborhood including the Principal’s wife were surprised and happy to see my wife behind the wheel again.  In fact, we are feeling guilty about all the meas we are still getting from our wonderful class parents.  I found that the other family which lost their mother to cancer is also getting meals prepared by the other families in our school.  How wonderfully blessed we are to be in such a wonderful community.

One of the funny things we all do is pick up the quirks of our parents and pass them on.  As my father was a physician and worked for the Department of Public Health in San Francisco during the height of the AIDs epidemic he used to always write notes and messages to us in our lunch boxes, birthday cards, etc.  They never said, “Have a Nice Day” or “We Love you”, or anything like that.  They always said, “Take Care of Your body”.  These notes continued onto college and even when ending a phone call. It was like the show “Hill St. Blues where the captain would say, “Hey…Let’s Be careful Out There”.

Dring my dad’s final months, we lived with him and I’m fortunate my children really got to know their grandfather.  One of the things they picked up was his silly phrase.  In honor of him we continue that phrase every morning.  The other day as I kissed my daughter and she ran off to class, she yelled “Take care of your body Daddy!”  A teacher heard the exchange and laughed.  I could only shrug my shoulders and smile.  The phrase was still embarrassing, yet so very important to our family.

As i mentioned, our life is one long race over hurdles and so linear that we just focus on the next task.  The next task is to deal with the expanders and the discomfort that will come as the expander pushes on the chest muscle over the next 2-3 weeks.

Tomorrow she beigns to spread her wings.

Two weeks post-surgery and it’s all about pain management

“Peace begins with you”

Stats: Drain emission: 20ccs on the left 15ccs on the right

Well today is about tomorrow.  The drains get taken out and there will be a great liberating experience for her.  Right now I don’t think I want to be in there when it happens.  It might send shivers up my spine. Maybe I’ll just put a magazine up to my face.   I know though that she will take half a Vicodin and hopefully not be in too much pain.  If that goes well, she should be able to operate “heavy machinery” by Thursday.

For me it will help me in body, mind and soul.  I’ve lost 10 pounds from this ordeal and I’ve cut my exercising way down.  The nervous energy and lack of sleep has been taking its toll on me.  I really hit back into the work groove next week with travel and a speaking engagement at a conference (oh yeah, I need to write that speech).

Tonight was back to school night for our daughter.  The teachers are very aware of breast cancer and proudly displayed their “Susan G. Komen” Race for the Cure shirts from this past weekend.  My wife is the class mom this year but couldn’t attend.  The moms aware of my wife’s situation understood but interestingly enough nobody else asked where she was.  Each girl leaves a message on the desk for their parents.  This year’s theme, “Peace begins with you”.  Our daughter wrote, “Peace begins with mom.”

These days it sure does.  And tomorrow mom will sure have some peace when those drains are removed.

Route53

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