Lumpectomy

My bad…I just realized this post was still a draft and never went live. Whoops! Insert this around January 24, mmmkay? Thanks!

Howdy! Everything went great yesterday, but it was a long day and I was pretty loopy last night.

Here’s the rundown:

Arrived at hospital around 9:00am. Let’s face it, it was downtown at the tail end of rush hour, I wasn’t getting there at 9:00 on the dot. I had to hit snooze for the appropriate amount of time, shower, pick up my prescriptions…you know the drill.

After admitting, I went to the waiting room and went to my pre-op room pretty quickly. Did the whole vitals and IV thing.

Then I went to nuclear medicine for the contrast dye injection, which highlighted the lymph nodes the cancer could spread to, the ones associated with the ducts. That was easy and painless. This time while in nuclear medicine, I was singing “Radioactive” by Imagine Dragons in my head.

From there I went down to the Breast Center for the wire locator. The wire locator was literally a wire (two actually since I had an area of calcification that Dr B wanted to go ahead and take care of as well) inserted into my boob via needles. They were sticking out the side after insertion, it was quite weird. They were super thin and bendy though, sort of like a stiff fishing line, if that makes sense. This process stung a little bit, but it still didn’t hurt exactly. And for both this and the dye injection, I had a local anesthetic – Lidocaine. Oh, and this was mammogram guided, so I had another mammogram! Yay…

After that, I returned to my pre-op room. I took a while downstairs, spent a few minutes here and there waiting, so once I got upstairs I had people waiting on me for the next stuff.

Dr H (plastic surgeon) was there, and he marked me up for the reconstructive stuff. In addition to the nipple preservation (which is the reason I am having a lumpectomy and then a mastectomy in two separate procedures, for anyone who was wondering and hasn’t asked or who I didn’t have an answer for at the time), he shifted things around on the right side (reconstruction) and did a reduction on the left to match the right.

Then came the anesthesiologist. My favorite people. I just think the whole concept of general anesthesia is so cool. They’re like magicians…now you see me, now you don’t! Anyway, I got a nerve block for this procedure. He said it’s something they do with major breast surgeries that works a little bit better than general anesthesia alone. So he gave me a little bit of a sedative, Brad said his goodbyes, and they inserted the lines for the nerve block, one on each side of my back/spine. I had to sit up and sort of lean forward with my head on the table how you would for a seated massage. Also painless.

Then Dr JB came in and talked to me for a few minutes about the lumpectomy. Then I was rolled down to the OR, I moved from the stretcher to the operating table, I remember saying something about not having been awake in the operating room before, then it was lights out.

So I woke up groggy and my mouth and throat were super dry. I felt a little nausea, but that could have been due to the dryness from having the breathing tube. They did give me a good dosage of nausea meds through my IV (and morphine) before they removed it, just in case. I felt the meds coming in the IV, it was weird but didn’t hurt. I drank some cranberry juice and felt pretty good after a few minutes. I still have the nerve block, though not as high a dosage. I’ve got these two pouches that each have a bocci ball side rubber belly thing with meds. They give a slow drip of meds to the nerve block to keep things numb and keep me comfy. I increased the right side last night before bed since that side stings a bit. I got my discharge instruction, then I got dressed, and we were discharged. This was around 5:45 I think.

Traffic was a mess going home. Rush hour from downtown, up 61 through West Ashley is never fun. But we eventually made it to my parents’ house where we spent the night so I’d have adult supervision today to ease Brad’s nerves.

I hadn’t eaten since dinner time the night before, so I had half a Publix sub when I got to the ‘rents. I wasn’t sure I’d be able to eat (ha-ha), but I needed to get something inside so I could take the pain medicine. I took baby bites and was able to eat the sandwich over about an hour. I did take some Zofran, just in case, but no nausea.

I slept in the recliner last night because I figured it was the easiest way to stay on my back. Even if I fall asleep on my back, sometimes I end up on my side. Aside from Daisy waking me up to pee at 4:15, I slept well.

Woke up feeling some sting on the right side still, and took another pain pill with breakfast. Hopefully that’ll knock that out.

Overall I feel great. I wasn’t sure what to expect as far as pain goes, and I’m sure the nerve block has something to do with it, but I feel good and that makes me happy. I’m having no trouble with movement, aside from a little soreness in my right underarm area, but I feel like I’ll be back to being (semi-) independence soon! I can’t lift anything for 4 weeks (ugh), but everything else should be good to go in no time.

I’m just finishing breakfast and the pain pill, Nucynta, should be kicking in soon, so I’m going to hit the recliner again!

Adios!

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