Today I had my three-month follow-up appointment with my oncologist. As usual, we spoke about how I am doing on Anastrozole. I am continuing to do well with no major side effects. I still have eight years and ten months to go, but all should continue to go well as time passes by.
He also wanted an update on how I am doing since my last surgery, which was a month ago today. I told him that I am very happy with my results and that I have healed well with very little pain. He said that he finds that surgeons often don’t prepare their patients concerning the pain they will experience after surgery and how long it can go on. I agreed that realistic expectations aren’t discussed, and for me, that was hard because in April 2019, when my cancer was removed was the first surgery I have ever had in my life. Yes, I knew there would be a pain, but I would have never guessed at just how long after surgery I would still have pain here and there.
My blood work was done today as well, and my red blood cell count is still a little low. We are thinking that moving forward; my count will be a little low; it’s where my system has settled after everything I have gone through, and I am OK with that as long as I continue to stay healthy.
I am just about to reach my second significant milestone with my oncologist. I will have one more follow-up appointment in three months, and then I am graduating to the six-month plan, which signifies my being two years out from when I started chemotherapy with no recurrence. Over the next three years, I will see him every six months until I get to the five-year goal of being cancer-free. He was happy to tell me that I am still cancer-free and doing well! I am beyond grateful and happy! 🙂 💕
Yesterday, I had my first follow-up appointment with my surgeon. Once the tech was done with my blood pressure check and updating my information, she removed my bandage. She apologized at one point because she was pulling on the bandage a little harder because the gauze was sticking to it. I assured her that she wasn’t hurting me because I was still numb under my arm from my first surgery almost two years ago. I asked her how the incision looked, and she said that everything looked good. She then told me that my surgeon would be in soon to see me and left the room.
A few minutes later, my surgeon walked in. I turned to look at him and noticed that he had a winter coat on. I had been sitting there with half of my paper top on burning up because the heat was on. I laughed and said, “You do know that it is 73 degrees outside, right?”; He smiled and said that for some reason, he is always cold when he is in the office.
I have a ton of steri-strips, about 30, and my incision is about 9 inches long. This is my most extended scar so far, but because of how my surgeon combines internal stitches with steri-strips for healing, my scar will be minimal, and it will become less noticeable with time. The scar on my chest’s right side from the first reconstruction surgery is barely noticeable 17 months later, so I am sure this scar will be the same.
Once we were done talking about this recent surgery, he said that this should be my last surgery. He is confident that I will be fine from here on out and that I will not require any further surgeries. The only way I would need surgery in the future would be if I develop Capsular Contracture. We are both aware from previous conversations that I could develop that particular complication because I went through many radiation treatments and I have implants. I will need to stay mindful of any changes that I am noticing and let him know. The only way to fix Capsular Contracture is to go back into surgery and have my breast implants replaced, so hopefully, I will never have to deal with that.
I asked him if I can start walking on my treadmill. I told him that I had finally fought off the fatigue plaguing me for over a year and that I was getting back to working out again before this last surgery. He said, “so you are itching to get back on,” to which I replied, “yes, I have been since the day of my surgery!” He said that I could walk on my treadmill, but I can’t swing my arms; I need to keep them at my sides, and I can’t do anything too strenuous. I need to keep resting and healing over the next two weeks, and then I should be released from any restrictions once the steri-strips are removed during my next appointment. I told him that my goal is to lose another 20 lbs or so, and he said that it would be ideal for me to do that as it is essential to keep my body mass low considering the type of cancer I had. Estrogen-fed breast cancer thrives when a patient’s BMI is too high, and mine is too high because I am about 20 lbs overweight. So the best thing I can do for myself to keep from having a recurrence of my cancer is to continue exercising, watch my portions, and what I am eating to get to an ideal weight and BMI.
To end my appointment, I thanked him for doing this last surgery. I let him know that I could feel the difference later on, on the day of my surgery, that the area was gone, my chest looks much better, and that I felt much better. I said, “First, you saved my life, and now you are helping me improve my life. I will never be able to thank you enough.” He looked down and away from me when I said that to him, with an almost bashful look. His reaction at first surprised me, but then it didn’t because his genuine reaction reminded me of why I am so grateful that he is my doctor and how lucky I am that he has been by my side from the beginning. He does not have a big ego like some surgeons; he is passionate about his work, humble and caring, and it shows.
When my husband arrived at the post-op area, I asked him to see if I had any drains coming from the surgery site. I was pretty sure that I didn’t have any, but I wanted to know for sure. I completely understand the need for them, but drains are the worst! I have had two surgeries where I had drains; both of the surgeries required two drains, and they make recovering from surgery that much more challenging. They have to be emptied twice a day, and it seems like they are always in the way of anything I might be trying to do. Plus, for me anyway, there is a constant feeling of the drains pulling on my skin; it is a weird, uncomfortable, and sometimes painful sensation.
Once I was dressed and ready to leave the surgery center, my husband and I stopped by the pharmacy to pick up my medication. This time around, my surgeon did not prescribe an antibiotic, only Oxycodone for pain and Promethazine for nausea. I called my Dad while hubby was in the pharmacy, and I don’t remember much of the conversation other than him telling me that I sounded out of it, and I was, but I didn’t think I was that bad, or I wouldn’t have called myself. When hubby got back to the car with my medication, I wasn’t sure if I wanted to eat yet, so we decided to go home and get something later once I was a little more coherent.
After we got home and I was feeling a little more awake, I went to the bathroom to look at my bandages. I was surprised to see one long bandage and nothing else. Wow!! Is my incision that long? I have a bruise peeking out from about the middle of the bottom of the bandage, but the pain is minimal, as I am still numb under my arm from my first surgery back in April 2019.
My recovery has been up and down over the last few days, which I know is normal after any surgery. The first two days after surgery are usually the hardest, and then it usually gets more manageable. I slept a lot the first few days, a real sign that my body is working hard to heal from the recent trauma of surgery. I had a ton of muscle spasms in my back during the first few days after surgery, and I am still having them now, but they have eased off quite a bit. I am assuming that they are because my incision is not isolated to my chest this time. I have also had a lot of nausea almost every evening after dinner. My husband says that I have had nausea after every surgery, but I don’t remember having it after more than a few days. I have an excellent nausea med to take that works pretty fast, but still, I would like it to go away sooner rather than later. Yesterday I felt good, and I was hoping it would carry into today, but it didn’t. Today I have been feeling tired and just off; I really don’t have a good way to describe it.
I am starting to itch under my bandage, which I know is a good sign that I am healing, but I am also starting to have pain in a few spots. The pain is not so bad that I have to take anything more than Extra Strength Tylenol, which is good because I stopped taking the Oxycodone every six hours, a few days after surgery. I try to stop taking Oxycodone as soon as possible because it scares me. I am only taking it once a day now, usually before bed, and I hope to stop taking it very soon.
I also have the bottom part of my bandage lifting away from my skin, so I know my surgeon will remove it tomorrow during my follow-up appointment, and hopefully, he will not replace it. My husband took a peek under my bandage before he pushed it back down onto my skin, and he said that I have a lot of steri-strips and some stitches along my incision. If the bandage isn’t replaced, I will finally be able to take a shower, and that will definitely help me feel better. The last shower I took was last Thursday morning, right before I went to the surgery center. I can’t get my bandage wet, but I can use a washcloth and soap, so I have been doing that, but it isn’t the same as taking a nice hot shower. Today I couldn’t stand my dirty hair any longer, so my husband washed my hair in the kitchen sink. He has never washed my hair before, not once in the almost 21 years we have been together, but, at least during my breast cancer journey, this is the first time I have had enough hair to get dirty every few days since I started having surgeries in April 2019.
I will update again soon with pictures once my bandage is off and with the details of my follow-up appointment with my surgeon.
In a previous blog post, I wrote about my follow-up appointment with my surgeon on February 22nd. During that appointment, we agreed it was time to remove the lump under my left arm that has been bothering me for over a year. We scheduled my surgery, and I started to prepare for it. By prepare, I mean following the pre-op instructions that I am given, such as making sure I stop taking certain medications a few days before surgery.
My surgery was on Thursday, March 4th, at 9:00 am at the surgery center. This time I had to go to a hospital-associated clinic and get a rapid Covid test the day before surgery. I didn’t have to pay for the test, so that was a relief because I still do not have medical insurance, and I will have to pay the surgery center fee, my surgeon, and the anesthesiologist directly out of my pocket.
Just like my surgery in April 2020, my husband had to drop me off at the front door of the building. He wasn’t allowed to go up to the surgery center with me and sit with me until I went into surgery due to Covid, but he can come to see me once I am awake in post-op. Once my surgery was over, my surgeon called my husband and let him know that everything went well and that the post-op nurse would call him once I was awake.
I went through all of the pre-op steps with my nurses, such as changing my clothes, getting an EKG, checking my blood sugar, hooking up my catheter, signing paperwork, etc… My surgeon came by to take a look at the area he was removing and to mark a few spots as a guide for himself. He asked me if I had any questions; I didn’t as I am sadly getting used to this process, so he said he would see me soon and left. A few minutes later, my anesthesiologist stopped by to check on me and ask me a few questions. He grabbed a stool and sat right beside me, facing me, as he spoke with me. Little details like what he did just to talk with me is why I prefer to have my surgeries at the surgery center versus the hospital. At the surgery center, I do not doubt that I am getting the best care, one on one, which reassures me that I am being cared for by people who love what they do and want only the best for their patients.
Before I went to the OR for my surgery, I went to the restroom one last time. I know it probably sounds silly, but I always worry that I will pee during surgery accidentally, so I make sure to take care of that just in case. I have never asked anyone if it is even possible to do that, but I guess it is a superstition of mine as I have done it right before all of my now five surgeries. Anyway, when I came out of the restroom, I had two nurses waiting for me, and one of them said, “We are going to walk you straight to the operating room from here.” I laughed and said, “What, I don’t get a ride this time?” They explained that since I was already up and mobile from my bed, I may as well walk directly into the OR. It is a short distance as well, so why not walk in? I told them that I like walking into the OR better because I don’t have to perform the awkward maneuver of moving from my bed to the OR table.
This surgery was much shorter than my previous surgeries, being only about 30 minutes long. The last thing I remember is one of the anesthesiologists; I had two of them this time because one of them was shadowing, commenting on the smell of the mask he put over my mouth and nose; we agreed that it smelled like a new plastic beach ball, and then I was asleep. By the way, I have never had anyone ask me to count backward as I am falling asleep; almost all of the anesthesiologists I have had have told me to think of somewhere else I would rather be at that particular moment.
Everything went well with my surgery, and before I knew it, literally…hahaha, one of my post-op nurses was welcoming me back and asking if I wanted something to drink and what kind of crackers I wanted. When I had surgery at the hospital, they never gave me a choice; I had water and saltines, but the surgery center is different and better in so many ways, including giving me a choice of what I wanted. I sipped my water and ate a peanut butter cracker as I woke up a bit more and waited for my husband to arrive. As usual, I was nauseous, so the nurse gave me some medicine in my IV. I did have the anti-nausea patch behind my ear, but it wasn’t working; it rarely works on me for some reason; I am not sure why.
I will update you about my recovery in a few days and how my follow-up appointment went with my surgeon, which is scheduled for Wednesday afternoon.
Yesterday I had my six-month follow-up appointment with my surgeon. It has been six months since I received my clear mammogram and ultrasound results and ten months since my last surgery. Two years ago, I met my surgeon for the first time, and he knew just by looking at the ultrasound he was performing in his office that I had cancer. The next day he did my first biopsy, and a few days later, he diagnosed me with breast cancer. I can’t believe that it has been two years since that horrible day, but I am grateful that I have had him by my side, helping me fight this horrible disease over the past two years.
Everything looks good as far as healing from my last surgery, and I have no signs of complications. I told him about a few areas where I am having some pain when pressure is applied, like during a self-exam. He said that the pain is nothing for me to worry about; it’s very normal considering I have had multiple surgeries and radiation.
I also mentioned to him that the area under my left arm that has been painful on and off since my first reconstruction surgery back in November of 2019, is still uncomfortable. The area bulges out past the curve of my breast, making it difficult to wear a bra for an extended period of time; plus, when I am not wearing a bra, it is obvious if my shirt isn’t completely loose. I have tried lifting weights and working out when I have had the energy, but it hasn’t helped reduce the area at all. He said that I wouldn’t be able to exercise the area to reduce the size or for it to go away, and offered to cut it out if I would like him to. So, we scheduled my surgery for next Thursday, March 4th, at 9:00 am.
Do I want to go through another surgery? Not really, but the discomfort and the way the area feels and looks to me are enough to override my feelings about having a fifth surgery. Luckily this surgery will be quick like my port placement was, about 30 minutes, so my healing and recovery should be relatively easy to get through.
About ten days after starting my chemotherapy treatments, my hair started to fall out. I had eight inches of my hair cut off before I started my treatments, so my hair was much shorter, but it was still devastating to see handfuls of my hair fall out. My hair started to grow back around one month after my treatments were over. Fifteen months later, my hair is wavy and about six inches long, so it has been a little slow to grow back, and I have a few thin spots, so those spots are not growing as quickly as the rest of my hair. I have been taking Viviscal for the past seven weeks to help promote my hair growth. It is recommended that you take it for at least three to six months, so we will see if my growth improves with more time, as so far, I do not see much of a change. I do eat most of the foods that are listed below, and I am taking vitamins and supplements as well, so I feel like I am doing all I can to help my hair grow back healthy and strong.
Eggs are a great source of protein and biotin, two nutrients that may promote hair growth.
Eating adequate protein is important for hair growth because hair follicles are made of mostly protein. A lack of protein in the diet has been shown to promote hair loss (1Trusted Source).
Biotin is essential for the production of a hair protein called keratin, which is why biotin supplements are often marketed for hair growth. Research has also shown that consuming more biotin can help improve hair growth in people with a biotin deficiency (2).
However, biotin deficiencies are uncommon if you consume a balanced diet. There is little evidence to show healthy people benefit from consuming more biotin (3Trusted Source).
Eggs are also a great source of zinc, selenium and other hair-healthy nutrients. This makes them one of the best foods to consume for optimal hair health (4).
Summary Eggs are a great source of protein and biotin, which are important for hair health and growth. A deficiency in either of these nutrients has been linked to hair loss.
Berries are loaded with beneficial compounds and vitamins that may promote hair growth.
This includes vitamin C, which has strong antioxidant properties.
Antioxidants can help protect hair follicles against damage from harmful molecules called free radicals. These molecules exist naturally in the body and the environment (5Trusted Source, 6Trusted Source).
For example, 1 cup (144 grams) of strawberries provides an impressive 141% of your daily vitamin C needs (7).
Also, the body uses vitamin C to produce collagen, a protein that helps strengthen hair to prevent it from becoming brittle and breaking (8Trusted Source, 9Trusted Source).
What’s more, vitamin C helps the body absorb iron from the diet. Low iron levels may cause anemia, which has been linked to hair loss (10Trusted Source).
Summary Berries are loaded with compounds like antioxidants and vitamins that may promote hair growth. For example, strawberries are rich in vitamin C, which aids collagen production and iron absorption, two factors that may promote hair growth.
A cup (30 grams) of spinach provides up to 54% of your daily vitamin A needs (11).
Spinach is also a great plant-based source of iron, which is essential for hair growth. Iron helps red blood cells carry oxygen throughout the body to fuel your metabolism and aid growth and repair (14Trusted Source).
What’s more, iron deficiencies have been linked to hair loss (10Trusted Source).
Summary Spinach is loaded with folate, iron, and vitamins A and C, which may promote hair growth. A deficiency in these nutrients may result in hair loss.
Summary Fatty fish like salmon, herring and mackerel are great sources of omega-3 fatty acids, which have been linked to improved hair growth and density. However, there are only a few studies in this area, so more are needed.
Avocados are delicious, nutritious and a great source of healthy fats.
They are also an excellent source of vitamin E, which may promote hair growth. One medium avocado (about 200 grams) provides 21% of your daily vitamin E needs (21).
Like vitamin C, vitamin E is an antioxidant that helps combat oxidative stress by neutralizing free radicals.
In one study, people with hair loss experienced 34.5% more hair growth after taking a vitamin E supplement for eight months (22Trusted Source).
Vitamin E also protects areas of the skin, like the scalp, from oxidative stress and damage. Damaged skin on the scalp can result in poor hair quality and fewer hair follicles (23Trusted Source, 24Trusted Source).
What’s more, avocados are a great source of essential fatty acids. These fats cannot be produced by the body, but are essential building blocks of your cells. A deficiency in essential fatty acids has been linked to hair loss (25Trusted Source).
Summary Avocados are rich in vitamin E, an antioxidant that may promote hair growth. Additionally, they are a great source of essential fatty acids, which appear to be crucial for hair growth.
Oysters are one of the best food sources of zinc (31).
Zinc is a mineral that helps support the hair growth and repair cycle (32Trusted Source).
A lack of zinc in the diet may promote telogen effluvium, a common but reversible form of hair loss caused by a lack of nutrients in the diet (33Trusted Source).
Studies have shown that taking a zinc supplement can reverse the effects of hair loss caused by a zinc deficiency (34Trusted Source, 35).
However, taking too much zinc could also promote hair loss. That’s why getting zinc from foods like oysters may be better than taking supplements, since foods provide zinc in small but healthy doses (36Trusted Source).
Summary Oysters are one of the best sources of zinc in the diet. This mineral helps support the hair growth and repair cycle.
Studies have shown that compounds in soybeans may promote hair growth. One of these compounds is spermidine, which is abundant in soybeans (42Trusted Source).
For example, a study of 100 healthy people found that a spermidine-based nutritional supplement prolonged a phase of active hair growth called the anagen phase. The longer a hair follicle stays in the anagen phase, the longer it will grow (43Trusted Source).
Test-tube studies have also shown that spermidine promotes human hair growth (44Trusted Source).
However, the research on spermidine and hair growth is fairly new, so more studies are needed before health experts can make recommendations on spermidine intake.
Summary Soybeans are one of the best sources of spermidine, a compound that may prolong the active phase of hair growth.