I have a wonderful breast surgeon, in fact he is the same surgeon whom operated on my mother and also a family friend, and by pure coincidence became my surgeon. I always feel at ease with him and naturally assumed that I would also have the same relationship with my plastic surgeon….WRONG! My breast surgeon had been referring me to the plastic surgeon for approximately 6months, and we waited and waited and waited, until finally 8 months after my referral he agreed to see me….
The whole appointment was a huge disappointment, with an instant dislike (which I’m sure was mutual)… “why do you want this surgery”? um because I have the BRCA mutation, “so what doe’s that mean” um are you really asking me? “I know nothing of this gene” and with that he thrust a reconstruction booklet at me and asked if I wanted to decide which surgery I wanted. Esto was looking at me sideways with his arm almost holding me down in the chair, I was ready to kick this guys ass and teach him more than he really needed to know. But quite casually I said “I’ve decided the best for me is the tram flap, I’ve done all the research on it and think that I would like to use my own tissue”… “well I’m telling you now he said, I am not performing a tram on you, you would barely be an A cup and look at your stretch marks, do you really want those as your breasts”? by now I’m not sure who is going to kick his ass, his nurse, my hubby or me! “oh, and if I do the surgery you will be waiting a year to two at the most” with that comment I stood up and said “mate I wouldn’t even let you cut cancer out of me, the thought of you even touching me makes my skin crawl” and with that I left.
In the parking lot Esto looked at me and said “are you ok”? No I said, “I think I may just have to get cancer before anyone will do this bloody surgery”. A month later my breast surgeon called, he was upset at the way I had been treated and didn’t want me to feel disheartened, he would put me back on the waiting list for a referral but couldn’t promise that I would be seen within a year, the only promise he could make was that I wouldn’t ever have to deal with the idiot that I saw last time.
So for the next few months I went back and fourth fighting with myself, did I really did want this, was this guys arrogance a sign that I shouldn’t do it? was he saving me from making a mistake? Then I started reading the discussion tabs on the BRCA sisterhood and all these wonderful brave women were having surgeries with no regret and feeling like a weight had been lifted off their shoulders…. I wanted that too…
And then I formed a special relationship with a group of women, Teri, Karen, Lita, Brandi, Caroline, Elaine, Rian, Mara, and Lisa and we could talk about anything and it was always told like it was, there was no holding back no matter what, we would talk about the good the bad and the ugly, I felt like I was finally somewhere I belonged and I was ready for surgery, I just hoped a surgeon was ready for me!
On the 5th Feb 2010 (11 months after seeing the first surgeon) I had an appointment with a new plastic surgeon, I walked into her office and instantly felt her warmth and compassion, we talked for over an hour before she finally turned and said to me “ok so does next week suit you”? “Um yeah ok”! This was really happening, she was going to do the surgery… we left her office in silence, we had expected her to say, sure your a good candidate but your looking at a year maybe before I will do the surgery…. not next week!
The car ride home was one I will never forget, I cried and cried and cried, with happiness and grief at the same time, suddenly it was all to real and I was freaked out, but really ready to do it. Poor Esto didn’t know what to do, for a day he was really silent, he worried how I would handle the surgery, having no breasts, all the emotions, it was quite fresh in his mind the events of 7months before when I felt like I didn’t want to live anymore after my oophorectomy and he wondered how much damage having both my breasts removed would do to me. The difference this time was that I had a support network and they were not about to let me fall into the hole that had me so close to the edge earlier. Sarah decided to give me another week before doing the surgery, it was official 19th Feb 2010…
We sat on the couch the night before surgery, some neighbours were visiting to wish me well, one ending up leaving in tears, she couldn’t bare the thought of what I was about to voluntarily do to my body. I felt sorry for her, but couldn’t get caught up in that emotion, when another neighbour turned to Esto and said “so how do you feel about losing Karin’s breasts”!!! It was the first time someone else had acknowledged how he would feel and it put a smile on my face, he told me all the time that more than a handful was a waste and that after breastfeeding almost non stop for 4 years my boobies were starting to lose the “perk”!! but that no matter what, boobs or no boobs I would still be the person he fell in love with. We just wanted to be alone, we were grateful for the support of our friends and neighbours but this was our night to say goodbye to “our boobs”.
Esto held me all night, as if this was our last night together, and when I woke in the morning I felt more sad for him, for his anxiety for his worry of me, than I did of my own. We left before the kids woke up, it was hard enough leaving as it was, I didn’t want my children saying don’t go mommy, please stay….
Esto wasn’t allowed past the front desk, the nurse assured him she would call when I was in recovery, we kissed and held each other, this was it, there was no turning back. I watched him walk down the corridor, he got to the end and almost as if he knew I was watching turned back to look, we blew each other a kiss and he left. Sarah arrived and starting drawing on me, I felt really calm, and we chatted to pass the time, then she said to me, ok I’ll see you in there! I walked into theater and layed on the bed, music was playing in the background, and I was thinking I wonder what the kids are having for breakfast!! I started to feel all warm and tingly….. Karin count back from 10 10,9,8,7,6
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