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The breast surgeon visited me in the waiting room to give me an update. The mastectomy procedure took longer than expected due to having a small area to work in.  The surgeons were working to save the skin and nipples, plus keep the incisions as small as possible, so it took longer removing the breast tissue.

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I received word that Diane’s breast surgeon started the procedure at 8:00 am. The time frame that we were told to expect was two hours for each surgeon and one hour in recovery. Then if all is well Diane will be sent up to her room.

We saw the breast surgeon in the prep area and she introduced her assisting surgeon. By using two surgeons the mastectomy is completed quicker, allowing the plastic surgeon as much time as he needs to complete his work. The breast surgeon informed us that the plastic surgeon we are using is pretty meticulous in his work so they like to give him that little bit of extra time.

I came across a blog that explained the origins of the term Previvor.  I do not know if it is the only origin of the term but it is an interesting little tidbit.  The second paragraph in the definition as it is written describes Diane’s condition.  The definition is below.

Previvor n. person who does not have cancer but possesses a genetic predisposition to develop the disease; a presurvivor

A person who does not have cancer, but has precancerous cells or a genetic mutation known to increase the risk of developing it: a pre-survivor. With the rise in genetic testing and groups like FORCE (Facing Our Risk of Cancer Empowered) that encourage women to find out whether they’re likely to develop breast or ovarian cancer, some Previvors are taking such drastic measures as getting preemptive mastectomies or hysterectomies.

The link to the blog where I found the above is:  Think Outside The Box.

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We just got back home from the evening church service and follow-up pot-luck dinner.  Diane is doing better coping right now, today was a much better day than last Sunday.  We had a little chat with the pastor tonight too, letting him know more details about the schedule, etc.  People are already letting us know that they will be helping with meals when Diane gets back home from the hospital.

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The surgeon wants Diane to keep taking the Tamoxifen as long as she can handle the side effects.  There are meds that the surgeon could prescribe to help Diane deal with the side effects if she would be taking them long-term, but with the surgery coming up the surgeon told Diane she could quit the Tamoxifen if the side effects started to be a major problem again.

Diane has been back on the Tamoxifen for ten days and was doing pretty good until the past few of days.  Sunday she was tired and a little bit down, it was a rough day.  She has been telling more of the people she works with, and more people at church about what is happening.  I am sure that has also contributed to her current state, along with the Tamoxifen.

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Diane is giving the Tamoxifen another try after a one week break.  The side effects had subsided and it was comforting to see her return to normal.  The side effects that caused the most trouble were the lack of energy and the difficulty concentrating on the task at hand.  The type of work Diane does requires attention to detail at a high level and that is difficult to do with a lack of concentration and energy.  The other side effects were more of a nuisance and caused a certain level of discomfort.

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Diane was able to get her plastic surgeon to agree with changing the scheduling of her surgery from April to March.  The day we met him in his office to decide  what was going to be the plan for the recon, he mentioned that he was keeping his schedule light in the middle of March due to the impending birth of his child.  The surgery is scheduled for March 16 and the baby is due on the 18th!

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As the Tamoxifen builds up in Diane’s system she is experiencing new and frustrating side effects.  First she was getting sleepy/tired earlier at night than she did before, falling asleep sitting on the couch while reading or watching TV.  Normally she reads or does Sudoku puzzles while watching TV until bedtime, now she seems to be putting the book down earlier and watching TV only.  The next wonderful side effect was night sweats, but they seem to have subsided a little for now.

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The Diagnosis page is complete as of now.  I may add some additional info or comments as needed.  It is fairly accurate, I did a lot of research on the findings of the pathology report from the first occurrence and the report for the second occurrence.  The findings from the second occurrence do not only mirror the first, they build upon the first.  There definitely is more to be concerned about in the second pathology report.

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Breast Cancer Awareness

Breast Cancer Awareness

August 2018
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