It was only 7 days ago that I met with my surgeon and decided the fate of my breasts. My surgeon is a woman, which makes me feel infinitely better about all of this. When they called with my diagnosis, I knew exactly what I was going to do. You see, when I met my biological mom 20 years ago and she told me what happened to her, I set my mind to survival. In an awful, and very real sense, I’ve been preparing since then. I was worried that a man doctor might try to convince me to save them.

You see, I’ve been reading real, actual science papers about this process. There are several papers with men as the lead author saying things like, “The number of women choosing a double mastectomy has increased by 400% since the early 80s.” I don’t remember exactly the numbers, but it’s a lot. And, do you know what was more upsetting to that lead, male author? That women, even when they knew they could get reconstruction immediately, were choosing not to. He was concerned, “maybe women don’t know they can have boobs again, right now!” WHY DON’T THEY WANT BOOBS!?!?! He vowed to make sure women were more educated about reconstruction options.

So. Again, I figured a woman would respect my choices more, not question me or try to persuade me.

Strangely enough, my doctor is also someone who goes to my gym. When she walked into the exam room, she was like, “you look familiar. do you work out?” All of this was comforting.

Did I mention what the girls did for the last time today? They went to the gym. They worked out in the same room as the woman who will cut them off in 9 days.

Though I normally don’t look into the mirrors when lifting weights, I did today. I stared at my cleavage (what little there is) and saw how awkwardly my sports bra was fitting. Another thing I was very aware of was how I had to tug at the shoulder straps after lifting, you know, to hoist them back up. There were times I did this with a laugh and other times with tears in my eyes. I won’t rave about Orange Theory, but I do enjoy it. What I hate is the stupid band I have to wear around my sternum. Of course, I could buy one that goes on my arm, but they’re 100 dollars. Fuck that. So, I bought the chest strap at a discount. Only once has it popped off from exertion. I usually tuck it under the band of bra so it feels more secure.

I wonder: what will this strap look like on my chest when it’s the only thing there? And another question: how long will it be before I feel comfortable not wearing a bra? I mean, I just cannot imagine a time when I have nothing between me and the world except a thin t-shirt. But, like, half of the population walks around like that all of the time. On one hand, it sounds very liberating. On the other, is there anything better than coming home and taking off your bra?

 

It’s hard for me to comprehend what my body will feel like without them. It’s my understanding that in their place I will have a numb or tingly patch of scarred skin. There is a reconstruction called a DIEP flap which basically gives you a tummy tuck and adds boobs. Overall, it seems like a pretty good deal. But then, you have two areas of skin without feeling and a huge scar that crosses your stomach. I considered this for a hot minute, but, what’s the point of having boobs that feel nothing and an area of stomach that feels nothing?

Besides the sexual component of my breasts, which I’ll write about soon, there is one intimate detail I’ll tell you now. I love to sleep naked (though I haven’t in a long time with all the kids in the house). I love to sleep with a fan and the windows open. I love to feel the breeze on my skin when I’m warm in my bed. I don’t mean it in a sexy way. I know that’s a tiny, weird thing to think about, and it’s even weirder to share, but that’s the truth.

The next time I go to Orange Theory I’ll have no breasts, an awkward chest strap with nowhere to be tucked, and probably my surgeon on the treadmill next to me.

I wonder, though, this morning when we were running, rowing, and lifting, did she look across the room and feel sorry for me? Could she tell from knowing me only a few hours that I’m struggling? That, even though I know I’ve made the right choice, that I’m afraid of what happens when it’s all over?

That the uncertainty of how long it takes me to really heal is what scares me the most.

 

 

It’s called Ductal Carcinoma In Situ. Some call it pre-cancer. It’s considered a Stage 0, like, the very, very beginning . In Situ means “in place.” (which I learned years ago while doing archaeology. If you find a cool artifact, you want it in situ so you can get the most information about it. Its integrity hasn’t been lost.) So, that means it hasn’t spread anywhere (most likely). That’s very good. It has a nuclear grade of 2 out of 3. That means it’s not the most aggressive, but it’s also not the least.  Treatment is a lumpectomy with radiation OR a mastectomy. Why am I choosing a mastectomy when I could keep my boob? Because radiation treatment is a daily thing for up to six weeks, it can shrink your breast, burn it, or, in very rare cases, go into your lungs, heart, or ribs. I’m not into all that mess. My cancer is only in one breast, so why get rid of both of them?  Because I don’t want to do this for the rest of my life, and at my age, and with my family history, my chances of getting cancer again, and even worse the next time is something like 40%.

I do have the option to reconstruct them, right now, but I don’t want to. The recovery is long and painful. And sometimes involves a lot more surgeries to make them look real and even and all of that.

I don’t have time for all that. I have rugby to play and a family to attend to. Also, graduate school.

I hope that answered most of your questions. Of course, there will be more detailed discussion of the choice to remove and not replace in the coming days and weeks.

Now, on to something more fun.

After a few days of feeling really sad for myself, I decided to try to make this fun, or at least, not awful. I’ve had to ask myself a lot of hard questions. One question that is the most difficult is this: What do you do with your breasts when you know they’ll be gone in 10 days?

So far I’ve:

1. run up and down the steps without a bra and without holding them. Just to remember what that feels like.
2. Stood naked in the mirror and touched them a lot. Maybe for the first time, admiring their beauty
3. had to explore my own gender identity (but I’ll save that for another post)
4. worn real bras and not just sports bras
5. been much more aware of their presence. Like, I’m just really, really aware they exist.

Aside from all of the sad, selfish stuff I’m feeling about them, I promised them a farewell tour of some of their favorite things to do. I wanted to make their last days attached to my body fun for them, not all doom and gloom.

Yesterday they did this:

Stay tuned for more adventures as the girls live out their last days on my chest.

Venmo: @molepoet