Tuesday, January 8, 2008

Surgeon meetings on Monday

Got a busy start to the week.
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Had a personal trainer appointment for my second assessment at 7:30 to go over the 24 minute workout sequence. I was not able to do several because I want to baby my chest muscles. Does not make sense to make them stronger while at the same time I actually am tring to expand/stretch them out. But Eddie was ok in giving me alternatives whenever I could not do a machine.
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Headed off to my first appointment of the week. With Dr. Chambers - my original surgeon. Talked about scheduling the axillary node dissection surgery, when I asked why they ( the previous group she was in) did not do it immediately after my mastectomy she said that they chose to proceed with a less agressive, less conservative approach considering my lifestyle and did not want to jeopardize me getting lymphedema. Well initially I was thinking the same way however later after talking to multiple doctors I really thought that I should get the lymph nodes out and see where I was at, and where I am at now. She will be able to request certain pathologists to review the slides to make sure that nothing is missed and I also will have an option to send the slides to a different facility to get them reviewed.
She does not want to do the axillary node dissection on the same surgery as the expander exchange with the plastic surgeon, and I do not recall exactly but I think her concern was that in case I needed radiation then that could cause capsular contrapture of the final implant. However the plastic surgeon is under the impression that reconstructing a radiated breast is a lot harder then fixing one that could get capsular contracture.
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In the afternoon I had an appointment with my plastic surgeon who was adamant in conducting the surgery before radiation during axillary dissection operation. They also expanded 100cc more, now I am totally Hooters material, can not even wear my sport tops !! I really am looking forward to the exchange where I will look a bit more normal.
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So the next step would be to talk to the radiation oncologist to see how comfortable he is with radiating through silicone implants, then if he is cool need to run this by Dr. Chambers to push the get both done in the same operation. Although the consensus seems like I will not need radiation, but I will decide on that after the outcome of the surgery.

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