More medical thoughts

This post is going to get introspective, people, and it’s going to get medical, so you can skip this one or not as you like. I’m going to put the majority of it behind the fold, ’cause if you don’t actually personally know me, this may be a bit more information about me than you want to know.

But. I need to vent. So.

Continue reading “More medical thoughts”

The game plan

I’ve just come back from the consultation with my gynecologist, and we’ve got a game plan now for my next medical adventure, joy oh glee.

Here’s what we know now. I had a fibroid in my uterus, described by the doctor as about the size of his thumb, and specifically “precancerous”. Which puts it into a category comparable with the other tumors and things my body’s generated, in my thyroid and in my breast. Additionally, once I explained my history to the doctor, he told Dara and me that the thyroid, uterus, ovaries, breasts, and colon are a known, common cluster of problems.

So yeah. Thyroid, been there done that had it out. Breasts, yep. And while my ovaries haven’t demonstrated a problem YET, they are at risk given that I’ve already had a breast incident. Now I have a uterine incident too. Which leaves the colon, which, moving forward, we’ll be keeping an early eye on just to be on top of it in case THAT part of me decides to join in on these shenanigans.

I told him that the main thing troubling me was that I now have a clear and demonstrated tendency for these precancerous tumors*, which led into the discussion of the aforementioned common clustering of problems. This, taken together with my mother’s history of cancer (as previously described), how I’ve got at least one known cousin with a thyroid issue, and another known cousin fighting stage 4 bone cancer, pretty much equals ‘yes, the uterus has to come out’. (ETA: And yes, the ovaries and my tubes are coming out, too. Since the doctor said that some ovarian cancers are actually cancers of the Fallopian tubes, and again, since my ovaries are at higher risk given my prior history.)

My primary care doc is backing up the surgeon, so yeah, we’re going to do this.

We now have the procedure targeted for November 11th, just after OryCon, since if I have to deal with this, I want to get it done and dealt with and not have to worry about it. We’ll be doing a procedure that’ll allow for fastest possible recovery time–I should have probably about a week of downtime, and after that, by the week of the 18th, I should hopefully be coherent (and bored!) enough that I can get on the VPN to get back to work. By the week of the 25th, if I’m physically up for it, I should be able to resume going back into the office. (We’ll have to see if I can do my usual bus + walking 4 miles a day commute; I suspect that at least for a few weeks, I’ll be doing the two-bus version of my commute. Let’s not even discuss driving. Bleh.)

So. Plan’s in place. We’re going to do this thing. More bulletins as events warrant.

* Here to tell ya, folks, “generating precancerous tumors” rather sucks as a superpower. I DEMAND A REFUND. Or at least if I have to keep this as a disadvantage on my character sheet, I want compensatory extra dice on my “Learn All The Tunes by Ear” and “Learn All the French” skills.

(Though more seriously, Dara and I have started wondering WTF is up with my system. Clearly I have a bug in my genetic code somewhere.)

This just in: well, my week’s been ruined now

God fucking dammit.

Some of you may be aware, Internets, that I had to have a medical thing done last week. The short not-TMI version of this was that I had a hysteroscopy due to weirdness in my menstrual cycles. I had previously been wondering whether this was due to my going perimenopausal due to being in my mid-40’s, but given my previous history with my thyroidectomy and my stage 0 breast cancer, I had it strongly recommended to me that we should have my uterus checked out just to be sure.

I just got called with the pathology results from the sample they took out. The phrase “pre-cancerous change” was used in the conversation I had with the doctor.

And he recommended we have my uterus out. And my ovaries and tubes as well.

I am to come in on the 10th for a followup appointment to discuss these results and what my options are moving forward.

I wanted to be done with having to have parts of my body cut out due to threatening to turn into cancer.

But apparently I’m not.

God fucking dammit.

ETA: To everybody who’s been expressing their support to me on the various sites I’ve posted this news to, thank you.

At this point I’m mostly just tired and numb. I can’t even manage to muster any real rage for this–because as I told the doctor when he called me with the news, part of me was half-expecting something like this as worst case scenario just because I have been down this road before. I do have a history of portions of my body up and deciding to pull shit like this.

I can deal with it, I know I can at this point just because I have before, and I’m at least grateful that this time around I had a couple of years’ breathing room to get my strength back.

Right now though all I can think of is Tommy in O Brother Where Art Thou?, when Delmer boggles at him about trading his immortal soul to the Devil in exchange for being taught how to play the guitar. Tommy’s answer was a laconic “well, I wasn’t usin’ it!”

I would just like to now protest that losing my uterus WILL NOT IN FACT IMPROVE MY GUITAR PLAYING. Something seems medically awry here. I feel like I should be getting some kind of musical superpower out of this deal.

This just in: the biopsy results are GOOD

I got the call this morning from the RN at Evergreen’s breast center, who told me that the results are clean, and that they are likely just the results of passing benign cysts that just sometimes happen in breast tissue.

I told her she’d just handed me one HELL of a birthday present and thanked her profusely. :~) You guys, I don’t even WORDS for how relieved I am, and I’m a goddamn novelist. Coming up with words is what I do!

How the biopsy went this morning

I posted a bit about this on the social networks, but here’s a somewhat longer report.

What I went in for this morning at Evergreen was a stereotactic biopsy. Which basically means, a minimally invasive procedure in which they use targeted imaging and a thin needle. I had to lay face down on a table with a hole in it, so as to let them get at the tissue they needed to get at. And they shot me up with three different kinds of numbing agents, which was good; otherwise all the various pokings and proddings would have been a lot more uncomfortable than they actually were.

The doctor and the nurse tech (Dr. Shook and Jennifer, respectively, as they introduced themselves to me) who did the procedure looked pretty familiar to me, once I showed up, from the first round of fun I had with this. Which would be almost amusing if not for the whole “not wanting to do this again” thing, but hey. They’re good people and they do their job well.

And their job was done well this morning, thankfully. There was some concern about their being able to get to the tissue they needed to get to, given that the calcifications in question were so tiny that that might have been a problem. But they came in from the underside of my breast, and got a good track to the calcifications–so they did get the samples that they needed. And they promised to fast-track the samples through Pathology, so as to hopefully have them for me when I come in to talk to Dr. Towbin tomorrow. (Dr. Towbin, comma, who I also remember from the previous round of fun; kinda difficult to not remember the surgeon who does major surgery on you, even five years after the fact.) I asked them to yes, please, do try to get me the results before Wednesday, since if it’s going to be bad news, I’d just as soon NOT get it on my birthday, thanks.

So. All things considered, it went as well as possible. When they were done they took a couple of quick mammogram images, and sent me home with a yellow rose.

Consolation Rose
Consolation Rose

I’m under instructions to take acetaminophen as needed for pain, and to ice the affected area for the next couple of days. I’ve been having trouble keeping my mental ducks in a row for most of the afternoon, and had to zonk out for a while; but then, I did just have a biopsy done, and I’m still kind of stressy and just waiting for whether the shoe is going to drop tomorrow morning. So I’m trying to cut myself a little bit of slack on that even as I’m trying to get work done, both for the day job and for the writing.

More bulletins as events warrant.

Well, today just got really, REALLY annoying

Just the other day I was posting to the social networks that I’d just realized that I’d passed the five-year mark since my original breast cancer diagnosis in 2007, and was closing in on five years since I’d been pronounced cancer-free and had commenced reconstruction surgery. (All that got started in 2008, until everything was finished off in 2009.)

I’d just had my latest mammogram this past week, and was expecting it to be routine. They’ve been having me in for regular mammograms ever since the 2007-2009 excitements, and they’ve been keeping a really, really sharp eye on me in general.

Which means that when they see things like new calcifications in a mammogram, this trips all their alarms.

Calcifications in the breast, for those of you who don’t know, are one of the very early warning indicators of breast cancer. They are in fact what got me started on the first round of fun, with my first mammogram back in 2007. Apparently now I have some new ones–this time on the left side.

They are very tiny, only 3mm in size. But the fact that they’re there at all, given my history, is suspicious. So the team at Evergreen has scheduled me for a biopsy next week to see if they can get a better look at them. Since the calcifications in question are so tiny, however, a biopsy might not even work. In that event, we punt to Plan B–sending me to the same surgeon I worked with before, who’d take out the suspicious area. The biopsy is scheduled for Monday. The backup surgeon visit is scheduled for Tuesday.

And Wednesday is my birthday. Which means I get a biopsy for my birthday. And another possible round of DCIS, depending on how this goes. I don’t mind telling you, Internets, I’m really nervous about this, because really not in the mood to do this again.

All good thoughts, crossed fingers, prayers, lit candles, fluffy small cute creatures, awesome bouzouki players, podorythmic fiddle players, or crack ninja assassin teams to take out whatever gnomes have dedicated themselves to taking over what’s left of my breasts would be most appreciated. If I have to do this again, though, at least this time my choices will be much clearer. If there’s anything going on on the left, we’ll be going straight to mastectomy.

More bulletins as events warrant.

Anna vs. H. pylori, or, the Very Bad No Fun Not Good Weekend

A lot of you who follow me on the social networks and/or who also follow userinfosolarbird got all this in real time as we were posting about it, but for those of you who might have missed it, I was in the hopsital from Wednesday night until yesterday morning. What put me there was a bleeding stomach ulcer which turned out to be the kind caused by a bacterium called Helicobacter pylori. Which fortunately means that this is a very easy type of stomach problem to deal with; I’m on a big honking fleet of antibiotics at the moment as well as an acid-reducing stomach med and I should be fine in a couple more weeks as my system recovers.

Continue reading “Anna vs. H. pylori, or, the Very Bad No Fun Not Good Weekend”

A moment of medical self-reflection

I went in for my semi-annual checkup with my endoc this evening, the last holdout of my adventures with the BFFN. Which went well, as expected, though I had to sheepishly explain to Dr. Kohn that I was ragged around my edges thanks to dental surgery AND fighting off a cold. And on the way out, I added to her that I had learned from all my experiences with cancer how to tell when my pain tolerances were maxed out, and that I’d be heading home to lie down.

Which is all true. In the last couple of years I’ve gotten way better at telling when my system has been overloaded due to pain–which historically I’ve always had a problem with. I’m usually able to shrug off minor pain, until it builds and builds and eventually suddenly POW, I’m tired and cranky and nauseous and out of cope. That kind of pain is almost more draining than the blatant, outright agony of something on the scale of oh, say, breaking my arm (still my benchmark for Worst Pain I’ve Ever Been In).

All of which is a roundabout way of me deciding I should probably ask my dentist for a refill of the painkiller. My personal supply of cope has been stressed this week, even with preventive measures of working from home for two days in a row so I could continue to recover but keep working at the same time. I’ve been fighting off that cold, which impacts my reserves. And we’re about to head into an Excessive Heat Warning situation starting tomorrow, which is also not fun for my reserves.

So yeah. Surgery recovery + cold + high heat = I’d better call the dentist in the morning and ask for more painkiller. A decision part of me is chagrined about even with my more mature self-awareness about my medical limits–even with that, there’s an instinct of “I should just be able to handle the pain! I’ll be OKAY!”

Even now, it requires swallowing a bit of pride to be able to let myself say, “Actually, it’s OKAY to admit that I’m in pain and that I need a bit of assistance managing it. That is, in fact, the wise thing to do!”

This post goes out to all my Internet friends who face similar changes on a daily basis, or to those whose loved ones do so as well. This is me saying yeah, I hear you. And also, take care of yourselves and your loved ones! Especially if you’re in the Seattle area, and you have no air conditioning, and you’re joining me in facing the 90F+ heat adventures tomorrow.

That promised post about stuff besides books

So yeah, I’ve actually been doing things besides purchasing books lately, I swear!

The Great Enshrinkening of Anna proceeds apace, even if not quite as quickly as initially planned. As I enthused on Twitter and Facebook this morning, I hit 164 pounds today! Which is well and easily the lightest I’ve been in five years, and which gets me into territory before I’d started the Walk to Rivendell in 2005. (Which was when I started regularly tracking my weight.) 162 pounds is the 30 pounds lost mark. I’m still aiming for 150, so I have 14 pounds to go!

It’s a bit amusing as well to realize that if I count from my actual high point of weight last year, I’m actually down 29.5 pounds, not 28. But I’m still counting from when I actually started using the LoseIt app, so!

Work’s been a bit crazy lately since we’re hardcore face down on a huge project for the next few weeks–and my team’s having some QA shuffle going on as well, so we’re essentially down to two full-time QA people right now. But so far it’s all still good. And on Friday, we even finally got us an official Big Fish Games sign in front of our building! Check it out:

userinfosolarbird has gone to Oregon to play a gig down there, and I shall miss her, but wish her luck as well! In the meantime userinfospazzkat and I went to have tasty sushi in Woodinville tonight, saving me from having to figure out what the hell to make myself for dinner.

I am very, very happy that the heat wave from last week has passed. I don’t mind the hot so much, but I do mind the part where I don’t sleep well in heat waves. Today was lovely, though, once the clouds cleared up, and I had a great walk down to the shops.

I should also mention that userinfospazzkat has been getting into Leverage lately and I’ve quite enjoyed what I see of it so far. I can even tie this into Great Big Sea by noting that in the promo photos associated with the new album, Alan looks suspiciously Christian-Kane-like. This is not a bad thing. ;)

And speaking of GBS, NEW ALBUM COMING OUT ON TUESDAY! <3 <3 Brace for the squee, folks. You know it's coming!

Exercise update

I’m down to 178 pounds as of this morning, which is frankly stunning to me. That’s three pounds for this week, which is twice as much as I was expecting based on earlier performance in this whole endeavor. And it’s down a half a pound from yesterday, even though I had two breadsticks with pizza. And man, those Pagliacci breadsticks? Super-tasty, but expensive calorie-wise.

(This would be the part where a little voice in my brain is going “I REGRET NOTHING!” I’m going to be shutting it up by getting on the treadmill anyway, or at least walking down to the shops.)

Anyway, overall, this is 14 pounds down from where I started in early December. Going by my previous records, the last time I weighed 178 was in November of 2007, so it’s like 2 1/4 years. Not bad. We’ll see where I am after another couple months of doing this LoseIt thing.

Meanwhile, for posterity’s sake, I should also note that I did finally finish the Eowyn Challenge this month. I haven’t been posting updates about that mostly because I decided that those numbers were really mostly interesting to me, but I assure y’all I did keep at it! Ultimately it ran for me just shy of five years; going back and looking, I started it on 2/17/05, and ended on 2/4/10. Lots of miles walked. I didn’t start tracking my weight along with it until August of ’05, at which point I was 167 pounds.

I was toying with the idea of doing another run through the Challenge, following Frodo’s route rather than Aragorn’s, though right now it seems kind of redundant giving that I’m tracking calorie, weight, and exercise data via LoseIt. Now, if there were an Eowyn’s Challenge iPhone app that also tracked your weight and calorie consumption, that would be AWESOME.

Until somebody codes that, though, I think I’ll stick with LoseIt for the time being. Wish me luck, folks. 14 pounds down, another 28 to go!