Sunday, April 14, 2024

Aguish


It’s been one full week since the surgery. On paper, everything is exactly as expected. The incisions are healing properly, and my pain is adequately managed. My first post operation appointment went well, and I should have the drains taken out this coming week. I’m still anxiously awaiting the results from pathology to determine what, if any, treatment is necessary. I’ve been doing as best I can to take it easy. I’ll be honest, sitting still like this is not easy.

Today, while scrolling the vast internet, I came across a piece of art entitled, “Anguish.” It depicted the image of a woman on her knees, with her face bent over close to the ground. Her hands are on either side of her face. She is sobbing into a reflection of a pool of her own tears. It struck me like a knife. If you’re uncomfortable reading the raw and gory details of a woman post op from a bilateral mastectomy, please don’t read further. I tend to deal with the gnarly nature of life through the art of dark humor and unfiltered honesty.

The first exposure to my reflection was nothing short of alarming. Sure, I’ve seen photographs of what a woman’s chest looks like after this kind of surgery. There is only so much preparation one can conduct until the images are your own. I knew what to expect, physically. Emotionally? Absolutely not. My incredible daughter and loving best friend/sister were so encouraging and supportive. They were nothing but loving and gave words of praise. Inside my head, a full-blown assault of shock shook through my body. I have never seen such violence on my own body. It’s graphic. I’m slashed across the chest. My nipples are gone. The boxy shape of the expanders replaces where my breasts once were. The only thing recognizable in my reflection is my tattoo in between the two boxy shapes.

These past days have been up and down. I have good days and not so good days. I’ve had a couple of really bad ones. The pain of recovery is thrice over. First, the pain of the surgery itself. Second, the pain of the expanders. Finally, the pain of emotional overload. There are days I am so intensely overwhelmed with so many thoughts and feelings that it feels like I may explode. The mania of all of this has caused me to start anti-anxiety medication. I feel zero remorse in that decision. If I continued to try to do this on my own, I was going to lose my mind. So far, it seems to be helping a lot.

The other night, I took a shower. As I was leaning over and drying my legs, I caught a very different view of my new chest. The skin dangled in distorted ways. I hurried to complete the process of drying and then promptly sat down and sobbed uncontrollably. Anguish. My vocal cords rang notes I had not sung. Guttural groans and intense wails echoed the bathroom and through the house. Rage pulsed through my body and turned my face red and made my ears ring. I am deformed. I am amputated. The severed nerves pulsed through my chest searching for what was once present. I made full eye contact with my reflection and watched as I grieved.

Cancer. I have cancer. Cancer caused this. Could I have taken a less aggressive approach? Yes. The doctors strongly encouraged me to do a lumpectomy and radiation. They encouraged me to take hormone blocking therapy for five years post lumpectomy and radiation. They encouraged me to take a longer, yet optimistic, course to treat this cancer. Years ago, I had already made the decision to have a bilateral mastectomy given the circumstances. I have no regrets. But shit, this is hard. I wanted to get rid of the cancer as quickly as possible.

I am currently experiencing a very personalized version of hell. There is very little control I have in my life right now. I’m dependent on doctors to heal me. I’m dependent on treatment to work. I’m dependent on my family and friends to help me recover. I’ve had to make the painful choice to send my boys to their father to protect them from this. I’ve had to take a timeout from the career I have worked very hard to build. I can’t drive. I can’t use any of the vices I typically use to cope through stress. I’m raw dogging this experience and it’s rough.

One of my biggest fears prior to surgery was the very real potential of having to work through body dysmorphia on a level I’ve never experienced. I’ve had body image issues my entire life. I’ve been called fat. I’ve been told I shouldn’t wear certain things because it didn’t fit my body type. I’ve been told I’m too skinny. I’ve been compared to bodies I could never emulate. Long story short, I have spent the better part of the last ten years trying to be not only ok with the body I have but love it. Having reached a space of peace with my life so recently, only to have it completely altered, has been infuriating.

I will adjust to this. I have no doubt that I will be able to get over this and get to a new space of acceptance. But this just might be the hardest road yet. Because for the first time, I will be battling just Emma. Every time I see my reflection, I try to take my time and take in the optical illusion that is my new chest. It doesn’t feel real, but it is so very real at the same time. I fight against the intrusive thoughts with the silver linings I have found since diagnosis. This is temporary. These slices across my chest will eventually drift below the reconstructed breasts. The scars will eventually become a faded line under tattoo ink I plan to use to cover them. In the meantime, I see violence and mashed tissue resembling that of a Ziploc bag.

Phantom static electricity vibrates through my skin where nipples once were. I can feel the tips of them, though they are not there. I want to relieve the tension of the pulsating nerves with touch, but I’m numb. I look down at my body and can see straight to my lap without obstruction. I’m flat. There is some air in the expanders that gives some kind of shape resembling a breast, but it’s a far cry from the bust I once bore. This doesn’t feel like my body. Working through the acceptance is going to take a long time.

I’ve been through some ridiculous trials in my life. Some of it of my own making. Some of it is not. Nevertheless, this current chapter of my life is proving to be on the same level of challenge as losing my sweet Connor. While there is nothing remotely similar in physical impact, the emotional toll is. The biggest difference today is time and experience between these two events. I feel much more equipped to handle this. However, I am feeling such loss that is unseen to anyone. Sure, you can physically see that my body has changed, but there is a graphic experience happening in my head.

Throughout this journey thus far, I have felt more love than I ever have. People have really shown up for me without asking. How in the hell I ever thought I could do this alone is beyond me. There’s truly no way I could have. Having my daughter literally around the corner from me has been a God send. I am so grateful this happened now when she’s been able to help me out. She’s been instrumental in my sanity. She’s made the absolute best recommendations and has provided me emotional and comical relief. The first week after surgery, I had my chosen sister staying with me and her compassion wrapped me up like the warmest, tightest hug. My brother is here with me now and it makes me tear up just thinking about how amazing it is that he is here. Next week my best friend will be here to help me out as well. Love. I am loved and I feel it.

I have been blessed with the gift of friendship both long distance and local. An old friend from junior high lives here and we have become closer friends through this. I am so grateful for her. There are a few who check in on me daily and let me rant until I am done. There are so many blessings already received through this trauma. I see them. I feel them. I need every single one of them.

In all honesty, I don’t know how to get through challenges anymore without focusing on the outcome and the benefit. I’m grateful for that state of mind. It is certainly a tool I require to keep me from succumbing to the depression banging at the door. I’m a mere inconvenience away from curling into a ball and just losing it. At the same time, there is space to be given to the negative emotions I am truly entitled to express. My entire world was flipped upside down. It’s going to take me a little while to regain my balance and put everything back where it belongs. For now, I’m allowing some time to feel this anguish. This depression is warranted and deserves a stage. I’m confident in my ability to rein it in when it’s time.

Recovering from this has merely begun. There are still months of this ahead. Even without potential chemotherapy, the reconstruction of my breasts is going to take a few months. If you’re wondering if I’m ok, I’m not. But I will be. Everything just changed and there’s still so much more going on than what I’ve shared. What no one tells you about dealing with cancer is how isolating it is and how much of the battle is waged in your own head. This is hard. Very hard.

 

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