Sunday, October 28, 2012

Time to get a new plastic surgeon?



Dear Dr. Lee,

Let's talk revision.

Last Thursday, Oct. 25th I had an appointment to see you. I waited 45 minutes until I was called in and I was met by one of your assistants. I really wanted you to see my reconstructed right breast.

When I saw you on the 18th, the implant was starting to look rather good. I was pleased and excited to augment my natural breast on the left. I know, breasts are sisters, not twins. I have no misconceptions about the results. My next appointment is on Nov. 29th to discuss my third surgery in December.

The following day as I was getting dressed I leaned over and glanced in the mirror. I was shocked and appalled to see my breast hanging like a sack of beans. Across the top and the outside were a series of deep grooves, or ripples, maybe 8 or nine. They looked hideous and unreal. They were not as visible when I stood up straight. This was not what I expected!

You told me that there might be some minor lack of fullness across the top and perhaps some wrinkling which could be fixed with the addition of fat liposuctioned from my abdomen.  I was also told not to hesitate to come back if I had any questions, concerns, or for any reason.

I took a dozen pictures of the deformation and emailed them to Hailey. She never responded. Things were getting worse. Now you could see the upper semi circle  edge of the implant below my pec creating a double bubble effect. The implant has slipped below the inframammary incision. The nipple has fallen and slipped to the right. It is not on the same plane as the natural one on the left. I am headed toward ptosis. (see pictures attached).

You and I have talked ad infinitum about lowering expectations. I am not unreasonable; I know I will never look “normal” again. I was hoping for the best results possible, which is why I turned to you, the best plastic surgeon in Orlando. But this is atrocious. I cannot go through the rest of my life looking like Elsie the cow. This is completely unsatisfactory and unacceptable.

Your PA reminded repeatedly me that I had breast cancer (Thank you so much, I almost forgot!) She frequently repeated that I had a mastectomy and had no breast tissue left. (I know I was there when Dr. Smith excavated my chest.) She said this complication is common in women without much body fat. It was not in any of the pictures you showed me of mastectomy victims, even the thin ones. She said because there is no breast tissue between the implant and the skin, the folds in the implant show through. (I am confused; I thought mine was submuscular.)

I was adamant that I wanted to see you. I made the appointment with you. She was just as insistent that I was NOT going to see you. She was very professional, but cold and calloused. I remained calm and treated her with respect.

I asked her about options for revision for this complication; about the fat liposuction. She frowned and shook her head. She told me that doesn’t work. The grooves and ripples are too deep and numerous. The fat tends to migrate and move, eventually being ineffective.  I asked about other options. There were none. In her opinion I had a “fairly” good reconstruction and should go away and be happy. I was hearing a lot of negativity. I left without a glimmer of hope.

Again, I asked to see you. I made the appointment with you. I need to know the plan of action and discuss with you my options and what kind of results I can reasonably expect. I have to be my own advocate. I have no one else to speak for me. I want to be your partner in this decision. I am not just case #999, another 59 year old, white woman, with a missing breast. I expect to be treated with empathy and caring. On Oct. 25th, I was not.

She offered to let me see you in an hour. I had already missed a half a day of work; time for which I am not paid. I declined and asked for a phone call from you. I also left you a phone message requesting a call back. I did not hear back.

The purpose of reconstruction is to help the woman recover her self esteem, her confidence, a sense of self worth and to repair her disfigured body. Instead, I am despondent and anguished.

I used to be a happy person, extroverted and fun. I used to look good naked. I enjoyed having my partner look at me. Now, I am depressed and withdrawn. I am a recluse. I don’t smile or make eye contact with other people. I feel hideous and ugly. If I were with a man I would be ashamed to take off my shirt. I am afraid he would laugh at me or be repulsed. I want to be that happy, whole woman I once was.

 I think the implant needs to be pulled back up, repositioned and secured under the muscle. I followed your orders to the letter!  I wore the Ace bandage for two weeks, 24/7. I wear a soft bra now, no underwire. And I NEVER touch my implant now.

When can I wear a sports bra and work out more strenuously? With light free weights, 5#? Also, when can I expect the pain to subside? It is low grade but it is constant.

If you prefer to not treat me, please give me three names of the second best plastic surgeons in Orlando. I need to find one on my insurance.

When you are over scheduled, please have your staff give me a courtesy call and reschedule. I am reasonable, I understand it gets busy. I would have rather rescheduled.

Please call me at 425-761-2319.

Thursday, October 25, 2012

My Second Letter to Dr. Lee


4390 Weeping Willow Circle
Casselberry, FL 32707
Oct.19, 2012

Dr. Kenneth Lee, MD
Plastic & Reconstructive Surgery
1400 Orange Ave. MP760
Orlando, FL 32806

Dear Dr. Lee,

I once promised you that I would never be rude to you again. I have kept that promise. When your staff asked me how I felt, I used some pretty harsh language. That was never meant for your ears. Have you ever heard the expression, venting? I was venting to your staff with the understanding (naively) that they would respect my privacy and what I said in the examining room was in confidence.

Please do not take what I say in anger and frustration personally. It has nothing to do with you. In fact, you are my savior in this situation. I have nothing but the utmost respect for you and the work that you do. I understand how long and hard you have worked to get where you are. Your parents must be very proud. You are the best of the best and that is why I want you as my surgeon. Unfortunately, you are as much a victim of 20th century technology as I am.

You are still performing the same surgery that has been performed on women for the past 50 years. Aside from a little tweaking, it is the same thing. It is the same surgery that is perpetrated on woman all over the world every day, by plastic surgeons in small towns and with little skill. The result is the same. There is nothing new or groundbreaking here. Thirty years ago I worked for a woman who had a mastectomy followed by reconstruction. I felt so sorry for her, and now I am going through the same thing.

It is despicable that the makers of implants have never seen or felt a genuine human breast.
It boggles my mind that after decades of research and millions of dollars spent that there is no other treatment for breast cancer other than surgery. Excavating a woman’s chest and defiling her body is an atrocity that is inflicted on 100’s of thousands of women a year, the vast majority over 50. The reason is because no one believes that women over 50 have any value as objects of beauty. The common wisdom is that they no longer have sex and no one is interested in looking at them. Therefore saving their womanhood, their humanity is a worthless effort.

There are so many of us, hundreds of thousands a year, we all simply become a number in a breast removal factory, lined up to obediently have our breasts removed and live life maimed. It is a crazy cancer world, because we, me, Amy, and all the others are expected to be “happy” about this.

Take the case of Joe, who lost his hand in a construction accident. The orthopedist did an amazing job of attaching a shiny silver hook to his arm where his hand had been. Do you think Joe was happy that he had this awesome hook? That he would never be able to touch his wife and children and feel them again? Do you think the orthopedist’s feelings were hurt that Joe was not happy about having a hook for a hand?

I apologize if I am rude and hurtful. It is not directed at you. I am grateful, pleased and impressed with what you have done. But you can understand my disappointment with being told by some stranger that I am gravely ill and in danger of dying when I feel perfectly wonderful and fine. And to further the nightmare they are going to cut part of my body off and replace it with plastic. And I have no choice. I have no choice. It’s insane and it is terrifying. Why did I listen?

I am sorry; I am trying to regain control but I have very mixed feelings. I wish I had never gone for that screening mammogram and I promise you, I never will again.

Thank you for understanding,

Amy Myrin                                                                     

Saturday, October 20, 2012

September-A Month Of Surgeries


Sept. 8
All of my friends and Deirdre have been so generous with their time and I appreciate it so much. I am sorry I am so weepy and such a pain. I wish I were strong and brave like some others are, but I am not. This is who I am, a scared, soon to scarred, middle aged woman with no hope. I am a drag to be around. Everybody is sick of me. Even the counselor who I saw yesterday at MD Anderson scolded me for having a bad attitude.


All I really need is someone to hold me tightly against his chest and let me soak his shoulder with my tears. No words would be required and it would be a thousand times better than all the drugs in the world. But here I am and I don't have anyone in my life to fill the role of "partner". Maybe that is why I am so scared.

Sept. 10

My daughter has been wonderful. She rubs my back and shoulders when I am shaking and crying, but she is also very young. She does not know what I need and this is a tremendous burden on her. I feel guilty asking so much of her and yet I am grateful she is here. Even she has lost patience with me and tells me to "Get over it". Would she say the same if I had just lost a loved one?

We do the best we can. That is all any of us can do. Just like I have to make choices when there are no good choices and I have to live with the consequences.

I have contracted with the efficiency hotel to stay for a whole month, until Oct. 4. My 1st surgery is on Sept. 10th.  I sign the documents and close escrow on the house on the 13th. Once I have possession, I will call the storage company and have them ship my furniture. It will take about a week or more to arrive, around the weekend of the 27nd. My second surgery is on the 17th. I will have to hire workers to unload the truck. I will not be permitted to lift anything over 10 pounds for at least another week, so I won't be able to unpack and put things away. The bottom line is that I will probably stay in the Hotel for the whole month, even though I will have the house, simply because the bedroom furniture will not be assembled nor the kitchen unpacked.


Since my brother and I are not on good terms, I have no other choice than to stay at the hotel at least until the end of the month.

From now on, my back is the only side anyone will ever see of me naked. I would be too embarrassed and ashamed to show anything else. I was never perfect, but now I am damaged goods.

Sept. 10  Surgery Day

I never realized how cumbersome a breast could be! I feel so light and airy without that useless pound of fat! Why, I have been doing flips in my hospital room. I should have been neutered years ago. Now that I am without my feminine accoutrement, I am free to do so many more things. To be the Amy I was always meant to be. I am going to start by cutting my hair. I will go to a barber and have him buzz cut it to 1" in length all over. And I'll stop coloring it.
Then I will throw out all my lacy thongs. And replace them with sensible, white, granny-panties.
After all, my sex life is over. Nobody's gonna want me now. It's time I started acting my age.
Out with the tight, sexy jeans. Overalls are better for wearing while mowing the lawn anyway.
If I look like a man, I might as well act like a man.
Don't you agree!?!

Sept. 11

Right now, I am waiting for the Surgeon to come and take a look. All of his minions have been in to see me. My vitals are being very well monitored, every 15 minutes, day and night. They are all normal.
The Head of Surgery came into look at me. She said there is a 50/50 chance I may lose my nipple. We were trying to do a "nipple sparing" mastectomy. But mine has turned black. It may mean it is not getting enough blood supply and has died. (normal color is pink). They might have to keep me another day, put me back under and remove my nipple.
My life was ruined the day the day I went in for that screening mammogram. I wish I had never gone.
Whoa! Gotta go. Breakfast is here. I am famished.

Sept. 11

Guess what, I still haven't seen the surgeon yet, I am waiting to find out what happens next. No one seems to have any answers. So, here I sit and it is 2 o'clock. I doubt they will discharge me now...but then you never know.

Basically, I don't know anything more than I did this morning.

I walked for 30 minutes around the floor earlier. It got really repetitive but I simply had to up and move! I am falling asleep now. It is after lunch and I am drowsy and drifting away.

Sept. 14

I finally escaped from the hospital on 9/11, the evening after surgery. Originally, I was supposed to stay in the hospital for only 23 hours, but when the Head of Surgery saw my nipple she wanted me to wait to see Dr. Smith, in case he wanted to remove it. He finally came in to see me at 5 o'clock. He said my nipple looked fine. It turned black because it is bruised and traumatized and it is at the end of the line to receive blood supply. In time it will turn pink again.  My eyes filled with tears of happiness. I smiled and told him that was the first good news I had heard since I got on this crazy cancer train. He smiled backed which astonished me because I thought he was an android.

"So, we'll send you home tomorrow, OK?" And I said, "Why?" "Do you want to go home tonight?" And I said, "Sure, why not?" So, he said OK. But I stalled around until after dinner. Believe it or not I like the food (just not the Jello). Now that my disfiguring surgery is over, I am not feeling so anxious and my appetite is coming back. (I have lost about 15 pounds since this whole ordeal began).

Well, yesterday was a busy day; had my follow up appointment with the surgeon at his office. Funny, they had originally scheduled my first follow up for Monday, the 17th, the same day as my second surgery. Seems like the right hand is not talking to the left.

Then we had to run to the bank to do the wire transfer. After that we had to race across town to the Title Company to sign the escrow papers, a process, which takes about an hour. Both agents were there and the notary. They all congratulated me on my courage, perseverance and tenacity in sticking with this deal to the end, a deal which should have taken 30 days, but took 60 days instead. As we were walking out, my agent handed me the key. 

Until I can heal enough to move out of the efficiency and go over there and start to make it my own it won't seem real. I need to be able to clean, unpack, put my things away, and pick my colors and paint. I actually enjoy paining. Even though I feel well, and have a lot of energy, I have to remember, I just had surgery. I am not in a lot of pain, not like I was after my C-section, but I am sore and achy on my right side. And I don't have the stamina that I used to.


Goodbye, dear girl, I have loved you so.
Every day I have to endure the vision of that saggy, wrinkly flap of skin with the sad black nipple in the center. There is nothing left where my breast used to be but a crater surrounded by muscle and bone. Propped up next to it is its puffy, pink sister, just as round and soft as she ever was. Before the anesthesiologist put me under, I asked if I might say a few words. He nodded his head and waited while I lifted my head and looked down at my right breast and said, "Good bye, dear girl, I have loved you so." That was the last time I ever saw her…
                                                                                      
Sept. 15

I am sleeping surprising well at night; the Ativan helps with that. But I am not napping throughout the day as I know I should.

I doubt I will be able to keep the weight off. Now that I am not as anxious as I was before my appetite has come back with a vengeance.

Monday is reconstruction day. But we don't know yet whether I will be getting the implant right away or if I will have to have expanders first. I really, really don't want to have expanders that would mean a prolonged, more drawn out process and recovery and an additional surgery.

If that is what he does then there really was no reason for me to come to MD Anderson. If he is putting in expanders for 6 weeks, followed by a silicone implant, I could have gone to Joe Blow from Daytona for that. That is the same thing they have been doing to women for the past 50 years. There is nothing new or advanced about that. I came to MD Anderson because I wanted the best, but so far it has been a disappointment. I guess I will find out for sure on Monday.


Saturday, Sept.15

Surgery is confirmed for Monday, the 17th. We just don't know in which direction the procedure will go. When I first met the plastic surgeon he gave me the hope that if I delayed reconstruction for 7 days rather than immediate reconstruction (a thought that was almost unbearable for me) that he would be able to insert the implant without the need for an expander.
The the day I signed the consent form his assistant told me that decision would be made the day of reconstruction. The surgeon has to evaluate the situation, the condition of the tissues, the skin flap, etc. so I really don't know what I'll be getting.

I am very disappointed. Once again the uncertainty makes me feel Ike a helpless, meaningless victim who has no say and no choices. Is it any wonder I am depressed?

I am scheduled to stay in for 23 hours. I guess I will
just have to wait and see. I am hoping for the best and expecting the worst. How Irish of me!

Sept. 15

 Excavating my breast out of my body was the easy part. Putting a lifeless plastic bag filled with silicone in my chest and trying to make it look like the real McCoy, now that's going to be a real trick. The plastic surgeon has been trying to lower my expectations so I won't be too disappointed. And these are the best of the best, the guys at MD Anderson!

Deirdre has some shopping to do for her dad and her friends back home. She leaves on the 22nd. So, we might head over to the mall. There is a local watering hole in the neighborhood with live music on Saturday night. We might head on over there, share a pitcher of beer and see what that is all about tonight.



Sept. 15
Deirdre and I traipsed all around the mall looking for souvenirs for her coworkers. After that we stopped by the house to take some measurements in the kitchen. Even though I have the key and I know it is mine, it still is not furnished and it does not seem real. 
Between the 2 of us we had 3 GPS's and we still managed to get lost on the way back to the motel. Go figure.
I was too tired and hungry to go out which was disappointing. I thought it would be fun to listen to some live music but right now sleep is more important. I have to keep reminding myself, I’ve just had major surgery.

One more day and then I go back under the knife!

Sept. 18

I am OK.

I went to the hospital yesterday morning at 8:30 but they didn’t take me in until 12:00. Deirdre was by my side the entire time before I went in and she was there when I woke up in recovery. She has been my little nurse and my angel. She has been so nice, listening to me cry until she couldn’t take it anymore. Even she told me to, “Get over it.” My frequent crying fits may be the reason why Tim and Eddie asked me to leave.

The hospital sent me home from recovery; I never even went to a room. I was able to walk, but I was pretty groggy and loopy. I was hungry when I got home to the motel, so Deirdre made me a sandwich but I kept falling asleep. There was no point in my trying to write.

This surgery is about 100X more painful than the one last week when they actually removed my breast. They have given me stronger pain medication (oxcodone &  Robaxin. I hate taking medication because I don’t like being loopy but I dislike being in pain just as much.  I know I will get better and better with every day that passes and that this will not last forever. The implant is placed under the muscle and so it feels like a really sore muscle, but the pain runs down my right side from the top of my ribs to the bottom. It really hurts when I twist or try to reach for something. I have learned to reach the cookies at the back of the cupboard using my left side!

My bigger concern is the anti-depressants and the anti-anxiety meds I am taking. I told my shrink that my goal was to be off of everything in 6 months. He said a more realistic goal would be a year. I don’t dare not follow his instructions.

All future relationships will have to wait until I am completely healed. I want to desperately to find someone, but it is going to have to be platonic. I don’t want anyone to see me this way.

I tried to do fun things with Deirdre during that crazy waiting period before my surgeries. Now that I am in healing mode I am not going to be able to go out as much. And I am going to require a lot more rest. I feel sorry for her because this little place can feel dreary sometimes. She is only going to be here one more week and I will never be able to thank her for her sacrifice. I will be alone for a couple of days until my friend, Janette arrives. She will be with me for a week to help me clean the house and unpack. Then I will be alone. This is going to be the hardest time. I am just going to have to get used to it. I am getting eager to get into my house, now that I know it is mine. I want to sleep in my own bed and have familiar things around me.

The furniture is due to arrive Thursday, the 27th. I hope it gets here sooner. And I can’t wait to get back to work, even as much as I hate that job, it is the only thing that provides any structure or stability to my life. And, yeah, a paycheck! By the time this ordeal is over, I will be flat broke!

All I do is talk about me.

Friday, Sept. 21

This week has been rather uneventful, compared to past weeks. I have been struggling with pain management. The implant has been about 100 x more painful than the actual removal of my breast itself. I have been following doctors’ orders to the letter, but any movement involving my right side makes me wince. I called and spoke to the nurse. She said I could alternate ibuprofen with my prescription meds. It has been working but I am popping pills every 2 hours.

My first follow up appointment isn’t until Monday when I go in to see the nurse and have her change the dressing. The waiting is killing me. I want to see how everything looks and to see if it is healing properly. I am eager to see how it is going to look when it is all done. I am expecting it to not be good but I hope to be pleasantly surprised. It is going to be a long, slow journey to recovery. We have to wait at least 3 months until we can augment the left side, let it heal and do any fine-tuning.

Deirdre and Sean are questioning why I am going through the cost, pain and process of reconstruction. After all, they say, nobody looks at your breasts anyway.

I know it will get better, but it is happening so slowly. I am an impatient person by nature. The surgeon has given me strict orders not to exercise, not even walk! I don’t see why that would matter. He didn’t do anything to my legs! But my little nursemaid, angel and prison guard, Deirdre, won’t let me do anything! .Consequently, it’s very boring here. I am sleeping in way too late, watching stupid TV; I am tired and have very little energy for anything else.



 This experience has knocked the wind out of my sails and deflated my self confidence. Time has taken its toll on me. When I look in the mirror, I see a sad, older woman, with sagging jowls and a turkey neck and no means to fix any of it. Add a disfiguring, maiming, mutilating surgery on top of that and you don’t have much left. It would take a Superwoman to emerge with any self esteem from this.  
 
I had concerns about the blog before I began. I did not know how open and honest to be. As I said in my introduction, there may be posts which will make some readers uncomfortable, but, it would be impossible for me to write individual emails to everyone I know. I decided I had to go forward with the blog, for many reasons, and just use my own internal editor. I might have to soften some things and censor myself. I wanted to be considerate and I never wanted to hurt anyone’s feelings.  Unfortunately, that is one of the first things I did. (I have learned.)
I also am writing it for myself as a journal, as a way of remembering what this time and experience was like. I have to be totally honest and disclose everything, regardless of who is reading it.  (I don’t believe there are very many people who read it).

Once I got into it I found it easy to develop frank discussions with all kinds of people, including my children, about intimate subjects. My children range in age from 22, 26, to 30. Even my youngest is an adult. They are not children any more, they are adults. Our relationships have changed.

Deirdre is leaving Sunday morning and I will be alone for a couple of days until my friend from Seattle, Janette arrives. She will stay with me for about a week. I am going to miss Deirdre terribly, but I don’t want her to see me cry. I want her to go back home to her friends, school, and job.


Sept. 22
I can't even imagine the pain of losing a child! It makes everything I am going through seem trivial by comparison. Have you ever heard such a whiney, crying baby as me? I think not! The news made me sad and I do not even know the people involved, yet I can empathize with they are enduring.

I feel ashamed for the way I have been behaving lately. In the grand scheme of life my latest trials are but a bump in the road. There is no excuse for my reaction other than my own human weakness. What I have been going though does not even compare to what some people see every day or what the folks who have just lost their son are bearing. I do not know what more to say, except I am sorry.

Deirdre's flight leaves at 7 AM tomorrow. I will take my Ibuprofen in the morning so I will be OK to drive. Then I will take my stronger meds when I get back. I will have to do the same thing when I go grocery shopping Sunday afternoon. And on Monday when I go to the surgeon's office for my dressing change followed up by my post-op appt with the oncologist to go over the path reports. Hopefully, things will be getting better soon so I won't have to rely on pain management so much.
The airport is only about 10 miles away and I don't plan to stick around for long to see her off, it will only make the two of us sad.

We have been having a lot of fun together. I am not as laid up as I thought I would be. We have been to a couple of movies and we spent some time over at the house today. (I can't wait to move in.)

But all good things must come to an end. She has to go back to her life in Seattle and I have to go back to work.

Tues. Sept. 25


I have been given orders not to lift anything more than 10 pounds with my right arm for 2 to three more weeks. I will clarify with him on Thursday what other restrictions there might be. So far, I have only spoken to assistants. I can’t be cooped up in this dreary motel much longer or I will go bonkers.

Janette is coming tomorrow. I am glad she is only staying a week. She is very intense and I don’t think I could  keep up with her for much longer.  I found out today that the furniture is in Orlando, I only need to set a delivery appointment. It will have to be Wednesday or Friday as I have back to back doctor’s appointments on Thursday.

 I am feeling very fragile right now, and vulnerable. I am feeling uncertain. Before this happened, I felt like a beautiful porcelain doll, perfect and precious. Then someone took me by both feet and smashed me against a table, into a million pieces. Sure, you can glue me back together but I am broken and covered with cracks.

I have lost all my confidence, all my self esteem; it is going to take a long, long time to come back from being this damaged; if I ever can come back from being destroyed.  

My right side it too sore to touch it or lie on it; it will be months before I can. When I do, I will not be able to feel it. It is a dead object. And I am concerned that he did not get the size right. Right now it is still swollen from all the trauma, but the swelling is going down every day. At this rate it will be smaller that the real one on the left.  How is he going to augment the left and not have it be a bigger size than the right? The left is very soft, the right is very hard. The nurse says the right will drop (it is a little high right now) but how is it ever going to be as soft as the real one? What if he fucked it up and I have to be opened up again  and be re-done?

 I know am a worry wart, I am. I guess that is why Dr. Oh diagnosed me with “anxiety disorder”. I am not expecting perfection but I want to get as close to satisfaction as possible.

  You cannot force a flower to bloom. I want to release the tension but it will have to be slow, at my own pace.

All of my body parts were part of a package. Now, one important part of that package is missing. Would you buy a car if it had a headlight missing, or did not match the original?

There is still enough left of me maybe I can channel my energy into those parts. Maybe my brain can ignore what is not there and overcome the challenge. Maybe I can relax, feel safe and learn to trust again.

The truth is, I don’t know what will happen, or if anything will ever happen. I don’t know if I will ever be with anyone ever again. Look at all that has happened in the last year. Who knows how many more years may go by and I will be without a partner. That would suck.

Sept. 25

If you want to help someone, the first thing you have to do is admit there is a problem. Many times all a person wants is to be validated. Even if you do not agree that there is an issue, the subject believes there is  and that is the only opinion that matters.


Friday, Sept. 28

Today was my follow up with my plastic surgeon. He was extremely puffed up with his own handiwork, never mind that I had anything to do with it. This guy has a huge ego and does not lack for self confidence. I think he was convinced that what he has done exceeded Mother Nature. He reassured me that this is exactly the way we want it to look at this stage. The implant is high and hard, and hurts like hell. It feels like a rock when you poke it with your finger; the real one is soft, warm and comforting. He assures me that the implant will drop in a couple of months and assume more of a natural, slopping shape, but it will never be soft as the natural one. The only fix is to make to natural one feel more fake with the addition of a small implant and I am worried about them being the same size.

Right now they are about the same size. But the fake one is still swollen, bruised and bumpy. It could end up smaller than the real one. If anything, I want them larger, not smaller! The doc said he put the largest sized implant in he could at the time give the condition of the skin. The bottom line is we will not know for sure what we have to work with for about 6 months when everything settles down. Then, if I want them bigger, he might have to open me up on both sides and put in larger implants.

As a result, when I am living in the old folk’s home, I will breasts of a 20 year old on a 80 year old body. All the old codgers will be chasing after me and all the old ladies will be jealous and hate me because I will be the girl with the perkiest breasts! How ridiculous.

The only good news I took with me is that my nipple has turned almost completely pink. That was the one thing that made me happy, otherwise, I always leave that place depressed and in tears. The smug self satisfaction on the face of that egomaniacal surgeon doesn’t make things any better.

In the grand scheme of things, I realize this does not even begin to reach the level of someone losing a lung, but, hey, it’s important to me.

Tomorrow is a big day, it is moving day, and I can’t lift anything! This is going to be very frustrating, but also very exciting.


Sept. 28

Yes, the house is full of my junk. I can't believe I spent $5000 shipping a bunch of crap I should have purged before I left Seattle. Nothing I own ads up to $5000!
And there are multiple of bare spots to be filled in the future. And I need a book on Florida horticulture. I haven’t a clue about what grows here. And I have to hire a lawn service. I do not intend to buy a lawn mower.

I am concerned about a gater climbing out of the stream in back and eating Rufio!

I have to make sure Hurricane Janette does not push me to hard or too long.

Sept. 29
Yay! We just out checked of the suites. Homeless no more!
Unpacking today. Cable installing today. Need to take it easier today. I was totally wiped out last night. I want to be back at work on Monday. 

Amy Making the Bed
The Backyard
The New Refrigerator
Janette Painting
On the Screened In Porch