Woke at 5:30 a.m. in preparation to see the surgeon in Birmingham. This one was recommended by one of our relatives who happens to be a reconstructive surgeon. He operates with her and says that She is the one He would send his wife to if she was ever in my position.
She was younger than I by about 9 years, but I guess that stuff happens when you get older. She was very straightforward and to the point. She recommends the double mastectomy, no tram flap or diep flap. The sequelae is too risky and the tissue would be destroyed if I happened to need radiation, which is a distinct possibility. She sees tissue expanders and implants following to be the most expedient and least risky reconstruction option. After her lengthy and patient explanation I am seeing the light on this issue.
Let's face it, she's a woman and I have to assume she has placed herself in this position at least as many times as she has had patients. She has seen the results of all her treatment options from a female perspective. I appreciate that. I also appreciate her bedside, or table side, manner and intelligence. We did not discuss as much as debate and she was on her game the whole time. I forgot to ask about her preferred pain management protocols, but I will fire her an email later.
She will give me until the beginning of May to have my surgery. A blessing since I have so much to do at work and at home. I don't know if I can do it all before the surgical date.
Ambien has been great. Only the last two nights I have woken at 2:00 and not been able to get back to sleep. Of course I have been taking only 1/2 a tablet. Tonight I will take a whole dose. NEVER considered that I would take sleep medication, not in my life. How things change.