Two weeks from tomorrow, I will be in the hospital in Houston, having a bilateral mastectomy.
Although I have known from the time I was diagnosed that I would have to have major surgery as part of my treatment, this particular surgery is my choice. Well, that is to say, the right side MRM (modified radical mastectomy) is not really optional, and I know that, but the left side “simple” mastectomy is “prophylactic.” The idea being that I won’t be able to get breast cancer in a breast I don’t have. (there’s approximately a 20% chance that I would develop cancer in the other breast over the next few years.) Of course, my decision is also based on things other than that, such as: the thought of being lopsided and asymmetrical drives me crazy; I don’t want my spine to be pulled out of alignment by having different weights on each side of my chest; I don’t want to “have to” wear a prosthetic on one side to avoid making other people “uncomfortable;” I don’t want to wear a prosthetic at all in the Texas heat; I suspect there may be cancer undetected in the other breast already (it sometimes happens, and since my cancer is hormone driven and my breasts have gone through several hormone-influenced changes in my adult life, I don’t want to take any chances.).
On the other hand, even though I have a lot of reasons supporting this decision, and even though I have been very sure that this is what I wanted almost from the beginning….. well, as the time approaches I realize it is not so much that I am happy with this choice as it is that I am unhappy with all the other ones.
And it kind of sucks to have to make an important decision when you don’t like any of the choices.
It is also almost time to tell the Vivid Girl about what is coming up next, and I have been dreading it for months. Dreading it to the point where everytime she throws a temper tantrum or misbehaves I secretly wonder if it because she senses my weird feelings and that makes her freak out.
There are several books for kids whose parents have cancer, and some are specifically about having a mother with breast cancer. But there is only one book for kids whose mothers are having mastectomies. Isn’t that amazing? One! Our child life specialist found the book for us, and she said, “It’s strange, because there are tons and tons of books for kids about amputations.”
Hmmm.
Again, it would be nice to have choices. Especially because this book, while there is nothing specifically wrong with it, does not address my particular situation. In this book, the mommy has reconstruction right away and tra-la! everything is fine again. So even when I read this book to my kid I will have to do some editing and rewriting. Because I am not eligible for immediate reconstruction, in the first place, and I am not planning to have any kind of reconstruction, ever, in the second place. And this is not a decision I need my four-year-old to second-guess.
It makes you wonder, how hard would it have been to produce two or three versions of the book, to cover more of the possibilities? It makes those Once Upon a Potty books seem even more like the works of an amazing genius: one for boys and a different, but nearly identical, one for girls!
Like Naomi Wolf, I find myself wishing for multiple versions of so many children’s books anyway: Alexandra and the Terrible, Horrible, No Good, Very Bad Day. Helen and the Purple Crayon. Where the Wild Things Are with Maxine instead of Max. Not instead of, of course, in addition to.
And this mastectomy book! I get making a book that address the most common situation. I don’t know the statistics or anything, but I’m pretty sure most breast cancer cases are operable and allow for immediate reconstruction. I’m also willing to believe that most women opt for immediate reconstruction. And I can see how the first book out on a subject would address the most common situation. But I guess that’s where I’m frustrated. The resources available seem to be years behind the situation.
And I just wish I had a book to read to my daughter right now, explaining how the parts of my body that have done some of the most intense parts of mothering her will never look or feel the same again, and I may never be able to lift her in my arms again, and it will be months before she can rest her head on my chest and snuggle with me again…. but I am still her same strong mama, and I will still be right here in every way that I can.