30 minute interview with nurse prior to lumpectomy

It went well.  I gave her my list of medications (dosages and how often I took them) and she wanted to know what vitamins I took.  Multivitamins include vitamin E which thins the blood.  I had to stop taking it a week prior to the surgery.  I had already stopped the multivitamin as I was going to have a pain injection to my back a few days prior to the surgery.

She told me which one of my medications I could take the morning of the lumpectomy.  She also told me to not eat anything after midnight no matter what time my surgery was scheduled.  If my surgery is not till the afternoon I figured I would sleep in as late as possible so I wouldn’t be hungry all morning.  With my luck they will have me come in at 8am for a 3pm appointment.

She wants me to wash with an antibacterial soap called Hibiclens which can be found in the first aide isle of any pharmacy.  I am to wash with it the night before and the day of the surgery but I am not to scrub my skin while washing with it.

That’s all for now.  I will let you know tomorrow how the pre-op physical goes which includes an ekg.

Gazing off into space

I am at the point now where no matter what you say, it will not help the way I feel.  I don’t want to be told “Everything is going to be ok”.  There are too many unkowns: has the cancer spread to my lymph nodes or further and do I carry one of the more than 20 genes that increase my chances for developing breast cancer.

Since my older sister developed breast cancer in her 40s my chances of carrying one of those genes increases.  It isn’t just BRCA1 or BRCA2.  It is a list of genes that include CDH1, EPCAM, MLH1, MSH2, PMS2, PTEN, STK11, TP53 and those are just the high risk genes.  There are three moderate risk genes and 7 unknown risk genes.  With the 7 unknown risk genes, they don’t know what to do if you have them but breast and/or ovarian cancer are commonly associated cancers.

Tomorrow morning at 11am I will have a half hour chat with the pre-op nurse.  I really don’t feel like talking to anyone about it.  All I want to do is to pet the cats.

Today I don’t feel so well.  I have a stomach bug I think.  I am not sure if I caught it from the brunch I ate at a restaurant yesterday or if it is nerves.