Nice Rack

Some of you have been asked about my new boobies. Will I get the same size or bigger? Will the implants be placed in during the mastectomy? Have you made a collage of celebrity breasts you like (the answer to that one is a resounding yes, although I’m pretty sure the Chrissy Teigen look won’t work for me). But as much as I would just love to get tig ol’ bitties, there is a lot of consideration that has to go into this process.

There are many ways to go about reconstruction. I’m not a candidate for the flap reconstruction – where tissue from one part of the body is transferred to another – because I am too petite. So my two options were a one or two-step procedure. After speaking with my breast surgeon, plastic surgeon, and others who have gone through the surgery, I decided that the two-step procedure was right for me. Although I want the least amount of surgeries as possible, this method seems to provide me with the best outcomes for optimal blood flow and allowing my skin to slowly stretch instead of just jamming an implant in there. Check out this 3-D breast reconstruction video explaining the different options.

When I get the mastectomy procedure in late August, I’ll have tissue expanders placed in. They are then filled with saline during surgery to about half of the size that my breasts were before (bonus to my friends and family taking care of me – you get to see bizarre droopy looking half boobs).  I then go in for weekly expansions where saline is added to the expanders through a port – I’ll do this around 3-4 times total until I am happy with the size.

robin-williams-in-mrs-doubtfireFrom what I’ve heard, once they are filled, these are like tupperware boobs. They feel a bit uncomfortable and sometimes you can run into walls with them or have Mrs. Doubtfire moments.

Then, I go in for my (fingers crossed) final surgery in December where the permanent implants are placed. I like this idea because my body has time to heal and stretch and because if a size doesn’t feel right, I can go bigger or smaller. Also, if my breasts heal in an asymmetrical way, it can be fixed during the final surgery. Hopefully that answers all the reconstruction questions! If not, contact me!

Educating Patients

A big part of why I started this blog was to encourage health care providers to educate high-risk patients about hereditary breast and ovarian cancers. As a nursing student, I see firsthand what an impact heath care providers can make with educating their patients. I got really lucky that the OBGYN I randomly found in undergrad (I used the very good research technique of, “what OBGYN is closest to campus and covered by my insurance) happened to be a BRCA specialist. In the huge clipboard of forms I filled out at the start of the appointment, there was a questionnaire about family history of breast and ovarian cancers. Little did I know as I checked off yes boxes on the form (are you of Ashkenazi Jewish descent, do you have a close relative who was diagnosed with breast or ovarian cancer), that my OBGYN would recommend I get the BRCA test.

I want to give a big shoutout to CDC Cancer for starting the #KNOWBRCA campaign, which aims to educate the public about the gene. I also can never express my gratitude enough to Dr. Lofquist, for having that BRCA questionnaire in her packet and for encouraging a girl in her early 20s to get the genetic test that could ultimately save her life.

Know_Brca_Infographic

My Heart

I just got done with a 12-hour clinical rotation for my nursing program at UCLA. Every time I work with patients I am so glad I made the decision to completely switch career paths after having my “calling” to become a nurse – even though my brain is so tired the only thing I can think about doing is watching some Real Housewives of OC.

I wanted to write a quick post to say thank you so much for the outpouring of love and support after posting my first post last night. It was a really hard decision to make my journey public, but it just felt right in my gut, almost like I had to. I’m so happy I did, I have already had several people write to me about possibly getting the BRCA test. Cancer prevention is my mission and I’m glad so many of you are on board. Thank you all and I can’t wait to keep sharing this journey with you.

Getting Something off my Chest (No Pun Intended)

I have something to get off my chest (no pun intended). I am having a prophylactic (preventative) mastectomy at the end of this summer due to my high hereditary risk of breast cancer.  I am BRCA2 positive, aka the Angelina Jolie gene.  What this means is that I have a ridiculously high risk of getting breast cancer, so I’m having my breasts surgically removed to make sure I don’t get effing cancer. But then, I’ll be getting fake breasts, since my real ones may be trying to kill me.

But there is a lot more to me than my ticking time bomb breasts.  I am a graduate nursing student at UCLA, which is a huge benefit since my friends will actually want to help me clean my drainage tubes (yes, in this blog I’ll talk about some stuff that may sound gross – but I’m just being real, dude). I am a health education and advocacy nut, so I’ll be sharing lots of research, innovations, and prevention/screening resources with this online community. I’m also married to an incredible guy who is fully supportive of my decision and realistic enough to discourage me from getting Nikki Bella sized implants (yes, I am a Total Divas fan).

I’m a pop culture fanatic and movie buff. In my pre-nursing life, I was an editor for Rotten Tomatoes and got to do lots of awesome interviews.  I also love bad movies. One time, I even got to interview The Room‘s Tommy Wisseau under a pseudonym. I’m hoping to use my interviewing skillz on this site and talk to women who have funky genes.

Most importantly, if I can help one person through making my story public, I will feel really great about spilling my guts. So, thanks for sharing this journey with me – I’ll be sharing the good, bad, and ugly. Click here to learn more about me and my story.