Let me preface my experience at the Huntsman with a little background of how I got there...
I spent months looking into mastectomy options. My Doctor and trusted friend recommended that I find a doctor who could do a total skin sparing mastectomy which spares all of the breast skin, nipple etc. Breast tissue is removed through an incision and then the patient has the option of reconstruction the breast using her own tissue (usually stomach fat) or implant. The surgeries are done simultaneously (8-12 hours of VERY invasive surgery) and is considered much less disfiguring than a traditional mastectomy and then more surgery with a reconstruction months later.
I spent months making phone calls only to find out that MOST (almost all) plastic surgeons choose to practice the cosmetic side of surgery and would do a reconstruction but only after the mastectomy had healed.
Since I was not interested in having my breast completely removed...my search went on.
I found various degrees of what I was looking for, but not exactly and many of the Surgeons were located states away. I decided to change the wording in my google search which brought me directly to the University of Utah, Huntsman Cancer Center. Their Breast care team included a woman by the name of Dr. Leigh Neighmeyer who (if I remember correctly) is a pioneer in the total skin sparing mastectomy, and Dr. Jay Arguwal the general surgeon who partners her on the procedure. I was excited to have finally found this amazing resource so close to home.
Shortly after my hysterectomy I made my appointment with the Huntsman Cancer Center and spent the preceding weeks in tears as I didn't really want to accept either of my fates...BRCA mutation and the large likelihood of early breast cancer or losing both of my breasts to surgery.
I feared self acceptance...would I be able to accept my body with major scars. Would I be able to accept the consequence of failed implants and potentially having no breasts. My answer was "i don't think so" to both questions. But if it was the right thing to do, I was trying to dig deep to find a way to move forward with faith.
As we entered the cancer center I looked around at the many patients sitting in the waiting rooms, some in wheel chairs, some on oxygen and I tried to remind myself that I was there because I was choosing to be...not because I had to be.
The next three hours of my appointments I will sum up quickly...Everything I had hoped for (and based my decision on,) was not possible.
First I had met with the general surgeon and I was informed that I did not have enough tissue (stomach fat) to reconstruct my breasts to the same size that I am currently. Dr. Arguwal also strongly encouraged going with implants (which surprised me,) because it was FAR less invasive and easier to recover from. He mainly recommended using your own tissue if a breast has been radiated...therefore too tender to support an implant.
He also mentioned that Total skin sparing was ideal for smaller size breasts (size A and B) because of blood flow. The main flow of blood comes from your chest cavity and is removed with mastectomy, therefore leaving the only blood supply coming from the clavicle area. The new blood supply is weaker and will not support sizes above B well, leaving the patient with the potential of dying skin.
Dr Leigh Neighmeyer upon examination also said that I was not a good candidate and she HIGHLY recommended a full mastectomy and full reconstruction (at the same time) with implant. We viewed many images of reconstructed breasts, different incision styles and different implants.
Both Josh and I were completely discouraged at this point as this is not what I had envisioned. They were ready to pencil me in for surgery, but we declined and needed to go home, revaluate and put a lot more thought into the procedure.
On the drive home and for a week to follow I spent much of the time in tears, Tears of fear. I feared Cancer as I had recently watched my mother die and I feared the disfiguring mastectomy. Neither seemed like a good option, I couldn't even bring myself to make a decision to take to the Lord. One day I prayed, I prayed that my mind would simply be led to the decision that would be right for me. I then picked up my computer and the first thing I found was
THIS study about my EXACT mutation.
I have read lots of anti-cancerous news and studies, but this one was different, it lifted my heart and mind. I knew that my answer was not to have the surgery. I had the distinct impression that the hysterectomy was enough and that if I do all I can to be healthy then the Lord will make up the difference. I sobbed, but this time with gratitude. My heart hadn't felt this light for months and I knew that the Lord spoke to me that day and guided my heart and mind.
The study was very promising...but I need to make clear that I was following the promptings to my mind that "led" me there than putting all my trust into this one study. I do however believe that I can (largely) be the chooser of my own health if I choose to be educated and proactive in what I choose to put into my body.
I just read a study that Cancer is expected to increase 15% each year from now until 2020...YIKES that sounds really scary, but it doesn't have to be. I choose not to be scared, but instead be empowered!