Saturday, June 20, 2026

Stage Two

I'm almost seven weeks out from the lumpectomy and bilateral reduction. I'm learning about the complexity of healing involved. I've had a "granulating wound healing by secondary intention," which is an open wound where the sutures didn't quite heal after surgery, and it needs to heal from the inside out. My breasts are also re-vascularizing, which takes time. The incisions are healing very well (except that one spot), and my body feels more like me. I still have to pace my activity. If I do a lot one day, the next day requires a slower pace. No hikes for me yet!

On Monday I begin radiation, which I'm referring to as stage two. My good fortune is that the surgery got all the tumor, which was very, very small, with no lymph node involvement. Because it was so small and localized, I qualify for partial breast radiation of only five sessions every other day. Again, a case for early detection when there is a family history and/or dense breast tissue. The MRI caught the cancer, not the mammogram. I expect there will be an aftereffect of fatigue once it's done. But only five sessions!

Once I'm done with that on July 1, I'll begin taking the aromatase inhibitors, a medication that targets this cancer if it recurs in another part of my body. I'm to take this for five years. The only concern is that it can cause severe joint pain, brain fog, and osteoporosis. Having worked very hard to lose weight and become fit and enjoying the absence of joint pain as a result, I hope this isn't a side effect I have to deal with. If I can't tolerate the med I was prescribed, there are other ones, though they all have similar beastly side effects. And perhaps I'll be lucky again and not experience any. (The osteoporosis is a concern, since my mother had it severely and my Dexa scan last year showed early bone thinning.) 

One step at a time.