Category Archives: hit songs

Things that go soft in the night…

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I can’t stop looking at them. Or touching them. I’d best not go out in public right now for fear of getting arrested for indecent something or other. I can’t believe the difference between my new “real” breasts and the tissue expanders. They’re absolutely beautiful. Even with the bruising. And the surgical tape. And the drains. Thank you, thank you, thank you, Dr. N.

One of his lovely nurses told me they don’t want the implants moving around much just yet, so I have to use this gawdawful mastectomy bra for a couple of weeks. It looks like a girdle. From the 1940s. For breasts.

"Mastectomy Foundation Garment," or:  The Bra From Hell

“Mastectomy Foundation Garment,” or: The Bra From Hell

Well, I negotiated that down to an ace wrap. Much better. Until I noticed it was flattening things out. Back to the mastectomy bra, this time with some spouse assisted modifications–ribbons that tie in the front to keep the velcro from hell closed and off my hypersensitive skin.

And at night? I can sleep on my sides. Well, not just yet. The instructions say a 30° rise should be maintained for awhile, so I’ve got a bed wedge. But I’ve rolled to my sides a few times to test things out. Instead of looking down to see two tangerines poking out from the front of me (separated by a good two inches), I’ve got breasts squishy enough to meet in the middle.

Touch them (which just about everybody in my all-female office has done), and they’re soft. They feel real. They’re actual breasts (or quite the facsimile thereof). Halleluja!.

At least that’s how I feel right now. Hope it lasts.

I’ll letcha know.

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Treat your children well…

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I don’t know what I was expecting going into this Angelina Jolie-breast-preservation-mastectomy thing. Or maybe I do, if I get honest. I think I was expecting to look and feel pretty much like I did before the two, Two, TWO surgeries in one. Yeah, the Wrigley’s gum commercial dates me. I’m speaking of mastectomy followed immediately by “reconstruction.”

I’m feeling stupid because I let myself believe reconstruction meant restoration. They’re not the same. I’ve got what pass for breasts (very nicely, under clothes), but are really nothing but foobs (fake boobs, previously discussed). Kinda awful to look at without the clothes. They’re shaped by triangular-ish plastic inserts with a port for sequential infusions of saline. They could be made really, really big if I was into that sort of thing and wanted to lose the use of my right arm. More on that in another post.

And you know how they find the port to do the infusions? (Boy, what an education this has been.) With a stud-finder. Now that got my husband’s attention. He has mostly averted his eyes from the foobs, but pull out that stud-finder and he’s Johnny on the spot. It is kind of interesting. The expanders can shift, and they do, so the ports have metal in them to help with detection. Out comes the stud finder, for every infusion. First to “X” the spot, and again to check right before they stick the needle in. My doctor’s stud-finder is blue.  Hmmm.

Wall sculpture

Does she, or doesn’t she?

Weird as it is, the process works, even if the result doesn’t look quite right and the “foreign body sensation” means they’re always on my mind. Always. It’s like having something in my eye. I feel them moving against my chest wall, and I can’t keep my hands off them. I’ve had to tell my husband to poke me if he sees me holding my chest in public. The edges of the expanders wrinkle and flex just like an IV bag. Or a flattened beach ball. The ports feel exactly like the squeaker in a dog toy, only harder, and the right one hurts from the inside when I lift something and my pecs flex. You wouldn’t believe all the little things we do without thinking that require pectoral muscles. Opening a mayonnaise jar, for one.

In the mirror (and I’m always looking in the mirror), I’ve got mounds. And that’s what they’re called in surgical parlance. “Breast mounds”. Don’t know how I feel about that. I get the mental image of a bunch of men in lab coats thoughtfully considering the desirability (in one way or another) of various breast shapes and how to achieve them. I joke with the nurses that in terms of shape, my left one is Mt. Ranier and the right one, the one that gives me trouble pain-wise, is Sugarloaf. I actually like Sugarloaf better when I look down and compare the two, but they’re certainly not the breasts I’d grown to know over time. The ones the surgeon frowned at for their degree of ptosis (read sagging).

I was never taught to appreciate what I had while I had it, as I imagine many of us find, plodding through life. In the words of that gawdawful song, “you don’t know what you got ’til it’s gone.” I’ve got old photos that catch half of me sitting naked on our porch in California (because that’s what we did in California), and wonder why the hell I ever hated my little booblets. Or my not-quite-flat stomach. Or my skin that wouldn’t tan. They were fine. They were lovely. But nobody told me so because that’s not what’s done in our world.

In our world–the world of women anyhow–there’s always room for a lot of improvement. And when I was  kid, I was one of the many victims of the depression-era hangover that said children shouldn’t be encouraged. Certainly not about body-related stuff. The closest I ever got to a compliment from my mother was, “there’s nothing wrong with you–you’re not deformed.” This in response to my teenaged despair about never finding pants long enough outside the boys’ section of the store.

My dad was better, always ready with a “don’t you look nice” at odd times and when I got dressed up. Much of his life was spent around female models, and he did them the favor of always being professional, never making comparisons, and as I mentioned in another post, never “improving” on them in paint or bronze. He also didn’t make the mistake of being afraid to include me in his life or touch me once I reached puberty.

I’m glad I took photos of myself before surgery, because even at 53, even with “ptosis,” my breasts were still lovely. Not because they met media criteria, but because they were mine, they were intact, and I was used to them. And for most of my life they weren’t diseased.

These new things, these foobs, aren’t mine yet. I’m reminded every time I lift something that they aren’t breasts, they’re pectoral muscles. They clench. They spasm. They can be seen doing so under the skin. My skin is stuck to them. But only just. Skin without fat under it is thin. Transparent, really. Foobs are a constant reminder that man cannot improve on divine intent, evolution, or whatever it was that got us here.

But I’m going to have to develop some affection for these poor, benighted things, as they’re being asked to do what muscles were never meant to do–masquerade as fat. And I’m going to have to do all the exercises the physical therapist prescribed if I hope to get strong enough to stay up all night and catch babies.

The plastic surgeon tells me I’m not a “high needs” patient–the kind we health care providers all know and dread because they can’t be helped–yet I certainly feel like one. I’d kind of like to be one. I have no reason to keep going to his office,  but the support from the nurses there makes me miss having an appointment every week. What a catch-22. Something helps, yet availing myself of it feels wrong, or weak, or…well, just weak.

Foobs aren’t exactly trouble-free. I still have pain when I first wake up and the continental plates shift across my chest. Then there’s the end of the day when I just can’t stand myself any more. Fatigue hits like a ton of bricks when I’ve simply pushed a cart around the grocery store. My brain functions like Swiss cheese. Honestly, NOBODY would want me delivering their baby right now. But I feel like I should be better than this. I just know my friends would be stronger–they’d be done with it all and probably back at work again, ignoring the fatigue. Like midwives always do. Like women always do.

It scares the hell out of me, but I’m going to do the polar opposite of what my work ethic wants. I’m staying home until all this is over with. You’re all invited to join me.

Fear and Its Antidote

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I’m afraid.

It’s 4 am, I’m watching Downton Abbey for the first time, and can’t keep my mind on it.

I’ve looked (yet again) at photos of breasts in various stages of de- and re-construction. I speak to people who know I’m having this surgery and watch their eyes drift to my chest. It’s OK, I’d do the same.

I’ve taken pictures of myself as I stand now, looked at various surgeons’ “outcomes,” hoped for something between myself as I am and something otherwise tolerable, yet know I have no control over any of it.

In the end, the point of this exercise is a lifesaving one. Just as I remind new parents the point of labor is not a “birth experience,” but rather the not-always-simple act of participating in renewed and extended life. Plenty of folks don’t get to enjoy that, whether they’re having a baby or facing illness.

Neil Boyle Limited Edition Bronze

Neil Boyle limited edition bronze. I’d sure rather end up with a version of these more realistic breasts than with the “rocket boobs” featured below.

I’m hoping I do. And I’m distressed to be so very caught up in fear of pain and disfigurement. In fact, I’m surprised at it. Worry about pain and its management, mostly. I wouldn’t have thought it, though I’ve always known myself for, maybe not a coward, but a wuss. Good medical term, that.

My lovely father was an artist without compare. (I can say that–he’s my dad–but it was ever true.) Much of his career and teaching was spent putting the female form on canvas. Later, he experimented with bronze. One of those is shown here and demonstrates his attitude of realism toward the female form.

I was fortunate to be influenced by this man who appreciated women in all their variety. Other than ignoring the piercings in a pregnant model’s nipples, I never saw him “improve” on any woman he painted.

I have a copy of that painting. Its original drew a fair sum in a fundraiser for my midwifery school. A copy hangs in my office at Pearl Place, where I was worried my then-employer’s mother would object, given her career as a missionary. But she never batted an eye, owing no doubt to the simple verity of the woman and the artist who painted her.

I have every hope the surgeons who work on me tomorrow have no less respect for female normalcy than did my dad. I’ve uploaded a couple of photos here. One of my dad’s work; a bronze that sits proudly on my mantlepiece. Dad’s wife was kind enough to make a gift of it to me after his death.

The other piece is by an old friend of his, whose nudes from the 70s feature breasts a lot like those contemporary women choose for augmentation. I’m not too worried I’ll end up with those, but it will be truly frightening if my so-small readership can’t tell which is whose. 

Don’t worry, there won’t be a test.

"Annie Oakley" by Ren Wicks

An example of the “rocket boobs” Ren Wicks was renowned and loved for in “Annie Oakley.”

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It’s my party and I’ll cry if I want to…

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So I spent the last two days trying to take a friend’s advice. “Quit feeling sorry for yourself and write something interesting.” He was a little more tactful than that, but I got the message.

I did try, honest. He even gave me a good jumping-off point: my original mission statement for the Situational Midwifery blog–a soapbox about things encountered as a midwife. The things that piss me off about women’s health care. About how nothing has changed much under the sun. How women and their problems are often blamed for, well, women and their problems.

I’ve got half a lifetime’s worth of subject matter, but right now that’s not not exactly what’s rising to the top. Go ahead and look forward to future harangues, but for now they’ll be about my own stuff.

Participation is optional. Nobody is required to read a blog. I haven’t been a professional writer for more than half a lifetime now, so for all I know, it’s crap. Or it’s crap to men, or it’s crap to folks who haven’t faced something similar. I’m ashamed to say I’m one of those. I got so tired of my mother’s crying jags and worries and photos of grotesque surgeries that I was nowhere near as sympathetic as I might have been. At 15 years old. So I understand that point of view, too.

So read on, or not. Part of what I’m learning these days is to stand up for myself. My friend has given me yet another opportunity to do so, even though I’m afraid he’ll take this the wrong way. If I never hear from him again my husband (who loves this guy), will be really pissed. Then I’ve got two problems.