21 Aug 2013

3. The plan

The next meeting with the consultant is less intimidating with no other medical staff. He takes time to explain the procedure and reinforces that the cosmetic outcome should be good with an immediate reconstruction. I am encouraged by some of the photos he shows me, although less by others. My priorities come to the fore again as we discuss treatment options - we agree that a simple implant would give me the quickest recovery time and would meet my top two priorities but would also give a good cosmetic result, if less natural. The opportunity to ask the many questions I have is helpful but I am focused predominantly on the sentinel node biopsy the consultant refers to. I will have a five-day wait after the mastectomy to find out if the cancer is invasive and has spread out of the ducts. This would be a whole new ball game with chemo and/or radiotherapy and other stuff that I really don't want to consider. 
We agree a date for my operation in the following fortnight and even manage a joke or two about whether the years of expensive organic food were wasted.  I'm amazed that the procedure is so quick and only an overnight stay. The consultant suggests a fortnight off work would be advisable - that sounds positive if slightly bizarre for what I had assumed would be a major procedure. I'm encouraged.

My husband asks whether there are support groups we should consider to help us cope. The consultant is in tune with my thought processes when he replies that there are some excellent networks but generally aimed at sufferers undergoing more extensive and life changing treatment. As my treatment is mostly preventive I may not wish to be part of that world. I selfishly agree and hope that he is right. 

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