Benign Mass, Harmless Cyst, or Other?

I am home from work today because my little angel has the stomach flu with a pretty high fever. Jem is such a precious prince and thank goodness he is sleeping; getting the rest he needs.


So, last week (Monday, April 14, 2009 to be exact) I found a lump in my left breast. To me, it felt like the lump in the faux breast found in some doctor's offices, so that patients are able to get an idea of what a lump or mass in the breast may feel like. The lump in my breast felt like a pebble. The next day I went to see the physician's assistant at my doctor's office and was referred by her to the breast center. By the time I went to the breast center yesterday I could hardly find it and was not in the least bit nervous. In fact, I thought I was wasting my and my husband's time and that I had made a big deal out of nothing.


I began having mammograms in 2005, when I was 35. Usually women do not begin getting mammograms until they are 40, but because we have a family history of breast cancer it was best to get a baseline early. I feel that 40 is wayyyyyy too late in a women's life to get a baseline mammogram, but what do I know?

My first mammogram in 2005 was uneventful, though I could finally understand all of the mammogram jokes. If one were to faint while having a mammogram, he or she would be hanging from the machine by his or her tit; it is really fucking smashed in there! If you are claustrophobic, take a Xanax (or two)!

In 2006 I had my second mammogram and I was called by the hospital the following day because it was abnormal and they needed to do more tests. Fucking scared the shit out of me! They did ultrasounds and determined that whatever they saw were cysts. Great! I had my next mammogram in 2007 prior to beginning fertility treatment. All clear again. I did not have a mammogram in 2008 because I was breast feeding, which I have not done in about three months.

Yesterday, my husband went with me and as I said, I was unconcerned for the most part. The mammogram pictures were taken and I waited to move on to the ultrasound. The lady who did my mammogram came back and said that the radiologist want one or two more pictures. I was still pretty relaxed, though probably from the Xanax. I had not taken a Xanax since quite a while before I got pregnant, so one worked pretty quickly. She took two more pictures and I think she cracked a rib or two.

Next was the ultrasound. I had really been unable to locate the pebble I had felt the week before so when the ultrasound tech asked me to show her where it was, I doubted that I could find it. I began to feel a bit ashamed that I came for no reason...then I found it. She began moving the ultrasound around my now slightly saggier since pregnancy left breast and I told her that ultrasounds are much more fun when looking at your baby. She agreed, courteously laughed and continued ultrasounding.

Nothing on the screen looked like anything for awhile, and then I saw it. There was no mistaking that it was something other than normal breast tissue. she took many pictures, measurements and what I think may have been density measurements. I asked her questions like, "Is that the only one?" but she could not answer me. She said the radiologist would come in to talk with me. The radiologist came in and told me that we would have to do a biopsy. She was pretty matter-of-fact, which I guess she has to be.

I spoke to a surgeon, who was really great! He explained everything that was going to happen next and he was so patient. Mike was with me for this part; he was shaking and at times, it looked like he was holding back tears. Maybe I should have given him a Xanax? The nurse was also terrific and she and the surgeon did their jobs of calming people extraordinarily well. I have confidence in them.

I will be going back Thursday for an ultrasound guided Core Needle Biopsy. At the end of the procedure they will place a tiny piece of titanium in my breast at the biopsy site. This is done so that the surgeon can easily find the area biopsied, for future monitoring or in the event that a follow-up procedure is needed to remove more tissue. The surgeon drew four different pictures of breast masses. Two of the four shapes are nothing, one is bad, and one they just don't know; that is the shape of my mass. It is 12mm and for now, that is all I know....Oh, and that the lump that I found is nothing, probably a blocked milk duct; this was an incidental find.

Be Careful What You Wish For

Our little prince will be one month old tomorrow. My how the time flies and how fat the baby gets! My little hungry hungry hippo eats 24/7!

One would think that delivering a 6 pound 10 ounce baby would be a veritable piece of cake, but he or she would be wrong in my case.

My labor started off just as I had hoped, with my water breaking. This made me happy because I did not want to sit around counting and timing contractions. I wanted to know when I was for sure in labor and that I could go straight to the hospital, which is exactly what we did!

The truth is that I was in "very early labor" starting the night of Wednesday January 9. We called the OB's office that night because I was having very painful contractions. Our doctor was not on call, but the doctor who was on call asked how far apart my contractions were and how long they lasted. I told her that so far this one had lasted about 45 minutes because as far as I could tell, I was in continuous pain; there was no start or stop. Well, she told us to come in. Long story short, after 3 or 4 hours they sent us home and I had contractions on and off until the 14th when my water broke at 4:20 am. The only relief from the pain was a bath, which I took 2 or 3 times each day. I also was taking multiple baths a day because I had PUPPS, which caused such horrendous itching that I thought I would lose my mind.

So, back to the 14th of January, My water has broken and we head to the hospital. I live in Chicago and my hospital is in the suburbs, which in January could translate into serious traffic problems. We got to the hospital in no time! By the time we get into a labor and delivery room I am 4 cm dilated. They ask if I plan to have an epidural...yes! When would I like it? As soon as I can have it! Well, I get my epidural in a matter of minutes. Wow, this is going GREAT!! They keep checking my progress and everything is textbook; a little help from pitocin and I continue to dilate beautifully. The doctors expect that we will have a baby by around 1:00 that afternoon. Cool!

Well, 1:00 comes and goes and so does 2:00, 3:00, 4:00, 5:00, and 6:00. I am stuck at 9 cm for at least 4 hours. My little babe starts having an irregular heartbeat, fast, then slow. On with the oxygen mask, and the internal heart monitor (screwed into my baby's little head), and the internal contraction monitor. My perfect labor has taken an alarming turn.

I have no more amniotic fluid and this is not okay. The doctor does an amniofusion to put some fluid back around the baby in the hopes to keep him safe and help me to dilate to 10 cm. This did not work and off to have a cesarean we went. My birth plan said that when in doubt as to my baby's health do a c-section! They did not waste time and for that I am so thankful.

Now, all through my pregnancy I had said that I would prefer a C-section to a vaginal delivery. I thought a C-section would be less painful and traumatic than a vaginal delivery. What an idiot I was! C-sections hurt, and they leave a scar to boot! I was so swollen afterward that I could not bend my legs at the knee or foot because my skin was so tight. I looked like Violet Beauregarde from Willy Wonka and the Chocolate Factory, minus the purple skin. Really, it wasn't that bad, but be careful what you wish for because it may just come true!!

I would do it all again in a heartbeat for my little miracle.

Premature Labor

We were scheduled to start our baby care class o0n Tuesday at the hospital where "Wilson" will be born. I had a horrible headache starting about 1:00 in the afternoon, but that is nothing new, so I eventually took two Tylenol and worked through the pain (staying late, as usual). Tylenol is pretty much a placebo as far as I am concerned, but I take it anyway when the headache is bad enough. At about 4:45 I started to feel a tightening in my lower abdomen. We just came home from work and without telling Iceman about the contractions, I crawled into bed until we had to leave for class. The tightening eased a bit while I was laying in my bed, but was still quite noticeable. When I got out of bed about 30-40 minutes later the cramping continued and each one lasted a while. I still did not tell Mike and he must be blind or just used to ignoring my presence because I was obviously in a lot of discomfort. I sucked it up, kept my mouth shut, got in the car, and decided that it was normal and not to overreact. I figured that I was just exhausted.

On the way, traffic was awful and the tightening continued. Mike thought that traffic was bad enough that we may have to reschedule our class. I told him to just head to the hospital. I figured it was better to be at the hospital instead of at home, just in case. Well I finally told him what I was feeling. Once at the hospital he kept asking me if the contracting was a problem. I kept telling him that I had no idea, I have never had a baby before. I wanted to just go to the class and see if after a few hours I would feel better; he wanted to go to the ER. We walked over there (Mike was adamant), but the place was jam packed and I refused to stay. I told him that I had paperwork to drop off at OB/GYN and that we should just go there. When we got in the elevator I pressed the floor of the baby care class instead of the OB/GYN because I really thought we should attend the class. Well, that did not sit well with Mike, so we went to the OB/GYN floor.

The first nurse we talked to was a total bitch, continually telling us that we should have called our doctor first. I tried to explain to this C U Next Tuesday that we would not have come to the hospital without calling our doctor, but that we had a class to attend and we were already here. She just would not let up; she was a very nasty women. She called my doctor, who just happened to be at the hospital. He told her to put me on the monitor and see what was happening. The contractions were 5 minutes apart.

Our doctor came by to see us; he is a great doctor. He told us that we did the right thing, which made me feel better. They gave me two bags of IV fluids and monitored me for about 4 hours. My doctor sent me home and put me on strict bed rest until tomorrow when we go see him at his office. My cervix was closed both times they checked and the tests for toxemia and preeclampsia came back aok! The resident who checked my cervix meant business. I tell ya, it felt like she was crawling in.

Yesterday I was still feeling contractions all day, but I feel better today. It seems to have relaxed a bit, now I just have a terrible headache. I just want this little guy to cook in there until he is good and ready to come out.