Saturday, January 4, 2014

The Reconstruction Era – Part 9


From the first moment my wife discovered she had breast cancer, there was a deafening silence from the men I know. Even ones whose wives, mothers or girlfriends had breast cancer seemed to have received a gag order from some Central Cancer Command and did little more than mumble about the experience. Not one to shut up for any known reason, I started this blog…

“It appears that the next event is breast reconstruction!”

The results of the surgery to place the implants was quite suddenly made manifest because of a cat.

Yeah, a cat.

You know how they say that cats have such a soft tread? You can’t hardly hear them when they walk?

They don’t tell you that if your cat walks across your chest in an effort to snuggle up close to a warm body, and they step on your chest, and they’ve done it a million times before – that you won’t get a stabbing pain that feels like your internal stitches holding the scaffolds in place are tearing free...

That’s what happened a couple of days ago and it sent me scurrying to the internet before we called the doctor. What I found there was a matter of deduction drawing on my biology degree, so I AIN’T NO DOCTOR; this is a common sense deduction. If anything else happens, we’re going back to the clinic!

So, this is the logic chain. Point out anything you see that might be stupid:

1)      During surgery, it is impossible to avoid cutting nerves. “It is normal to feel tingling or numbness on the inner side of your arm. The sensation is due to nerve damage and should go away after two or three months. But some women may always have a little numbness.” (http://www.cancerresearchuk.org/cancer-help/type/breast-cancer/treatment/surgery/reconstruction/possible-problems-with-breast-reconstruction)

2)     Nerves DO grow back, but it takes time. “In the peripheral nervous system -- the network of nerve cells outside the brain and spinal column -- cells sometimes naturally regenerate damaged axons.” (http://www.sciencedaily.com/releases/2013/11/131107122742.htm)

3)     The nerve damaged during mastectomies and reconstruction runs from the armpit area to the chest. “This is related to cutting or injury to the intercostobrachial nerve, which runs from the chest wall to the arm and provides for sensation.” (https://talkabouthealth.com/is-there-any-way-to-repair-a-nerve-damaged-during-a-mastectomy-my-pain-is-constant-intense-burning-at-the-armpit)

Putting this data together, I deduce that the nerve is growing slowly.

The cat stepped on the end of the nerve.

The shooting pain was the regrown nerve firing.

Conclusion: For the time being, we aren’t going to worry. We will keep you posted!
 
Image: http://painmuse.org/wp-content/uploads/breast-surgery-nerves.jpg

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