Reconstruction

10/23/2008 – Today, Amy has her new silicone implant. She arrived at the hospital 6:30. She was admitted around 7:45. She went to the operating room around 8:30. Around 10:20 the Dr Yoon came out. Her surgery was complete. The surgery was suppose to take 1 hour and 1/2. Dr Yoon said Amy slept and didnt want to get up.

Chu-chi went into the recovery room around 12PM. Amy had some crackers and ginger ale before taking some percocet(pain killer).

We got  home around 1:40PM. Amy mainly slept. She also used her spirometer to exercise her lungs so it doesn’t collapse. She also walked around to avoid blood clots.

Overall it was very successful. At end of the day she was up and about eating dinner.

Oncologist

Dr Marcus recommended an oncologist, Dr. Chitra Rajagopal (Dr Raj). We visited Dr Raj shortly after June 20th.

After assessing the situation Dr Raj recommended Zolodex (quarterly) and Tamoxifen daily for the hormone treatment. The side effect are simliar to those of birth control. Amy will be experiencing a temporary menopause.

Dr Raj considered several factors and severity (low, medium, high):

1. Size of tumor (1 cm) – 1-2 cm is considered medium

2. Hg L/N? (0) – Low

3. ER/PR – (80%/100%) – Hormone related cancer (Low)

4. Grade – (II) – medium (based on Nottingham score) (how different is the cancer cell from normal cell)

5. Lympathic Vascular invasion (negative) – Low

6. Her 2 – (negative) – low

7. KI – 67 (24%) – medium (cell proliferation)