I am okay, just uncomfortable

I am now 2.5 days post surgery. Slept most of Friday and into Sat. But got restless on Sunday. Couldn't get comfortable and was bored. The thing is that it isn't painful. It just feels heavy. I also starring decreasing the dilaudid by yesterday - maybe No more than 10 doses in24 hours. I heard dilaudid can mMs you nauseous, so I want to get off omit.

So I was give Tylenol with codeine. I hope to switch to extra strength Tylenol, although I think the stuff with codeine helps me sleep. I slept a lot through the evening and night.

Anyway, pulled out my iPad this am because of boredom. I won't go home until Wed or later since they want the wound vacuum pump to cone off first.

Trying to focus on how I am improving everyday. Accept this as all part of the process.

COUNTDOWN - 10.5 hours . . .

and only one more dressing change!

YIPPEE!

I will have drains in for about 10 days (a major pain in the neck, but it goes with the territory). I will also have a catheter delivering a local anesthetic to the donor site (my lower left shoulder blade) for awhile. This will help me go off any pain meds sooner. I will also have a skin graft taken from my left thigh. So, I will likely be uncomfortable, but I know it gets better every day and that's a whole lot better than pain getting worse as it is now.

I'll see (i.e., well, you'll see my words) you all on the flip side!

Qigong, CT Scans, and Mood

As I mentioned in the post a couple of days ago, I am doing much better, emotionally and mentally. I attribute it to both qigong and the intentional breathing (breath in strength and energy, breathe out pain and sickness and worry).

White crane qigong is partially meant to dispel sadness. It helps your lungs move qi and it also gathers energy to your heart. I think that has really helped my mood. So, even though I had persistent pain yesterday (and it happened again this afternoon although not as bad even though I remembered the nerve pain pills), I could handle it easier. (At the moment, the back of my arm/shoulder is tingling.)

So, I'm good.

I also picked up a copy of my CT scan results. Other than the mass under my armpit and also the one on the right side of my breast bone, no new masses, stable disease in the bones, scarring in the lungs, and some cysts on my liver. I also just confirmed that I don't think the main artery supplying the latissimus muscle is not involved. I think I will have the easier surgery, but I haven't confirmed that with the plastic surgeon yet.

As for the breast bone mass, I don't think the immunotherapy can work on that area as well because the tissue has been compromised by two rounds of radiation. The tissue under my arm is compromised as well, so there's been growth there because the t-cells can't get in there to do their job. We will deal with that breast bone tumor later . . . I'm not too worried as it's growing much more slowly.

Here is a website for the lat flap for any inquiring minds:

Lat Flap

I will have a skin graft from my left thigh - I think that skin graft will cover the donor site, but don't quote me on that.

So, good news overall. Good mood. Good news on the CT scan.

CT Scan this am

cT scans take a lot out of me. Not sure if it is the iodine contrast, the fact that I don't get breakfast until afterwards, or maybe I just didn't sleep well. I need to take it easy this pm.

Anyway, I will need to see if I can schedule appointments with Dr. K after a CT scan more often. He pulled it up as soon as I told him I had it. The good news ismthat it seems like the blood supply to the latisimus muscle does NOT have cancer involvement, so I will get the easier pedicle flap, which means the blood supply is still attached to the flap with reconstruction. It is a shorter surgery and a faster recovery time!

It was hard, though, to keep my left arm above my head because of the pain. I just tried to deep breath through the pain and when I felt myself stiffening up with the pain, I just tried to relax arm and shoulder muscles.

The other spots of cancer (sclerotic or scarred lesions - where there are calcium layers around clusters of cancer cells - in the bone marrow were stable and the tumor at the sternum) were stable. The lung was okay, we think.

Dr. K did say he isn't a big fan of surgery, but I just kept saying that I wanted this thing off/out of my body. I am so tired of changing wound dressings. I hope he understands that chemo wasn't controlling it.

Anyway, he is okay with the surgery and said he would trust the surgeons when they say that this is the right course of action.

I am so ready!

Countdown: 7.5 days and 15 dressing changes.

A Muffin Top

I am proposing a third definition of "muffin top". The first is the real thing - a muffin in which the top spills over the cupcake cup.

The second is also sometimes referred to as love handles - the part of your stomach and sides that hangs out over your pants when you gain weight.

The third is what my wound care nurse and I saw yesterday in my armpit.

Yes, the growth in my armpit is starting to look a bit like a muffin top.

About 11 days ago, I started putting turmeric spice on my dressings so that the growth/wound always has the spice (which has anti-cancerous properties) on it.

I also had a Herceptin treatment.

Now, remember that I have tended to think that the immunotherapy (t-cell therapy) and the Herceptin is effective against the cancer in my body. I also said once or twice that I sometimes imagine that my body is pushing the cancer out of my body, through the wound in my armpit.

Who knows, really, if the turmeric is working in the wound - although it hasn't grown as much in the last week as the previous two (was it the Herceptin, too?). But since I started using it and since the Herceptin treatment last week, the growth is starting to pull away from the skin in a few spots. In other words, the growth appears to be the muffin top that is spilling over, creating a bit of a crevice underneath it. In other words, there is space between the growth and my skin underneath it a couple of places.

My wound care nurse, L., was a bit excited. She said she's used to seeing the cancerous tissue create a bit of mountain, with the slopes of the mountain going down to the skin.

I think, in other words, that my body is starting to squeeze the growth out of my body. Imagine taking a muffin and squeezing the muffin cup (i.e., the bottom part) and having the muffin squish out the top. By cutting off the growth about my skin level, it's making it easier for the surgeon to cut out the growth.

I'm going to start visualizing that every day before surgery: my body pushing out the cancer so the surgeon can get to it and get rid of it. I'm imagining that there's good tissue underneath it.

I go to Portland tomorrow to see the plastic surgeon and to do labs. I'll know more about how long I'll be in the hospital and what to expect afterwards.

Countdown - 15.5 days and 33 dressing changes.

Countdown to Surgery - 16 1/2 days

. . . and 34 more dressing changes!

Can you tell? I'm looking forward to this upcoming surgery!

: )

YAY! Surgery is April 1!

Yay! OHSU was able to move my surgery up to April 1.

YAY!

No more skin wound.

No more growth.

And, here's hoping that the cancer is contained inside me with the current regimen. Time will tell!

YAY! The countdown begins! 18 days and counting!

Whew.

Increased Pain and Dad is Still in the Hospital

I've been getting increased pain and am trying to figure out the right dosing schedule to keep me relatively pain free. I take the gabapentin (generic neurotin) in the morning with breakfast then a few hours later, I'll take Tylenol, then gabapentin with lunch, then Tylenol, then I guess I took Tylenol in the evening since gabapentin makes me tired - so I'll take that right before bed and I end up sleeping really well.

I think I may have mentioned that OHSU will not be able to get me in for a surgery until April 22. Since I think the lesions are continuing to grow, 7 weeks seems a long time to wait. So, I decided to try turmeric - I tore apart the capsule and am now sprinkling the spice on my dressing and putting it directly on the wound. I started it last night. We'll see if it makes a difference. I think it might be making it drain less, but I don't know that for sure.

Also, I may have caught some kind of respiratory infection - I seem to be coughing more but usually only after I eat any hint of sugar (even a clementine made me cough) or dairy.

As for my dad, she "crashed" on Friday night - her heart rate went really low (into the teens), so the "rapid response team" came into her room (all 6 of them) and worked on her. Good thing she hadn't come home yet since they could get help to her really fast. She also went low again last night with a heart rate in the 40s. She's also nauseous, probably from the antibiotic (Levaquin - which made me nauseous) and is back to not eating much. The docs decided to give her a permanent pacemaker, which we thought might happen tomorrow, but dad's white blood cell counts are high, so she may have an infection. If so, they don't want to operate until that's under control - they could infect the heart. They are taking blood cultures and doing other lab work to see if she has an infection. They won't know the results until Tues, which means the earliest she could get the pacemaker is Wednesday.

And, so we wait . . .

Health Updates

I apologize for not posting more often. I've been busy as usual, but also tired.

Dad is still in the hospital, but now out of the ICU. She is walking farther and faster, which is good. However, they haven't been able to drain the fluid from her lungs because her blood is too thin. So, she can't take in a full breath and is still on oxygen. If they can drain the fluid from her lungs today, then she will probably come home on Friday. When she comes home, she may be on oxygen and use a walker, so we need to make the house somewhat handicapped accessible.

As for me, because the operating rooms at OHSU are in such demand and the surgeon and plastic surgeon are busy with surgeries, it looks like the earliest I'll get in for surgery is April 1. This is good because it will allow our family to adjust to having dad at home recuperating from such a major surgery.

This is bad, though, because I am getting increased pain. I mentioned how the upper back of my left arm is tender and sometimes tingly and numb to the surgeon and he mentioned that the cancer is probably in the nerve (or around the nerve?). In the last couple of days, I've also felt pain in the front of my arm/shoulder and extending down the underside of my arm. Also, I discovered the back of my hand is tender. Then, when I raise my arm level, then flex my hand down, I can feel a tightness (cording?) in the muscles or nerves on the back of my forearm and ending in that tender spot on the back of my hand.

So, since the surgeon planted the idea that I had nerve pain in my head, I contacted my oncologist's office and he started me on the generic drug for neurotonin. I had it last night and it put me to sleep. It also took care of the pain, but now I can feel it again, so time for another one.

I can't really sleep on my left side anymore, so it's either on my front or my back and sometimes the pain bothers me when I sleep on my front. So, now a sore back since I'm sleeping more on my back. I'll need to get a bolster for my knees.

I'll have another dose of Herceptin and Zometa next week as neither of those targeted therapies compromise my immune system for surgery.

An April 1 surgery messes up my teaching schedule - I canceled the second day of classes on March 31 since a lot of our students will be at a conference anyway. I have colleagues coming in to talk to my class on March 29, April 5, and April 7.

I was also supposed to go to Vegas for a conference April 20-23, but that will only be three-weeks post-surgery, so I don't think I will be able to fly . . . will have to ask about that.

The stress got to me yesterday. Something happened at work that tipped me over the edge. Luckily my therapist helped me through it and I'm less upset about it.

I'm also dropping a lot of balls at work and only doing the bare minimum.

It will all work out. Time to begin living in the moment . . .

An Apology from Dr. #*@

Hmmm. Dr. #*@% sent me a letter of apology. It arrived sometime in the last week, maybe while we were in Portland, but I just opened it today. Things have just been too busy - I thought it might be a survey or just info about OHSU, so I didn't open it. I must admit to being surprised at getting the letter, but I'm glad that he wrote it.

In the end, there was some kind of miscommunication between him and me. I don't think I framed my questions in such a way that I could get the information I wanted from him and for his part, he didn't take the time to really listen to what it was I was asking. I also still think that he implied that I should give up on the idea of a new implant or getting rid of the "dog ears" because I had bigger things to worry about.

He did say, and rightly so, that he would fix the dog ears if I ever wanted to come in and schedule the procedure. I just haven't scheduled it because I was waiting for a time when I reached stable disease again. I didn't think I should go through such a procedure while on chemo, for example. It was two months after reconstruction when I found out that the cancer had metastasized to my lungs. While the lung tumors seem to be resolving, the one under my armpit hasn't, so the time for such a procedure has never presented itself.

He also said that he couldn't have prepared me for the removal of the implant. It wasn't so much preparation I needed so much as a simple, "I'm going to take out the implant right now" would've sufficed. When I showed up that morning with the implant showing through the wound, he said, "it has to come out" and I said, "Yes, I understand. But when will you do it?" and he never answered. He just proceeded to take it out.

I accept his apology because he seemed sincere and ended with this statement, "I went into our last meeting as a surgeon feeling inadequate that I had nothing to offer you. You remind me that as a person I could have done much better." I doubt, though, that I will go to him again. After seeing the surgeon and plastic surgeon in Portland, there was such a difference in empathy and spirit. I felt no arrogance or dismissiveness from either of them.

I really like the surgeon here in town - in fact, I saw him this evening when we went up to see my dad and he joked about whether or not I sent out any letters. I told him that I asked my dad's surgeon to not bark orders at my dad and to request things in a gentler bedside manner. He just chuckled and said something about how there were maybe 8 other surgeons like my dad's in town.

I think I need to process this a little bit more . . . but it was an interesting find this evening!

Home from Vegas; Dad is doing better

I got home from Vegas last night - roads were okay since the weather system didn't hit until early morning today. I picked up Eddie - it was great to see him again!

This morning, we woke to a few inches of snow, but I still drove Eddie and me to our appointments. Then a friend of mine, R., kept me company to go to OHSU, just in case the roads were bad. But the roads were fine.

I met with both the surgeon and plastic surgeon - I really like both of them! They are going to try to schedule me for surgery ASAP, which may be the week of March 14. I will keep you posted once it's scheduled. It's going to be a long surgery - maybe 7 or so hours. But they feel they can take care of the area under the armpit and reconstruct the tissue there. They said that I have the distinction of being a "unique" (or "unusual"?) case. Dr. P (the surgeon) kept saying even though one or two options are closed because of prior treatments, there are other options. They will take the latissimus muscle on the left - probably the whole muscle - to reconstruct the armpit. They will take out the implant - so I will be flat for awhile. But a much more positive experience than with Dr. *##!

Dad is doing okay. She got up to walk around twice today. I saw him this morning and was able to tell one of the docs to "stop barking at her" and to "ask gently" to move. The nurse (N.) gave me a thumbs up and said I did the right thing!

I am about to go up and say hi. We had to wait for the nurse shift change to see her. I'll write a P.S. with news . . .  

P.S. Dad was okay. Drifting in and out of sleep. Chatted with the nurse about his recovery. Send healing energy her way somshe can get a good night's rest. Love to you all . . . Thank you for your good energy, thoughts, and prayers so far.

Vegas from Mon to Wed, OHSU on Thurs, Cabin Fri to Sun

A few weeks ago, as I was chatting with my Hawaiian friend and colleague on the phone, I invited myself to visit with her and her family when they are in Vegas this coming week. I leave tomorrow afternoon and come back Wednesday evening. We plan to see Cirque Du Soleil Zumanity and also go to Red Rock Canyon. We need to tie up some loose ends from the Hawaiian workshop, too.

While I was in Portland, I got a call from the doc's office at OHSU - I will see him and the plastic surgeon (a female) on Thursday afternoon. I'm not sure how quickly they can work me in for surgery, but I'll know more next week.

Then on Friday evening, I head to a cabin in the woods with my coauthor - we are writing a paper called Seabirds of King Island. It'll be good to have that time to chat together.

And, I have two applications due March 1st and one on March 7th.

Dad had chest pains the whole time we were in Portland, so she went to the ER last night. They've run all kinds of tests, all came back negative (or normal) until the stress test today, which she couldn't finish. The doctor also listened to various arteries and heard abnormalities, so they suspect it's angina or clogged arteries in her heart. They will do an angiogram tomorrow to be sure and then they will decide to do.

It's gonna be an interesting week . . .

CT Scan Results and Visit with Dr. K

Or, aka, "Some Good News and Some Expected News".

The good news is that the treatment regimen appears to be working systematically, that is, throughout my body, in my system. There appears to be only scar tissue in the lungs now - *maybe* one spot that may still be a tumor, but for the most part, the areas are smaller and it looks like scar tissue. I had multiple spots in my lymph nodes in early fall - no mention of those on this CT scan. And, a suspicious spot on the liver (which Dr. K didn't think was a tumor) is gone.

So, the treatment is working at some level. That made me feel better about how fatigued I feel. I'm not quite bouncing back from the last chemo - it's getting harder to do so. Even today, ten days post treatment, I still feel dead dog-tired.

But the CT scan still shows a mass under my armpit - which I can see, so obviously I knew it was there. The good news is that the diseased tissue doesn't extend all the way down to the bone - there's a nice layer of tissue so the surgeon might be able to get 90-99% of the cancer there. Also, there's a spot that is on the scar tissue of my TRAM flap breast, near the breast bone, is apparently a tumor. It's grown in recent months, but I didn't really notice it until a month ago. It's a hard nodule about 3cm long and maybe 2cm wide. Plus there are spots in the bone marrow, but it doesn't look like there are more of them since the last one.

So, what's the plan, man?

Because February is a busy month for me with all sorts of work and fun activities, and the surgeon, Dr. F, is away at a conference around March 3-4, it looks like I will have surgery the week of March 7. That will give me three weeks of recovery before classes start March 28.

So, I have my last HAZ treatment on Friday the 28th - Herceptin, Abraxane, and Zometa. Then, I will have another Herceptin treatment upon my return from Hawaii on Feb 14th and before we go to Eddie's school tournament. Then, I'll have three weeks off of any chemo before surgery.

I'll visit the radiation oncologist in mid-February because we might do some radiation to get rid of any residual cancer in the area. And probably do radiation on the nodule near my breast bone. That may happen through the beginning of spring term.

There's some light at the end of the tunnel, in other words. In six weeks or so, I will be done - you hear that, DONE - with the wound in my armpit. I'll say that again, DONE with dressing changes in about six weeks. DONE.

Can you tell? I'm happy about that.

Afterwards, we just need to start thinking of what to do next. That'll depend on where I stand.

This also means that beginning two weeks after my last Abraxane treatment, around mid-February, my hair can start growing back. That's good because I think my eyebrows and eye lashes are definitely thinning out lately. I haven't had bushy Eskimo brows in a few months! LOL

I also hope that Dr. H, the plastic surgeon, can get rid of the dog ears at my waist since he will be there anyway taking tissue from the Lat area for a LAT flap. He may also need to take out the implant and put in another one since Dr. K and I could both see that the cancerous tissue went all the way to the implant. I hope that they make implants that are flatter - i.e., not so round - since my TRAM flap boob is flatter rather than round. He said he can also lower it so that I'm more even.

Looks like it will be a good spring for me - no wound, maybe more even boobs, no dog ears, and hopefully, NO CANCER!!! Well, there will always be evidence of cancer in my bone marrow. But let's say NO GROWING CANCER!!

Encouraging Signs?

I saw the wound care nurse yesterday - we changed the dressings we're using again because the wound started draining more the night before. Sigh. I'd gotten used to one dressing change per day with a minimal dressing. Now, it's back to more drain sponges to absorb the drainage.

I saw the surgeon today and he took a look at the wound. He felt that the satellite lesions near the back were softer. He saw that there was more white tissue that might be slough but he didn't see anything to debride. Dr. F also thought that the increased drainage was a good sign that the chemo was working to kill the cancer.

Also that red area that grew a white tip? I thought it might be cancer, but he didn't; instead, he felt it was granulated tissue - i.e., tissue that was trying to regenerate.

Really? That's an awfully unusual shape for new tissue - a long skinny bump? Am I trying to grow a new lymph node? Better yet, maybe my body's trying to grow a new BOOB!! Ha!!

(Gotta keep a sense of humor!)

He doesn't know how deep the cancer extends, so he's ordering a CT scan. I'll probably have that in the next week or so. Dr. F wants to know where the cancer is so he can make a decision about surgery. I'm curious, too, to see where the cancer's at. I fantasize that it's only under my armpit and the deposits in my bone marrow. I hope that it's gone from my lungs and liver.

My February is very busy so I don't think I'd have surgery before the beginning of March. I'm in Hawaii Feb 2-11, at Eddie's school's tournament Feb 16-18, Las Vegas Feb 20-22, and at a cabin in the woods co-writing an article Feb 25-27.

So, in the absence of any other explanation, I'll take Dr. F's opinion as an encouraging sign that treatment is working.

Visit with the Surgeon aka Wait and See

I saw both the wound care nurse and the surgeon today and the consensus is that the armpit looks great and appears to be healing as the cancer is dying. So much so that the surgeon wants to wait and see what Dr. K (my oncologist) says when I see him in two weeks.

Last week, after my visit with the wound care nurse, I began to suspect that I might not need plastic surgery at all. I ended up going back to my blog to see what Dr. D from UW said. In my blog post (), she said that once the chemo has killed the cancer in the area, it would probably heal within about six weeks.

So, we're waiting to see what happens. Which means, for now, no surgery in December because if it were going to happen, we'd need to start planning it now rather than later. This delays surgery until after the New Year . . . and at this point, because I'm heading to Hawaii for a workshop for work in early February, I'd probably even wait until after that to do anything.

And, you know, that's fine with me. Because if I do have surgery again, I'd rather it be to fix my lopsidedness and to trim the "dog ears" at my waist. And, I'm happy to allow the t-cells (Herminator cells) and Abraxane to keep doing their thing. : )

Visit with the plastic surgeon . . . and side effects

I saw the plastic surgeon today and ultimately, he said that he would do the lat-flap surgery (use the latissimus muscle under my armpit) and that ultimately the timing of the surgery would be up to Dr. F, my surgeon. So, I'll wait a couple of days and then call Dr. F's office to schedule an appointment and talk about timing.

There's a part of me that wonders if the whole area would eventually heal itself. However, I remembered that the wound probably wouldn't heal as long as I'm on Abraxane. Dr. K would like for me to be on Abraxane for six months, which means that I'd end up with an open wound for at least that long. And, with an open wound comes the risk of infection, like I had last month. I also have a surface infection, too, which looks like a green discoloration on my dressings. It's "pseudomonisis" which is the bacteria that grows in your vases when you have flowers. I've been trying to get rid of it for almost a week now. It got a little bit better after I saw the wound care nurse - as she cleaned the area really well - and even though I've cleaned it with iodine once and have been trying to flush the area with saline, it's hard for me to do this without getting saline everywhere . . . Anyway, I guess I think that that armpit area seems to get infected easier than the other wound I had, so I might as well get the whole thing repaired to decrease that infection risk.

I told Dr. H (the plastic surgeon) that Dr. K (my oncologist) would be willing for me to take about a 6-week break from Abraxane in order to have the surgery, and probably even more so now that my tumor marker dropped so much in just one month, so that there will probably be very low levels of cancer cells running around in my system. Then, after I am recovered from surgery, I would go back on Abraxane to knock the rest of those cancer cells out.

I also asked Dr. H if he could trim the "dog ear" that was left at my beltline from the reconstruction surgery. He said that he would. I also asked if he could drop the implant down to match with the TRAM flap and he said that he'd rather not mess with it, since I have such a major wound on the armpit and he didn't want to open anything else up. If, however, cancer or bacteria got onto the implant, he said that it would have to come out. So, in the end, he said that he might bring in a spare implant and would try to drop it farther down into the pocket, so he might be able to make me more lopsided. That is, if the implant had cancer or otherwise had a risk of infection.

So, in terms of other side effects, I wanted to report that my scalp is now breaking out in zits. It's also pretty tender in some places. Now, I have to figure out how to take care of the scalp - one website said to treat it as you do your face, with milder moisturizers and cleansers.

In addition - and forgive me if this is too much information (Daria at LIving With Cancer also wondered about reporting these side effects the other day in her blog; in the interest of passing on my experiences to other cancer survivors, I'm telling my readers what's going on) - I have had some constipation (from the anti-nausea meds). I have some Chinese herbs from my acupuncturist that seemed to help me become regular again sooner than I did previously. But, last night, my stomach muscles starting cramping again. I think I reported that it seemed to do that the evening of my treatment. But this time, it happened three days later. It's been acting up all day, too. It seems to cramp up a couple of hours after I eat. And, I have had some mild diarrhea off and on all day and the cramps seem to get a little bit better afterwards. So, I started wondering if the cramping was happening in my intestines rather than in my stomach - and that they are cramping trying to get the food processed through my digestive system. So, I'm trying to drink lots of water. And, it's all complicated this time by having a head cold and taking some nasal decongestant medicines. (I am going to do my best to avoid crowds and public places while I'm on Abraxane - I don't need to deal with colds on top of my other health issues!)

So, a talk with Dr. F is in order sometime this week. I see the wound care nurse tomorrow and will also see what she says.

That's the Plan, Man!

I saw Dr. K today . . . it was great to confirm with him that the whole area with the wound has changed - in particular, the satellite lesions are smaller and a couple of the lymph nodes are smaller. So, I am responding to the Abraxane treatment. He asked how the treatment is going in terms of side effects, and other than fatigue and hair loss, it's doable.

He also took a look at the wound - morbid curiosity he said - and I'm glad he did so that he knew better what the surgeons and the wound care nurse are seeing, And, he's willing to let the surgeons decide if and when we do surgery to remove the rest of the diseased and dead tissue and to use plastic surgery to rebuild it.

Which means that I do the next round of Abraxane treatments, through November, and if the surgeons decide to go forward with surgery, then I'd go ahead with it in mid-December. However, if the plastic surgeon is away and I end up waiting until January, I will get the third round of Abraxane treatments in December, then take a break and do surgery.

After I recover from surgery, then I would do another few months of Abraxane. AS long as I keep responding, then Dr. K would keep me on it for six months total (with a break for surgery, if that is what we decided to do).

Fine with me. So, I've got several months more of being bald. I will definitely get a Henna tattoo at some point! : )

Realized the other day that . . .

I will have plastic surgery

ON MY ARMPIT.

Not a facelift, tummy tuck, or brow lift. (Not that I would do that anyway.)

But still.

MY ARMPIT! LOL!