Note to self: never get cancer in July

Once I settled the boob-removal, it was time to enter the reconstruction phase. I talked to Dr. Whang and she highly recommended Dr. White, and mentioned he is an artist--both in the OR and out, as he sculpts in his free time. This sounded incredibly promising, so I called the receptionist and got an appointment without having to play 20 questions. Fabulous!

Since they worked me into his schedule so quickly I barely had time to do my homework on reconstructive surgical options. I did read enough to learn that I much rather have a tram or DIEP flap in lieu of implants. I know, I know...this is all too complicated and kinda gross. Imagine how I feel. But here's the bottom line: If I had to go through all this surgery and long recovery I didn't want to have to be in the OR once and again over the course of my life. 40% of all women who get implants have them removed or re-adjusted within 5 years. Most require adjustments every 7 to 10 years depending on physical activity. This was the statistic that sold me on the tram--that and the fact that I'd get a tummy tuck AND new boobs, for free...can't beat that deal!

It was probably the HOTTEST day of the year when I made my way to Dr. White's office, notes and questions in hand. I generally make it a policy to meet and talk to doctors while clothed, and thankfully Dr. White and his staff obliged. Since I wasn't getting into a gown I had a bit more time to read the numerous plaques in the office: Two best of the Bay Area Doctors covers ('04-'05), and one Best Breast Reconstruction Surgeon (in the country!) 2001. Looking pretty good!

When Dr. White finally walked in he apologized for his sweaty shirt, and we talked about the abnormally hot weather for a bit. He was kind, had a great smile and a steady hand--all good things in a surgeon. I also liked this "bed side manner" as he took the time to talk to me about my options, including implants, just to make sure I understood there are some advantages despite my reservations.

I didn't even have to ask for pictures or past patients' names when he pre-emptively volunteered some names (and contact info!) so I could judge the results for myself. He also mentioned I should never have any problems getting in to see him as he'd be glad to squeeze me any time. Finally, he had OR privileges at Stanford and had worked with Dr. Dirbas before. All the pieces were fitting together.

Though I had a great feeling about Dr. White, I still wanted to talk to his patients, see the cosmetic results, and ask some key questions to finalize my decision. This is how I met Aletha. She not only returned my call immediately, but 24 hrs later I was sitting in her living room asking her all kinds of questions about her experience, Dr. White and the type of tram she'd had. She was so incredibly open and giving, and was even willing to show me the results or her reconstruction. She raved about Dr. White and gave me names of even more patients I could talk to. But I was sold, no need to shop around for more names. Dr. White it was!

Except, surgeons have to go on vacation some time. Sadly summer is generally that time. After talking to the schedulers for Dirbas, Whang and White we came to the conclusion that not even divine intervention could make the schedules work to allow a surgery (and appropriate time for post-operative care) before Dr. White's sabbatical. Back to square one. Poopy!

And so I started the search again, only this time my first question was: "Will you be on vacation any time during the month of July or August?" It seems like a VERY popular time to relax, especially if you are a highly qualified reconstructive plastic surgeon. Which really stinks when you have cancer in July. But fortunately, after many, many, phone calls and much background research (thank you Allie!) I settled on Dr. Gurtner. Thankfully not only was he NOT going on vacation, he could perform a DIEP flap which would conserve my stomach muscles intact, thus speeding up recovery and allowing me to continue my amateur triathlon career. YAY for microscopic surgery!

Now all we need is an open OR for a 10 hr. surgery that coincides with the times both surgeons, the anesthesiologist and the staff are neither in clinic, nor asleep. Easier said than done, even with 21 (yes...Twenty-ONE!) ORs to choose from. And you thought finding the surgeons was the tough part! I am still waiting on a final surgery date...sigh.