I don’t know who out there will care to read the details of this, but I’m the kind of person who likes to know what to expect going into something, so maybe this will help someone else someday.
I’ve gotta be honest, it was worse than I expected. Not worse than the worst thing I imagined, but worse than I realistically thought it would be. Here’s how it went down. I got to the Cancer Center at 7:30 and I was called back by 7:45. I was shown to a small room to change into a gown – this time the gown was long and tied in the back, but I got to keep everything on below the waist. After a short wait, I was called back to have my vitals taken, then I waited until I was called to the exam room. There a technician, Ann, who was incredibly wonderful by the way, unbuttoned the left sleeve of my gown to expose my breast. It was nice that I got to stay mostly covered.
Ann did an ultrasound to locate the lump. That part was totally painless and no big deal. She explained the procedure – the doctor would numb my breast, then insert an outer needle, then use a smaller needle to extract the tissue. He’d do that a few times and that would be it. Hearing that, I honestly thought this was going to be ok, I thought I’d be fine.
When the doctor came in, he was very kind. He looked around using the ultrasound wand, which didn’t always feel great when he was pressing on the lump, but no big deal. After about 5-10 minutes of this, the doctor and technician began making preparations. They used a regular plastic straw to make an indentation on my skin where the needle would be inserted, then they sterilized the area they’d be working on. They gathered all their materials while I laid on the bed and tried to relax. The doctor got the ultrasound wand in place, then said, “Ok you’ll feel a little pinch and some burning.”
Ok, so I thought the numbing part would be a poke, ONE POKE. I had prepared for a single poke. Poke and done. No no no. It was more like poke, poke, poke, POKE, POKE! POKE POKE POKE!!! I was very uncomfortable and wasn’t breathing well. Ann kept asking if I was ok; I just nodded my head and kept my eyes closed. I honestly thought he’d never be done, but finally, blessed relief, he pulled the needle away. They were both very concerend about me, saying I had lost my color and didn’t look ok. Ann moved the top of the bed down to get blood back to my head, and told me to take it easy and breath.
After a few minutes, when I had regained composure, the doctor demonstrated for me what the extraction needle would sound like. He used the word “vacuum” more than once, so I got really scared, but I think it was more like a spring-loaded mechanism. It clicked twice and sounded like a mousetrap. Apparently at this point he made a small nick in my skin and inserted the outer needle, but I felt nothing. However, I still wasn’t breathing well. I got really lightheaded and weak. Ann got me a wet washcloth for my face at one point.
Here’s the thing, it took a long time. I had asked Ann how long it would take once the outer needle was in, and she said about 5 minutes. This is what I had mentally prepared for. It took much longer! I think he had a little trouble getting the samples he wanted. I could feel the pressure of the wand and his hand moving around and it made me feel really queasy. No sharp pains, but the sensation was unpleasant. He’d adjust for a few minutes, then say, “You’ll hear a click in 1, 2, 3.” *Click” “And another in 1, 2, 3.” *Click” The clicks were fine, no pain, but it’s strange to know what that click means.
Then the doctor would pull the inner needle out, which I saw briefly in the corner of my eye. Actually I didn’t see the needle, but I saw that it was attached to a small handheld machine. Anyway, he put the sample in a specimen cup, then repeated the whole process. Each time it took what felt like 10 minutes, but was probably realistically 3-4. The whole time he was doing this, the doctor and Ann were chatting. Just small talk stuff that I think was supposed to distract me, but I was totally focuses on not freaking the fuck out.
When he went to get the third sample, suddenly I felt something. It wasn’t incredibly painful, but he saw me flinch, and I explained that I was feeling more than I had the last two times. He insisted I must feel NO PAIN! and immediately gave me more Lidocaine to numb my breast. By this time I’m barely holding it together. It’s just hard to stay calm for that long when you’re uncomfortable, even if there is no real pain.
He took a third and fourth sample, and said he was done, but then realized the last extraction didn’t actually get a sample, so he had to do a fifth. Then finally, sweet Jesus finally, he said he was done. But he still had to insert a small clip to mark where the samples were taken from. Ann had shown me earlier what it looked like. It was a teeny tiny piece of metal shaped like a breast cancer ribbon. I didn’t feel that happening either.
Then he pulled the needle out and I felt so much relief. I felt like I was breathing for the first time in about 30 minutes. Ann put pressure on the injection site for five minutes. It was a little uncomfortable because she was pressing down on my breast, but she and the doctor talked to me the whole time. The doctor gave me his card, said a kind farewell and left the room. Ann helped me sit up, got me a cup of water, then put steristrips on the injection site. I was still feeling really weak, so she had someone come in with a blood pressure cuff to make sure I wasn’t going to faint when I stood up.
I had to walk to the mammogram room, and Ann just took two films – one from the top and one from the side – to have evidence of where the metal clip was. She only had to close the mammogram panels about halfway, so no pain. She dressed the wound and I was lead back to an exam room, where a nurse took my vitals again, redressed the wound, and explained how to care for it over the next few days.
I have a refreezable ice pack I can use inside my bra today, and I can take Tylenol for any discomfort. I took some when I got home and some more four hours later. I’ve only felt slight discomfort. I can’t get it wet for two days, and I have to take it easy for at least 24 hours.
I arranged to work from home today, and thank god. By the time I left the hospital, I was almost crying and I was completely exhausted. Holding yourself together for that long is emotionally draining, and I felt on the verge of tears for about an hour afterward. I got home and laid down for an hour. Some women I’m sure can skip out of there and go about their days, but I needed to recompose myself first. I feel fine now. I’ve been using the ice pack, taking the Tylenol, and being gentle around my left boob.
I think the hardest part is that I was unprepared. I thought it would be pretty easy and fast, and I was not mentally prepared for what it really was. Anyone with more experience with medical procedures would probably think this was no big deal, but for me it was more of an ordeal than I had bargained for. All in all, I was there for two hours. Two hours of holding my shit together! As far as the actual procedure, I’m sure time was warped for me, but from the time the numbing needle went in till the time the extraction apparatus was removed, I’d say it was about 15 minutes. Though I almost said 30 because it felt like an hour, so that seemed generous!
The doctor was pretty confident that the results will come back with nothing to worry about, but I won’t know for sure for 2-3 days. I really hope everything is ok because a) obviously I just do! and b) I don’t think I can handle any more procedures for awhile.