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Here We Go Again - Preparing for Breast Reconstruction

2/1/2026

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I've kind of been dreading flipping the calendar page to February 2026.

Today started feeling heavy as I opened up the tote containing items related to my breast cancer and double mastectomy. I packed these items away with care months ago and it felt like I was able to close up that chapter. Pulling out what I needed this morning transported me back to last year, hit with what I've known all along - it's not over yet and I have to keep going.

Tomorrow I have my pre-surgical appointments to prepare for reconstruction surgery on February 24. I cracked open my patient navigation guide and notebook that contains all of the questions and answers I gathered since my diagnosis in February 2025.
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I revisited notes I took last year about the surgery I have coming up, a DIEP flap breast reconstruction. I wrote down a series of new questions and topics I want to revisit. I read up on the procedure again and watched some educational videos. Being prepared in this way helps me feel a little more in control and allows me to better advocate for myself. 

Starting the pre-op, op, and post-op process all over again is what is giving me the most anxiety. I know I'm in good hands at the University of Iowa. I have a wonderful support system ready to help take care of me. I made it to the other side of a breast amputation and recovery. Pain is something I'm prepared to work through. Joel and I know the drill and routine of it all. Nevertheless, the butterflies in my stomach continue to flutter around.

​My trusted talisman and lucky charms are pulled out. My outfit is hanging in my closet. My bag is packed with my navigation guide and notebook. I'm as ready as I am going to be for tomorrow and beyond.

If you're reading this, please send good and healing vibes my way. I'll absorb as many as I can get. Thank you in advance!
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    Augusta Sires

    I'm a Midwest girl on a path to peace. Finding happiness in life, not things. Join me.


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