February 2010 Mastectomy

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  • cornellalum
    cornellalum Member Posts: 191
    edited March 2010

    Chalex - the hole from one of my drains is continuing to leak, and my incision also leaked at one spot. It was yellowish fluid tinged with blood, much like what was in the drains.  I also had a lot of redness and swelling.  My bs said it was an infection, opened the incision more to continue to drain it, and now I have nurses coming to my house every day to change the packing and dressing.  The incision has continued to leak (a lot) for the last three days.  It's pretty yucky.  Are you on antibiotics? Is there any other redness or swelling or pain?  What does your doctor say about it?

    (the fun continues, huh?)

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Hi cornellalum,

    Thanks for getting back to me so quickly. I called my BS and talked to them about what was going on. I went to clinic yesterday (she added me in) and they swabbed it for infection.  Mine is more of a greenish and thicker than the drainage b/f when I had the drain. The drain spot is red and more open looking then b/f.....

    I am on antibiotics. I have been on them since the surgery b/c I had rads b/f surgery. I do have pain and my skin is red (but it's hard to tell if it's from the rads or not).

    How often do you change the packing?

    Chalex

  • caltex_catlady
    caltex_catlady Member Posts: 136
    edited March 2010

    Kayne: That's so true about the instructions on lifting things. Thanks to someone on these boards I knew to have bendy straws available, because it really is true (I didn't quite believe it) that you can't even lift a glass. Or open the fridge--that one I hadn't thought about. There's a lot of suction or something on a fridge door.

    The biggest challenge has been being unable to use my arms to get in or out of bed or adjust myself easily when sitting. I've been using a BedLounge on the sofa, which has been great as a way to have some support when sleeping, but I do crave being able to lie down and get up on my own. I hate having to get help unless I really need it.

    Thank goodness for pajamas and robes. I ordered another couple of pairs of pj bottoms in a larger size since I'll be getting more surgery for additional nodes next week. I'd like to have more in my laundry rotation. With both arms out of commission, it's been a challenge, but at least I can handle my own clothing, such as it is. Getting dressed well enough to go out in public is another matter. At home I can just wear a loose robe over my cami, but putting on a real shirt is harder. Getting one or even two sizes bigger than normal seems to be the trick.

    I go in tomorrow for a bone scan. My biggest worry about that is getting on and off the table and dealing with my drains. I should remember to time my pain meds for the outing. I didn't do that for my surgeon follow-up on Tuesday and I was totally wiped after that.

    Thank goodness I don't have to drive myself. Good luck with that, Debbie. I'm definitely not up for that yet, but I did have a bilateral.

    If I remember, I'll try to remember to have my dh take a picture of me with my chocolate cake and post it on my profile. Anybody else up for that?

    Karen (caltex_catlady)

  • Faith316
    Faith316 Member Posts: 2,431
    edited March 2010

    Mine is still dripping just a little and it is kind of yellowish, greenish in color.  It is lessening though.

  • dbdaze
    dbdaze Member Posts: 196
    edited March 2010

    olivia218

    You were right -- I should have waited a bit longer before driving.  Just getting the frickin seatbelt on was something -- I should have stopped there but the sun was shining and freedom was beckoning!  It didn't hurt too badly while driving but walking around in public was interesting -- all I wanted to do was hold my arm up close to my body, in a sling position, but I was self-conscious about looking strange.  The one person I ran into who knew I had had a mastectomy stared at my breasts the entire time we spoke!  (Now that might have been because I packed those little babies full before venturing out and normally I don't have much to speak of -- I might have over done it.  LOL)   Anyway, I'm glad to be back home.  I may just re-neg and have my hubby drive me to my doctors appt tomorrow morning.  I had just kinda wanted to be alone at that first visit.  Guess I'll see how I feel.

     Sending positive thoughts to everyone!  ~ Debbie 

  • olivia218
    olivia218 Member Posts: 257
    edited March 2010

    Debbie - 

    I understand wanting to hold your arm close to you. It seems like everyone stares at my chest. I was not large to begin with so what makes them think it is any different now??

    So of the FAQ's that we did not get -

    how long do I wait to shave my underarm? 

    and does anyone just feel over emotional? I think I can cry at a moments notice and not sure why now?

    Olivia 

  • Faith316
    Faith316 Member Posts: 2,431
    edited March 2010

    Debbie -- I, too, feel like people I see who know me and know I've had a mx are staring at my chest.  Makes me not want to see people I know when I do venture out. 

    Olivia -- My emotions were kind of running amuck a few days back but I seem to be rebounding some in the past few days.  We finally had sunshine today.  Its amazing how a little sunshine can pick your spirits up.  

    Karen -- hope your bone scan goes well tomorrow.  The techs will help you get situated on the table, but I agree that timing your pain meds will help you be comfortable through it.

    I hope cakeisgreat did well today.  That is everybody.   We are ALL on the other side of surgery now.  Yay for all of us!  We did it!!!

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Hi Ladies,

    I am not able to drive at this point. Too much pain still. Good for those of you who are driving or have tried.

    dbdaze- I agree about people giving you a look over when they know you have had a mx. Luckily where I live it is cold out and I need to put on an extra layer of clothes. I am lopsided and badly b/c I was bigger breasted. No one can really tell b/c of the extra clothes.....I have not gone yet to get the protheses. I can't do any reconstruction for a year b/c I had rads b/f surgery....

    Question: How is everyone's ROM with their arms? I have to go to physio now b/c I can't get my arm over my head or behind my back. I also have pain down my arm, anyone else?

    Chalex

  • LauraM
    LauraM Member Posts: 251
    edited March 2010

    Chalex - I had the dmx, SNB with immediate tram reconstruction and both my arm ROM are excellent, I can lift my arms straight up above my head and out to my sides. I have been very surprised that it has been so good, I have no issues even getting my camisole's on an off on my own.  I am sure after my next surgery on the 12th, when they take out all my nodes under my left arm, I will have some ROM issues.  They told me then that I will have lots of exercises to do.   

    I did get out both my other drains today, so that is making me feel better.  But another drain will be coming next week..ugh

    I am surprised that so many of you are up to driving.  I am still so tired and taking long afternoon naps, maybe because I had the reconstruction done at the same time. 

    I am not even up for much company yet, I am OK with people coming for 15 min or so, but any longer and I have had enough. It is not like I don't like people, I am such a people person, but I feel like if they stay any longer then I have to entertain them.  Anyone else feeling like this?

    I am finally coming to grips with the finding of the the 2 other cancer spots, I see the oncologist on the 19th and should know more about my treatment.  Both my ps and bs think I will need chemo since I now have multifocal cancer sites..what are you going to do?    My ds wants to cancel our pending trip to Florida for spring break, but I keep telling him to believe that I will be OK to go.  My inlaws live there and we go every year and it is such a nice relaxing place to go to.

    I am thinking of Cake tonight and hoping she is felling good.

    Hugs and Prayers to all!

  • cornellalum
    cornellalum Member Posts: 191
    edited March 2010

    Chalex - the packing gets changed once a day by the nurse.  I can't do it myself because the packing material has to be pushed down into the 4 cm hole under my incision, and I can't see it to do it.  They have been putting a huge bandage on it that is soaked through by the next day.  Lovely vision, huh?

    My ROM has been ok.  I can get my hands over my head, but not straight up yet.  I think the node surgery had more effect on ROM than the mx. I have been pretty good about doing the stretches they gave me, but I had to stop the stretches on the left side b/c of the infection.  I have noticed that my ROM on the right side has been better from the beginning.  I assume that's because I am right-handed, and so I have just naturally been using that arm more.  Maybe you have been favoring your mx side too much.  Perhaps making yourself use that arm for more stuff, even just grabbing a glass of water or brushing your teeth, will help.

  • badger
    badger Member Posts: 34,614
    edited March 2010

    Sisters - sorry to hear of slow healing and set-backs, please know I'm sending prayers and well wishes your way!

    Laura - if you go through chemo, we can go through it together.  1 mm mini-micro-met in one sentinel node means I go after it.  Starting Tuesday I'll have TCx6 every three weeks so done end of June.  Anyone else going on to better living through chemistry?

    And yes I'm still planning to eat choc cake with y'all, heck I still say start 3/6 and eat a slice a day Tongue out

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Thanks Laura and cornellalum for your info.

    Laura, I am with you on visiting people. My limit is about an hour and then I find myself dragging myself to talk and normally I am a yakker too. I agree also about feeling like we need to entertain other people. I am happy to see them but stressed at entertaining them..... I also tire of answering the same questions too. I know our friends mean well but it's exhausting saying the same thing over and over....

    I have done chemo and I am happy to answer any questions or concerns you may have regarding it. Sorry you have to go through more treatment.

    Cornellalum- I agree about the node surgery makes the difference. I have trouble straightening my arm and I am not sure it's tightness from the rads or the node dissection. Either way I have to know go to physio.... I can use my wrist and hand well.

    When your incision was infected, did you feel alot of pain? My drain opening is killing and all the way down my side.

    I hope Cake is doing well. Thinking of her and sending her happy vibes.

    Chalex

  • cornellalum
    cornellalum Member Posts: 191
    edited March 2010

    Chalex - yes, the infection at the drain incision hurts, hurts,hurts!  The infection at the mx incision doesn't hurt, I assume because it is completely numb there.

    Have you been doing stretches with your arm? I am doing them every hour or two - reaching up and behind my back, and shoulder rolls. I don't let more than two hours go by without stretching during the day because I can feel it getting really tight.  I also try to remember to sit up straight and not slouch, because I can feel the stretch in my chest when I straighten up.

  • chalex
    chalex Member Posts: 131
    edited March 2010

    cornellalum- Did your Dr do a swab on the drain incision? I was swabbed and then they will culture the drainage on it. Not sure how that will take. The drainage incision looks like a blister and has increased in size since last week. Do you know the name of the infection at your drain site? I totally appreciate you giving me your feedback and experience with this.... I also hope you get over this nasty infection soon too...

    I have been doing the stretches when I think of them. I admit I need to push myself more. The pain tends to hinder my progress. Good point about the stretching your chest incision you feel when you don't sit up straight.

    Thanks for all you help,

    Chalex

  • cornellalum
    cornellalum Member Posts: 191
    edited March 2010

    Chalex - I sent you a PM

  • Faith316
    Faith316 Member Posts: 2,431
    edited March 2010

    I am having pretty significant ROM issues and I think it is because in addition to the mx, this was my second axillary node dissection.  It is the dissection more than the mx that causes ROM problems.  I am going to talk to my surgeon about physical therapy at my next appointment.

    By the way -- I also have had chemo.  I had 4AC, 12 weekly Taxol with concurrent Herceptin, then just Herceptin alone.  (Also 30 radiation treatments.)  Then, 6 months of Xeloda and Tykerb and now just Tykerb.  I know some of you are getting ready to start or maybe have already started some chemo treatments.  So, if I can help answer any questions for any of you girls, I'd be glad to.

    Hope you all have a good day.  

  • Kayne
    Kayne Member Posts: 103
    edited March 2010

    Groundhog and Laura---  I too will be starting chemo either on the 15th or the 22nd.  I will find out on Monday, the 8th.  I will be doing AC 4x every other week, Taxol 1x week for 12 weeks,  then radiation, then hormone therapy.  Do not know how much radiation yet.  I can only absorb so much info at one time.  I am also going into a clinical trial for Avastin for High Risk lymph node neg. breast cancer.  this is in addition to the chemo.  Very nervous about chemo. 

    Yesterday I had ekg, ecco, which didn't work- she couldn't get a clear picture of my heart.  So insurance my just have to approve the muga which they denied.  Also had chest x-ray, blood and urine test. 

    I have much better ROM in my left arm than my right.  I had 15 nodes removed on my right side. I am also right handed.  Big difference between the two. 

     My husband wants me to come into the office for a meeting today.  Lets see if everyone stares at my chest.  My bet is yes!!!  Do all your friends want to see your chest?  Mine do, I showed my sisters but not my friends yet. (I'm ony talking about my 2 best friends) 

    Hope everyone has a good day and feels great today!!

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Hi Ladies,

    I have also done chemo and rads too. I am happy to answer any questions as well.

    I was on FEC and then taxatere. I am doing Herceptin until Nov, 2010

    Kayne- I was also in a clinical study and the good thing is that they really check you over and get lots of follow up.

    cornellalum- I sent you a PM.

    Chalex 

  • dbdaze
    dbdaze Member Posts: 196
    edited March 2010

    Kayne,

    Talking about showing your chest to family, I have 3 young adult children with disabilities who live at home.  My two children who are blind were able to understand and discuss the diagnosis, surgery and outcome.  My son with Down's Syndrome somehow got it in his head I was pregnant!!!  I talked til I was blue but finally had to resort to unzipping my camisole and showing the flat bandaging while making a wild karate chop in the air to resemble it being cut off.  He just stood there, mouth agape, saying "Oh, my God"  My words exactly!!! LOL

     So .... how did the office meeting go today?

    I had my first post op appt this morning -- drainage tube came out and got rebandaged.  He also said that the pain (that tightness) would continue to get worse over the next couple of weeks, after which it would start to subside.  He asked me to continue to restrict arm movement on my left side over the next 5 days so as not to provoke any unnecessary drainage.  Decided to refill my pain meds in order to be properly prepared in case I need it!

    Sending positive thoughts to all, especially cake.

    Debbie 

  • dbdaze
    dbdaze Member Posts: 196
    edited March 2010

    BTW, what's ROM? 

  • badger
    badger Member Posts: 34,614
    edited March 2010

    ROM is range of motion

  • cornellalum
    cornellalum Member Posts: 191
    edited March 2010

    Hey ladies - hope everyone is doing better than yesterday.

    Cakeisgreat - thinking of you, and hoping that everything went well.

    Chalex - sent you a PM

    Everyone - so here's a question: what is it with people wanting to see my incision???? They never asked to see my breasts, so why do they think it's ok to ask to see the incision?  Is it like the traffic on the opposite side of the road slowing down to look at the accident?  WTH?

  • badger
    badger Member Posts: 34,614
    edited March 2010

    Geez, how rude!  No one has asked me that, maybe they're thinking it but haven't said out loud...

  • MNLinda
    MNLinda Member Posts: 204
    edited March 2010

    Add me - BMx on Feb 18th after neoadjuvant chemotherapy.  My oncologist says I had a pathologic complete response to the chemo.  I'm now weighing whether to have radiation.  No reconstructive at this time, possibly in the future.

  • Faith316
    Faith316 Member Posts: 2,431
    edited March 2010

    Hi Linda and welcome.  I'll add you to our group list.  Congrats on your good response to chemo.  That is wonderful!

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Hi MNLinda,

    Welcome to the group. I am glad for your news of having a complete response to chemo. That's awesome! Could you get a consult to talk to a radiation Dr. I would try to get input from them so that you can make an informed decision.

    dbdaze- I am glad you got your drains out and I am glad you got more painkillers. I hope you don't end up in too much pain with tightness across your chest.

    When it comes to people asking about about the incision, I have not had anyone ask to see it but I have offered to show it to a couple of my close friends. I guess I have not had anyone ask..... yet....

    Chalex

  • chalex
    chalex Member Posts: 131
    edited March 2010

    cornellalum,

    I sent you a PM.

    Cakeisgreat, Thinking of you and I hope you are doing OK after surgery.

    Chalex

  • guardienangel
    guardienangel Member Posts: 26
    edited March 2010

    hey everyone!!! have i told you all how much i love reading and getting a better understanding of our situration!!!

    its been nine days now! and I can actually move around quite well... i went for a short walk around the block yesterday,,, and had a bird bath,, in the TUB!! omg! that felt like heaven! I am off the Oxycodone now, just taking tylenol for pain,,, BUT mobiity is still pretty limited with my arms... I can hold a coffee cup and food bowls now though!!!! YAH for me!!!!

    OH!!!! i meant to mention ,, how i carry my little bottles around!!!!!!! I got one of my fanny packs!!! and they all stored in there nicely,,, without any pulling or anything!!!! i think other woman have written that here before,, but thought i might say it again!!!!!

    Again, god bless all of you,, and thank you!!!!!

    deb

  • chalex
    chalex Member Posts: 131
    edited March 2010

    Hi Deb,

    Glad you are making progress. I bet you can't wait to have a real shower. I hated that feeling of doing the "bird bath" too. I hope your drains come out soon so that you can enjoy a nice shower. Funny, the little things we look forward to now. Even a nice walk around the block feels good when you are cooped up inside the house alot....

    Wishing you all a nice day!

    Chalex

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