August 2010 Mastectomy

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  • Paula1231
    Paula1231 Member Posts: 456
    edited August 2010

    Hello All,

    12 days post op today and I am out of my pajamas!  Took a joy ride to the grocery store.  yippee!!  Good news from the pathology department.  All nodes negative.  Got one drain removed and hope to remove the other on Monday.

    Hang tough Lago, it could be the drain or the stitches.  My PS cut the end of the stitches last week.  I am more comfortable now.  It is a good thing to be out of the hospital.  Much more chance of infection there than at home.  I have researched and found two excellent PDF's regarding the treatment of BC from the Oncologists point of view and one on the latest 2010 findings on all that is BC.  I will be happy to e-mail them to you if you PM me because I cannot attach them.  Excellent and informative. 

    Note to all:  LIFT NOTHING post op and after less than 5 lbs for 6 wks post op.  No excerise until all drains are removed.  This from my surgeon and PS.  Speedy recovery to all!

  • lago
    lago Member Posts: 17,186
    edited August 2010

    Paula…Great News on the nodes! Sorry you're a slow drainer Tongue out

    no drains for me yet. Surgery Tuesday for me. I hear the same thing regarding exercise. Actually heard no Aerobic or Aerobics not sure which one for 3 weeks!

    I'm sick of cleaning. I think I should have passed on the dinner out tonight and hired a cleaning service instead. Well all the floors are now clean except for bathrooms.

  • Halah
    Halah Member Posts: 352
    edited August 2010

    I have a housekeeper that comes in weekly. I spend time with my friends and always find reasons to laugh. Nervous laughter mind you. I am going to curl up in a warm soft throw tonight and listen to music. Tomorrow morning I will change the sheets and do last minute laundry and take a morning bath. Then with hibiclens will bathe in evening and morning of surgery (ordered by doctor). Need to be there by 9am Monday! It's down to the wire!

    Lago, why not a post op camisole prior to surgery? I know I wouldn't want to go out and look for things after the surgery. I was able to get a prescription for two and my insurance paid for them. The camisoles have places for the drains which I will use immediately after surgery. I know I'm a DD so the top will fit much differently afterwards of course, but I focused more on the middle and bottom, how it fit there

    Lisa, was your surgery really on a Saturday? I always wondered about that one.

    Good for you Paula, the nodes being negative.

    Wishing everyone all the best.

    Mindy Wink

  • Anne068
    Anne068 Member Posts: 176
    edited August 2010

    Listen to the Dr and the ladies here. NO LIFTING! You don't want to have to deal with seroma. It sucks!

    As for cleaning, you can contact "Cleaning for a Reason" ... They clean homes of cancer patients undergoing treatment for free.

     www.cleaningforareason.org

  • BrightEyes
    BrightEyes Member Posts: 27
    edited August 2010

    Hi again,

    Congrats on the neg nodes, Paula! 

    Prescription camisoles??  Don't know about those, but my sil sent me one that's brilliant--super stretchy, so you can pull it all the way up from your feet, over your hips, etc., and it still ends up looking like a camisole, not a tent.  It's got a pocket on the inside to hold the drains. That part was too small when I had all 4 drains, but worked well for two.

    My driving was limited more by pain meds and my own unease at not being able to turn or move my arms quickly. I drove 9 days post-op (don't tell my mom! Wink).

    And Winterstorm, I second Marly: lift no thing for a few days if at all possible. I did get on the exercise bike (not the kind w/ moving arms) pretty quick b/c I felt like a slug and thought it would help sleep and med-induced constipation.  And thanks, I did get those last drains out. Sealed

    Finally, I just have to very gently and cautiously add a word about length of hospital stay: trust your body. I ended up asking to stay a third night, b/c I knew I would not rest enough at home, and just was not ready to face my world.

    BrightEyes 

  • lago
    lago Member Posts: 17,186
    edited August 2010

    I need a camisole? I need one with pockets? I just thought I could wear those miPods hanging from my neck on a cord. I also have some cute small purses (http://www.robbiewear.com/robbiebags.htm). Can't I just stick them in there? I also have a fanny pack. My PS claims I'm only having 2. (BS says 4).

    I'm sick of buying stuff that I will only need for a few weeks. Guess I'm cheap. BTW I found cheap pillows at Target for $5 each and one of those back rest things with arms for $15. I don't have room for any extra stuff. The joys of city living… limited storage space.

    The brown elephant gets lots of stuff from me. Hmmm maybe I need to find a place that the money goes to cancer research. Brown elephant goes to Howard Brown (AIDS). They have been getting my stuff for decades. Maybe time to spread the love somewhere else. Granted I spend quite a bit sponsoring friends doing BC walks/runs every spring. Never new I was being self serving doing that. (One of my friends teams is called the Cupped Crusaders).

    Winterstorm, just in case things get to crazy tomorrow I do want to wish you the best of luck.  9AM isn't bad at all.

  • Carlatap
    Carlatap Member Posts: 96
    edited August 2010

    Carol66 , I am a little confused about the sentinal node news you recieved. In tracking your history on this forum, you have had chemo, then bilateral mastectomy, which is when they reported that your sentinal nodes were positive, but others may be negative? So they want you to have radiation to take care of that immediate area although you are healing from reconstruction. I guess if I knew I had had the chemo needed, then the surgery, and then the nodes were still reported positive, I would demand a pet scan b/c there may be a chance that the cancer has passed through the nodes even after the chemo has been taken.. I would not be content with the radiation decision b/c that is only dealing with the breast area. those lymph nodes are filters to other areas of the body. You need to be scanned to see if the cancer has metastisized and the sooner the better! Or you had the choice of simply taking tamaxafin?  I hope I am not understanding your case b/c if I am I would get a 2nd opinion quickly. I just don't like the sound of this.

    Carla

  • lago
    lago Member Posts: 17,186
    edited August 2010

    BTW I was told to bathe with an anti bacterial soup (specifically dail) before surgery. What's this hibiclens? Also does this mean we have to wash our face with this stuff too? Do they mean no moisturizer on your face as well?

    I'm going to check with the nurse on Monday about the face. My skin is so sensitive. If I use dial on my face I know I'll break out… especially if I can't moisturize.

  • Halah
    Halah Member Posts: 352
    edited August 2010

    Lago, I got the idea about the camisoles from the thread "shopping, packing, to do list...". Nowhere is it written you have to get camisoles. But if it is covered by insurance, and all I had to pay was $7 for each camisole. It has these pouches that has velcro that attaches to a velcro strip inside the camisole. Also, if two pouches is not enough, then I plan on attaching the drains to the velcro with safety pins. Extra pouches are $14 for a two pack so forget that.

    In that same thread, someone else also suggested a fanny pack,  so whatever works! I know what you mean about having to buy so much stuff! If I went with what my care team said, then I would not have purchased zip up tops and sleepwear and I do believe I'd be in trouble!

    At pre-op, my hospital told me to use hibiclens in the evening and then the morning of surgery, so that is what I will do. If your care team said to use an anti bacterial soap like dial, I'd go with that. Hibiclens I got from my local drug store (Walgreens). My care team said not to use above the neck.On the box it says it's great for pre-surgical skin prep and  surgical hand scrub. "Hibiclens has antiseptic ativity and persistent antimicrobial effect with rapid bactericidal activity against a wide range of microorganisms." This was not in the soap section, Don't remember where, but I think it was near betadine and stuff.

    Right now I am doing laundry to include my sheets. I am going to use veet to remove body hair since I won't be able to shave for I don't kow how long, especially the pits. I hope it really works!

    We will get through this!!! Best to all...

  • Carole66
    Carole66 Member Posts: 63
    edited August 2010

    Carla,

    My sentinal node was positive but node 2 and 3 negative. I have those removed with my mastectomy. I had an MRI and PET scan before starting my chemo and again before surgery and everything was fine. I know it doesn't pick up anything until the tumor is a few mm.

  • taranebraska
    taranebraska Member Posts: 129
    edited August 2010

    Lago - My doctors said I could wash with any kind of soap the morning of surgery, and although they said no lotions, I HAD to put moisturizer on my face.  They weren't going to be cutting my face for pete's sake.  No problems, no infections.

    I am dealing with Anne on the seroma issue.  My nurse said I could come in Monday and drain them.  I'm just worried about chemo starting Friday, and having all the fluid built up.  I don't want chemo to get in there and hang for a while.

  • lago
    lago Member Posts: 17,186
    edited August 2010

    Tara: I keep reading over and over again when it comes to reducing the effects of chemo drink tons of water before, after and during as well as exercise. I think it helps move the crap out of your system. I think of it as WW (walk & water). Not sure though how the water will effect the seroma. (Also hear that exercise keeps your energy level up).

    Good luck with chemo.  Guess I won't know how your doing with it for at least a week into it. I think they will want me off the computer for a couple of weeks. There is no way I can stay online for just a couple of minutes. Minimum time for me is an hour or two at a time Tongue out

  • Anne068
    Anne068 Member Posts: 176
    edited August 2010

    That's something I hadn't considered Tara... chemo with seroma and the chemo hanging out in my chest area.  I still don't know if I'm having chemo,I won't until later this week. But I'm preparing myself for it. With my metabolism at "intermediate", the chances are leaning towards yes.  We'll see what the onoctype is and take it from there.

    lago.. I didn't get any special camisoles.  Just the regular ones with built in shelf bras. I just pinned my drains to them, and wore a loose shirt over it. , I also had some sweat pants that I could just slip them in the pockets.

    Just my $0.02

  • lago
    lago Member Posts: 17,186
    edited August 2010

    Maybe I can paint the pods and make them look like jewelry.

  • Halah
    Halah Member Posts: 352
    edited August 2010

    lol Lago. I wouldn't have gotten the camisoles if my insurance didn't pay for them. They would have cost me $64 (only cost me $7 each)! I agree, there are other alternatives.  But they are nice to have.

    Tara, good luck this week with chemo.

  • Marly
    Marly Member Posts: 70
    edited August 2010

    WinterStorm, I want you to know that I'm thinking of  you and wishing you well today (relax and enjoy yourself whatever way you want to!) and tomorrow. It'll be over before you know it, and you'll wonder why you worried so hard. Wink

    I wish I'd had camisoles! If I have to wear a chest girdle, I'd prefer something that girdles me all the way down instead of just up top. I think you're wise to have invested in them....they'll be more comfortable than what I have. 

  • Carrol2
    Carrol2 Member Posts: 2,903
    edited August 2010

    Hey I am on day 20 since my bilateral. Feeling pretty good so far. I had bought the softee camisole. I bought two so I could wash one. It was easy to get off and on and kept the drains from getting under me in bed and hanging when i got up. I was worried my cats would go after them lol. They were expensive but i liked them. It kept them hidden if I wore something really baggy on top like a zipper sweatshirt with the kangaroo pocket. The sweatshirts were the best thing for me. I got some button down tops but did not need many i was able to get a tank on by day 7. But I did the arm raise exercises a day or two after i got home from the hospital. I am pretty flexible no but  not 100% but I only had the one sentinal node removed nothing else.I still feel tight in my armpit but it keeps getting less. No swelling or seroma. Got one small bruise on my rib cage like 10 days later guess someone leaned on me during surgery lol. Got the drains out on day 10. 

    Anne

     I get my oncotype results on friday to see if I need chemo. so right there with you. I have been reading about chemo too and trying to plan my life around 6 months of who knows how bad it will be for me. I have a weak stomach so I am very concerned. I get GERD (gastro esohogeal reflux) and motion sickness so easy. I am coming to terms with the idea of hair loss. I made an appointment to get a free wig from ACS and a makeup lesson for chemo patients. I hear they give you free makeup for that from Estee Lauder and they teach you to put on eyebrows and stuff.

    If anyone needs to talk or has any questions about surgery that they are facing feel free to contact me. I would be happy to help if I can. 

  • Halah
    Halah Member Posts: 352
    edited August 2010

    Thanks Marly! Believe it or not, I am actually looking forward to tomorrow. Why? So I can get it all over with!! I did laundry this morning so all I will do for the rest of the day is chill. But I just know I am forgetting something! I do have butterflies in my stomach though. Before, it was total fear.

    Anne, Carrol,  I hope y'all won't need chemo. I, too, have reflux so not sure how I'd fare with chemo either.

    The camisoles I will be able to use even after I'm all healed, not just post-op. They came with breast forms which is terrific. These you can step into and won't need to put them on from over your head.  

    How long before y'all could pull tops on over your head? 

  • Nbb1032
    Nbb1032 Member Posts: 74
    edited August 2010

    Just wanted to wish Mindy, RobinLM, Lago and Sunny best of luck this week with your surgeries.  And Carla, so sorry you have to go through this second assault on your body.  I hope everything goes well.

    Welcome Brighteyes and RobinW - Glad you found us.

    I've been reading all of your posts on drains and have had to laugh because whatever you plan for something is surely going to go wrong.   I planned for 2 and got 4 (which I put in a fanny pack around my waist - worked really well).   My sister last year planned on bras with pockets but the tubes were too long and that really didn't work well.  She ending up pinning them with safety pins.   Because of her BMX last year I knew a little of what to expect but still didn't know what was really going to work for me.  I thought of hanging them from lanyards but that didn't work.   I had a few big shirts with two pockets and actually snaked the tube out of my shirt and put the two drains in each pocket (when I got down to two) and that worked very well for me.  My point is - this is going to be the LEAST of your worries.  Another thing to consider is what to do when you take a shower.  My sister had a little cloth pouch that she wore around her neck with a ribbon and put the drains in that when she showered.  Luckily she had kept it for me to use.   Also, you might wake up with the special bra that I had on and not have to worry about what you are wearing at all!    Relax, you will all figure it out very quickly!   And Lago, what a great idea about using them as jewelry!  Wish I would have thought of that!  

    Getting ready to drive down to Baltimore.  I get my first fill tomorrow!  I'll let you know how that goes.

    Nancy

  • Paula1231
    Paula1231 Member Posts: 456
    edited August 2010

    Mindy, RobinLM, Lago and Sunny,

    I am also sending you good luck and good karma for your upcoming surgeries.  I lit a candle for us all.  I am praying we all get thru this first stage of surgery and recovery and if we need rads, chemo, or hormone therapy, I pray we will all get thru that too and together.  One day at a time, and one crisis at a time.  I must say, once that tumor is gone there is a sense of relief.  Just having that bugger gone has given me a brighter outlook.

     Carla, I hope everything goes well, and I am soooo sorry this has happened.  I am sending gentle hugs your way.

    Brighteyes and RobinW, I am very sorry to meet you this way, but welcome.  I have found this site and the August Sisters to be a God send.  Just being able to laugh, cry and moan together has kept me sane in an unsane diagnosis.  I am glad but a bit sad you are with us.

    My 2 cents on the camisole is fruit of the loom sports bras.  they fasten in the front are soft yet have compression and cost 2 for $10 at the Walmart.  They are nice and hi around the underarm and do not irritate the incision where the node biopsy was.  I just safety pin my drains to the front bottom and wear loose tops or pj's. 

  • BrightEyes
    BrightEyes Member Posts: 27
    edited August 2010

    Lago, I wouldn't have (and didn't!) buy the camisole, for exactly the same reason.  I had little pouches that hung around my neck, and actually wore those more than the camisole, just under whatever button-up-the-front top I had on.  I'll have another surgery later though, and have worn the cami around the house a lot.  And no need to wash your face w/ the harsh soap, IMHO. You've got enough on your plate; don't need a break out as well!

    Oh, and I've been pulling on over-the-top tops for a few days now (surgery Aug 12).  Nothing tight or fancy, mind you, but casual summer stuff... I could braid my own hair a week after surgery, though. Wink

     Winterstorm, you will be in my thoughts and prayers throughout tomorrow.  I was really pretty worried the morning before surgery (due to the past 6 months) and they offered me anti-anxiety med as soon as the i.v. was in. I took it. Was simply done "being strong" for a while.

    And Robin, Lago and Sunny, you all will similarly be in my heart's pocket on Tuesday.  

    with love,

    Bright Eyes 

  • Chirps
    Chirps Member Posts: 91
    edited August 2010

    Winterstorm! RobinLM! Lago! Sunnybluesky! Best wishes to all of you in your surgeries!!

    I underwent BMX (no recon) on 8/10... Had a nasty headache and a little nausea going in (would that be 'stress'!?) but felt great right after! (The magic of drugs...) My recovery has been going pretty well (just a little seroma stuff that I wonder about, and ongoing soreness and tightness that's mostly annoying). I sure was happy to get "that step" behind me.

    Winterstorm, I have been wearing a pullover (very stretchy and/or baggy) since when I left the hospital. I think it depends on how stretchy the clothing is.

    My insurance helped with one of those post-op camisoles, but while at home I just pinned the pods to my shirt (a baggy cotton t-shirt ... that was under a baggier button shirt). Tried pinning to waistband of sweatpants first but didn't like this extra work when I had to pee! I got rid of drains on Day6, and up to then didn't go out much, so the camisole wasn't so "critical" for that time period for me.

    Driving -- surgeon said I could drive so long as it had been 24hrs since the last oxy pain meds.

    Weight -- no more than 15 lbs, as per hosp discharge papers. I didn't do even half that for the first several days! But I see that others here caution "no lifting" and I *do* have small seromas...

    Also "Walking is GOOD!"

    I think I would be further along with "exercises" but surgeon was on vacation last week and won't allow much before I get approval from her (tomorrow, I hope!).

    Also I plan to go to PT; it's cheap insurance, to get things properly moving asap. I had (idiopathic) frozen shoulder last year (not fully restored ROM from that yet) and I don't want to go there again!! I think many surgeons "overlook" this unless patient requests it, so don't be shy!

    Hope all here are doing well on treatment paths! So much reading to catch up on...

  • lago
    lago Member Posts: 17,186
    edited August 2010

    15lbs! is that with one arm or both. Gee when I work out I'm only up to 10lb hand weights. Do you mean after surgery I'm going to be able to move up to 15lb weights… Woo Hoo I might get rid of those flabby tricepts yet (better know as wings after age 45). Wink

    I keep getting call from the hospital this weekend when I'm out. I call back then they don't call back. Seriously folks it's the weekend and sunny out. I'm not going to be home at 2pm! They may miss again tomorrow because I do have a dentist appointment at 9:45. 

    I was also told by another fellow Rush patient here that I would be getting two surgical bras by the time the hospital releases me. Guess that's what I'll be using for a bit.

    OK Winterstorm you're up. I'll be seeing you on the other side… I'm right behind you.

  • Halah
    Halah Member Posts: 352
    edited August 2010

    I must be nuts or something, but I am not scared. I am not stressed out. All the stress was from all the preparation and making sure this was done and that was done, this test, that test, the finances, etc. Yesterday I decided that anything that needed to be done has already been done and will not to stress over anything any longer. And no, I don't dread tomorrow at all. I feel very prepared. I guess that's the most important part of it all,  being prepared for anything and everything.

    Lago, yep, next time we see each other we'll be having to deal with those darned drains. And let's hope we don't have to deal with seroma. I plan on taking it real easy except for walking to the dining room. I also want to walk around the community a bit to get some energy back. But I will also get plenty of rest as well.

    Lago, RobinLM, Sunnyblueskies, I'll be awake on Tuesday I am sure; and I will be thinking of you ladies. All will be fine. And we'll meet here afterwards of course. I look forward to hearing how it went for you! Take good care of yourselves! And everything will be okay. 

    Hugs to all....

  • Paula1231
    Paula1231 Member Posts: 456
    edited August 2010

    Excellent tool for prognosticating and choosing your therapy:

    http://www.lifemath.net/cancer/index.html

  • LindaNZ
    LindaNZ Member Posts: 22
    edited August 2010

    After 2 weeks I can do an over-the-top crop type bra - makes me feel almost normal wearing a bra again!! My drains had long leads and 600ml (ie pint) bottles on the end of them so no hope of pinning them anywhere or tucking them in pockets! I used a light cotton shoulder bag that sat at waist height that I could put my bottle in - very discrete. Ended up walking around town with it to the bus as I got the day wrong for my drain removal appointment. No one noticed the wee tube connecting me to the bag I'm sure!

    Had no instruction re washing beforehand. I had a shower of course but the iodine they smeared me with would have dealt with any bugs.

    Carrol and Anne - we share the wait for chemo news. I will hear next monday. Our dx are very similar. I don't think we have the oncotype dx test in NZ - I'm still waiting on the FISH test result for HEU2. According to Paula's excellent pdf - I'm very much borderline. I've not got my head around losing hair etc yet. :-(

    Tara - hope the chemo goes ok for you - I might be right behind you.

    I'm reading the seroma posts with interest and taking them as a warning not to do too much. Now that I've finally got no drains and a bra I'm at high risk of leaping back into normal life! So I resisted the calls to go into work and will just do a little from home for another week.

    Good luck to those facing surgery in the next few days.

  • poppy12
    poppy12 Member Posts: 12
    edited August 2010

    Winterstorm thinking of you today and RobinLM, Lago, and sunnybluesky thinking of you for tomorrow it will soon be over and you will be out the other side, I get my results on friday hoping for good ones, doing quite well at the moment 12 days out from MX, best wishes to everyone,

    Celia.x

  • lago
    lago Member Posts: 17,186
    edited August 2010

    I have to be at the hospital at 6:30am Yell! My surgery isn't till 2:45. I do have to be in nuclear medicine (sentinal node torture) at 8:30.

    9 hours… anyone recommend a good book that I can pick up. Looks like I'm going to have some time to waste. Wink

  • Pawprint
    Pawprint Member Posts: 464
    edited August 2010

    Lago sorry you have a long wait. There a little pink and white book called, "A Cup of Comfort" for breast cancer survivors inspiring stories of courage and triumph. edited by Colleen Sell with the forward by Susan G. Komen for the cure.

    Best wishes to all you gals having surgery this week . I am 17 days post surgery now and am going to attempt to drive my car on a short errand today. Still tired at times and still stiff and still swell at night. The side effects from Arimidex are sometimes difficult. The worse one is the hot flashes/night sweats. No more pain meds as of yesterday I started taking Advil. I will find out Tuesday when I see my oncologist if I need chemo or radiation. 

  • lago
    lago Member Posts: 17,186
    edited August 2010

    Just came back from the dentist (cleaning). Need a few repairs and made an appointment for Aug 25th. I must be crazy although I do like my dentist. He's going to get me some samples for mouthwash for dry mouth. He says chemo can make your mouth very dry… not good for the teeth/gums.

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