Solaris Tribute in the freezer?
Comments
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Binney, Thank you for the information on overwraps. What is a flare?
Sher, thank you for the advice on the color change and it being softer. If when all is said and done and it would need it to be remade, I might go for the teal. Thank you!!! Thank you for the pictures. They were very, very helpful. Quite a garment you have there.
Kira, thank you for the flight tips too. I am unfamiliar with the jovipak and will have to do a little research on that. Back to the Solaris: Yes, it would be superb if they would see me personally. I am not quite sure what to do. I see my therapist on Wednesday and will ask her advice on how to handle this. The other thing you mentioned is about the swelling above the elbow. I just developed that too. How do you get that to settle down? I was hoping the tribute might help, but no luck. Any advice.
KS1- this new tribute of mine seems full enough and defintely leaves indentions in my arm, so much that I am wondering if the thing isn't too tight.
All Ladies: Thank you for this wealth of information!!! I am so grateful to all of you. This lymphedema situation can really be aggrivating. You all seem to handle it so very well. Honestly, I just wonder if I am not being a bit of a baby about this. I wore my Tribute garment last night and did not make it but 4 hours. It felt like sandpaper on my skin and tight so much that sleeping wasn't even an option. I am determined to make it work though because I am thinking I would prefer this over wrapping. And all of you that wrap at night, how do you stand the feel of the wraps? I can hardly take them for 3-4 hours even during the day. In my defense, I do think maybe my skin might be pretty sensitive as I am allergic to tapes and salves and end up with rashes even after wearing some bandages. But still...all of these garments just seem so very uncomfortable on and many times intolerable. How do you all do it, day after day? Oh and one more question: What detergent are you using to wash your Tribute in? The same fitter that didn't know what the overjacket was for told me to wash only in All Free and Clear. Solaris, said wash it in whatever I do my normal wash in.
Thank you everyone
Let's all sleep well snuggled up in our Tributes or Jovipaks
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Anna--You are NOT being a baby about this! It is a slow long process to get the right garments. My skin started breaking down and tingling a lot with wrapping 24/7 for 12 1/2 weeks. So my therapist ordered a jovipak for me which helped tremendously. Now when I wrap occasionally I have no problem. I tolerated the wrapping well--even missed them when off. I have to be careful to not wrap too tightly.
A question for those who have a Tribute and a Jovipak. I have a jovipak that I love. It will last for awhile longer. But when I need to get another I wonder about the Tribute. Which one do you like better? Why? Jovipak won't remake it seems but Solaris will. Thanks.
Becky
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I am afraid to put my tribute in the dryer - my dryer is old and seems to shrink stuff...I don't think it has a low setting! So I have discovered that if I hang my solaris rather than lay it on something, it will dry more quickly. And I'm definitely going to experiment with the hair dryer!
Anna, you are not being a baby at all. There are nights when my arm is especially sensitive, and I cannot handle the tribute...even bandages bother it. One or two nights a week I sleep with nothing on my arm and bandage during the day. That may not be ideal, but I'm doing the best I can here.I discovered a bright red spot on my upper arm last night...am trying not to worry about it. ARGH.
Binney, I cannot wait to hear the responses to your question...especially since I"m trying to decide on either a jovi or another tribute. I can't rule out how awesome the folks are at Solaris. They are absolutely amazing when it comes to service.
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Suzy, Unfortunately the jovipak people are not so amazing about service: they charge $60/hour to modify any garment, and that's why my fitter doesn't want to work with them.
I dry the Solaris in the dryer on low, and it takes 2 cycles.
Hope that red spot is GONE.
Anna: don't beat yourself up, this stuff is HARD--and I wrap because it works, not because I like it. And I really wish a garment would do the job for me, but it just doesn't work as well as wrapping for my hand. The constant maintenance and figuring out and adjusting and dealing with LE is exhausting and can be depressing. I sure hope we don't make it sound easy.
Kira
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Suzy, I got lost somewhere.
If you can't dry your Solaris in your dryer because it's too hot, you can't dry a JoviPak in it either, and they both are equally difficult to dry. So don't switch just because of dryer temps. But then, like I say, I'm not sure I'm following all this too well. LE-brain!
Anna, by all means ask your therapist before going directly to Solaris. I've had some cautionary experiences dealing directly with garment makers (as have other women here) and now won't deal with any of them at all except through my fitter. I appreciate the buffer, because you can't tell at what point the communication might break down and leave you in a bad place. Even with Solaris. All of them are businesses, even the nice ones, and businesses have a different bottom line than we do.
A flare means those times when the LE gets out of control. For me that usually has to do with the barometric pressure or with over-doing it at some activity I should have stopped earlier (and usually know it, too, but sometimes you just want to finish a job you started, y'know?!
) To get on top of it usually means I have to either wrap (if it's my arms) or wear my night vest instead of a cami (if it's my chest and back). And get back to my Lebed exercises. And elevate my arm. And remind myself to drink enough water. And add a Swell-spot here or there. And...grrrrrrrrrrrrr!
Solaris and Jovi both suggest an extra rinse cycle for their garments -- they claim it extends the life of the garment, but it might also help remove irritants for you, Anna. That said, Jovi does have an extra-soft, silky fabric as an option. I have it, and it feels really nice, but it tends to run so I wouldn't order it again. But even their regular fabric is softer than the Solaris fabric. If your fitter (or therapist) doesn't have fabric samples from Solaris and Jovi, ask her to request them so you can see what you're getting.
Becky, in answer to your question, I have both Jovi and Solaris, and my next set will be Solaris. They're effective, they wear very well, the remake-for-free can't be beat, and frankly they always fit a lot better. But I have both arms and a vest, and the fitting problem has to do with the way the sleeves and vest meet. The Solaris design just does a better job of covering the back and sides and meeting the sleeve to the vest without everything scrunching up when I lie down.
On that note, let me add that I recently started lying down at the fitter when I'm trying on new night garments so we can get a real idea of the fit, because the standing-up fit is completely beside the point. But maybe that's just me! (My fitter is awesome!)
Hugs all around,
Binney -
Beckysharp- thank you for explaining the sensitivity. I am going to look into that jovipack online and get educated about it.
Suzybell- I hope all is well but what have you determined the red spot was? and thanks for giving me a realistic idea of the frequency of wrapping and not wrapping. Honestly, I wrap very little but wear my compression garment more during the day
Kira- Thank you for the reassurance. I guess maybe I am a little in denial about this whole matter. I find myself not being diligent in taking care of this, like wrapping very little, wearing my comp. garment only about 4 hours a day, if that. This is why I have been upsset about the tribute, I thought it was going to be the end all. Shucks this stuff is depressing and tiring. As if having the cancer hasn't been enough trama, now this constant uncomfortabe reminder? It plain stinks!!
Binney4- I see my therapist tomorrow at 8:30. I can't wait for her opinions. And you bet, I would prefer to have "go between" option in case I need some suppport for a remake or whatever. The softness of the jovipak sounds like what i was hoping the tribute would be. I did re-rinse it yesterday and it felt a little better, but again, tonight it feels rough. But then my arm did pain me more today too. Regarding the jovi, i don't know that I can even hope for the jovi as my insurance is already giving me a stink about the tribute. that is another story...
All Ladies- What detergent do you use to wash your tribute? And, any issues with insurance paying for the tribute? Finally, I am so happy I found all of you. With every single post, I learn something new. Thank you, thank you
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I use something called Charlie's Soap that I buy over the internet. I first found it when I was desperately trying to find something I could wash my daughter's cloth diapers in. She wasn't a kid with a lot of allergies, buts she reacted to a lot things we put on her butt! That made me read some about detergents, and I realized I didn't want brighteners, softeners and fragrances on my clothes either. Then 16 month later along came my son, who had very, very sensitive skin but also did OK with the Charlie's Soap. It is a vegetable based powder. It works fine as far as I can tell to clean things. Maybe not as sparkly-bright as something from the grocery store aisle, but read how those sparkles get there! FYI, I have no connection to this company other than buying from them.
Insurance payed for 80% of my Tribute. My insurance has been great, but really I think it's been my fitter who's been great, finding ways to talk them into things.
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Anna, I use Dreft for all of my garments. I have a front loader washer so have to find he products.
I had a thought. I had no problem keeping my wraps on 24/7 or with my sleeve, glove and jovipak. But I was always one who loves to be wrapped up tightly in blankets at night. I was probably a baby that liked to be swaddled. I was baffled by people who say they cannot stand the wraps except for few hours. But my sister suffers from claustrophobia and was saying she did not think she could stand to be wrapped or wear a sleeve. She never wants covers on. So it may be our temperaments that determine how well we tolerate them. Just a thought.... as if I don't have enough to think about!!!
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Becky, there could be something in what you say. I'm also someone who always liked being wrapped in blankets etc. and don't find the garments or wrapping onerous. I thought that since my LE is fairly mild and only in my upper arm that I didn't mind it as much as it does others but it just might be a temperament thing.
For me it's mostly knowing that I need it that bothers me. I can't get away from BC/LE.
Leah
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Wow, Becky and Leah, what an interesting discussion!
I'm not claustrophobic, but I've never liked clothes that are tight anywhere, even just at the wrists. Can't stand jewelry either, because of that same sense of something binding. And I've never found wrapping anything but frustrating and difficult. Same with garments. Night garments are better than either wrapping or day garments, but they still make me very sad. So I've never been able to grasp how some gals can say they like the feeling of support or whatever that their garments or wraps give them. So the temperament idea really clicks with me.
I wonder, if therapists had information about this, if it would help them know how to approach their patients better.
Hmmmmm.........!
Binney -
Hi all
Thank you for the tips on detergents. I was very curious as my first wash with the Tribute was with Dreft too. I just wasn't sure if that was a good choice or not, but like I said Solaris said wash it in anything as long as you don't add bleach or softener, which I did not.
Binney, I am totally with you. I have always hated the feel of tight clothing. It is not so much the fact of my arm being enclosed but more that I find the wraps to get itchy as the day progresses. I put on a light sleeve, like what goes under a cast ( the best way I can describe it), and then sometimes a cotton gauze type wrap and then the lymphedema wraps that look like ace bandages. My arm gets hot in the crook of the elbow and the tightness and itching just gets unbearable. Now when I have the compression sleeve on, yeah that ends up being an aggrivation too, but I can tolerate it much longer than the wraps.
But just maybe my arm has a bit of claustrophobia.
The thing is that I have absolutely no problem in the MRI machine or elevators for that matter, so thinking maybe that isn't it.
Outfield, thanks for the comment on the insurance. I sure am hoping this won't be a battle to have them pay for the Tribute. They bucked my compression sleeves until I pulled out the "Women's Cancer Right Act of 1998" card, then they reprocessed and paid it in full( I have already met my $8000 out of pocket for the year)(Yes, I said $8,000!!! That too, another story for another time.
On another note, I saw my therapist this morning and she agrees that firstly the material is a little rough, but suggested I should wear it inside out as the filling, padding and stitching are on the outer side of the garment and on the inside of the garment. She felt, in terms of effectiveness, that would work just as well. Any thoughts on this? Now about the tightness in the hand that she felt was incorrect. My pinky shouldn't have to rest on top or under my other fingers. The Tribute is pulling the pinky over. So I have an appointment tomorrow to see the fitter. She also thought they could just tighten up the portion just past the crook of the elbow as that is where I have a lot of pooling. So that is the easy part, getting her suggestions, the hard part will be to hope that Solaris can get it right.
Thanks for all the info everyone!!
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Anna, they're made with the long, lengthwise seam on the OUTSIDE so that the seams don't cut into your skin, so inside-out won't work.
I have finger spacers in mine, and they keep my fingers from "piling up" on each other. (Did any of that make sense?
)
Keep us posted!
Binney -
Anna4969 - When I first got my Tribute, I really didn't like it and had difficulty sleeping wearing it. But, now 1.5 years later, I sleep better with it than without it. I still find daytime compression garments unpleasant -- at best they feel like really constricting pantyhose. Most days, after 7 or 8 hours, I just can't stand them and rip the them off. and put my Tribute on for an hour or two.
I spoke to Emily @ Solaris today about fit & fill issues with my new Tribute. She was fantastic - I really don't think I have ever dealt with a company that is as good about customer service as Solaris. Kudos to them. KS1
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Binney, I thought the same thing too. The seam might cause some more marking, but already as it stands, I can see the diagonal marks in the morning from the quilting. So.. should that be happening? All my other fingers feel fine it is just that outside side seam at the joint of the pinky, I think, is sewed on an angle and so it is naturally shifting my pinky over. The therapist thought they could open it up just a smidge for me. But sometimes, you know how that goes, once you start fiddling with something it can make it worse.
KS1- Thank you for that confirmation. Yes, I am having a tough time sleeping with it, not super tough though. In my opinion, it is a million times better feeling on my arm than a wrap so I am convincing myself that I am lucky there is another option out there. Thankgoodness. Yes, on the contricting pantihose. Exactly!! I, too, am ripping those wraps or compression sleeves off in about 5 hours for me and it feels like heaven when they come off. Did you just get a new Tribute and you are having issues with it? I ask because I just picked mine up, my very first one, last week Thursday and so how it should truly be is all new to me. Again, I am so grateful I found this thread because I am now that much more educated on the Tribute than I was last week Thursday.. Yes, wonderful, kind people at Solaris from what I can tell after just one phone call.
Take care all.
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Hi Anna4969, I just got my second Tribute. Solaris says to replace Tributes after a year because the foam breaks down. My old one still seemed ok at 16 months, but it never did that good a job on my hand, and my LE therapist felt that she could work with Solaris to get a garment that did a better job. (My original tribute was fit by a fitter, not a therapist.) This will be the second alteration on my new Tribute, and Solaris is being sweet as pie about it. I should send them brownies ... KS1
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Anna, the marks on your skin in the morning are fine. (Somewhere here LindaLou posted pictures of her arm in the morning -- anybody remember where that was?!) The channels stitched in the garment direct lymph flow, and the marks just indicate the direction it's been directed all night while you slept. They're a GOOD thing.
The seam, though, is not a good thing because it digs into your skin in the wrong place and can actually cut off lymph flow. (The lymph vessels are right under the skin, and they're wimpy, so pressing on them can shut the fussy little things down.) So Solaris sews the seams on the outside where they won't interfere with the directional stitching that directs the lymph flow.
Hope that helps!
Binney -
KS1, thank you for explaining. I guess then it might not be too much for me to expect Solaris to do a couple of changes. At $800, I would think that would be a fair request.
Binney, Thank you so very much for that explanation. I did know the vessels are delicate but didn't think that delicate.
On another note, has anybody looked into lymph node transfer surgery or lymphatic bypass surgery? I have been participaing in a clinical trial at MD Anderson and my next trip is in November and along with that trip, I made an appointment with a surgeon who does the lymphatic bypass surgery here in the United States. It is just a consultation and so I am not quite sure about what it really is or such and most importantly, the success rate. Anybody know anything about lymph surgeries and their success?
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Binney, in the morning when I take my Tribute off, I have lines up to my elbow. Is that normal not to have prominent lines on the upper arm?
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Sher, is your LE limited to your hand and lower arm?
Binney
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Yes, there was never any measureable LE anywhere but fingers, hand and wrist, although prior to my Tribute, my arm sometimes felt odd or tight right above elbow when it was bent.
My fingers haven't had any swelling for a long time and during the day only a tiny bit sometimes on my knuckles - top and bottom. It's pretty stable now and haven't been wearing daytime compression.
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Sher, I'd say that might explain the morning imprint puzzle. That's pretty interesting!
I've asked a lot of LE professional people if, for instance, their own arm circumference would be reduced by MLD if they didn't have LE. They always say the same thing: "Gee! I don't know. I never thought about it." This is the same sort of question: does a directonal-flow garment move fluid if there's no swelling from stagnant fluid? Guess not!
When you get a chance, do ask your therapist what she thinks.
Binney -
Binney, since the Vodder therapists do MLD on each other for the re-certification, they would be the ones to ask. I know my therapist talks about how some of the therapists feel nauseated after all the MLD they get.
My LE is in my hand/forearm, yet when I wear a solaris, I have marks all the way up. I have had a pocket of fluid above the elbow when I was in the cast, and wrapped only to the elbow.
I've wrapped now since 2008 and my left, dominant, LE arm is measurably smaller than my right.
I'm very sensitive to skin pressure--have dermatagraphism (hive with pressure) and the Solaris marks on the upper arm tend to get red. I don't use it often.
I do have the sense that although I've never measurably swollen in the upper arm, I could.
Kira
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Kira, I've asked a couple of Vodder folks, who attend their every-two-years skill update workshops where they spend time working on each other, and they tell me they've never measured each other before-and-after to find out. (They do mention that they have to pee a whole lot, so I assume they're moving fluid
.) But what actually happens to "loose" fluid in their tissues is something they've never tried to measure. It just seems to me that in a business that's trying to establish objective validity for their methods, somebody would have looked at a comparison between MLD on "normal" and LE people.
I need a hobby...
Binney -
Hmmmm, now I'm confused. So the lines on my hand and forearm indicate there is fluid that is being moved out (up?), but the fact that there are no lines on my upper arm mean no fluid is there? Sometimes I can see one very faint line from the seam running maybe halfway up from my elbow, but never any spiral lines. Maybe the garment should be tighter? It does stay up pretty well until it stretches out a bit after a week of wear.
Before I got the Tribute and was wrapping every night, I did have more daytime swelling and would usually wear a glove, sometimes with a sleeve. After a couple of months wearing the Tribute, I got to the point where I was noticing less and less swelling so gradually I went longer without compression until I quit wearing it at all...........which is not to say that I don't keep a very close eye on the situation.
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Sher--I don't know if the Tribute is anything like the Jovipak. I was getting lines all the way up to the top of my Jovipak until I lost 20 lbs and the lines above the elbow quit appearing. I could tell it was looser at the top. My therapist told me to start bandaging over the Jovipak from just below the elbow up with just one short stretch bandage--still keeping the compression less than the forearm. I started doing that and now the lines are appearing again. Becky
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Sher, sometimes you can't argue with success: perhaps the upper arm has shrunk so that there is little contact with the Tribute, or perhaps just less fluid. The bottom line is that clinically, you're doing incredibly well--what I'd like to know is how you got a Tribute to work so well for your hand--mine is just fair. And I am SO sick of wrapping...
JoAnn Rovig writes in her blog that jovipak only works for people who swell at night or who have fibrosis. Perhaps there's just no swelling in the upper arm.
I don't think I have upper arm swelling--put I do get marks on the upper arm.
I think Becky makes an excellent point--as always--show it to your therapist, or talk to her and/or the Solaris people.
Kira
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Kira, I think it's probably just luck! But just maybe it's that the hand design is different from the one you have. Have you ever tried a Caresia glove? I had that first and loved the fit and the way it worked even without adding bandages on top. So when Solaris did the remake of my Tribute, my therapist stressed that the hand and fingers should be made as much like the Caresia glove as possible. There are places in the hand part that seem to have either too much or too little filling, but it seems to work well regardless.
I wish I could remember if I had lines on my upper arm when in therapy and wrapped 24/7, but just can't seem to picture it in my mind. This might be a good idea for anyone starting into therapy...........take pictures so you have them to compare with later.
Becky, good suggestion to bandage from the bottom side of elbow up! If that works, I may look into trying an oversleeve.
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I may be wrong, but I think it's because of the way the compression on the Tribute is 'supposed' to work...more pressure from the hand up, generally less compression as you go up the arm.
I have the most severe LE in the upper arm above the elbow. I don't get the lines and impressions on the upper arm like I do on the lower forearm area, but my upper arm is always noticably smaller in the mornings.
I think the design of the garment places much more pressure on the lower arm; gradient pressure, just like you want to achieve in bandaging.. Just my opinion.
I never have lines on my upper arm after bandaging, either. If I do, it's a good indication that I'm bandaging too tightly, and that's the only time my hand blows up like Minnie Mouse, is when I bandage too tightly.
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Sher, I have seen the Caresia glove and always wondered why the full arm Tribute didn't incorporate the nice hand stiching and anatomical thumb. If I get another one, I'll work with them more carefully.
Ironically, I do have a two piece set from them: made without therapist or fitter input--when I was trying to do it all myself at the beginning, and the top is a glove, which they remade and the bottom is an arm piece, and the glove is gorgeous, but just never worked for me, and convinced me to use a fitter in the tuture. And sure enough, using the fitter, the first one came back all wrong. Second one is better.
I do think they should take the technology they already have and use it for the hands in the one piece, as opposed to the finger spacers and weird thumb, and the fact that they tend to either make it too short or too long.
Well, our feedback helps.
Kira
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Sher -Thanks so much for sharing your idea about using a hairdryer to help get the sleeve dry. I got my Solaris Tribute yesterday and following the instructions washed it before wearing. You saved me from an all nighter waiting for it to dry in the dryer. The hair dryer worked like a charm getting those few places on the inside that were still damp after two hours in the dryer.
Had a good first night and am hoping that will continue and when I go back to my LE therapist Friday my measurements will be down or at least stable.
Mine is royal blue and I didn't find the inside to be scratchy.
Thanks to all of you who posted about your experience with night garments. It made my decision so much easier and informed.
Cori
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