Received DCIS Diagnosis - IT JUST GOT WORSE - Comments Invited
Comments
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Good tips from all. Stool softeners, prescription strength, are often included in prescribed meds your wife will get upon discharge. Drain management camisoles are a personal preference but if insurance covers it, may as well give it a try. Some brands look like stretchy tank tops and the drain pockets are detachable so you can wear them throughout recovery. Some people are told they can shower with drains in, others are told not to, so your wife may or may not have to deal with this issue. As you can see, lots of variations based on personal preference and doctor's instructions.
Caryn -
Don't remember if any of my Dr's even mentioned stool softeners, I think I learned about that from the board. Def didn't receive a prescription for them. They come in prescription strength????? Oh, I could haved used those!!!!!!
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Same here, no docs mentioned it to me or prescribed them (yeah, that would have been nice!). Only knew about it from these boards, thank goodness for that!
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Just another example of how differently this is handled! I have had a few surgical procedures. If I was given prescription pain meds I was always given prescription Colace. OTC stool softener is 100mg, prescription is 250mg. Caryn
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BlairK....I bought some soft jogging type outfits with elastic waist bottoms, and lightweight hooded zip up front tops.They are a polyester/cotton blend and soooo soft... I plan to wear one home from the hospital. It will be 'almost' like I am dressed but as comfortable as pj's.
I bought some flannel material and have sewn some pockets into the fronts of two pair of my pj's for when I am home with the drain bulbs. I also watched an interesting YouTube video of a lady demonstrating how to wrap an ace bandage around her middle and tuck the drains into those.
Has your wife decided where she will sleep when she is home from the hospital?? Alot of people have suggested sleeping in a recliner chair, but I don't think I will be able to operate the lever to recline since it is down so low. I instead bought a wedge type pillow and plan to sleep in my regular bed. At least it is steps away from the bathroom and I have a nice tv in the bedroom....and I can shut the door when I have had enough of the household commotion :-)
I also bought a battery operated shaver for my underarms. Things I have read suggest to NOT use a straight razor for shaving the underarm area after a mastectomy. Something about....straight razors can nick the skin and may invite lymphedema to start?? yikes...
I am in this wait with you both.
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Blair:
I have not read through all your posts but just to let you know I had my initial biopsy in my left breast and they found cancer. My BS always does an MRI on both breasts before surgery. They found 4 suspicious spots in the good breast but only one he was concerned about. Since this spot was only found on the MRI (not in the ultra sound or Mammogram) he recommend the double mastectomy. That is what I did. Ended up that "good breast" did have a small amount of LCIS.
I am almost done now. I too got implants (cohesive gel). Thursday I go for nipples. My husband has been wonderful. I also think he really does like my new breasts and is looking forward to the nipples. I really don't care one way or the other about the nipples. I'm getting them for my husband. He's been so wonderful.BTW I did go bigger. I had little ones before.
I just wanted to let you know there is an end to this. I also did 6 rounds of chemo, a year of Herceptin and now 5 years of Anastrozole. I also have some lymphedema but really I'm doing fine. Your wife and you will get there too . Good luck to you both.
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Blair,
http://www.softeeusa.com/home/st1/page_267
I read about these camisoles on BCO when I was searching for a gift for my sister in law who was scheduled for a bmx. I ordered one, then another for her - she loved them and the nurses at her surgeon's office thought they was the prettiest post mastecomy camisoles they had ever seen - of course I had chosen the lace versions! Sadly, I have since had occasion to give them as gifts to two subsequently diagnosed friends - who also raved about them. So although I haven't worn one myself, they come highly recommended!
oh and I think it is a good thing that your wife is talking about larger breasts, even if she is joking, she is thinking beyond the surgery, into her future in a lighthearted way.
Julie E
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Dear dancetrancer, jbennett38, LisaAlissa, sweatyspice - Thank you for your posts. I will go with my wife to meet with the plastic/reconstruction surgeon tomorrow. Other than that visit, there is nothing else to do but wait until October 14th.
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Dear exbrnxgrl - Thank you for your post. I know from my open chest surgery that stool softeners are important and will make sure my wife gets them post-op.
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Dear iLUV2knit - My wife will sleep in our guest bedroom so she can be by herself. I remember that I had to sleep in a sitting position for many weeks after my open-chest surgery. Asking about this prior to surgery will be one of many questions that I will ask. I remember in my own surgery that I was blindsided by many things. My wife's hospital stay is supposed to be only 2-3 days. I will make sure my wife does not shave her armpits with a razor blade.
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Dear lago - Thank you for your post and my best wishes for your health and recovery.
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Dear Jelson - Excuse my ignorance but what is a camisole? I am not sure whether my wife is joking or not. I think getting rid of the cancer forever is the priority.
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Blair, there are many versions of camisoles, but basically it's sort of a tank top that's worn as underwear. Do a google search for "camisole" and click on "images."
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Blair, Jelson's post contained what seems to be the url for the camisole she's recommending. For reasons I don't understand, posted hyperlinks often don't work on this board & you have to copy & paste into your browser. So if you copy and paste, you'll know exactly what a cami is! LOL
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Today, my wife and I went to see the reconstruction surgeon. He walked through the operation and the post-surgery recuperation in detail. Again the reconstruction will be gummy implants. We also received the pathology report on the second breast. DCIS, grade 2, solid and cribform, noncomedo type. The ER and PR testing was not yet finished. So it seems that both breasts have similar DCIS with the first breast, right breast, being more advanced since it did have comedo necrosis and suspected microinvastion. So from today to October 14th, the day of the surgery, there is not much more to do other than wait. The operation is expected to last 5 to 6 hours. The hospital stay is expected to last 2-3 days. I will post after the surgery and reply to posts that come in during the next ten days.
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Iluv2 knit and BlairK-regarding the razor....in all honesty, it will be hard to raise your arms farm enough to even contemplate that. My surgeon and ps said not to raise them higher than my shoulders for a few weeks I think. I cheated some, but in general followed it very closely and had good healing.
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lluv2 I will 2nd what fluffqueen says. I didn't shave my underarms aftere bmx. Then of course I started chemo 5 weeks after bmx. Hair was falling out 2+ weeks after that so I don't remember when I started again granted I don't have much hair growing there anymore.
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Dear fluffqueen01 and lago - Thank you for your posts.
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Lago...that is true. I shaved pits but decided to wait out the leg hair. Only hair loss didn't happen the most until after chemotherapy. Lol I forgot and went to get a mani pedi and my pedicurist, who knew what I was doing laughingly told me I needed to quit waiting and shave as it was summer and I was in a sun dress and it wasn't right.
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Dear fluffqueen01 - Thank you for your post.
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Blair: about the razor thing -- if one has had any lymph nodes removed, one becomes at higher risk for developing lymphedema on the side where the nodes were removed. After node removal there's all sorts of advice about what to do to avoid "LE," including never again to use a straight razor to shave the underarms. They also tell you to garden using gloves, never have a blood test on that side, use insect repellent on that arm, etc. You're told to protect your skin from any sort of cut or injury. This is supposedly for the rest of your life.
So the underarm anti-razor thing isn't just about the time immediately after surgery.
However, that being said, I think most women figure out pretty quickly whether they're going to get LE. After 4 months it became apparent to me that I was unlikely to get it, and I stopped worrying about cuts and such. Since then I've had skin cancers burned off on my SLN arm, had blood drawn, and suffered cat scratches and bug bites. And I shave under my SLN arm with a straight razor. (And yes, I do consider myself very lucky!)
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My understanding is that you can develop LE at any time and there is no way to predict who will or won't. I was just told that in an LE class last week. Is that no longer the case? Caryn
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exbrnxgrl,
Yes, you can develop LE at any time after your lymphatic system has been compromised (surgery, rads, traumatic injury, etc). (cycle-path, I hope you're right that you'll never develop LE.)
The description of Lymphedema information that was most helpful to me (although it's directed to Health Care Providers) is the "Essential Lymphedema Information for all Health Care Providers: from a Physician with Secondary Lymphedema" from the Step-Up, Speak-Up website. You'll find several (all?) of the women who put that site together on the Lymphedema board here at BC.org.
Another reason not to shave w/ a straight razor, is that the underarm can be a bit numb after a SNB...
LisaAlissa
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Dear cycle-path - My wife will have a double mastectomy on Friday October 14th. She will also have a sentinel node biopsy on both sides. I already mentioned to my wife to switch to an electric shaver from razor blades. I will ask the doctors about the risk of lymphadema. Thank you for your post.
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Dear exbrnxgirl - Thank you for your post. Other post-op topics of interest to me so I can help my wife are the following - (1) amount of pain and how long it lasted - for a double mastectomy; (2) ability to sleep and lay down following surgery; (3) how long it took to resume driving; (4) limitations on ability to move arms; (54) how to deal with the drains and showers, etc. Hope to get more input in addition to the comments on shaving armpits. Doctor already prescribed antibiotics and Percocet to start after my wife comes home from the hospital.
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Dear LisaAlissa - My wife will have a SNB on each side. I will tell her to expect pain and numbness in the armpits.
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Blair, you have gotten so much good advice both from casual posters and revered experts. The thing to keep in mind is how very different we all are. Some like lots of ready made convenience others find ways to make do with what they have. Throw in the different recommendations we get from doctors and there are many ways to go. So, here are answers based on my experience, and mine alone.
1-pain. Not awful and well controlled with prescription drugs which I took regularly for a few days in order to stay ahead of pain. Hated the constipating effect so as soon as I was allowed to move to ibuprofen I did. I also ate lots of prunes, fiber and took Colace. I did and still do have lots of zings and odd sensations attributable to nerve regeneration and some unpleasant skin sensitivity which is diminishing.
2-if you have a recliner, I've heard this useful.I was lent a large foam pillow wedge and then piled pillows on either side of me to support my arms. Kind of like a cushy throne in bed. My bed is quite high so I used a small stool to climb up and then walked on my knees to position myself.
3-.driving , I drove after 2 weeks but it was not easy. Even today, after 4 weeks, I feel a strain when I have to turn my body or turn the wheel sharply. I am only driving if I really have to.
4 limitations on arm movements. You doctor will outline those for her. Some are very conservative. I had far more mobility than I thought but I only had a node biopsy on one side. Err on the side of caution but start doing range of motion exercises as soon as the ok is given.
5- my ps said no showers until drains were out so it was sponge baths for me ( actually DHC, a Japanese company, makes great body wipes). Some surgeons do allow showers as long as the drains and incision sites are kept dry.
The shaver debate...I bought an electric shaver and have been using it on my legs and the side with no nodes taken. I haven't touched the other side as it is still numb and sensitive in spots. Your wife may experience numbness and or sensitivity in underarms and underside of upper arm. Even if she has only a SNB, lymphedema risk is there for a lifetime, not just a few months. Risks are lower than AND but still present. At this point, it bears repeating that we are all different and our doctors orders are different as well. Regards, Caryn -
Here's my experience. Just remember I had 10 nodes on one side and 4 nodes on the other.
1. I was sore for quite some time but took no pain meds not even Tylenol. I think I might just haved a high tolerance to pain. I eventually had some "sun burn" type of pain in my arms when the nerves were rejenerating but not bad. My breast area is numb. I take Metamucil for constipation. Worked like a charm on chemo too.
2. I was in really good shape before surgery. Great stomach muscles so it helped when getting up. You can't really put pressure on your arms. I slept with a lot of pillows making a wedge. As I felt better I would remove pillows. My sleep was sporatic but I did get plenty. When you heal you get very tired so she will sleep off and on for a while. I do believe 2-3 weeks after my BMX I took the bus to work (freelance job). I did have to sit because I still couldn't have my arms pulled.
3. Since I didn't have full arm range I didn't drive for some time. That was just my choice. Hard to park in the city if you can't put your arm over the seat to look backwards.
4. I wasn't allowed to shower till the drains were out. They were removed 1 week later but every one is different. I didn't bother shaving my arm pits. I couldn't lift my arms that high. Had chemo 5 weeks later. 16 days later the hair fell out anyway so not a huge issue. I developed LE on chemo. I have it in both arms but the 4 node (AND) side is just a stage 0. 10 nodes side I think is now a 1 although before they said 0-1.
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Just as an FYI - I was allowed to shower with my drain just a few days after surgery (thank goodness, as my drain stayed in for many weeks). Doctors seem to have different recommendations here. When I showered I took the belt from my robe and tied it around my waist, then pinned the drain to that - easy solution.
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Someone commented earlier that it was ok to drive if you only had to go straight!
Caryn
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