Received DCIS Diagnosis - IT JUST GOT WORSE - Comments Invited

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  • Binney4
    Binney4 Member Posts: 8,609
    edited October 2011

    On the issue of electric razors, which is a perpetual topic on the Lymphedema board, many women find them more irritating to the skin than a regular razor, so you need to use judgement. For the smoothest shave with the least risk of skin breaks, lots of women prefer to use a multiple-blade straight razor with a good shaving cream while watching carefully in a mirror. If you get a nick from either method, clean well, use an antibiotic ointment, and keep a careful eye on it for infection.

    Cycle-path, there's no statute of limitations on LE, unfortunately, and all the trauma to your arm that has NOT resulted in LE may mean one of two things:
    1.) you have a very robust lymph system that is in very little danger of letting you down, or
    2.) the series of continuing insults to your already-compromised lymph system will eventually reach a tipping point and be overwhelmed, resulting in life-long lymphedema.

    Sadly, there's no way currently to predict which category you're in, and I sincerely hope it's the first. But I sure wouldn't want anyone here to get the idea from your post that they can safely deny the reality of their own risk. We all choose the compromises we're willing to make to all the risks involved in this rotten breast cancer journey, but even if we choose to ignore them, we deserve to know the risks are real.

    Just a thoughtSmile!
    Binney

  • iLUV2knit
    iLUV2knit Member Posts: 157
    edited October 2011

    This brings up another question for those that have had double mastectomies and have eternal fear of the dreaded lymphedema...

    All the literature states to NOT have your blood pressure taken on the "side" that you had a mastectomy, NOT have needle sticks, and avoid cuts, scrapes, etc...

    I have high blood pressure that is controlled with medicine.  How the heck do I take my blood pressure when I am having a double mastectomy??  How will they put an IV in for future surgeries(I know I will be having the TE replaced in a few months after the mastectomy) How will they draw blood in the future for tests?? 

    gulp. The thought of an IV in my neck or something is disturbing.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited October 2011

    I had a bmx but only had nodes taken from one side. I understand that they take bp on your leg if you've had nodes taken on both sides. Not sure about needle sticks and IV's.

    Caryn

  • Binney4
    Binney4 Member Posts: 8,609
    edited October 2011

    iLUV2knit, as Caryn says, you can have blood pressures done on your leg. But it reads slightly higher there, so you'll want to have it done several times at first to get an idea of how it reads. Some fire departments will take blood pressures for you, and they know how to do it on the leg, so you can use that service to get an idea of how it compares to arm readings.

    Some women who have had bilateral surgeries compromise and use the arm with the fewest number of nodes removed for blood draws, IVs and injections, or they use their non-dominant arm because lymphydema in a dominant arm is harder to deal with. But if you don't want that risk you can have blood draws and IVs in your foot and injections in your hip or thigh. If you choose that route, though, you have to be ready to stand up to medical providers who find your choice inconvenient or unnecessary. Bottom line is, it's your arm, not theirs, and it's the rest of your life.

    If you have a history of blood clots a foot IV is contraindicated. IVs can be placed in your neck as well, which is less horrible than it sounds.

    No easy answers. Lots to think about. Be well!
    Binney

  • lago
    lago Member Posts: 17,186
    edited October 2011

    I just had nipple recon yesterday, colonoscopy in June as well as exchange surgery in June. I get my IV in my foot for the surgeries and my port at the colonoscopy. BP is on my ankle. It's a bit more accurate there on me. Higher on the leg indicates I have  high BP. Near the ankle it's a bit higher but still in normal range. I have LE in both arms. Stage 1 on 10 node arm and stage 0 on 4 node (AND) arm.

    Since I still have my port I get blood draws there. I got my flu shot in my butt.

    Oh and also when I had my liver CT I had to fight to get the IV in my foot. I think she knew I was about to walk out otherwise.

  • cinnamonsmiles
    cinnamonsmiles Member Posts: 779
    edited October 2011

    Lago, if your iv was in your foot, did they put a catheter in  you or did you just have day surgeries where you didnt need to get up and walk around?

    A wonderful nurse at the pain clinic I go to told me that you will have a higher reading with leg bps if you are sitting up and if you have not been on the table. My bps had been reading 179/80s. Partly higher cuz I am always nervous if I am getting a nerve block shot, but still way too high.

    I went to see my family dr. last week. First thing i did was hop on the table and lay down. The nurse could ask me questions etc while I was down. My blood pressure upper number was down to 136, dont know the lower number. So, If getting leg bps, the longer  you lay down, the more accurate reading said the nurse. And btw, he was a pretty handsome, caring, nurse!!!!

  • lago
    lago Member Posts: 17,186
    edited October 2011

    It was day surgery both times. But even if it wasn't they can put in a longer tube so it can reach your foot allowing you to walk around.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Thank you all for your posts.  About five more days to the day of the surgery - Friday October 14 in the morning.  I took my wife to Washington DC on Saturday and she enjoyed it and it also kept her mind off of things.  If you go to Washington DC, there is a new Martin Luther King memorial.  We also enjoyed American History museum, Freer and Sackler musuems on Asian art, etc.  My wife and I also went to mass at the National Shrine and Basilica of the Immaculate Conception.  I prayed very hard.  Now my wife has told everybody on her side of the family including her mother.  We have not told any details to our two children - age 8 and age 6 - only that Mommy has to go to the hospital and have an operation.  And I have been telling them to stay away from Mommy until she feels better.  In terms of all the posts, the topic of lymphedema seems quite scary.  I hope my wife will avoid this.  Our internist's wife had breast cancer and a BMX and reconstruction performed by the same two surgeons who will treat my wife.  I also noticed a giant pink ribbon on Lincoln Financial Field (home of the Philadelphia Eagles) in Philadelphia.  Please keep the posts coming in the next 5 days and I will write an update after the surgery.

  • lago
    lago Member Posts: 17,186
    edited October 2011

    BlairK I was scared to death of Lymphedema (LE). It's not great but not as bad as I thought. I can live with this. LE is much better than cancer. Seriously if it's caught early it can be managed. But best to reduce the risk: linky 

    Do note that site has a lot of good info but don't let it scare you. You need to talk to your doctors about t his too. Most women do not have  huge arms like is shows in the picture. This is why you need to understand what the signs are so you can catch it early… so it never gets that bad. Even when my arm is at it's worst no one would really know unless I pointed it out that it's swollen.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited October 2011

    Blair,

    This is totally none of my business and feel free to tell me so, but why would you tell your children to

    "stay away from mommy until she feels better"? No wild play or rough hugging, of course, but stay away? If they can see that mom is ok and interact with her, gently, they will be less frightened and have less anxiety and I think your wife may take great comfort in their presence too. My apologies if I am overstepping my bounds. Caryn

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Exbrnxgrl - I am more concerned about wild play and rough hugging and causing my wife problems in the first few days after she comes home.  This would cause unnecesary pain and problems with the surgical sutures and drains.  Also, they need to let my wife rest and sleep as much as necessary in the first few weeks.  My two children are right near the guest room and my wife will stay in the guest room within 10 feet of the children so they all will be near each other.  Again, this is the problem with writing posts and emails - what one writes may not be what one wants to say exactly.  I think I meant to write and have said "don't touch Mommy after she comes home from the hospital as she will have a lot of pain".  Anyway, I hope this makes things more clear.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Lago - I will be sure to ask the two surgeons about LE right before or right after the surgery.  Thanks a lot for your post.

  • iLUV2knit
    iLUV2knit Member Posts: 157
    edited October 2011

    I had my presurgical appointment today with the plastic surgeon. (surgery still a go for Oct. 13th) She marked me up for the incision lines so I am quite colorful with black, purple and red permanent marker all over my boobs. Guess I won't wear a low cut or white shirt on my 'last' day at work tomorrow...that will get people wondering... LOL

    I did ask the nurse if she has done blood pressures on the leg for people that have undergone double masts and are concered about LE.  She said she has done them on the calf, but hasn't done them while working in that office.  SO I guess since it is my health and body that I am wanting to protect, I will insist after surgery is completed, that I want BP's, IVs, and needle sticks in the alternative places. 

    Funny, how they gave me a card that says for me NOT to have any MRI's while I have the tissue expanders in but they don't give you any warnings about lymphedema. 

    The good news is that my BP was a very normal 118/70  !!!  wooooo hooooo....I usually run very high, so my new BP medicine is working.  ahhhhhhhhh......one less worry.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Dear iLUV2knit - Good luck with your surgery on October 13th.  I look forward to hearing back from you once you feel better after the surgery.

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited October 2011

    BlairK--I understood what you meant about your kids and interacting with your wife.  May I make a suggestion from when I had my hysterectomy?  It was suggested by some wise women that the kids be allowed to do side-by-side snggles---me in bed and them sitting next to me.  At the time my kids were 4 & 6 and I had to do something--can't tell a kid no hugging mama for 4 weeks!  Anyrate, it worked for us.

    Another thing that worked well was a big basket on the bed with the remote, my book, water bottle etc--all the stuff you might want.  When I needed it, it was right there, when I crashed, it was easy for DH to take it off the bed.

    Best wishes to you and your wife.

  • jbennett38
    jbennett38 Member Posts: 86
    edited October 2011

    Blair - Your wife and family will be in my prayers!  Hope the surgery goes well and let us know how it goes. 

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Dear 3monstmama - Maybe I will put a big chair near my wife's bed.  Anyway, the surgery is tomorrow at 9 AM.  The reality will begin to set in tomorrow.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    Dear jbennett38 - Thank you for your prayers.  Will update whenever I can.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    We have to get to the hospital at 6 AM tomorrow - we just found this out.  They have to inject the dyes for the sentinel node biopsy first - it will be on both sides.  So much for advance warning as we thought we were supposed to come in at 7 AM or 7:30 AM.  Will update when I can.

  • sweatyspice
    sweatyspice Member Posts: 922
    edited October 2011

    Will be thinking of you tom'w.  It's a difficult thing, and I wish your family all the best.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2011

    With drains, my BS said no showers, but PS said showering was ok after three days and that they were his drains. Lol. With that info, four drains and a pain pump I decided to shower on the third day. Biggest production ever and way more work than it was worth.



    To hold the drains, i used one of those glow in the dark necklaces and clipped them onto it. My husbands idea and it was brilliant. Worked great. I only showered a couple of times tho as it was just so much work and I couldn't do anything with my arms.



    I also got a big foam medical wedge pillow and propped around with pillows. I slept in recliner for a few days but after three days, in the middle of the night I couldnt take it anymore and knee walked my way into bed. Husband woke up with me on the wedge thrown next to him.



    The pain pump makes such a huge difference I hardly used any pain pills also. I took them at night mainly so i could sleep in the recliner.



    If you have a non-fabric recliner, they can get hot. We have a wide leather one and I covered it with a full-sized mattress pad. Not the most attractive but it worked great. The recliner was very useful during the day in the family room where i hung out.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2011

    Prayers are with you tomorrow.

  • tarry
    tarry Member Posts: 156
    edited October 2011

    For what it's worth, I told my BP that if they discovered cancer in the SNB, they were not to take any more nodes out. I wanted to be able to participate in calculating the costs and benefits.

  • belleeast
    belleeast Member Posts: 653
    edited October 2011

    hoping everything went well and a speedy recovery!

  • cycle-path
    cycle-path Member Posts: 1,502
    edited October 2011
    Those who have followed the trials of Blair and his wife may want to offer some words of support to another husband who posted here on BCO. http://community.breastcancer.org/forum/91/topic/776567
  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited October 2011

    Excellent idea, cycle-path. Unfortunately, when I tried to show my support using the link in your post, it did not work.

  • BlairK
    BlairK Member Posts: 399
    edited October 2011

    From BlairK - Recap of October 14th to October 16th.  On 10/14 woke up at 5 AM and arrived at hospital 6 AM.  After check-in, went to radiology at 7 AM for injection of dyes.  Sentinal nodes on each side identified by 8 AM.  Wheeled into surgery at 9 AM.  Some relatives who are not so well-informed called at 10 AM asking if it was finished.  I waited in waiting room from 11 AM to 3 PM.  I brought a supply of magazines to read and recall all stories on Steve Jobs.  The wait was excruciating and they had boring shows on like Family Feud and Judge Judy.  At 3 PM notified that surgery was finished after 6 hours of work (9 AM to 3 PM).  Plastic surgeon said everything went well.  Wife was in recovery room for 3 hours until 6 PM.  I went out to finally eat something.  Wait from 3 PM to 6 PM was also excruciatingly long.  Wheeled to room at 6:30 PM.  Breast surgeon gave me update that all sentinel node biopsies came back normal (negative).  Wife was on demerol and sleepy.  Went home at 8 PM.  On 10/15 went back to hospital at 9 AM. She woke up at 6 AM with pain and had Percocet. Both plastic surgeon and breast surgeon came at 10:30 AM for exam.  They said everything looked OK.  My wife has 4 drains.  She started liquids such as apple juice in the afternoon and I got her out of bed to walk on the floor for 15 minutes at 3 PM.  Went out to eat at 4 PM.  Came back at 5:30 PM.  Started eating some solid foods.  Went home at 8 PM and watched Detroit vs Texas baseball ALCS.  Got call at 10 PM that wife had small fever of 100.4 degrees.  On 10/16 - today - went back to hospital at 11 AM.  Fever passed.  Plastic surgeon examined wife and drains and signed discharge orders.  Again she woke up in morning at 7 AM with pain and had Percocet.  She has also been on prophylatic antibiotics.  We had lunch together in the room and I got a stomach ache from the hospital's tunafish sandwich.  President Obama dedication of Martin Luther King Memorial was on TV.  At 2 PM today discharged.  Drove her home.  Set her up in big armchair in living room with TV.  Resting comfortably.  Pain seems to come every 24 hours so one dose of Percocet seems to last almost 24 hours.  Tuesday will be visit to plastic surgeon.  I learned to help to empty the four drains.  Drainage was 8 ml, 10 ml, 15 ml and 20 ml.  Forecast for drain removal is Thursday.  Then get final pathology report and meeting with breast surgeon and decision/recommendation on any next steps.  Overall, the whole thing went very well.  The hardest part for me was waiting in the surgical waiting room.  Other than that we have been very lucky.  My wife's chest is covered up in bandages so it can not be seen.  Will write update later this week.  Hope this recap is helpful to those who are about to have a double mastectomy.  I can answer any questions if necessary.

  • cycle-path
    cycle-path Member Posts: 1,502
    edited October 2011

    Thanks, CTMom, I fixed the link.

  • jbennett38
    jbennett38 Member Posts: 86
    edited October 2011

    Blair - So glad to hear your wife is doing well.  I'm impressed with her level of pain.  I'm sure I was taking more than one pain pill every 24 hours for pain control! That was nice she was allowed to stay in the hospital a couple of nights.  I was discharged less than 24 hours after my surgery. Please continue to let us know how she is doing.

  • belleeast
    belleeast Member Posts: 653
    edited October 2011

    thank you for the update,happy everything went well!

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