Immediately following surgery

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I'm trying to figure out what I'll be wearing during the first days following bilateral mastectomy, no recon, no forms.

I see a lot about what to wear when you've begun to heal. A lot about bras with pockets for those who will be using forms. I want to know what to expect during my day in the hospital, my first days/weeks home, while I'm healing. 

When I first come home, will I be wearing a compression bra for a while? Does this help with healing? Will I be very heavily bandaged? For how approximately long?

Obviously my biggest concern is just getting this cancer out of my body, and hopefully finding that it's not in the lymph nodes. But I'm also trying to be practical. If there are things I need to buy before surgery, I'd like to know as soon as possible. I have button down tops, some tops I can step into, plenty of things I think will work after surgery. I guess I'd just like to know if the days immediately after will require anything special. I'm assuming that is the case, but am not finding much about it for women who aren't having recon or using forms. 

Sometimes being anal about over-planning is such a pain!

Comments

  • badmamajama
    badmamajama Member Posts: 52
    edited February 2012

    You will need button down tops and I also used zip up sweat shirts. I don't think it matters the first days after surgery whether you are having recon. or not as to what you may need. There are several post that give a shopping list of what you need to get before surgery. You will be bandaged but I can't remember for how long. You also can prepare your home. Put things you need on a lower shelf- like a glass for water or a mug for coffee since you will have limited range of motion following surgery.

  • badmamajama
    badmamajama Member Posts: 52
    edited February 2012

    Check out the surgey forum for the list

  • Cats134
    Cats134 Member Posts: 131
    edited February 2012

    Hi Densie!

    It's good that you are prepared.  I thought I was.  I researched everything about my diagnosis, knew what a mastectomy involved, but somehow missed the chapter on recovering.

    Seems like every hospital is different, so check with your surgeon's office.  I woke up from surgery wearing a surgical bra stuffed with surgical pads.  They gave me an extra bra to take home with me.  My BS told me not to change bras or pads until he saw me a week later (I ended up seeing him the next day because of drain problems and he changed all the pads inside the bra).  

    Button up shirts and sweat pants were a must.  Anything tight bothered me. The drains were a huge pain in my recovery and once the last one came out, recovery sped up.   Again, check with your BS to find out how long he/she keeps the drains in (some take them out after a certain # of days, some after the fluid is down to a certain amount).  I had my last drain in 4 weeks and was not able to shower until it came out.  I ordered waterless shampoo, disposable bath wipes and made sure I had lots of washclothes and hand towels ready.

    Drains...I had a little station set up in my bathroom for the care of my drains.  A box of paper towels, measuring cups (hospital provided), alcohol wipes (makes it much easier to strip the tubes that are attached to the drains), notebook and pen to keep track of fluid levels. Oh, buy some extra tape just in case you need to re-tape the area over your drains.  I used the paper tape since I seem to have developed allergies to adhesives.

    I had bottles of hand sanitizer all over the house plus pillows everywhere.  I got in the habit of surrounding myself with pillows, not only for comfort, but made me feel more secure that no one (human or cat lol) would accidentally bump me in my chest.  

    I developed a rash where the elastic from the surgical bra touched my skin so I had to start wearing men's cotton sleeveless undershirts (muscle shirts).  I still wear them today.  Hubby got tired of me stealing his so I went out and bought my own package. 

    Before surgery, my hubby insisted that I buy new bath towels.  I bought these huge fluffy towels...that I cannot use.  They are so heavy that it hurt my arms to use them to dry myself.  I went back to my old worn old, but light weight, towels. 

    Everyone recovers differently...my recovery was much harder and took longer than I expected it would.  I found myself getting very frustrated over the amount of pain I was in (when my BS told me I should be feeling better), or the lack of arm movement I had, or just not feeling like myself.  Day by day I realized things were getting better, I was feeling better, I was doing more and feeling good.

    I hope your surgery goes well and your SN are clean!  Feel free to PM me anytime.

    gentle hugs,

    Cats 

  • Moderators
    Moderators Member Posts: 25,912
    edited February 2012

    Hi Denise -- here's the thread badmamajama refers to.

    Surgery - Shopping/Packing/To-Do List for Surgery/Recovery 

    Hope this helps!

    --The Mods

  • dreniger
    dreniger Member Posts: 67
    edited February 2012
  • cookiegal
    cookiegal Member Posts: 3,296
    edited February 2012

    Extra clean clothes...it was a while before I could get to laundry.

    I bought a black jersey robe, nightgown with a huge stretchy neckline, and some similar pj's. Having something new and sort of stylish lifted my spirits, especially when I had visitors. 

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited February 2012

    I woke up with a giant Ace bandage wrapped around me so tight I thought my arms would fall off! That stayed on for a week, and at my Post-Op appt, the surgeon took it off, examined the sutures, and put another giant Ace bandage back on me.

    I bought those expensive camisoles with the pockets for drains and never used them.  I just used diaper pins to pin my drain bulbs to my bandage.

    Ditto on the "drain station" in the bathroom. Have everything ready to go.

    Never used anything in the overnight bag I took to the hospital. Wore a button front short nightgown home so that I wouldn't have to pull pajama bottoms up and down in the bathroom.

    Finally switched to satin jammies that made it easier to slide out of bed.

    The other thing I did was to NEVER touch my sutures, and NEVER put on a piece of clothing or use a towel that wasn't freshly laundered. A small obsession, but I like to think it helped.

    The thing that was hard for me to grasp was the fact that in the beginning, I would need these things temporarily, but eventually, I would be healed enough to wear regular clothes. That sure didn't take long. I've been wearing Tshirts for weeks now, and my BMX/recon was 11 weeks ago.

  • Carolanne03
    Carolanne03 Member Posts: 42
    edited February 2012

    I purchased pink pockets for my drains. Just google " pink pockets" and the website should come up. I found them very useful because I could place them into a button down top or on the inside panel of a hoodie sweatshirt. The drains sit inside the pockets so that you are less likely to pull on them. I found them to be very reasonable, I think they were $20 for a set of 5 or so. The only thing is they did not wash well, but the sweatshirts didnt need daily washing anyway. I also put a set into my most comfy pjs so that the drains would stay put for sleeping. I found it more comfortable than pinning the drains. Best of luck! You WILL get through this...

    Carolanne

  • varietgrrl
    varietgrrl Member Posts: 4
    edited February 2012

    Hi - I just had bilateral mastectomy without recon on Feb. 13th - doing amazingly well.  I just read the above posts and have had a little different experience (other than the drains - they are just a nuisance but they were out in a week and I could shower 48 hrs. after surgery).  I have a list of things to do/ask for/prepare that I have compiled to give to the next woman I meet who is going through this.  Not sure how to get you my email address but if you're comfortable with that I will send it to you.  It will be important to have a strong core (abs) for getting yourself out of bed - I feel that made a big difference.  I slept with pillows underneath my knees and lower legs because you will be sleeping on your back for at least a week. Get some cheap bandanas and sew pockets in your shirts for the drains - just hand stitch them in because you won't need them after the drains are out!  Buy a set of wide, 45" long shoe strings (I got mine at Target) - you will tie one around your neck and then pin the drains to it when you sleep at night or take a shower - you don't necessarily have to purchase anything with pockets since you won't need it after about a week or so when the drains come out.  So much more to tell you - will ask the moderators how I can get you my list.  All my best - if you have the Lord on your side you will also be in a much better place!!!  Blessings to you!!

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited February 2012

    Ditto on the slicky pjs. I found silk ones at amazon for $50. Be sure to get drain sponges for when you change dressings. So much easier than other types. I'm using the TLC cami on top of the compression wrap, and the button pjs on top of that. Stay on top of pain meds, and use sleeping pill if doc prescribes. Best of luck to you

    Ps I only used Chapstick, gum, hairbrush, and clean undies from my hospital bag.

    Ditto on strong core. Also I'm having some trouble opening med bottles w my palm, figured out that two fingers on top and pressing the bottle onto the counter will do the trick.

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited February 2012

    Also a lamp with a switch on the cord beside your bed or recliner would be useful. An old fashioned back scratcher would be useful for those now hard to reach itches.

  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited February 2012

    It sounds like everyone's experience is very very different and your best bet is to ask your surgeon what to expect. 

    I was not put in any kind of compression garment and had very loose abdominal pads lightly taped over my incisions, which were held closed with surgical glue and steri-strips.  I had surgery in the early afternoon and left the hospital about 24 hours later.  I was able to shower with the drains - the nurses gave me a lanyard with two pockets to hold the drains.  I didn't have any abdominal discomfort and wore my regular pants (it was summer so probably capris).  I found lightweight Danskin hoodies at Walmart (about $11 or $12 each) in fun colors that had pockets on the inside.  I used those pockets to hold the drains.  Eventually I was able to corral the drains in my jeans pockets as the tubes were very long.  Of course, that won't work if your jeans are skin-tight.

    For the hospital, I brought only the most basic grooming items, clothes to go home, and my laptop and phone. 

    I slept one night at home in a recliner, then decided I needed to be in my bed.  I bought a small step stool and a boomerang-shaped pillow so I could step up into my bed and sleep comfortably on my back.

    For me, the more "normal" I could make things, the better. 

  • dreniger
    dreniger Member Posts: 67
    edited February 2012

    I did find out what the plan is. At the time of surgery, I'll be fitted with a compression bra. Yesterday I was given the Amoena Camisole with pockets. My surgeon said to expect the drains to in for 4 weeks (I was hoping for a couple, but in the grand scheme of things, I can live with 4). I made sure I have plenty of button down and stretchy-neck/step in shirts. I bought an oversize flannel nightshirt that buttons down the front and comes to my knees. I figure that will be good if I want to walk around the hospital floor.

    I have the hand sanitizer, wipes, alcohol, soft fluffy pillow (volunteers make them for the Cancer Center), safety pins, supplies for drain station (except what I know the hospital will supply).

    Blessings2011, I share your obsession! My sutured area will be sacred, and nothing not freshly laundered will touch the suture/drain area. The thought of anything not freshly clean touching the sutures just creeps me out.

    Varrietgrrl, I'll try to find out how to get in touch with you. Thanks.

    Ah, Farmerlucydaisy ~ brilliant! The lamp next to my recliner has a switch that I have to reach up for. It hadn't occurred to me that that could be a problem. I have a lamp with the switch on the cord. I'll just put that next to my recliner today, and be good to go. Thanks!

    LuvRVing, my fondest wish (other than not having cancer) is that I can shower the day after my surgery. My BS said the drains will be in for 4 weeks, but I really want to shower every day, drains or no drains. Feeling human is highly underrated :)

    Thanks so much for sharing your progress, and especially some type of time frame. Knowing that the recovery phase has an end is so encouraging. Some days I think about it and wonder if I'll be homebound for months. My plan is to be out, at least for church, by the end of the first week. I'll be careful and not push it if I'm not ready, but I can't imagine laying in a recliner for weeks on end.

    Thanks so much, everyone!

  • sespebadger
    sespebadger Member Posts: 249
    edited February 2012

    dreniger, I was surprised that my recovery from BMX no recon was pretty fast. I spent one night in hospital. I slept in my own bed the first night I was home. I took pain meds for just a few nights and fewer days. I went to church six days later. Drove myself. I did a lot of nothing for the first 2 - 3 weeks, but I wasn't too uncomfortable. I had my husband help with drains for the week they were in. I really appreciated his moral support! The drains are a pain. But no pain at all having them removed. 

    Good luck to you!   

  • dreniger
    dreniger Member Posts: 67
    edited March 2012

    I've been very pleasantly surprised, as far as pain. Sure, I have had some pain, but nothing like I anticipated. Not even in the same ballpark. They took out my IV the evening of the day I had surgery. I had no pain meds during the night. I had a half dose the following day. I was also surprised that the pain isn't from the incisions, but is actually the muscles - chest wall and under my arms. I thought there would be a lot of pain at the incision site, but no. It feels tight and kind of itchy so far. I can't wait to get the tape and steri-strips off so I can start massaging it and putting lotion on. I think it'll feel really good to massage it, after it's healed enough. I remember finally being able to massage my healing incision/scar after reconstructive surgery on my left wrist following a car accident. It was pretty painful, but it was a good pain. I knew it was good for the scar tissue, the swelling, the elasticity.

    On my way home from the hospital, we drove through a fast food place and got a plain cheeseburger. Sounds nasty, but it was midafternoon, and I hadn't eaten since my very light breakfast. I was starving. I used my pillow under the shoulder harness on the ride home. Had no problem walking up the steps to my back porch when I got home. Rested in my recliner for a while, then called my parents and a couple of my best friends to let them know I was home.

    Planned to sleep in my recliner for a couple of nights, but ended up being able to sleep in my bed right away. My husband got me a wedge pillow while I was in the hospital. It definitely helps. I lay down for 45 minutes, 3 times a day, with my arms elevated, to help with drainage. I practice deep breathing (from the diaphragm, and hold for 6-10 seconds) while I'm lying down.

    Surgery was Wednesday (2/29), I came home Thursday (3/1), I went to church this morning (Sunday 3/4). We came straight home from church, didn't go out to lunch with friends. I had lunch, did my deep breathing with arms elevated while lying in bed, then took a short nap.

    I have been having some feeling of weakness when I am on my feet for long (long is about 4 minutes :).  I've been walking to the end of my (fairly short) driveway and back twice a day. Walked from my car into the church this morning. I try to get up once every hour and at least walk from my living room to the kitchen, stop and pet a dog or two, refresh my drink. I've found that when I sit still for too long, the muscles in my chest/arms feel more stiff and achy.

    I almost forgot to mention ~ the thing that I was most excited about is that the compression tube top got to come off after 3 days! Yeah, they put a compression tube top on me instead of a compression bra. I really like the Amoena compression bra (Patricia model) that I saw on a website. And I hated the crinkled, wrinkled, itchy feeling of the super-tight smocked tube. The velcro was super industrial. When it was fastened, it felt hard as a steel band. When it got a wrinkle or bump in it, it felt like the lump was made of steel mesh. But ~ I woke up with it around me on Wednesday. I took it off Saturday night. In the grand scheme of things, it wasn't TOO bad. If I'd had to wear it for much longer, I would have ordered the bra I liked. For 3 days, it was almost bearable.

     

  • beacon800
    beacon800 Member Posts: 922
    edited March 2012

    Glad to hear you are doing well!  Your post reminded me of that terrible "binder" they gave me, it was all crinkly and elastic in a pink floral pattern and it sucked!!  I took it off right away.  At that time I had chronic hives and they were not going to get me to wear it no matter what! 

    I still have the thing somewhere here.  Don't know why I kept hold of it and I think I'll go find it and throw it out. 

    Glad to hear you are having minimal pain and are able to resume some activities!

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited March 2012

    Yay, Denise!

    Glad you are home and doing well....big (gentle)  hugs to you!!!

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited March 2012

    Denise,

    Glad that you've had so little pain and are recovering so rapidly. My surgeon didn't use a compression top. I wasn't even aware of them until I heard some women mention them here. On the other hand, my drains were removed after only four days (very low output), but then some fluid accumulated on each side. Maybe a compression top would have prevented that...

  • 30yomamma
    30yomamma Member Posts: 6
    edited March 2012

    I am 15 days post op from left breast mastectomy. I got two Velcro front Camis with 8 inside pockets. Unfortunately my surgeon uses a large disc type drainage container, and the cami only fit the bulb type drains. I left the hospital with nothing but basic gauze and tape dressing over my drain sites, and my mastectomy site was open to air aside from the steri strips. I've lived in the Camis. I just pin the disc drain to my cami. It's bulky and cumbersome but it is what it is. I wish I found a solution to dealing with the other breast that is flopping around! Haha good luck!

  • lbrewer
    lbrewer Member Posts: 766
    edited March 2012

    the link to the shopping list doesn't work

  • lbrewer
    lbrewer Member Posts: 766
    edited March 2012

    the link to the shopping list doesn't work

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited March 2012

    Hi lbrewer,

    Sorry, I can't help with the shopping list link, but maybe you'll find this link helpful: Recovering From Surgery: Post-Surgical Camisoles, the Right Tops, and Pillows.

  • lbrewer
    lbrewer Member Posts: 766
    edited March 2012

    I did not know you could not wear a breast form for months after surgery?  How do you go back to work?  I am so scared.

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited March 2012

    lbrewer,

    By two or three weeks post-surgery, you should be able to wear fluffy (fiberfill) breast forms (the type that come with post-surgery camisoles). And by 4-6 weeks out, you may be ready for a silicone breast form. I know one woman who was fitted for a silicone form two weeks after surgery. That's earlier than most women, since for most of us it does take a while for the surgical site to heal. I was fitted at four weeks and most women can be fitted between four and six weeks.

    I'm sorry you're so scared. It's certainly understandable. If it's any reassurance, I found the mastectomy surgery not nearly as painful as I feared. I was off narcotic painkillers very quickly. I went to a big party (a birthday celebration I didn't want to miss) eleven days after surgery. I had prepared for surgery by buying a few button-down blouses and a couple of vests. I wore a blouse vest combination to the party over a camisole with fluffy forms and no one guessed that I'd just had my breasts removed.

    If you need to go back to work very soon after surgery, try to find a few clothing items that can camouflage your chest. Then hopefully you won't feel self-conscious.

    Barbara

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited March 2012

    lbrewer,

    One more thing. I tried the Shopping List link from the Mods and it did work for me. Another way to get there is to go the Surgery forum here on the Discussion Boards--http://community.breastcancer.org/forum/91. The Shopping List is one of the permanent threads (with a thumb tack icon next to it). Good luck!

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