Diep 2012

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    dressager -  welcome back!  You have been in our thoughts and I'm so happy to find that your end results were all good...but what you had to go through to get there is awful! 

    Mary -  It SO sucks that you got a stomach virus and had to deal with that on top of the abdominal surgery.  Can't even imagine what yesterday and last night did to you.  Please remember that, not so long ago, you LOVED your surgery results and that some of what you feel today comes from being sick and tired (quite literally) and that will pass...praying for sooner rather than later.  Try to rest today, eat what you can in little bunches so you can take some meds to rest, and remember to stay well hydrated.  And I will bet you good money you can get your jury duty postponed under the circumstances. 

    Welcome to the new (and new to me) faces.  It's wonderful to have your input and sharing.

  • charlestoncat
    charlestoncat Member Posts: 5
    edited March 2012

    TexasRose - I am so very sorry that you are having such a awful time with all of this.  If you are taking Valium, ask you doc about it as mine took me off so it wouldn't trigger a depressive episode (wish my general surgeon had told me that after my MX as I cried like a baby forever!).  Also - when you are in pain and you are struggling with recuperation, it can make you very tearful.  Please talk with someone if it doesn't get better once you start to feel better. As I say, I have bad days and I have worse days.  Just looking forward to the great days!!!

    dressager -  actually all of you out there!  4 words - FMLA.  Job is protected for 12 weeks no matter what.  The guilt and aggravation of not doing you job can be really bothersome but FMLA will "let it fly" without the fear of losing your livelihood!  

     Thanks to all for being here and for posting.  It really helps us all to know that we are not alone!

  • goldlining
    goldlining Member Posts: 1,178
    edited March 2012
    (((TexasRose))) Let your mood be what it is. You were having a pretty good journey until the bug. Be kind to yourself, be as miserable as you want to be, and look forward to better days. It really does get better. I tried "cheating" with lying sort of tilted to the side in various configurations. Try a long walk (in the warm gym until it's warmer) for the endorphins when you feel up for it. Think about a massage for the stiffness (obviously not lying face-down but see what they can do.) Enjoy mischievous thoughts of showing up for jury selection in pyjamas and binder holding a prescription bottle. Whine as much as you want. It's one of our few perks.
  • dressager
    dressager Member Posts: 77
    edited March 2012

    Texas, that sounds absolutely miserable... and painful! You are  sick, tired, and your reserves are low. Take some time to mope and whine---it's certainly understandable. But, from reading your posts, I expect you will snap back to your positive outlook tomorrow or Sunday. ((gentle hugs))

    Jury duty! Sweep into the courthouse in a bright spring caftan and a giant turban... you'll terrify the attorneys and they'll send you home, lickety split! Tongue out

  • julianna51
    julianna51 Member Posts: 438
    edited March 2012

    Texasrose - Have you thought of trying to get your jury service deferred?   I'll bet they would considering you are out on leave from work for recovery.

  • puce
    puce Member Posts: 159
    edited March 2012

    Texasrose-I understand how you feel.  I had BMX with DIEP done 5 months ago now and schedule for stage 2 April 5th (I am terrified to do something else to my body when I'm just starting to feel better).

    I'm still on Herceptin until August and feel like my journey will NEVER end.  Most days are good but my emotions are RAW.  One minute good, the next bad.  I'm always teary eyed.  I feel like I can't really talk to anyone about this because I am now doing better physically.  My DH was so supportive and now I feel like he doesn't care anymore (wants his old life back).  My kids just bounce on me like I never had surgery and my now 9 month old keeps slapping her hand on my chest when I give her the bottle.  Ugh. 

    When I went to the doc yesterday and said I was tired, had trouble concentrating, and that my emotions were raw, she suggested antidepressants.  After I was strong for months, I don't want to.  I can't stand taking any more meds than absolutely necessary!!!

    Ladies, I am depressed or is this normal?

  • c8ndygr1
    c8ndygr1 Member Posts: 186
    edited March 2012

    @Texasrose - I got excused from Jury Duty with a written note from my doctor. Check your summons documents for instructions. Although I do like dressagers suggestion of scaring the attorneys ... oh, Lord, wouldn't that be a sight to behold with drains and bloody tubing hanging out of your clothes?

    Depression is also a side effect of anesthesia that can happen months down the line ... it's all a normal reaction. You will bounce back in no time. Hope you're feeling better soon. A stomach bug is no fun for anyone.

  • TexasRose
    TexasRose Member Posts: 740
    edited March 2012

    Ah, thanks y'all! I knew you would understand in a way that nobody else can. I have actually had some family members say that any discomfort I am experiencing right now is "self inflicted". I didn't have to do recon after being healed for 3 years. I guess it is in a way, but that comment hurt. I just wanted to be normal again. I had a uni-MX, so it was really affecting my self esteem and confidence. I know I will be glad I did this someday (soon!!). I was just so tired of living the unaboober life.  

    So, I took it easy today and am feeling a lot better. The nasty stomach bug is gone. I'm easing slowly back into food and drink. Still cold and rainy here so I bundled up on the couch and just watched TV. Boy, daytime TV is lacking. lol

    I don't take Valium. The only Rx drug I take is for high blood pressure. I do have some Xanax for PRN but haven't needed them in a long, long time. Got them when I was first diagnosed. I am not normally a sad or depressed person. Not in any way. I seldom cry. That is why I am so puzzled by these mood swings. They aren't me. I'm off pain meds and muscle relaxers from the surgery, but I have considered that this could be a side effect of the anesthesia like c8ndygr1 said and just needs to get out of my system. I don't know. But I know I will be ok.

    I also think maybe in some ways it's coming back here. I haven't been here in a long time and it makes me feel in some ways like a cancer patient again. I have to remind myself that this is hopefully the end of the journey for me. This is supposed to be the silver lining. The taking my life back. Because my DIEP was delayed, I was healed and living life again. I chose to go back and do this and I know it was the right decision even if it's hard right now.

    The jury duty thing- I don't know. I am scheduled for 4/2 which technically will be over 6 weeks out from my surgery. Actually it will be 7 weeks so hopefully I will be feeling much better by then. I'm cracking up at the idea of the caftan and turbin though! My drains are all out and have been since day 8, so no  luck there and I don't work so not missing anything there either. I am hoping that I don't have to report. You call the day before to see if you have to go and I have a really high juror number so fingers crossed that I won't have to go.  

    And I know how you feel, puce. We go through so much and to be depressed now. That's just wrong. I dont know if it's depression or just a normal reaction to our situations. I suspect it's just normal. This whole cancer thing takes a lot out of us.

    (((hugs))) to all of us! Thanks again everybody. I really needed that.   

  • wrsmith2x
    wrsmith2x Member Posts: 410
    edited March 2012

    Anybody with DIEP have their abdominal incision want to split open in spots?  What did you have to do?

  • ellena
    ellena Member Posts: 13
    edited March 2012

    I am 11 weeks post op. I started back at work 3 weeks ago .I am on my feet the entire time . My back wasn't bothering me at all unti I ended my first week , now I can hardly bend and straighten without terrible pain. My back was fine until I went back to work. I am also having shooting pains across the flap area . I also have physical therapy twice a week for frozen shoulder post mastectomy. Has this happened to anyone else? My ps said not to do any abdominal excercises so i don't know what I can do to help my back. I also have therapeutic massage every other week. All these therapies help but it's just so frustrating. I think we are allowed to have our down times, perfectly normal. Then I read what everyone else has been through, going through and you give me strength. Thank you everyone, keep posting

  • ReadingMama
    ReadingMama Member Posts: 573
    edited March 2012

    I would also check on your out-of-network insurance for DIEP doctor.  I also only have in-network coverage, but since there were no DIEP doctors in network, the insurance co gave me no trouble about going out-of-network, and they pay in-network rates so you are not responsible for more than you would have with an in-network doctor.  If that makes sense?? My PS said they might make me someone in NYC since it was in a certain milage radius, but they did not.

    I agree with others, that having a qualified DIEP surgeon is a MUST and you might have to travel.  TRAM is much more invasive, so don't settle if that is not what you want.

    I am also uneven, but will not get implant.  I am getting lipo and the fat injections for Stage II and then we will see how uneven it is after that. 

  • goldlining
    goldlining Member Posts: 1,178
    edited March 2012

    ellena,  I felt spectacular after my 11 hour anaesthesia. Lots to be said for paralyzing every muscle in your body! All my knots were gone. I felt fantastic for weeks. I resumed working gradually, from bed, to stealthily going to the office with my door closed, to going to the office and doing some of the work, and eventually back to work WITH the approval of HR (prior to that I guess I was working for free because I was on sick leave). As I ramped up my work the knots have crept back. I do physio (now every 2 weeks. Started 2x / week then 1x) to stretch out beyond what I can do (and keep going beyond where I wimp out). I have massage when I feel I need it. Definitely a week before and soon after a very long run, but other times when I feel like it.

    I was told the abs can be exercised once the first 6 weeks are past, so you might ask your PS if the restriction is lifted yet.  Building ab strength wards off those back pains. The physio was totally on that. "Is it 6 weeks yet???" And she is totally into active rehab, i.e., making me do homework. She also massages the scar.

    The pains in the flap area that I have are sometimes nerve regeneration (or attempts). I recognize the feeling from my reduction 35 years ago. I get it once in a while now. That's twinge-like pain. Once I labelled it as that familiar thing, it doesn't really bother me. It's like ringing in my ears. That drives some people crazy, but I have never known any different.

    I also have discomfort on one pectoral muscle under the flap when I shiver (not uncommon when it's -11C outside). It's odd that it occurs just on one side and I had bilateral DIEP, but one side was immediate and the other was delayed. My theory is the delayed flap was attached to the underlying tissue in a slightly different way, and when the muscle contracts to shiver, it pulls on the flap differently than the other side. It's not stabbing pain, just a weird feeling. 

    Good luck with your recovery! 

  • RaeBob
    RaeBob Member Posts: 79
    edited March 2012

    I am so glad to have read all the posts on here it makes me feel "normal" in some convoluted sense of the word since that term hasn't applied to my life since my diagnosis. I have always been a happy person with a good sense of humor and now I find myself in all the emotional and physical states the other ladies are describing. Went through a lumpectomy and 6 months of chemo that knocked me flat on my back most of the time and left me with some serious neuropathy in my hands and feet.

    Found out I needed MX so decided to do bi-lateral MX, onocolgist wanted it done within 6 weeks of finishing chemo. Interviewed surgeons decided on Diep flap started feeling great again for the first time about 2 days before surgery.

    Loved my surgeon and the hospital staff but developed a bladder infection from the catheter. I have been sick with that infection since I got home. Got 3 of my 4 drains out yesterday woo hoo came home and was down with the bladder infection and went to the Dr today and they are trying to figure out why the steady and high doses of antibiotics I have been on aren't working. Neither is the medicine I have been using for the sty blocked oil gland I developed while on chemo. I cant get my Herceptin treatment until I get the bladder infection cleared up. The damn binder rides up constantly and I hate that thing. So I cried and cried and I don't care. We are all tired and we have been through a lot and we get tired of being "strong" whether you are 3 weeks out or 3 years out.

    I am so relieved to be able to get on these boards with people who know exactly how I feel. I love that we can cheer each other on that we have days when we are feeling strong and when we are not we can vent and get back up with the support of others on here.

    Texasrose and the other ladies thanks for sharing.

    For anyone wanting to know if I would do Diep flap again, at this particular moment - yes just don't ask me when that binder starts creeping up or after I tighten it again for the tenth time and then can't breathe or bend over. Rae

  • annabelle64
    annabelle64 Member Posts: 18
    edited March 2012

    Has anyone had surgery for reconstruction with Dr. Regina Baker in the LA/Pasadena, CA area? I'm scheduled for a bilateral mastectomy with reconstruction in early April - haven't decided yet on what method of reconstruction and am frankly overwhelmed with information.

  • Del11
    Del11 Member Posts: 944
    edited March 2012

    re: incision opening--my doctor is not in my city, so she had me see a wound care clinic doctor near me (I had to find him). He was able to assess the wound, clean & debride it, dress it and check on it every week. I highly recommend doing that to keep the opening(s) from getting worse.  I had been sending pics to my doc every day so she knew when it needed to be addressed vs. could just be cleaned and left alone.

    Until you get it assessed by your doctor or another one, don't put ointment on it. That will make it split open more.  I used betadine to clean it twice a day and dry gauze over that.

  • TexasRose
    TexasRose Member Posts: 740
    edited March 2012

    Rae, you summed it up perfectly! Thanks for putting it into words we all can relate to.

    I was sore and very tight again yesterday after all the vomiting, so I took a pain pill and muscle relaxer last night. I've been off the meds for awhile, but I needed sleep and to hell with it- I just took the pills. Got a GREAT night of sleep!! Feeling so much better and even though it's pouring rain- I am feeling on cloud 9 this morning and getting back to normal. Amazing what a night of sleep will do for you. Now to get a little food in me. Besides the stomach virus, I have had very little appetite since the surgery. I know this is going to go away and I will miss it, but right now it's a struggle to eat much. And that doesn't help the healing and getting my strength back. I have lost 10 pounds since the surgery and while that's not a bad thing- this isn't the way to go about losing weight.

    Hugs to all!

  • ellena
    ellena Member Posts: 13
    edited March 2012

    Goldlining- thanks for your help and advice. My ps said I couldn't do any abdominal exercises for another 6 weeks. I do try to massage my scars but it feels so weird! I only had Te in for 6 months but my muscle attached to my skin and the expander so that contributed to my frozen shoulder. The ps had to cut the muscle from the skin and Te but it feels so much better than before the diep. So basically my pt is for my shoulder and neck. Maybe I can get my ps to ok some back pt too.

    Thanks for your help

    Raebob- hope you are feeling better soon!

  • RaeBob
    RaeBob Member Posts: 79
    edited March 2012

    TexasRose: Glad you are feeling better! This great weather we are having sure doesn't do much for ones mood. I finished my pain pills but still feel like I could use a refill. Sleeping is not as long or restful without them. I have to laugh before all this mess I wouldn't even take an aspirin but about once a year. First chemo I decided they weren't putting me on all that medication. After the first night that I hung over the toilet and thought I was going to die I was yelling bring on the drugs and haven't looked back:) I just get through one thing and start getting the stuff out of my system and I am back having to dump something else in it. Ah well soon I hope organic veggies will soon be the only thing I put in for healing.

    I have to go back and look at my paperwork but I think it said a month no driving. I don't know if I can last a month. What instructions did everyone else get on the driving?

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2012

    I was driving two weeks post op... as long as I wasn't medicated, which I wasn't, the doctor was fine with it.

  • TexasRose
    TexasRose Member Posts: 740
    edited March 2012

    I hear ya on the drugs, Rae. I never took anything either in my pre-cancer life. I went round and round with my BS about the Xanax. I don't take pills like that. She just finally told me to take the damned drugs. I did and well life was somewhat bearable again. I don't take them anymore, but they sure got me through chemo.

    I wasn't given any specific instructions on driving. Just not to as long as I was taking the pain meds.

  • ellena
    ellena Member Posts: 13
    edited March 2012

    Raebob- I wasn't allowed to drive while I was on pain meds. It was a nice break not having to drive but then when the help left I became a prisoner in my house so had to drive

  • ReadingMama
    ReadingMama Member Posts: 573
    edited March 2012

    TexasRosa - it helped me to eat smaller meals and more of them.  I found I got full very fast, so could only eat a small amount.  That has passed, unfortunately.

    Rae, I agree, as long as I was off the pain meds, then I was allowed to drive. You should check to make sure you can look back over both your shoulders too though.

  • goldlining
    goldlining Member Posts: 1,178
    edited March 2012

    I did not drive for a long time, at least two months. Nobody told me anything one way or another, but I just could not muster the concentration. I had noticed that I had a wandering mind behind the wheel after lumpectomy and mastectomy so I tried to get out of it as much as possible, and this time, I just didn't drive at all.

  • TexasRose
    TexasRose Member Posts: 740
    edited March 2012

    Meegan-sorry to hear it's not going to last. I am only able to eat small amounts. Normally I am a pretty good eater.



    I should add that I have not driven yet and it's been almost 4 weeks. I just haven't felt ready yet. Probably this week as I really need a haircut. I'm not sure about leaning back into a shampoo bowl though. My stylist told me to shower and wash it at home if it would help and go up there while it's wet.



    How long did you wait to bathe? I took a bath last night. Didn't fill up the tub. My scars were not Submerged. I'd love to take a nice long soak. PS said no baths until scars are healed but not sure how long that is.

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2012

    Mary.. I also could eat very little at first.. I was thrilled and thought I had found an easy way to lose weight... That lasted a couple of weeks...

  • Dutchy
    Dutchy Member Posts: 432
    edited March 2012

    I had my nipples tattooed today and they look great.  If anyone in the So. Cal area needs their tattoos done...please contact me.

  • RaeBob
    RaeBob Member Posts: 79
    edited March 2012

    A bath oh my that sounds like heaven right now. I love my baths and I am missing my soaks. I am still at the not facing the shower stage.

    Betsy and Mary: I have always has a healthy appetite until the last 6 months actually felt strange at times to say I can't eat. I have a feeling when it comes back I will be on overtime eating.

    Dutchy: Does it hurt? I told my teens they can be proud of me they will have a tatted mama!

  • c8ndygr1
    c8ndygr1 Member Posts: 186
    edited March 2012

    @Evelyn - I had my tattoos done on Weds. So far, so good. In 6 weeks, after all is healed, I go back for a 'tweaking' session for any adjustments. Piece of cake - didn't feel any pain. Took 2 hours. How about you?

  • annabelle64
    annabelle64 Member Posts: 18
    edited March 2012

    Dutchy, I'm having surgery on April 6, so I'm not quite ready for tattoos yet, but I'd love to know where you went to get yours done.

  • fredntan
    fredntan Member Posts: 1,821
    edited March 2012

    Hi again,

    I have couple of questions. My recon won't be till fall. so I'm trying not to look too far ahead.

    anyways.

    If I decide to get rid of the left boob (had rt mast) can they do that during the diep sx? I wouldn't have to have another TE?

    and since I have TE-do they put the belly fat over the muscle or under it. Rads starts end of month. 

    and how do they check for BC after the diep? no  more mammo's? do they do US? couldn't it come back to chest wall under the fat?

    thanks 

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