GRRRRRRRRR I HATE LE..........

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  • Teka
    Teka Member Posts: 10,052
    edited July 2012

    Dawne-Hope,

    RO referred me to a occupational lymphedema therapist.   Does any of your former BC team have medical records on lymphedema diagnosis and therapy from PCP and therapist?   Were they kept in the loop?   Probably will need to reactivate public aid.  Why pay out of pocket for a never ending side effect of BC.   Good Luck!! 

  • Estel
    Estel Member Posts: 3,353
    edited July 2012

    Binney4 - How I would love that!  Thank you!  xo

  • Estel
    Estel Member Posts: 3,353
    edited July 2012

    Teka - No and they don't care.  I haven't seen my PS since he released me a year and a half ago.  I saw my BS in September and she barely blinked when I told her I had LE.  

    I have been off public aid since December '10. I appealed the decision and had a hearing in November which was one of the more humiliating experiences of my life. I had to say out of my mouth that I declined the public aid because I was no longer in active treatment for breast cancer.  I don't have it anymore ... there is no way to activate something which I no longer have.  I go to my local office and nothing shows up on their computer ... it was that way when I went in November.  I had a special card that was for breast cancer treatment only.  It's banging your head up against the wall over and over and over again.  At my hearing ... even the officer who sat with me had tears in her eyes and said she was sorry there was nothing she could do.  She said I feel in a loophole.  Yes ... and it is a very dark and deep one.  Yell 

  • Teka
    Teka Member Posts: 10,052
    edited July 2012
    I thought Obama Care was supposed to put an end to this F'n crap.   Damn!Yell
  • Estel
    Estel Member Posts: 3,353
    edited July 2012

    Binney4 - and I'm sorry that happened to you. :(



    You are such a rock and encouragement. Thank you for being here.

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012

    Dawne-Hope - That really stinks - I know the feeling though... I am paying for my LE T - I will pray that everything works out soon.. I had a few LETs that I talked to over the phone that actually said anytime I had a question call and talk... That was before they finally referred me to one in my town.. As Binney said - its time for some tea and chocolate..

    Binney - I did talk to LET today and he said that if I wear my sleeve and aren't bumped around, burned or get scratched, I should be ok... I asked him about wrapping and said go enjoy yourself, be carefull use the sleeve and night clothes and elevate.. We will discuss the wrapping lessons next week - he did check the sleeve and gauntlet and said the sleeve is fine but gauntlet is to big (as I thought) I have the new one coming in friday.. He said the sleeve is doing a good job and the swelling is mainly by an old surgery scar on elbow and upper arm.. He is now saying we should probably work on that elbow scar - it looks like it is blocking the flow of fluid... 

     I will let you all know what happens... I love my granddaughter.... 

  • kareenie
    kareenie Member Posts: 339
    edited July 2012

    Grrr...... Does anyone have suggestions on how to convince my fitter to let me return the off-shelf Juzo glove that did not fit (fingers too short)?  (I knew it was wrong immediately but let her talk me into taking it.) I haven't tried to argue or insist yet but at the time she said that since I had worn it for a couple of hours after leaving her office it is not returnable. I think if I asked she would say "company policy."  $95 down the drain....Anyone have references that prove "everyone else" takes back garments that don't fit?  It seems so from what I have read here.

    BTW I got my custom Juzo glove and it is better altho occasionally I have trouble with thumb falling asleep. I'm trying to stretch the thumb out a bit with a small medicine bottle.

  • BeckySharp
    BeckySharp Member Posts: 935
    edited July 2012

    Dawne--I am so sorry for what you are going through.  Like Binney I wish we could get together and talk and cry together.  Keep at it though.  No one in this country should have to go without medical treatment and they should not be humiliated just because they need it. 

    GMA--Good luck on the ride!  Enjoy it to the fullest.

    Becky

  • kira66715
    kira66715 Member Posts: 4,681
    edited July 2012

    Kareenie, I returned a Juzo off the shelf to a fitter after having it for a week. I just washed it and returned it. That thumb thing is so common, I get it also with my custom Juzo. The fitter did adjust the gloves for a wider thumb, but it happens. And I've heard about another person who it happens to also.

    Dawne--it really adds insult to injury. The health care system in the country is so broken--everyone should have basic coverage. So many of the women on these boards get the coverage for "just" breast cancer, but you know, even when active treatment ends, we still are in treatment. It's arbitrary to cut it off. 

    I'm currently working for a community health center, and what I can do is so often limited by finances. What I do a lot, is send patients to the local hospital to qualify for free care--and then they can get all the tests and services at that hospital. Perhaps a hospital near you has that program--I think they all have to. 

    And please don't ever, ever think you're some kind of second class citizen for not having coverage. It's a system failure. 

    Personally, with losing my last job, I'm now on my husband's coverage, and it has not been a smooth transition, and I call blue cross like every day to try and work out the glitches. And they're still not worked out....And my fury is out of proportion to the problem, but I think it all goes with the breast cancer/LE territory.

    Kira

  • ohio4me
    ohio4me Member Posts: 491
    edited July 2012

    Jo - A sent you a PM with a local massage therapist for LE. All cash/check - no insurance but she is good. She will work with you on pricing if you need multiple visits. You may just want to go once a month. I went Monday and she was fabulous - she is not certified yet but working on it. Lots of exp with breast cancer - I'm digging up the dollars to go to her.

    I 'hear' there is a therapist at Barberton that is going to LE training, but help will be a long time away. Barberton (Anna Dean) does have a good PT assistant that may be able to help but it's hard getting a PT to evaluate so she can treat.

    Aultman is also in the early stages of starting an LE program - a long time away.

    Mercy has some LE trained therapists - but I didn't try them out. They are only in Mondays and turn you over to an assistant (not certified either).

    Akron General is supposed to have a CLT - prob out of network but fight the insurance!

    Talked with a friend in Pittsburgh and there are many options there, also a Cleveland Clinic LE clinic in Boardman. Haven't checked out either - I'm staying with massage therapist for now. If it gets 'bad' I will probably head to Pittsburgh where I know someone who can give a personal referral.

    I'm trying to get my family doc more educated since he president of state society next year. Maybe we need to start an LE support group and start picketing!

    PS - you are Canton area, right?

  • Hildy910
    Hildy910 Member Posts: 319
    edited July 2012

     Hi Everybody, 
     
    I thought about starting a general 'how can you tell if you are getting good treatment thread?" and then realized that this thread essentially already does that! 
    I'm being proactive about getting LE treatment. I saw one therapist for cording and she also did MLD. We messed around with sleeves and gauntlets. The gauntlet caused my hand to swell, as did an Isotoner therapeutic gloves, so I know I'm sensitive to compression.
    Due to insurance issues, I have to switch LE therapists, so I went through all of the 'find a therapist' threads and found a certified LE therapist; but LE is so individual, there doesn't seem to be a set treatment that works, and being a newbie, it's hard to tell whether I'm getting proper treatment or not. So I'm hoping you guys can help with a few questions.
    I am currently scheduled to see her twice a week for 45 minutes. Is this enough?
    Once they discover a data point (such as being compression sensitive,) are there best-practice next steps one should expect, or is it more a 'throw things at the wall to see what sticks' process?   To use the compression sensitive example: My LE put kinesio tape on at the first visit, and the swelling did go down in my hand.  She didn't want to re-apply the tape immediately, however, because my skin had some red spots when she removed the tape and she wanted to let it recover. So she wrapped my fingers and hand with very light gauze tape, and covered that with a light tubular elastic bandage that has foam on the top half.  I think this is also working, but it's far more of a pain in the butt, as the gauze bandages tend to curl up and get lumpy under the tube, and the tube is itchy where the foam is.  
     
    I also wonder if the gold standard treatment is  CDT, shouldn't they be starting with that? I have asked, and both therapists have said they don't think it's necessary, and that they think this  swelling is minimal and probably related to the radiation treatments, which finished on the 10th.  I don't know if this answer should be setting off my bullsh*t meter or not--I lack so much context here, and I don't know what follow-up questions I should ask.   
    Should I be getting lessons in MLD? I am getting PT exercises and deep breathing exercises, and got a sheet of paper explaining the basics of MLD.
     
    Apologies for the ramble!  
     

     
  • ohio4me
    ohio4me Member Posts: 491
    edited July 2012

    Jo - one hour is $80. A lot of money but there isn't anyone else! I have a call into her now to schedule multiple appointments through end of August (post surgery stuff) so will find out what her adjusted price is.

    But - even if you once a month $80 isn't bad. My co-pay is $40.00 so it's a wash. Once I get the surgery done I plan to see her monthly.

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012

    Well Ladies lets add to the GRRRRRRRRRRR - What I would do for an $80 appt. Mine are $300 and tried to get financial aide through the hospital... I just got the denial letter.... I owe $2800 for this month.... They are letting us have payments of $60/ month to pay it off.  Not having insurance sucks... but my DH says he doesn't mind paying for things that actually help (LET and Pain Management). 

    Why do you have to get those stupid letters when you are trying to enjoy yourself with your grandkids :-P

    Note to self - don't take a breather from your sleeve and try to put it back on when you are hot a sweaty... My arm is swelling again elevate and water here I come! 

  • FireKracker
    FireKracker Member Posts: 8,046
    edited July 2012

    Hello sistas especially Kira and Binney....I kinda went a little crazy with this LE...I read over 40 pages from the begining of this thread...i want to tell you that BOTH OF YOU TOLD ME I HAD LE NOT EDEMA that a stupid LANA P/T told me i had...as I read the messages all the ladies told me i was so set on this moron who swore i had edema.now im goin to the real thing.when she asked me to bring in to her all my bras she told me i didnt even have the right compression bra.it was a bra that comes after surgery.even the fitter did the wrong thing.now i gotta start from the beg.new fitter,new bras,kinesio tape along with this padding at night.

    I finally realized all therapists are not created equal.

    I am still with a mild case of LE but now im being treated right.Thank you for all the wonderful advice you gave me last year..Im doin the MLD exercises and she gave me a pully to put on the door and do exercises too.i go three times a week for only God knows how long.....thanks again...sorry i didnt listen to you the first time...

    Once again I want to remind the sistas how much info you share with all of us.Bless you.hugggs K

  • Estel
    Estel Member Posts: 3,353
    edited July 2012

    GmaFoley - I'm with you on the $80 appointments. I'd be so thankful.

  • Estel
    Estel Member Posts: 3,353
    edited July 2012

    But it does all add up and it is hard...for all of us. :(

  • nibbana
    nibbana Member Posts: 464
    edited July 2012

    Ok, this is weird.

    Last week my hand swelled up after lifting some heavy dumbbells up the stairs to my condo. I was able to show my LET the swollen hand. There was a 2 centimeter consistent difference between right and left arms. I've been doing my MLD daily, but I have not had any swelling in a week.

    Is there such a thing as intermittent lymphedema?

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012

    Nibbana, You can have "a flair" and then no swelling for awhile. have no clue if it would go away that fast..

    Edit: Off to Enchanted Forest tomorrow - pray nothing bad happens (swelling a bit but in my sleeve) and I can go down the log ride with her!!! I have 4 more days with my gd. We are heading to Daddy's after Enchanted Forest then a sleep over at her cousin's house, then I will be coming home tuesday. 

  • kira66715
    kira66715 Member Posts: 4,681
    edited July 2012

    Hildy--no one answered your question.

    LE treatment can vary, depending on the individual's needs: if you don't have a huge volume increase, then "classic CDT"--where you're wrapped 24/7 to decrease volume likely isn't necessary.

    We need the tools to manage this at home, and it might include being taught how to wrap, and it sounds like your therapist is being wise to avoid an adhesive reaction to the kinesio tape.

    Most of my swelling is in my hand, and for a while, I kind of lived in gauze hand wraps, because gloves weren't helping much.

    We need the tools: MLD, therapeutic exercise, how to wrap, effective compression garments to keep this under control, and LE therapists do vary SO much.

    Are you comfortable with this new one?

    Kira

  • Binney4
    Binney4 Member Posts: 8,609
    edited July 2012

    Jo, if no redness or other symptoms, try gently starting self-MLD, but I'd stay off the pump for awhile until you see how the MLD goes. With self-MLD you can feel the skin and control the pressure and pace better.

    I was thinking the same thing about your insurance--if there IS no specialist that you need on your plan, surely they have to go outside it to meet your needs. When I've had to do that I've specified the one I wanted to see and always got them, so if you know the name of the one you want be up front about it with them.

    Keep us posted!
    Binney

  • carol57
    carol57 Member Posts: 3,567
    edited July 2012
    Rockym, back to a topic we had going a few days ago--I had hoped to receive my Allegro sleeve/gauntlet combo before today, so I could try it out before leaving on vacation tomorrow.  It did not arrive yet, so I'll see it in about a week.  Then I'll post my observations about the length and fit.
  • Teka
    Teka Member Posts: 10,052
    edited July 2012

    Sad weekend in America.

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012
    Granddaughter and I broke the record! - 17 times down the log ride - to bed and more elevation, water and prayer... I broke out in a rash under my breast - No swelling other than what I had - sleeve survived without getting wet.. will let you know how I really faired when I try to get up tomorrow morning.. Must say - I got my exercise going out the exit and going back up hill to the entrance...17 times LOL...
  • Leah_S
    Leah_S Member Posts: 8,458
    edited July 2012

    You go, GmaFoley!

    Leah

  • Binney4
    Binney4 Member Posts: 8,609
    edited July 2012

    Brava, Gma! Way to go! Hope you wake up nothing but happySmile.

    Hugs and high-fives,
    Binney

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012

    Binney  - I am happy to see my Granddaughter so Happy - overall I'm doing ok - a little rash still under breast, both hands puffy, and a little ache in the  right upper arm.. I get to go watch son play flag football this evening(its the last time GD gets to watch Daddy Play), so elevation and water until then... 

    Question: I have had a few surgeries over the years - left shoulder for one.. since I have started MLD for the right side LE, the LE therapist and I have noticed the left upper arm is bigger too... We are starting to think the shoulder surgery is blocking the fluid -  how do I go around that to make the arm swelling go down on my GOOD side?  I must be doing something wrong??? We just discovered the difference last week. but I am noticing it more today... 

  • Binney4
    Binney4 Member Posts: 8,609
    edited July 2012

    Gma, when you do your self-MLD, do you move the fluid from your right side to the left axilla, or downward to the groin? If you're using your left axilla and you're discovering the left arm is swelling (or the left hand, as you mention above), your therapist will make a new MLD pattern for you that moves fluid to the lymph nodes in the groin and/or the neck/shoulder.

    You're not actually doing anything WRONG--you're doing what your therapist taught you, which was completely reasonable until you discovered the left-arm swelling. Now you just need a detour. You can continue to do the node clearing part of the MLD, but talk to your therapist again before trying to move fluid to the left axilla. Unfortunately, when we develop LE on the affected side after bc treatment, it's possible our lymphatic system isn't super-effective anywhere else either, so previous injuries or trauma in other parts of our bodies can come into play.Frown 

    LE's just nasty! But you'll get this back under control, just hang in there.Smile

    Keep an eye on the rash. If it spreads, feels hot to the touch, if you have fever or flu-like symptoms, or if swelling in the area increases, get help at once. Don't wait until you can reach your doctor. You know the drill!Tongue out At the moment, though, it sure sounds like a heat rash, possibly exacerbated by all that rocky riding! Rest up and treasure your record-breaking glory!Kiss
    Hugs,
    Binney

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

    GmaFoley - After my initial LE diagnosis and treatment on right side of trunk, I later developed slight swelling on my non-sentinel node side. Once that happened, therapist switched strategies and now drains each side down to inguinal nodes. My non-sentinel node side swelling receded and never got worse, but I treat it with care and do MLD there every so often. The wearing of a compression tank kept that area from ever swelling further, and only under the worst circumstances does it slightly bother me. Just couldn't take the extra lymph load. The mastectomy and implant probably created extra scar tissue, or, as Binney says, my lymphatics might not have been too efficient to begin with. However, with the mast on that side I did lose some nodes even without sentinel being done.

  • FireKracker
    FireKracker Member Posts: 8,046
    edited July 2012

    We all have sooo much to learn about this well kept secret of LE...

    It seems like ever day something or someone comes up with something new and different.

    Our Drs.need an education...Big time!!!!

  • GmaFoley
    GmaFoley Member Posts: 7,091
    edited July 2012
    Trying to do my computer work at son's house with just one 15" computer screen - this will be a challenge for 2 days :-P can't wait to get back to my 24" screen - When you have 8 screens open to try to edit press releases... need I say more... both arms are a bit swollen today - so much for breast LE LOL... Encouragement ladies!!!! What I do to spend a few more days with my beautiful 11 year old granddaughter...

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