Alternative Treatment
Comments
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"But my point is the sentinel node should not even be done. "
I actually agree, Essa!I had NO radiation and very early stage BC with an excellent prognosis. Due to the SNB, ( ony 2 clean nodes out) I now have breast LE I will live with until I die, making it difficult to ever put BC on the back burner due to the daily reminder. A new challenge , I guess.
If they werent going to remove more even IF cancerous then why bother ? My DR would not have . She is actually a highly respected 'Harvard D'R who believes only in SNB and taking as few nodes as possible ------1 or 2.I dont see the point.
ANY one of us who has had ANY nodes removed are at a LIFETIME risk of LE. Ten yrs out it could rear its ugly head.
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Natty, no, I was not winging anything.
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purple, may I ask you how long after your surgery did you get LE and do you know if there was one particular thing that triggered it? The reason I ask is that I had SNB too (2 nodes taken out) and my BS gave me an Rx for the compression sleeve and the LE pamphlet and enough warnings to make me crazy. My cousin's wife is also a BS, in a different part of the country. Both are also cancer researchers. I asked my cousin's wife how seriously do I have to worry about this LE - really, never lift over 15 lbs, etc.? She said that for SNB patients, she does not even talk with them about LE and that it was a non-issue/non-risk. So I have taken her word on it and I have not gotten the sleeve nor have I taken any of the precautions.
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graced~I apologise for the intrusion. Your cousin's wife may not talk to SNB patients about LE but believe me, you are at risk. That's not to say you will get LE but definitely, you are at risk. The LE threads here are a wonderful source of information if you have any questions. Also here is another great site for info. http://www.stepup-speakout.org/
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You know, when I first realized I had bc, I spent months reading. I still didn't know enough to protect myself from stupids, my surgeon was so highly respected that patients came from Chicago instead of using one there. My surgeon needed to tell me, I am not a cancer specialist, I am not a breast cancer surgeon, you need the best for this, go forth and find another.
The cancer, he left in my breast, I was multifocal, no one knew. The nodes, really, what was the point if they were just checking. There are noninvasive ways to check, like the PET CT which I completely admire for accuracy, even though I wouldn't want more than a few in life. There we are fighting for our livesw, the surgery is all some alternative choosers will accept, it is life and death and they don't take that seriously. So to anyone who is persueing alternatives, I say that you must get the best, know what they are planning to do. They cannot 'wing it' in the surgery room. It must be mapped out for them. And to expect taht they can just go back and do a re-excision? I didn't want to go under once, let alone twice then another time a year later for what was not taken.
Thank goodness for the alternatives, it got me this far to not stop my protocol. And I don't even think I do enough. But if we are not choosing chemo or radiation, then I think we need a special surgeon who knows this is the one shot. Don't know there is one.
The LE - I got LE huge LE, still dealing. The bs never mentioned it, he said I had to keep using arm to keep range of motion, that is all he said, he even had my bc notebook in his center and they did not give it to me, I had no idea about LE....... this was while I had no drain and the fluid was running down my side all the time for 4 weeks, I was bandaged, miserable, infection for three days at one point. Arm and torso swollen. To date, it hurts me to type, my arm acts up when lifting, it is swollen two sizes larger than other, the weather causes it to be painful and next to useless. And worse part, it is like a dead asleep foot in arm and part of axilla. Some hurts, some no feeling at all. LE is real. GraceD there ar LE threads on bco to know what to do, how to avoid, how to deal. Those helped me. Alternatively speaking on LE, I understand acupuncture has helped people. I started it for a time but finances stopped it for now, acu did help a lot though.
My friend the natural farmer, whom my test-running onc almost killed off with chemo (if she had the heart attacks when she left the clinic, oh man) anyway she had a mx and SNB with 36 nodes removed and half positive. Didn't know there were that many in one place LOL, but when there was a reoccurence they removed more, cancer too. The rad and chemo didn't get it either. A few mo ago there was a tumor with arms and legs wrapping around her thyroid, very fast growing, but it was B9 when part of it tested. WT? I don't get it. She was told by surgeon that she must not have been properly covered for her rads. She looks good right now though, real good. We were dx just 2 months apart. She went as fast as possible to conventional, I went as slow as possible to surgery and alternatives - except my alt protocol started right away, just not the right protocol or enough info to do right protocol, and was still living by neighbor's OWB w toxic smoke.
Going to work a few hrs then go out and garden. The most beautiful late summer day here. Then will make dinner and watch sunset w Hubby. That too is alt tx each and everyone of needs to take time for, conv / alt / all, time for the peace and quiet too. I don't do it near enough.
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graced
You can ask me anything you like.
I *THINK* I know what triggered mine.ALL was well app 2 1/2 weeks out of surgery. Then one day I tucked a little ice pack in my bra ( The icepk was MADE for that purpose) as I had some ' normal' post surgical swelling. I laid down with it, and when I woke, I noticed " marks' where the icepk. had been , under the nipple/ lower half of the breast area. NATURALLY, i THOUGHT THEY WOULD GO AWAY IN AN HOUR!
tHEY ARE still THERE. tHAT WAS 5 MONTHS AGO.aNYHOW, i HAD MY FOLLOW UP VISIT JUST A FEW DAYS LATER, AND i MET WITH ro mo AND bs.
ooops .... sorry caps!
The RO said it looked like a little infection or rads burn, common in radiation, but I did not have radiation! (hellooooo???)
The MO said she did not see it at all ( It was pretty subtle)
The BS saw it, she took a good look and said " And is was fine until a few days ago? That is odd."
I tolds her my theory about tucking the ice pack in the bra and she said : " Well, dont do that again!" (DUH) Pls remember, these ice pks were distributed by a hospital for that purpose post- LX.OK, so I stopped wearing a bra altogether thinking anything might irritate it. (and anything DOES)
That was 5 mos ago. It is a little worse now.
I called the NP the other day and she confirmed it.
I have been looking into LE ad nauseum. Anyone who had a SNB is at lifelong risk. Take it seriously. If you had rads it increases the risk.
I want to shout it from the mountains. Why they HELL did they give me an icepack designed to pop in your bra ?
FURTHERMORE, the NP told me just YESTERDAY to wear a bra with a maxi pad tucked in it. Hmmmmm..... I dont think so. Never squishing anything into that breast again thank you and am VERY concerned even about a mammo!Watch out for yourselves , ladies.
We must be on our own advocates ( and our own DRS?!)
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Alternatively speaking on LE, I understand acupuncture has helped people. I started it for a time but finances stopped it for now
ESSA
I would be exceedingly careful of any needles with LE.graced
Baby your arm, dont get BP readings, needles, dont use it to vaccum , rake etc ... Dont lift a lot . Dont squish your breast! I dont know what else to tell you. I Never in a million yrs would have considered myself a likely candiadte and most DRS stress the rads is the biggest culprit due to scar tissue. NO RADS here DRS!!!!
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Nancynow - nice to "see" you.
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Wow, thank you purple and everyone for all the info. I just finished rads about 4 weeks ago. As the saying goes, 'if i knew then what I know now . . . ' My BS was a fellow under my cousin's wife so after my cuz' wife said 2 nodes was no risk, I assumed that the BS was just doing a CYA with the LE talk. Just living is a risk factor for LE, esp if it's your dominant hand/arm like it is for me. And none of these docs can even agree on anything. My BS and cuz wife were in agreement for no chemo for me but that was against what the MO wanted. I didn't do it. So frustrating. I'm sitting here reading Susan Weed's Breast Cancer Breast Health book now and I'm tired of trying to understand all the facts and statistics and remedies and going around in circles! I want to go back to a time when I never knew any of this and never had to think about any of this!
Ok, I'm done venting now. I think. Sorry about that.
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Graced - I had 14 nodes taken out and I have a small bit of LE in my upper right arm and in the upper right quadrant of my chest. I started lifting weights (5 lb to start) at the gym about one month after surgery.......progressed and can now lift 25 lb without my LE acting up. I wear the sleeve when at the gym and continue to wear it for several hours after. As an extra precaution I try to keep my right arm elevated on those evenings after a workout. As far as the breast/chest LE I stopped wearing any bras and that seems to keep it under control for me. It is certainly a mystery why some have a huge problem after one or two sentinel nodes are taken, and others have very little. Hope this helps your fears. Good thoughts.
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I tried accupunture and got good relief from it for BC SE's and back pain. I did ask that no needles be used in my affected arm and/or breast area. I should say that I had no expectation of relief, so I don't believe it was a psychological affect. I don't how it works, I just know that it did.
I have a slight increase in my one arm - 1 centimeter, and do sometimes get more swelling which requires my wearing my sleeve. I recently flew with no problem, but I did have some issues after swimming for several days. Side stroke was ok, but the back stroke was too ambitious. I'm paying for it now. Very sore arm and chest. My Cancer Center requires treatment for LE be done by an Occupational Therapist. Physical Therapists cannot treat LE patients.
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I have acupuncture done for ddd of the neck. I was very hesitant about needles in my arm on the bc side. My acupuncturist grew up in China and was trained there. Even my gp highly recommended her. She said that she has had excellent results with acupuncture to treat lymph and explained how it clears the meridian and allows the fluids to properly drain. So, I hesitantly agreed. So far, the results have bee dramatic and I have no issues with the arm. It might be worth looking in to.
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to change the subject a bit: hunting for something else I came accross a bottle of dr hauschka's (sp?0 blackthorn oil. got info that it was prussic, like laetril, though I think laetril isn't cyanidic but arsenic & probably blackthorn is as well. plan to bring it to the studio tomorrow & use it while there
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"I want to go back to a time when I never knew any of this and never had to think about any of this!"
I am SOOOOO with you, graced! that is precisely what LE does ...keeps the gift of cancer just giving and giving ....right up front. I sincerely hope this will be of NO concern to you.Blessings.
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"I started lifting weights (5 lb to start) at the gym about one month after surgery..."
Good info! Makes one wonder if this may be what caused it. They do suggest you wait 3 mos and also to start with 1 lb. weights! -
Graced, you are at risk, as others have said. Your risk is lower than that of someone with more nodes removed, but it is a risk all the same.
I had the sentinel out on one side, and 22 nodes removed on the other side. My arm swelled during chemo. I had bad inflammation with that last chemo (taxotere). By the end of chemo, I also developed swelling in the armpit/trunk on the sentinel side. The swelling was not huge, but definite. I insisted on PT and my wonderful PT worked on it, I wore a sleeve and glove daily and I did stretching/circulation exercises several times daily.
It took about 6 months, but we got the swelling down. However, I wear a sleeve when it is hot, when I fly, when I exercise, when I do housework etc, which means that this summer, I pretty much wore the sleeeve every day, all day. I can feel the LE acting up before it leads to visible swelling.
The latest research concludes that exercise is OK, including weights, and that it may be beneficial as well. However, you should wear a sleeve, you should keep weight work light and it is apparently important to stick to a regular exercise schedule (no mad working out for 3 weeks and then 2 months on the couch).
You really should be careful about lifting large weights and also be careful about sudden movements of the arms involving weights, like shaking out rugs - not a good idea. I have a large dog, and to avoid sudden yanks on the arm if he sees a cat or something, I put his leash on my belt instead. That way my osteopenic spine gets some resistance training while I protect my arms.
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"That way my osteopenic spine gets some resistance training while I protect my arms. "
Don't let him pull you down, Momine
Sorry- I couldnt resisit/ only kidding !
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Oh, that is no joke, Purple, and why I only walk the one dog (we have 3). When I used to walk 2 of them together, they pulled me over a few times, and that was with me holding their leashes in my hands.
No need to apologize, if we can't laugh, what is the point?
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Momine writes: I put his leash on my belt instead. That way my osteopenic spine gets some resistance training while I protect my arms.
That is seriously brilliant.
Thanks! My spine is fast becoming a noodle. I will try the Momine technique.
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Purple32 - I lifted weights for years before BC and was very involved in racket sports. I was not suggesting everyone start with 5 lbs, but it was easy for me to start there. I had the slight bit of LE in my upper right arm before I ever went back to the weights. Personally I felt this helped me maintain my mental attitude as well as my strength. I did not mean it was for everyone to start with 5 lb, and perhaps weights will provoke LE further for others. It was just my personal experience and it helped deal with the fears.
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A Skijoring belt might work well. I'm not sure, but it may distribute the 'pull' of your dog a little better. There are a few different styles.
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Gentian, because I am not very strong to begin with (I can't hit a tennis ball, for example, with enough streght for it to go anywhere), I use 1.5 pound weights for my arms. Even so, doing this regularly for 4 months has definitely helped. Some recent research suggests that gentle stregthening may help protect against LE flaring or getting worse.
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graced, there's a great forum for LE if you haven't found it yet, here on BCO. The ladies there have a wealth of knowledge and experience.
There are few "absolutes" about what may trigger LE in a person. But the one I live by is avoiding infection on that side's hand or arm. I had two levels of nodes removed, and have lifted heavy weights, rock climbed, rowed, and done vigorous Pilates since 6 weeks post-op, 10 years ago. I haven't gotten LE. Knock wood.
I think the biggest variable, that we can only measure with a lymph scan, is the structure of your own lymph system. Dr. Marga Massey described it this way: some people have a 4 lane highway for axillary lymph nodes and drainage. Some people have a 2 lane road. Others are a little windy path. You remove nodes and close down one lane, and some people have no extra lanes or acceptable detour. These people get LE quickly. Even with just one node removed.
I have been blessed, I think, with a super highway. But I still watch out for major wrecks that could shut it down.
I keep tea tree oil handy as an antispetic for cuts and scrapes--in my backpack, my bike pack, my purse.
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I had a procedure called Reverse Arm Mapping as part of a clinical trial. Basically, there are lymph nodes in your arm and some are associated with your breast and some are associated with your arm. The ones that are associated with your breast are the ones the BS wants, but when they open you up for surgery, they can't tell the difference so they just take them all. In this new procedure, they injected a dye into my arm about 5 minutes before they did the ALND. (So I was already under and everything.) In that 5 minute, the dye had just enough time to travel to my arm lymph nodes and turn them green (or whatever color it was). So the doctor took the non-color ones, because they were the ones associated with my breast. He took 15 nodes, two had residual cancer after chemo, and I have never had any LE.
It's kind of the reverse of how they do the sentinel node dye. I think it could completely change how they do ALND and that far fewer women would get LE as a result of this procedure.
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I agree with AnneW, no absolutes with what or does not trigger LE. Yes, there are some guidelines that we can follow but there is still a lot of unknowns. That is a big reason why it's hard to explain why someone with SNB gets LE and another with full AND doesn't or why it doesn't show up for years. I worked with a pt and was taught MLD. She gave my personal trainer, who is familiar with LE, guidelines for weights. Currently working with 8lb free weights. I have sub-clinical LE and for me, hot weather is when it acts up. I drink lots of water, do MLD and elevate the arm. I have little swelling but the skin on the underside of my upper arm feels tight. No sleeve yet but I monitor very carefully.
Caryn -
Sweetbean, thatsounds really smart.
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I'd be flappin' behind my dog like a wind sock if I hooked him to my belt. My next dog will be a something-poo for sure.
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Mini, lol. What kind is he?
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He's a mutt. A rescue dog. Their best guess is chow, flat coat retriever and maybe some English Lab. He has a big chest. He only weighs 80lbs (my son's Eng. Lab weighed 140lbs), but he's still fiesty, even at almost 8. At one point last year I was down to 88lbs. I'm at 3 digits now (barely) so it's a little easier now. Mostly he exercises by running free in the field. When he was younger and still on a leash, he took after a rabbit he spotted (and I didn't) in the field and before I had a chance to let go of the leash he took off after it. I went down hard. It was March, so the ground was still hard from winter. I hurt for a week. Thankfully, we've broken him of that at least. My bro-in-law has a St. Bernard that weighs 185lbs. The father weighed 210. It's a good thing they have a barn because he's almost as big as their horses.
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LOL, yes, I can see how that could be a problem. Mine is a former street dog and a mutt, but he is only about 65 pounds and I am 125, so it is reasonable.
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