September 2012 Surgery

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Comments

  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Chiquita. I had my BMX with TEs put in Monday. Thanks for the link. I really don't believe I have even gotten to the point where I am simply uncomfortable. I am still in pain. :(. Surely it will improve soon??



    Locke so sorry to hear of your 2 week hospital stay. If you don't mind me asking how did they know you te was infected?

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012
    kltb04 - I was in a lot of pain the first week as well.  It will get better.  Well kind of.  My pain can be up there at some points (especially after the exercises) but the difference now is that I'm not taking much in the way of meds... about 1.5-2 percocet, spread across the day in half pill dosages.  I really think if I keep stretching things out that I'll be ready for my first fill when I see my PS in 1.5 weeks (that'll be 3.5 weeks post-surgery).  Just my experience though... I'm sure everyone is different in their recovery, even with the same surgery.
  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Thx. I keep telling myself it has to get better!!! PS did fill some at the time of surgery. But my future fills are all subject to whether I get rads or not. Long story and all still up in the air.

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Oh yeah, PS filled me during surgery as well.  I'm so small breasted (AA cup, if that), that the foob is almost the same size as the real one, just a bit mis-shaped.  And I suppose my fills are up in the air as well until I hear the path report.   Frankly, because I'm so small I'm wondering if I can squeeze in the fills prior to other treatment, IF it's needed.

    It WILL get better! 

  • LockeKopp
    LockeKopp Member Posts: 66
    edited October 2012

    My next steps are healing, that's all for now.....I was in the OR 3 times that's why they moved me so much.

  • LockeKopp
    LockeKopp Member Posts: 66
    edited October 2012

    My boob turned red, then some black spots, more red and blisters. The nipple on the right side turned black. The most disgusting thing I ever seen...

  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Have I posted about my Path report? I only got info over the phone from a nurse and I have to get a hard copy to see for sure what it says. What I know is that the left side (good side) was clean and on the right side (where I had the IDC of anywhere from 2.5 to 3.1 according to which scan you believe) there were only traces of cells? And she used some technical words I can't remember. Clean margins. The nurse said the report didn't mention LVI. My original biopsy said "suspicious" for LVI. So anyway guess the chemo worked. My rads issue is that I only had one positive node but I am youngish (39) and her2+ and grade 3 so the first RO I consulted with said it was up to me but he would recommend rads. BS wants me to get a second opinion. Which I assume will be within the next few weeks. I already have the TEs and PS warned me that if I do have rads and my skin doesn't cooperate later I may be looking at a lat flap to help support the implants.

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    Rads is the reason I am on this list having had my surgery. It all sounded so simple to start with - lumpectomy and rads...



    Then I started researching risks of rads and finally became so concerned about the long term risks from rads that I actually quit rads after 12 sessions and set up my BMX.



    In my opinion drs don't run through the risk profile for that part of treatment for early stage breast cancer nearly enough. After researching, I told my RO that I believe the risks outweighed the benefits for me at an early stage and that I will save rads to be used only in the event of recurrance or for palliative purposes if I get distant mets in the future.



    If you are under 50yrs please do your own research and ask your drs for a full disclosure of the long term risks of rads, including permanent lung damage, bracial plexopathy and potential for cancers and their expected outcomes.



    I wasn't prepared to accept the risks of those things myself.



    Jenn

  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Thanks Jenn. My BS feels really strongly that I should get the second opinion. The RO I consulted with literally just started practicing this year. So he is very gung ho. He actually spoke with my BS and after she told him where my tumor was (nowhere near the chest wall) its response to neo adjuvant chemo etc he agreed that my case might need another look. So I will gather all my research and be better prepared at the next consult to ask questions.

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    kltb04 - it is my little "soapbox" area of tx. For a lot of women who are older with more advanced localised cancer the benefits would definitely outweigh the risks, but for younger women it becomes a gray area and you really have to decide for yourself.



    Jenn

  • KellieDenise66
    KellieDenise66 Member Posts: 122
    edited October 2012

    Lockekopp- I'm so sorry for what you've been through! I can't even wrap my mind around 3 surgeries back to back. I hope you are continuing to heal more each day.

    Btw, I too have a black nipple. My doctors are still holding out hope for it though. Have you spent any time on the nipplesparing thread? Plenty of great gals on there who can talk ya through it. Many of them with black nipples. :) I currently have gauze over mine but occasionally get a glimpse. I have a weak stomach so I try and squint. Keep us posted.



    JennT-

    Thanks Jenn for your willingness to share your thoughts on the importance of gathering as much info as possible needed for any patient to make an intelligent informed decision about treatments.

    I'm encountering some negative feedback from others about my decision to go forth with a big operation for a small cancer. Especially now that my pathology confirmed my DCIS had not become invasive.

    Im 46 years old and have a very complex medical history. I've had an enormous amount of radiation from scans for other health conditions. I'm also not a candidate for tamoxifen, beacuse of a dvt history, or HRT needed because of my complete hysterectomy earlier this year. My decision to go forth with a BMX was the right decision for me. Having said that, if chemo, and radiation were my only options, and not elective I would have dove in full speed ahead.

    I sought out many, many opinions, and it's shocking and confusing as hell when there is so many schools of thought within the medical community.

    Your thoughts are so appreciated. Big healing thoughts!







  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    KellieDenise - I think many women forget that a MO will recommend chemo, a RO will recommend rads. But, ultimately to be an empowered and self advocating patient the person that needs to become knowledgeable is YOU. Statistics are based on population studies not individuals. What might be acceptable risks across a population may not be acceptable to the individual in terms of ongoing quality of life and peace of mind.



    Keep on doing what you know is right for you because you are the one that has to sleep easy at night. Everyone else goes to their own home and bed and doesn't give you a thought.



    Jenn

  • robertson8272
    robertson8272 Member Posts: 15
    edited October 2012

    I had my surgery on sept 28th my doc gave me a rx for 30 hyrocodone 7.5,i only have two left, am i over using them but my pain does not seem to be easing a whole lot, i take 1and a half every 4 to 6 hours night time is usually 4 i cant sleep pain gets to be so bad and im still running 100.4 temp they keep telling me its normal to call if it goes over 101.

  • Sandlake
    Sandlake Member Posts: 211
    edited October 2012

    Jenn, It's almost the day you go homeSmile  I choose not to have rads after my BRCA2+ results, I fell through the cracks at my cancer center. My RO didn't inform my MO of my decision, I guess I'm at fault too.  There's just so much to think about, I get overwhelmed!

    Sneaky, I couldn't get the search field to work for me?? It kept saying 0 matches.  I'm trying to stretch my arms, my close friend is the Director of PT at the Hospital I go to.  She is keeping a good eye on me.  I am a hair stylist and need to get back to work asap!!!

    Lockekopp, I hope that nasty infection gets healed up quickly!!  Sounds awful....sending (((hugs)))

    kltb, Good luck with collecting information.  Do what's right for you!! 

    KellieDenise, I have a very weak stomach too.  I'm supposed to gently massage my foobs and scar, but I can't stand to touch them, it just feels so odd!!

    I had my first fill on Thursday, 120cc.  I was a bit sore that night, back on pain meds.  Now 2 days later I am fine.  So my total is 300cc, 3 1/2 weeks from surgery.

    I know I've missed mentioning a few, please know that you are in my prayers.   

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012
    Sandlake - Not sure why it doesn't work for you (just checked and it was still working for me), but if you PM your email address to me I'll forward along the PDF of the pamphlet.  
  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    Home! Set up on my own bed and I'm sure it won't take long for me to create a nest.



    Still really bummed to be having to come home with the drains though and am desperate to get rid of these as soon as possible. The pain from the drain entry points and ghem pulling is the only reason I am still having to take pain meds so I am sure these are holding back my healing...



    Thanks for all your support for me through this past week - you guys have been great :-)



    Jenn

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited October 2012
  • Sandlake
    Sandlake Member Posts: 211
    edited October 2012

    Sneakychiquita, I just tried again using "breast reconstruction" and it workedSmile Thank you!!

    Jenn, Home sweet Home for you...Yay!! 

  • Momluke
    Momluke Member Posts: 184
    edited October 2012

    So glad you're home Jenn!! Prayerfully those drains will be out soon. Hopefully just being home will speed up your recovery! :)



  • LockeKopp
    LockeKopp Member Posts: 66
    edited October 2012

    My nipple is gone....The Dr. are not sure what kind or what caused the infection....



    Jenn, how many drains do you have left? I got a pad that goes around the drain and entry, that gives me a lot of comfort in 2 drains.

  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Jenn glad you are home. That Is exactly what I have here in my little rented bed - a nest!



    I have 2 drains and they aren't bothering me nearly as much as I thought they would. My DH is quite the drain stripper/dumper/recorder of the amounts.

    Robertson - that doesn't sound like too much at all. You have to stay ahead of your pain. And I am having a temp come and go from right under to right over 100. Told to call of it reaches 101.

  • KellieDenise66
    KellieDenise66 Member Posts: 122
    edited October 2012

    Lockekopp, I'm sorry I misread your post. Sending you warm healing wishes.

    You've been through so much.

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    Lockekopp - so sorry about your nipple. I have been so out of it - was it your own retained or a reconstructed one? So sad when everything doesn't work out quite right.



    I have the two abdominal drains left. Both come out in my pubic leg fold - one on each side. It is hard to get them taped so they don't pull when I walk...



    At the hospital they were measuring the output at midnight each day so it was last done last night. It won't be done until whenever the community nurse gets here tomorrow so the next measurement instead of being 24hrs could be up over 36hours. I was upset that will put me back at "square one" again with a big measurement. Hubby has said he is more than happy to set the alarm for midnight and to look at the measures then and make sure they are called through to the PS in the morning. One of the drains was only 15ml last night so if it stays low tonight it might be able to come out tomorrow.



    Jenn



  • Momluke
    Momluke Member Posts: 184
    edited October 2012

    Jenn!!!!

    I can't imagine the frustration of having the drains coming out in that area! Thankfully your DH is willing to document your lower amounts at midnight. 15ml sounds like it might be ready!



    Sending you gentle hugs!!

  • kltb04
    kltb04 Member Posts: 1,051
    edited October 2012

    Locke - I missed your post too - so sorry of the infection and resulting loss.  Sending healing thoughts your way

    Jenn - what a place for drains - hope you get them out and soon!

    Those of you with TE's - do they look a hot mess?  I go for follow up (one week) tomorrow so I will see PS but mine are just a lumpy mess - especially the left one.  Still having lots of pain but I am going to have to stop the Percocet.  It was interfering with my sleep (makes me doze but not sleep hard) and last night I started having these odd feelings like jerks and twitches as I was drifting off and I would jerk wide awake.  I have been on Percocet before but never 24/7 like this.  The only other thing I am taking is the Flexarill and I would think it would STOP twitching, not  exacerbate it - thoughts anyone?

    I laid awake from midnight to 6 something just alternately reading online, crying (just from frustration, some from pain), and trying desperately to sleep.  At 6, I said no more painkillers right now and took a phenergran simply because they make me sleep.  I got about 3-4 hrs of broken rest.

    Hope everyone is doing ok...I will update on what PS says about this mess on my chest tomorrow.

  • KellieDenise66
    KellieDenise66 Member Posts: 122
    edited October 2012

    Kltbo4, so sorry to hear about your frustrating, pain filled sleepless nights. My BMX was 2 weeks ago tomorrow. I've been able to cut back on my Percocet by taking half doses but I'm also combining that with a low dose Ativan 0.5 mg. I take that last dose at about 11 pm. The combo takes the edge off the pain, and the anti anxiety helps me drift off to sleep. Last night I actually slept through, unbelievable!!! Didn't even get up to potty. That's never happens.



    Wishing you more, and more pain relief each day, and the restful sleep you so need, and deserve!!!!!!

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited October 2012

    kltb04 - hope the dr visit goes well.



    The pics I have seen of women in the interim period of xpansion between having them in and having them full have all shown some "slackness" and uneveness so I would have thought that was normal?



    Jenn

  • Sandlake
    Sandlake Member Posts: 211
    edited October 2012

    kltb, I had a BMX 4 weeks ago, I've had one fill so far.  Yes they are "Frankenboobies" but they are a work in progress I keep telling myself!! Mine look oblong with a few dents.  I take Motrin and Fexeril every 8 hours around the clock.  I don't sleep as well at night since I stopped taking my pain med Norco.  I am a stomach sleeper so this has been very hard sleeping on my back!  Wishing you some peaceful rest tonight!

  • Leah_S
    Leah_S Member Posts: 8,458
    edited October 2012

    Kltb, I haven't had any fills yet, so the TEs look a little weird. However, in all the pictures I've seen of TEs during expansion they have strange shapes so what you're seeing is normal for TEs I think. I should add that even though they look weird when you see them, they look OK under clothing.

    Have you tried any painkillers that are milder than percocet? Maybe something OTC would help. I've been using ibuprofen since about 2 1/2 weeks after surgery, and as of now (4 1/2 weeks after surgery) I don't need them all the time, though most days I need them once or twice.

    Leah

  • Mumtobe
    Mumtobe Member Posts: 159
    edited October 2012

    Hi ladies,

    Just wondering if anybody else has had this.....I noticed a small amount of blood on my dressing on Sat even and we said we'd ring hospital yesterday to see if this was ok (had MX this day 2 wks ago and all is going well so far). Then got up yesterday and the wound seems to be weeping so I went into hospital where both doc & nurse looked at dressing. They were both confident there is no infection there and were advised over phone by oncologist that unless it looked infected to leave dressing alone for my surgical team to deal with. That was fine because I am feeling well. Rang my surgical team today and they said unless it gets red/sore/hot to leave it alone (I have appt on Thur to get path report and dressing changed anyway). If anything changes I am to go straight into them but nobody is concerned. Just wondering if this happened to anyone else? I didn't realise how squeamish I am and everytime I think about it my stomach churns!! I think one of two things might have happened.....(a) i have been over-zealous with my arm exercises or (b) my baby bump has dragged the wound and perhaps ripped a stitch. Has anybody else had a weeping wound? I was surprised by how not bothered the nurses are but I guess I'll find out on Thur!

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