COMBI--New Jovi Daytime Sleeve

that was going to be my question too, what is the difference from a day or night sleeve?

OK girls, I have that combi. I will give you my opinion on it. I am so glad onebadboob posted the picture. ( I gotta learn how to do that one day)

Onebadboob. It looks like your seam is twisted. I think that the seam should run straight up and end it under the armpit unless someone told you to wear it like that.  

I put my combi on with a sticky like silicon sheet( came with it) lay the sheet on a bar height counter and it goes on so smooth and easy.

I have the thin material glove too that matches the combi but my MLD girl says that it doesn't have much compression. The compression in the glove is about the same as the Farrow glove and it is trimable.

When I put the combi/glove  on at 5,000 ft at yellowstone park 2 summers ago I had to take it off after a half hour. It started to constrict and make my arm very achey. I feel that it had way too much compression at that altitude that I am not use to. But when I put it on at home  at near sea level I am fine with the compression. So for myself I wouldn't be able to fly in it. Drats anyway.

Allison/ Jeniifer, It is not a night garment, DAY ONLY EVER. It has too much compression for that.  Night garments are different. You will have to wait for the experts to fill you in on this as I don't have the experience of wearing a night garment. I don't have a outer jacket to go over the sleeve either.

Botty, Yes it would be hot in the summer. You could inquire to see if you could put this particular brand of sleeve in the freezer for a couple hours before putting it on.

Carol, Yeah, You could possibly type in it and play piano. I will try it on in a couple days and give it the typing test drive just for you to make double sure!

When you take off the combi you are left with fairly deep trackmarks that mimic your lymphflow so you know it is moving the fluid in the right pathway. My tracks disappear after about a hour. I hope that is OK. 

CONS:My main problem is that it wants to slip down a bit and bunch up at the elbow then I get irritated inner elbows so I have to jack it up every half hour. It could be that it may be a bit long for me even though it is a short size. I probably would wear it at home daily if it didn't slip so much.

You put it in the washer and dryer. Yeah! No hand washing. 

The compression on the top of the hand is good and if you need more in the palm they have a V shaped palm pit which is nice and affordable. I have a palm pit just incase I get a nasty handflare or need it in an emergency. You could use the palm pit underneath a wrap to fill in any gaps in the palm. Check with your MLD girl first before you try the wrap with the pit as I have never done it. 

I attended a self care seminar at the Northwest lymphedema center in Seattle (by donation and anyone with LE can go but they interview you over the phone to see if you are a good canidate to attend, got to bring a support person too.) a couple Autumns ago and in the back of the center there was the small Jovi factory. We got to see some of the products and patterns they made. In fact.... my dream is to go there one day and have them personally measure me for a garment. Not sure if they would want a fitter to do it though instead of them. Just thinking out loud here. They are a 2-3 hour drive from where I live.  The Jovi products indeed are very slimline but then I haven't seen any other types of these sleeves in real life. 

Hope this helps

We should have a thread where we post how our off shelf sleeve fits with our arm measurements and that way we can see from peoples experience which sleeve fits the best. I am so sick of trial and error and then having the sleeves sit unused due to bad fit.

For instance my wrist is 15 1/2 cm, Forearm is 24 cm and upperarm is 32 1/2 cm. This makes me fit a short max combi. Of course you would need to be precise such as my wrist measurement is right on wrist crease  just below the  jutting wristbone. Thinking out loud again!

Can those with swelling in the hand use this? My problem is the palm more than fingers, and I have to wear a glove vs. gauntlet. My current issue with my custom day sleeve and glove is that I have small wrists and wide hands. The overlap of sleeve and glove at the wrist does not make my palm happy. I recently tried reversing and put edge of sleeve over glove vs under and that seemed to help. Maybe I should try stretching the edge of sleeve and glove so they aren't quite as tight. I really wish I could have a one piece custom hand/glove that went just to my elbow. Anyway, I am getting off track here, but seeing your one piece garment makes me wish I had something like my night sleeve-glove combo for day, as I think it really works well since there is no doubling of the fabric at the wrist. I also think it works well because the channeled foam is a little more forgiving as far as pressure, and I am compression sensitive. OBB and Hugz, it sounds like this may be a little more fitted than the night garment?

OneBadBoob, thank you for all this amazing and generous research you've done!

Jane, Check out the biacare products as well: there are a bunch of them on brightlifedirect, and they vary from 10-15 mm to 30 mm

http://www.brightlifedirect.com/LYMPHEDEMA-PRODUCTS-BiaCare/c133_483/index.html

I know Caresia is meant to be bandaged over, so I don't see that it has a compression level: I never understand how Solaris can sew such a nice Caresia glove, but do the "pancake" routine for their tribute hand piece. I've mentioned it again and again: I do have an opposible thumb, and my hand is not two dimensional....

When I took my CLT course, I got a Caresia small arm sleeve, and I've always meant to try it at night with a finger wrap and bandages over it, but haven't done so yet.

Thanks for all the work

OBB, Thank you so much for your hard work researching. I was surprized that with a therapist OK you could wear combi at night. That's great news for those that need this kind of compression because that combi is slimline and not so bulky which makes wearing it a relief. I am happy to hear your sleeve doesn't slip which means mine is not a perfect fit. I wonder if I could use the no slip glue to keep it up on that particular material?

Sleeveninja, I do washing machine for my combi inside out and dry the combi in the dryer that way. Maybe washing it and drying it inside out is stretching it around my elbow and then that is why it is slipping. Who knows for sure? I know you are not to hang dry it or the foam would take days to dry and maybe it would start a bacteria/mold problem.  

I am really enjoying the feedback on all the products we are using. 

Just wanted to add. I wash my tribute inside out, dry it for one cycle then turn it right side out and then dry it for another cycle. This works w/o stretching it out. We have ceiling fans in all of our rooms so sometimes I will do the first dryer cycle and then turn the sleeve right side our and hang it from the ceiling fan. Since the inner foam is dried and the sleeve is not heavy from being wet it takes about another hour or so to have the out side finish drying. I get a nice snug comfy sleeve both ways. It all depends on time or how much laundry I have to do. I never dry my day sleeves. I either hang them on the ceiling fan or a wood drying rack in my laundry room and let them dry over night.

A word of caution about the adhesive to help hold sleeves up. I did this at the advise of a fitter one time. I personally had a reaction to the adhesive that caused a break in my skin which resulted in cellulitis. So please proceed with caution with any skin adhesives you use. Mine was sold for use on the skin with prosethsis and such from the fitter.

Hugz, those ceiling fans are on most days - hot flashes have decided to flare But in reality yes the fans are on. I have these plastic clothes pins that I clip to the pull chains- lol. Real lovely decor indeed.



Now my short stretch bandages I roll and then fling them over an interior door so they air dry.