DIEP 2013
Comments
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Martyj and others...thanks for the "monitoring" info. Always so reassuring to get positive/helpful insight from those who have gone before.
Keznick....How are things going for you now? Feeling better with each passing day, I hope.
Joellee..So sorry to hear of the struggles you've got going. Hang in there, hopefully some relief is on the horizon for you.
JanetM....LOVE, LOVE, LOVE the reminder that they are aiming for "sisters" not twins. In reality that's the case for any of our double parts isn't it! I'm going into this looking for "me", not "perfect". Cause perfect isn't reality anyway.
3Mom..I grew up in Jamestown, and graduated from SUNYAB. Still have good friends in Cheektowaga. Are you having your tx and sx in Buffalo? Should be some good docs there.
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Even with ear plugs, eye mask and meds, I still wake every time they come in, but I'm a distressingly light sleeper in even the best conditions. Tonight they only have to dopple me every 4 hours, so that should be much better. I feel like I've basically been dozing on and off since the surgery.
They have me walking quite frequently now and the catheter is out as of this morning too. Never thought I'd be hoping to have a catheter stay in, but between a smallish bladder and trying to drink as much as i can, I preferred the catheter! Getting in & out of bed is still quite involved and wears me out! Looking forward to that getting easier (it already has, a bit).
Otherwise things seem to be going well. I got a good look at my new girls just now and they're small but cute. Amazing to have breasts again.
Sorry to ramble - I'll blame the Percocet! -
Seagan....sounds like you're doing GREAT! I'm a poor sleeper too, even at the best of times. I've no doubt I'll be going into this sleep deprived, so expect to be like you, awake at any little disturbance, but then dozing off lots too. We must have similar minds...I've been thinking about the catheter thing too. Never had one, and my feelings of having one in are in the "eeuwww" range, but then realize once it's out, getting to the bathroom becomes a necessary evil! Have they given you any idea of when any of your drains might be coming out? So glad to hear the "sisters" are looking good! Keep up the great work of healing!!!!
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Thanks, nihahi & kiwimum & everyone else too for the good wishes - they are truly helping carry me along!
Re nihahi's question: My PS expects my drains (3) to come out a week from today, though the abdominal one isn't draining much already. Evidently that's unusual; usually the breast ones finish first. I don't know if that's cause for concern, but my PS didn't seem worried. He just thought it should probably stay in for the transition home, in case things cranked up a bit there.
One random observation: so far all the RNs who've cared for me are either really young (I swear my first night nurse looked 15!) or they've worked at this hospital for 25-35 years! Fascinating to see the different styles and strengths. -
Seagan....I must say, you sound pretty lucid and together for a sleep-deprived, percocetted brain
. Shows how tough you are. Have a great day of healing!!!!!
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Seagan - one of the RNs told me in the hospital that my stay there was for the therapy, not for sleep, and she was serious! Between the compression on my legs, the bed that also felt like a roller bed, and the blow up blanket that developed a leak and blew on my face the whole time, there was not much rest involved. The good news is that once you are home you can sleep to your heart's content! You sound GREAT and are much further along than I was in the hospital. My breast drains didn't come out for over a week and I finally got my last hip drain out over a week ago, so you are making amazing progress.
I miss the catheter, actually, it made life sooo much easier. NEVER thought I would say that! TMI alert! -
Hi all- been away from the laptop for a few days-looks like those who just had surgery are doing pretty well! I saw my PS today for the first time in almost 2 weeks (I am 5 weeks out) because he had a family emergency and was unavailable for about 5 days. I think I mentioned that I acquired an infection during my hospital stay, and about 6-7" of my center abdominal incision came apart. I have been packing it in saline-soaked gauze for 3weeks. Fun (not). I have been given the all-clear on the "divot", as I like to refer to it, and I made a spontaneous (and probably idiotic) decision to re-suture it......I am going back in tomorrow for what should not be any longer than a 1/2 hour surgery (knowing MY surgical track record-the PS should have DOUBLED that).....would you please send good thoughts skyward in my direction? I know I should not be nervous over something this minor-but EVERYTHING makes me "wonky" theses days! Thank you all! :-). Jackie
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Definitely sending hugs and good thoughts your way. I'm sure if your doc didn't think it was a good decision, he wouldn't be doing it. The scar should be "better looking" in the long run if it heals by suture rather than just filling in.
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You are right, Nihahi. I know he is confident that he can fix it so I won't have crazy scar lines.....I just feel a little gun-shy, so to speak. Thank you for your support! I find I feel better about a lot of things every time I spend a little time here. At least everyone here has one thing in common-trying it kick the (Cancer) Beast to the curb! Namaste!
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3mom: I am having DIEP now after implant failure.
I had BMX with TE implants in 11/2011. I had exchange in July 2012. 10 days later, infection. Infection healed but the other side had seroma, probably too ealry removal of drains combined with all the IV fluids with the antibiotics for infection. They had to remove my right implant. So, I still have my left implant and a right flap of skin where the implant was.
On consultation, I was told I could have implant replaced on the right, but I would have to go through TE placement, expansions/fills, then exchange again. Wiht a 50/50 chance that the new implant would not be successful due to limited available skin and prior problems.
I had wanted TRAM Flap from the beginning, but implant was a better option. Now the DIEP is better option. So....
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Jackie (movie), good luck to you. Hope everything goes smooth for you from here on. I saw my ps yesterday as well and I was think about re-suture as well. In my case, it's not necessary, because my opening is not deep and its healing with packing. I have progressed from wet-to-dry packing to dry packing. Home care nurse said it may close in as little as two weeks. Hope that true. The cold sores in my mouth cleared as well. Good thought to all!
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SheChirpl,
I think that is why I am really wanting to do DIEP from the beginning - I saw 1 PS who says I have "just enough" fat but def not too much so I really want another opinion. I don't want to go through all this and have it not turn out well but if everything works it seems then DIEP should go the distance for the rest of life. Anyway...all could be wishful thinking!!! Never thought I would be deciding on ANY of this, so go figure!!!
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3mom,
Did the PS that said you had "just enough" fat to DIEP, discuss having SGAP surgery instead? I'm very thin so my bilateral SGAP was a better option and the flaps were taken from my upper buttocks. I still have a nice butt, even at age 53! Many friends who have had DIEP are thrilled about getting a tummy tuck, too -- but that's not me. From what I understand (talk to the docs of course), SGAP surgeries require even higher skill level than DIEP surgery.
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I'll be one month post-op this Saturday. Had a good day yesterday, but it all came crashing down today. Stomach tight, skin hurts, foobs hurt (and I wasn't supposed to be able to feel them). Skin looks good, just a little reddish on the underside of the foobs. Just being honest - the recovery on this SX is a bit hairy... I do have more energy, but by the time 6:00 p.m. rolls around I am very uncomfortable and have to take pain pills.
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Tammy-I just got back from the PS and my "divot" is gone, gone, GONE! I may have opted to do what you are doing if the healing time had been shorter for me, but he estimated at LEAST 6+ weeks......ugh! I am taking another round of heavy duty antibiotics/and antifungals to be sure we have no repeats of the original failure. Good luck to you, I am sure it will heal well, and the time will pass quickly for you!
Heavens child-don't be too discouraged by all this....I have felt from the get-go that this is a 2 -3 steps forward and 1-2steps backwards kind of surgery. I still have the occasional bad day, but I have come to realize that it is my body telling me that "enough is enough" and to SLOW it down......This too shall pass.
Feeling so amazed and blessed to be able to connect with such strong, wise women on this board. I am NOT thankful for my cancer, but very, very grateful for ALL of the amazing women (and men) who have crossed my path throughout my journey. Thank you, one and all! Namaste! -
Heavenschild - patience! It has only been 4 weeks. The abdominal tightness will be there for a while. Same for the bloating. If you are not having regular BM, that can add to it. We all want to get this behind us, but our bodies do not cooperate.
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Moviemaniac....Sounds like all went well for you today! So glad to hear the positive "vibes" in your message. Have a good weekend of healing!
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Heavenschild, I also feel tight and tired towards evening. Hope it will get better with time.
Movie, happy for you that your "divot" is gone. If your insurance pays for home care nurse visits, you should use them. the nurse can help you detecting any problem on a daily basis. Keep us informed on how you do. Smooth healing all who had surgery. -
Agree from me too. I get tired and tighter in the evening.
Today I've been resting as a good friends 40th birthday dinner is tonight and I'm planning on going. I figured that if I rest today, take pain killers before I go and then sit most of the night I will be tired but fine tomorrow. We shall see.
Yesterday was exactly 3 weeks since surgery and I'm 98% upright. I changed my wound tape this morning and everything is healing nicely! -
Hi, I just joined. I am a two time breast cancer survivor, both times my cancer was triple negative so my lumpectomies were followed by chemo and radiation. My first lumpectomy was in 6-2004 (right breast) and 2-2009 (left breast). On 1/10/13 I was diagnosed with cancer in my left breast again. I have decided to have a bilateral mastectomy with reconstruction - DIEP. My surgery is scheduled for 3/19/13. I was so excited to find this page with so many woman experiencing the same issues as me. I have concerns about my hospital stay, pain, drains and my limitations.
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Sounds like you're still doing really well, KiwiMum. Do you find that you have to "force" yourself to be more upright, or is it a more natural progression? Does it seem to be tightness or pain that has limited your ability to "stretch out"?
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A bit of both nihahi. I do try and stand a bit straighter each day to stretch out. If I don't make an effort I just hunch and I figure that's not going to stretch me out. By bed time each night I am noticeably more hunched with tiredness.
There is also a daily natural progression.
It's definitely tightness not pain. I no longer have to roll sideways to get up. I can use my stomach muscles and sit up forwards now, with no pain!
I'm also only using one very flat pillow under my knees in bed now. Originally I had 2 plump ones, but now I'm pretty much flat.
One thing I will say is that the time is flying! On day 2, when I tried to walk around the ward and I was fully bent over, and it was killing my back, I was thinking time was going to pass excruciating slow. Thank goodness it hasn't! -
Just checking in. Thank you so much kiwimum for sharing your story - nice to here the experience of another woman getting recon after a UMX. I'm trying to eat a little better and exercise a bit - it's a struggle for me but I want to recover from surgery quickly and smoothly. I hope everyone is healthy and well!
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Thanks for the info KiwiMum. I hope to recover as well as you have been. Don't suppose you could wave a magic wand and help my "waiting for" time fly by too?
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Nihahi, (and anyone else on the pre-op side)I am wide awake at 3:30 am, and saw your last post about the waiting time for your surgery. I was diagnosed last November, and between my BS and my PS, I could not get in for my Diep until the 18th of January, 2013. I know you have been waiting longer, but believe me, the closer you get to your date, the time will fly, because you will be in the midst of putting all your pre-op and post-op plans into action!
I am a PLANNER.....First I planned out my meals (I opted to go with a company, "DreamDinners", where I could select from about 20 or so menus for pre-made up dinners.) My DH is a CPA, and this is his busiest season. In order for us to have some good-quality food, I thought this was a good option. You select your dinners, make an appointment, then make them up yourself, and pop them in the freezer, where they can be pulled out to thaw and prepare. You have to add side dishes, but my DH is glad to do that. (The first three weeks after I returned home from the hospital, friends and a church group supplied my family with meals, so we are using the frozen ones now. They really come in handy!)
I also planned for clothing post-surgery. A friend of mine gave me a pj set from Soma from what I think is called their "Cool Nights" collection. Über soft, and, for someone post-menopausal like me, cool, just like they say! I loved them! She had purchased them a size larger, because she was a BC survivor, and knew first hand how tough it is to have a tight waistband! (She wanted me to have room for my new, and improved foobs, so the top was also one size larger.). I liked them so much that I went online and bought several more, and was lucky enough to find most at a good discount due to a sale. I literally live in them-they are nice enough to wear to my Dr appointments, so I put a coat over, and go!
I knew I would not be able to get into my bed, as it's a high four-poster, and the top of my mattress hits above my waist. I ordered a rental hospital bed to be delivered two days before surgery, and , as the bed was a XL twin, went to BB&B and rounded up XL sheets on sale ( two sets, so I could launder one set at a time, and still have a set on the bed). When it was delivered, I made it up, and placed it,and the hospital rolling tray table I also rented under a plastic drop cloth (new) to keep it clean, and to remind my daughter who lives nearby, to keep my inquisitive grandchildren out of the family room and off my "stuff". (It worked!). Everything was set up so all I had to do was crawl in when I arrived home-and I arranged everything I thought I would need next to me- IPad, books, magazines, and the all-important TV controls..... : P
As I am full-time care-giver to my almost 96 year old mother, I had to arrange for help caring for her, as well. I am lucky in that I have four siblings that get along reasonably well, and so each came for a week, to be there for my mom. My incision infection was not figured in to the 4 week time frame, ( of course) so we had to make some adjustments, and one DB came back for another week, and all pitched in to hire someone to stay with her during the day for another two weeks. Enough time for me to get back on my feet.
My post-op infection set me back about two weeks, and of course no one plans for complications. I did, however, work out time for friends to stop by every day to check on me, and help me with things I needed to do, so I would not be a burden to my sibling caring for my mom. My friends would just pop in, maybe help with my lunch , and throw in some laundry, or something like that. I splurged , and hired someone to come in and clean my house once a week-best "waste" of money ever! I had her come the week before surgery, so she would know what my expectations were, and she is great!
The last thing I did before surgery, was get together with my best girlfriends and plan a "Itty Bitty, No Pity for the Titty" party. Everyone brought a dish, and I couldn't believe ow many had a "boob" theme.....right down to the mini-cupcakes with a Rasberry on top! It was so fun, but more importantly, it helped me to realize that I was stronger with the support of good friends and family to see me through this. I have been truly blessed.
All those things I mentioned took a lot of pre-op planning, and before I knew it, it was 4:30 am, January 18, 2013' and I was on my way to St. Vincent Medical Center, in Portland, Oregon, for a date with my new reality. All in all, it hasn't been too bad. ( I suppose that could change, as I head to the Onc. in a week and a half......I am trying to remain upbeat on that minor little blip on the radar screen of my life!)
Bottom line: use your time now to get "all your ducks in a row", so to speak. We have a luxury that many of our sisters don't have-time to plan. Namaste, and God Bless! Jackie -
jamforme27, I too, will be anxious to hear about the process and the issues you addressed so I am piggy backing on your post. I am in the early stages of scheduling my surgery as I am now going to have my remaining breast removed. Last week I met with a PS and their radiologist noticed 2 suspicious areas on my right breast when he examined the MRI I had done prior to my UMX. Although it may turn out to be nothing, I decided that I don't want to worry about it ever again, so it's coming off. It's a good thing because I want a DIEP and I have just enough ab fat for 2 breasts. Best of luck to you on your upcoming surgery. Ann
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Moviemaniac... I love your party idea and I may do something similar. I promise I will not claim the idea as mine!
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Ann-claim away! This is one party idea that I am happy to share......besides, I believe I saw something close to it mentioned on a blog when I was first diagnosed. A "No Pity for the Titty" party......I added the "Itty Bitty" part because it was potluck appetizers instead of full on dinner. It was a lot of fun. I even gave out "booby prizes" from names drawn out of a glass jar. Every prize was something pink, wrapped in either pink paper, or tied up with a pink ribbon. I wore a hideous hit pink velour track suit! I ordered a tee shirt from a site that said: "Heck yes they're fake-the other ones tried to kill me!" I invited friends from school long ago, neighbors, gym friends, church friends. We e-vited 70 women, and 60 came, with potluck dishes. Some even brought things they thought I could use after surgery. Books, magazines , body lotion, essential oils, warm fuzzy socks, and the "Cool Nights" PJs from Soma. It was a wonderful evening, lots of laughter, support, and love. My friends did all the volunteer organizing for 3 weeks of meals, and of those who would stop by to do things that I needed help with. I found my friends to be compassionate, and caring because, as women, we all face a common enemy, which I nicknamed "The B***h" at my party. Having that party, and knowing I had the love and support of 60 women behind me gave me the courage to keep my date with my Drs, and I am so happy I did. Even this close (5weeks) to surgery, I can tell my foobs are going to be beautiful, and they're all me!!! The flat tummy isn't so bad either! Namaste, and God Bless! :-)
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Movie....sounds like you're an awesome lady, with spectacular friends. You have just the right mindset to do terrifically well on this journey!!!!!! Thanks for the planning tips too. Yep, I'm also a planner, but I keep losing my lists! Oh well, they'll turn up eventually, when I do my pre-op staging/cleaning, etc. Hope you have a wonderful day.
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Nihahi - from one planner to another, use Evernote! Works on you desktop, tablet and phone. Love it! Lists, lists, lists. I even keep recipes there so I can actually find them (I never remember ingredients).
Movie - while we didn't have a big party before my surgery, my besties & I went out for a wonderful dinner and great girl time. A treat that all of us need. I also got one of those vacuum food savers and made things my DH could defrost easily (burgers, crabcakes, etc.). I also bought a container of detergent pods. Then I could handle wash without lifting a gallon of detergent.
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