Charleston Bound, part 2

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  • bethcw
    bethcw Member Posts: 98
    edited February 2013

    Hi everyone!

    I got a good report earlier this week, and got the ok for DIEP for March 14.  Today I am 6 weeks out from my SGAP, and really starting to feel like my old self.  March 14 will be here before I know it, and I am excited to get on with the next step.  I'm planning to be in Charleston until March 22.  Pink, maybe we can try to get together before I leave town.

    Listening to all of this talk about crappy doctors has me feeling really blessed to have the doctors I have had.  I love all of my oncologists, and am currently seeing one about every 3 months.  At UNC, they work as a team, and I rotate through them with my appointments.  I'm not sure how that will change after I am finished with the reconstruction process, I do expect to change to an appointment every 6 months, and then once a year.

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited February 2013

    My snb was done at the time of my mx, (one side - the side of my new cancer as I had had the other side lymph node resection in 1994 0 nodes with 17 removed. This time, Cr Baron did a snb (told me he would need to when I met with him in the morning before surgery) and told me on the phone prior. I had to go to the hospital in the afternoon to have blue dye shot into my nipple at 3 locations, then let that dye travel. When the bmx was done in the a.m. they determined that the snb came back with no node involvement. It gave me great confidence to know that fact. The dye lets them know where the cancer could have traveled to in reference to where the cancer was.



    No DR in hometown gave any kudos or even support for going out of state (near Atlanta)

    so I did wind up at a wound care clinic - but when asked if they could drain a seroma I was told no. Finally found a PS (the one who said everytime I went for drainage which was once a week for a couple of months - that I would be deformed forever from my SGAP on my back). I knew better, but after a while it was enough for me to call him Dr. Deformity and be ticked by it.



    Would be nice if the local drs were like Marty's and wanted people to see what could be done.



    However, the MO I'm going to see for the second time was referred to me by my internist. And he is wonderful, she used him for a family member, so maybe that's a slight sign of support? I'm not imagining I'll do more than probably just have him give me a once over once a year for 5 years?



    Pink, I would have walked out just like you, fortunately we find some precious gems like our Charleston PS' and NOLA PS' but there are Drs out there that flat out just don't get it! I cannot imagine a Dr telling me I couldn't read my lab notes!



    I had a Dr come into the room and tell me my testosterone was on the high side!!!! GOOD grief, I imagined growing a mustache, etc. Of course I asked for copies of my labs and in the car I read that my report was page 1 of 1, but page 2 was attached and it was showing HIGH testosterone! IT wasn't my report - page 1 of 1 means 1 page, so the 2nd page was another patient! A MAN !!!!! Not even close in names! And I also know they shouldn't have ordered a testosterone test!!!! So, I called back and told them - it wasn't my report. We as patients need to be pro active and not keep up with things.



    Kim, hope all goes well!

  • LindaG47
    LindaG47 Member Posts: 400
    edited February 2013

    Kim, In my case I had to have a referral for my wound clinic, located in our local hospital.  Dr. M's office had to call and refer me for care. I suppose you could go to urgent care if you had a problem and they could refer you. I guess I was pretty lucky because my general surgeon had no problem accepting me for after care done by another surgeon.  He understood the situation and knew that this reconstruction couldn't be  done locally.  

  • MartyJ
    MartyJ Member Posts: 1,859
    edited February 2013

    Great news Beth!  Glad to hear you will successfully move to the next step - one boob at a time.

    My doc is kind of special, but she comes from a medical family.  Her dad was a research MD at the Medical University and her mom was the county medical examiner for quite some time.  I have known her mom for many years and her beautiful daughter is a tribute to great parents.

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited February 2013

    Beth, So glad to hear you're healing well and surgery is a go!  Darn it though -- I don't get in until March 22 probably around 2 pm.  It's possible I might come a few days earlier.  I'm ready to get away from the cold and ice here, but don't want to wear out my welcome at my friend's house either (in Summerville).  :)   Where are you staying next time?

  • LindaG47
    LindaG47 Member Posts: 400
    edited February 2013

    Catie. That is funny about the lab test report....so much for HIPPA!!

    My DH and I are driving into Chicago right now. The skyline is always so exciting for me to see even though we come here often. I will see Dr. Massey tomorrow for a check up and some hugs!

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited February 2013

    Linda, hope those hugs are plentiful and the check up is a good one. I was born and raised in Chicago and transplanted to Atlanta a long time ago. All my cancer stuff has been in Atlanta! Hmmmm??? (LOL)



    Beth - FANTASTIC news!!!! So glad you can get going to your goal so soon.



    Dr. Kline's office and Dr. Kline were fantastic every time I needed local Dr support includng the wound care clinic - they faxed my reports and info very quickly and Dr. Kline even talked at great length with the Dr's themselves to tell them what I needed. So I guess that is a referral also, Linda.





  • bdavis
    bdavis Member Posts: 6,201
    edited February 2013

    Time can also soften a doctor's opinion... I decided last fall that I wanted follow up for cancer monitoring, and my MO suggested I make an appt with my original BS who did my lumpectomy and agreed to be my at-home helper if need be (although she warned that as a surgeon (not a DIEP surgeon) she couldn't help with everything... anyway, I had the appt and she was wonderful. Loved my reconstruction and told me to see her every 6 months for 2 years. No, she is not a PS, so perhaps her feet weren't as stepped on, but still.

  • MartyJ
    MartyJ Member Posts: 1,859
    edited February 2013

    Betsy, I think your BS, like my Gyn, are the kind of physicians that want to see their patients have a really positive outcome so they can share it with other patients.  It gives them a frame of reference for what is really possible.

  • ketch
    ketch Member Posts: 157
    edited February 2013

    Question for those who came before me ... 9 days out & today's not been a good day. Saw craigie yesterday & got breast drains pulled (yeah!!), pain seems better but stomach is still sour and have some nausea.



    I just do not feel good. Went down to Shem creek for lunch today & was more than ready to return to the condo. At this point , I'd figured I'd be walking a mile or so daily-/the monsoon has prevented that.

    i guess what I am asking is: did any of you have bad days after the first week?

    I'm still having trouble with running sweaty hot to clammy cold. But I read that was from anesthesia (plus my mama's putting me in mind of the mother from the Christmas Story who bundled her child to the point the kid couldn't move!!!!)

  • MartyJ
    MartyJ Member Posts: 1,859
    edited February 2013

    Ketch - what antibiotic are you on? They play a big role in how you feel and can make you nauseous, change your sense of taste and smell. Your doc can give you anti neausea Meds.



    You are only 9 days out. My biggest suggestion is patience. This is really big surgery and your body needs time to heal. At 9 days out, I was walking slowly for several blocks. At 14, I was better, but still yucky from antibiotics. Give yourself and your body time. I know it is frustrating. We all want to just get on with things.

  • bdavis
    bdavis Member Posts: 6,201
    edited February 2013

    Ketch... 9 days is WAY early. I was walking a little at that point, but resting a lot... Don't push it. Are you on pain meds? They can absolutely make you feel ill... Running hot and cold makes me wonder if you have a fever... I would check that out.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    Ketch,



    For sure I had some bad days after the first week. It comes and goes and even though I love to walk and took some short walks along the IOP marina during my second week (I left the hospital after 6 days), I wonder if those walks so soon after surgery were good for me. I had a small artery burst (or maybe it had been electro-cauterized and the walking made the cauterization come loose) on day 10 after surgery. Just sayin' we're all a little different and I'd take the phrase in the pamphlet "gentle walks" to heart! Go easy on the walks at first.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    Ps - if you're taking doxycycline it can really make you really nauseated. I took Zofran for nausea (dissolves on your tongue and doesn't make you "drugged") and made sure I only took the doxycycline after eating.

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited February 2013

    Ketch,

    Sorry you are still feeling bad.  Give Dr. Craigie a call - they don't mind it's the weekend, and ask for advice or Rx.

    Dr. Kline changed my antibiotic to keflex, and he prescribed zofran for nausea before I left the hospital.  Six days post op, friends down there were planning to take me to lunch dockside at Shem Creek-Water Edge.  The night before I was so nauseated I made my husband take his carry out dinner out of our hotel room (pronto) and go sit by the pool to eat.  I thought I was going to have to cancel lunch, but the next morning I woke up feeling good - not great.  But I was able to slooowly get out of the car and slooowly walk up the stairs to the dockside tables and they put pillow on chair for me.  I managed to eat all my lunch and felt like that was such a big step forward. 

    The narcotics (that I definitely needed) were adding to the queasiness, so I tried to eat bland things to get something in my stomach for those meds.

    Supposed to be 70 and Sunny tomorrow at the beach -- that should help you feel better! Cool

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited February 2013

    Ketch, so sorry you are feeling yukky after 9 days, but like was said, the antibiotic and pain pill combo can do a number on you. Both are important, it's hard to heal when you are in pain, so those are very important, and the Drs like you to be on the antibiotic until they say not to, so again, very important. I would throw the anesthia in the nasty mix too, until that gets out of your system - they all combine to make the first few weeks a bit rough at times. You should have an Rx already filled from home prescribed by Dr Craigie for anti-nausea meds. Maybe taking those for a bit?



    I got the clammy, hot thing going on after my SGAP last April, so know how that goes, but most important is that you have a very caring Dr and staff in your corner, so call. They answer their cell phones and emails very quickly (for this I'd use the cell phone - or if you feel you could wait until morning, do an email now and you will most likely have an answer by morning). Definitely call if you have a fever or feel yourself getting worse, that is what they are there for!



    But certainly know that as rough as it gets in the first few weeks it gets oh so better as time goes on and your body gets back to being you.



    Hoping for a good night for you.



    Hugs

  • Kim_L
    Kim_L Member Posts: 45
    edited February 2013

    Hey everyone!  I can't keep up with the whole thread until later (we're going to the airport almost immediately!), but in response to my note, my GP replied with the warmest wishes, and suggested I make an appointment with her just as soon as I got back whether I had any issue or not!  She will help me with post-op recovery herself or help me find someone else with the right expertise. 

    In the throes of pre-surgery preparations, I'm putting worry about post-surgery out of my mind for now. I'm focusing only on the next step, one by one.  Next up... catch that plane!

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited February 2013

    Fantastic news from your GP, maybe your technique of sending an email is the way to go - if she had any angst about it she had time to reconsider and be there for you when you returned. I would have loved that response.



    Again hoping for smooth sailing on your surgery!

  • bethcw
    bethcw Member Posts: 98
    edited February 2013

    Ketch,

    I am just over 6 weeks out from my SGAP.  I also had a few days of nausea at about the same time frame as you and had some hot and cold episodes as well.  I also had some zofran that usually did the trick for the nausea.  My nausea usually came on very suddenly.  At the time I contributed my hot and cold episodes to residual tamoxifen in my system because it felt the same as tamoxifen hot flashes, but it probably was the anesthesia.  My turning point of starting to feel better was about 3 1/2 - 4 weeks. 

  • LindaG47
    LindaG47 Member Posts: 400
    edited February 2013

    Ketch,  These ladies all have given you great advise and pretty typical of what happens on how you will feel  Antibiotics really played havoc on my stomach.  You will be turning the corner in no time and everyday will be an improvement.  Hang in there.  

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    Anybody have experience with a draining hematoma on the hip? Mine is coming out around the surgical drain hole and they decided to let it keep draining to keep it from stagnating. That was 2 weeks ago this coming Tuesday, and it is still draining. Not the end of the world but sort of stressing me out.

  • MartyJ
    MartyJ Member Posts: 1,859
    edited February 2013

    Deidre - do you have a hematoma or is it the usual drainage?  Have they pulled the drains?  You might want to give Dr a call in the morning, just in case.  

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    No - it is a hematoma and the hip drain is still in. It is the same side where I had the bleeding problem on Feb. 3. The dr saw me 3 days in a row then, and it clotted up . Couldn't tell if there would be a hematoma or not at that point (Feb 6). The next Tuesday, the clotting had dissolved and the "old blood" from the bleed started draining ... Through the hole in me but outside the drain tube ... And I went back to the dr and he decided to let it keep draining. Every day I'm putting a new dressing (an Always pad) on it, but it is still draining 2 weeks later. I saw the dr last Tuesday too and will see him again this coming Tuesday ...

  • ketch
    ketch Member Posts: 157
    edited February 2013

    Today's been much better. I guess I expected to much too soon as I've read from people who just were off meds and walking miles a week out.



    It has been a beautiful day with a nice beach walk then a long nap!!



    Sewannee, when's you appt Tuesday? We may run initial each other.

  • Cherrie
    Cherrie Member Posts: 1,423
    edited February 2013

    Linda, how was your meeting with Dr. M? We were so close. This Spring sometime!

  • LindaG47
    LindaG47 Member Posts: 400
    edited February 2013

    Cherrie,  Things went fine.  She thinks everything looks good and and gave me some pointers about having my tatts done.  I'll PM you later.  How are you feeling?

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited February 2013

    Sewaneegirl, is there any blood draining into the bulb at all?  Hope this resolves for you soon!

    Ketch, good to hear a good day for you.  Wishing you more the same each day! 

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited February 2013

    Linda,

    Does Dr. M only refer to Vinnie for tattoos, or does she know of any patients that went to Earlene in NC?

  • lbrewer
    lbrewer Member Posts: 766
    edited February 2013

    I need help!  I  have finally finished about a year of treatment and am finally looking into reconstruction.  I spoke with Dr. Kline in Charleston and he reccommends SGAP as I had a MS Tram on the other side previously.  I really need to talk to people who have had this surgery by Dr. Kline.  I  don't know why but I am terrified!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    No need to be terrified. I bet TRAM was WAY worse. Pain was there for sure but not unmanageable. I am 4.5 weeks past it and feel like I'm 2/3 recovered. Can go for long walks - just still tire easily and trying not to do anything to undo my progress. Dr. K is great - personable, knowledgeable and actually has a great sense of humor. I wouldn't hesitate a bit. He is one of the very best ... And his staff is awesome.

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