DIEP 2013

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

    Katie - try a cotton swab soaked in hydrogen peroxide.  Learned that trick when I had a septoplasty.

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

    Faith... For me it came on rather quickly and felt like the flu (fever, chills, achey, headache). Later in the evening when I was feeling less feverish, I looked in the mirror at my back where my GAP flap incision scar is, and it was red. Plus I had a red splotch on my belly. It wasn't that red... but was indeed red. I went to bed and when I woke up, I was less feverish and achey, but my back was much redder. I sent pictures to my PS and he said I should go to the ER and get on IV antibiotics. So I did and was in the hosiptal for 2 days. My internist has since given me a script for an antibiotic to have on hand as early treatment is important. If left untreated it can become septic and get into bones and muscle and can ultimately lead to tissue death (tissue eating bacteria) or death...

    So... if you even suspect it, go to the doctor or hospital. It was a Sunday for me so I have few options.

  • heavenschild
    heavenschild Member Posts: 212
    edited April 2013

    Bdavis - thanks! Wow, I REALLY hate drains, so I'll have to make sure to ask, and my recovery seemed so much slower and painful than I've seen for others, so I'll make sure to ask re: recovery time again.

    Got the t-shirt, "Heck yes, they are fake, my real ones tried to kill me," and received some wonderful responses.

    Faith - keep us posted, I can't imagine getting a cold after (or cellulitis) after DIEP SX, take lots of vitamin C!

  • heavenschild
    heavenschild Member Posts: 212
    edited April 2013

    MartyJ - glad info came in handy! I do not relish the idea of going to work with drains. Hugs and thanks!

  • HHCats
    HHCats Member Posts: 121
    edited April 2013

    I am back!  Well not really.  Back on the board that's all.  I went through a huge production today which allowed me to appreciate my time at home.  I got up, did makeup, put on my wig, got dressed, hid my drains in my husband's old button-down shirt and new comfy sweats, wore his jacket, packed up the three kids - all so we could drive about 10 minutes so I could get 2 new "surgically approved" bras.  Pardon my French, but CRAP!  What a production.  But now the new girls are tucked away behind nice, comfy garments . . .which only finally proved to me how bruised I really am.  Oh well.  

    So I'm sticking close to home.  My first foray out was my last for a while.  I've been napping and starting to eat again.  Hanging out with the kids and just taking it easy.  

    My drains are on target right now to come out next week.  They totally suck.  Three are down to "code" for getting out and we are going to watch them this weekend to make sure they don't start up again.  One, however, is unreal -  it's like all the fluid was captured in my left abdomen.  I'm certain that one drain will be in for a lot longer.  Either that or it will just dry up.  The nurse came by yesterday and we set up a plan for when they are ready to come out - so I am just draining and measuring and recording.  I am so bored, I thought about a spreadsheet!  

    Faith - thanks for your lovely words.  My DH has been put through the ringer on this diagnosis and is still a champ for me.  It's amazing what they will do for you, isn't it?  I told him that this experience has been Oversharing 101 for us!  His response is that it has all been worth it and he plans to overshare with me for decades to come.  

    Nihahi - I hope you are feeling a bit better.  I was in total poor me mode again last night.  Just trying to make sense of it, I think.  It doesn't help that sleep is sporadic but it's gotten a lot better.  However, I'm an 8 hour sleeper - if I get my sleep life is good.  If not, watch out!  You mentioned how everyone is honest on this board - well here is honesty for you.  The moment I get tired - all my fears come out.  I am triple negative and despite being node-negative, going through clean scans, chemo and now this surgery - I wonder if it will be enough to keep this hellish disease at bay.  I was bawling last night about this thinking how will my kids do if I don't make it?  What will happen to my DH?  I went from so happy and loving my life to a surprise diagnosis of this aggressive form of the disease.  I will have "lost" an entire school year with my kids - no volunteering, field trips, etc. like I usually do.  With three kids in school full-time finally, I thought I would be working out more, taking skating lessons AGAIN (oh how I suck), and finding new and exciting things to occupy my time.  Instead - I ended up on two operating tables and in the chemo suite.  So I am an "expert" at poor me days.  

    But now I am going to see what the DH has planned for dinner.  He's excited I'm into food again . . .

    Robin

  • nihahi
    nihahi Member Posts: 3,841
    edited April 2013

    Hey Ladies

    A better day today here. Actually took myself out for a short walk yesterday....along a pathway that I knew had benches that I could rest on. It felt sooooooo good to feel fresh air on my face! Still fighting severe boredom, as I am so not a sit around with feet up kind of person. Hubby took me for a short drive today, and we stopped to get ice cream cones.....felt so nice to be doing something normal! Even though my PS is a no binder as a rule guy, he has said all along I could wear something if I wanted to. So after the ice cream, we went to a Walmart, where I found a cheapish support garment that ends just below the new girls. SOOOOOO much more comfortable when I am standing, walking...I'm going to relay this info to him at my next followup appt. Thanks for all the supportive messages...coming from you all, they certainly "ring true". I think part of my "blues" is that 20 years after my initial mastectomy, I feel like a bc patient again. I am in awe of the ladies who have the courage to tackle this recovery, fresh out of chemo/rads. I'm trying to set smaller goals for myself, and that seems to help the mindset, but HHcats, I totally get the "isolation" feeling too.

    sbelizabeth....so good to hear how you're doing. Can you take Flexeral (sp) for the back pain? It really, really helped me, and now I only take it before bed, to help things relax so I can sleep. 

    Faith....geez.....hope you're feeling better! 

    Arc911.....I got your pm. Perhaps if you posted on this thread, some of the veterans could help you with your concerns. Just a suggestion. 

    Again, if I have missed any names/dates, please excuse me, and let me know so I can update the lists. 

    TOWANDA to everyone!

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited April 2013

    Hi, Nihahi!  Thanks for sending great thoughts my way the day of my surgery.  It worked!  I'm so sorry you spent your post-op time nauseated and blowing chow.  I simply can't imagine barfing, even once, in a brand-new post-op condition.  My back's better every day, but I still take a 5-mg valium every night--the PS said it would relax the muscles and let me sleep.  

    HHCats, I can certainly relate, although my dark days are very few now.  And I don't have little ones at home!  For me, this surgery was a big step in putting BC behind me.  With your awareness that the shivers come on when you're tired, when that happens, you must develop a bit mental DELETE button.  A friend (with BC!) shared this with me.  Your thoughts wander into dark imaginings...DELETE.  

    This morning I rode my bike for the first time post-op.  It's seriously easier than walking; the position is a little bent over naturally and riding on the flats is not much exercise, but the fresh air, sunshine, and getting out was beyond cheering.  Then I came home, showered, and put on my beautiful Soma jamies that haven't been worn yet!  So I guess you could say I spent my day in my pajamas too.

    Right after my mx last year I wanted to buy a tee that said "I lost my breast...I think it's in my purse somewhere."  Never got around to it, and now it just doesn't apply.  The new girls are bruised, misshapen, uneven, and numb, but I love them.  I love my new flat tummy.  I am filled with gratitude.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited April 2013

    Hello everyone. My PS let me come home last night, just 3 days post surgery, but it was my daughter's sixth birthday and I had to be here. He pulled just one drain off yesterday, one from my hip. And holly cow!!! That hurt!!!!!! My husband is a nurse so the PS gave him permission to pull the other ones if needed before I go see him on Wednesday.

    Selizabeth, I can tell you that getting sick a day after surgery wasn't pleasant at all!!! I think at one point I told the nurses to just let me die, because that's how I felt. The put this patch behind my ear for nausea and I guess I touched it at some point and then scratched my eye. Well, my pupil was complete dialeted and I could not see out if that eye. Still that way after over 24 hours. The had to run some tests to make sure I wasn't having a stroke, and that was scary!!

    My scar on my tummy has been bothering me some today and I started to have some pain on my boobs, but not where the scars are. It's still so strange to me to have them completely numb I wonder if I'll ever get used to it. The shape is ok, but not what I thought it was going to be. They look kind of flat to me. I thought they were going to have more projection. It might be just them being swollen, so I guess I'll wait. I went from a full D to a C cup.

    I'm also happy to say that I went potty twice today and it didn't hurt. Thank goodness!!! The pillow I purchased didn't really work for me, so I just gathered a bunch of pillows in my bed and I slept good all night. I was even able to get in my right side a little bit. I also took a bath last night. Have never felt so good. I really enjoyed that shower. Was hoping for another one today, but between being tired and kids, it just didn't happen. I'm hopping for tomorrow.

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

    Kuka... Just to confirm... You showered, correct? No baths while you have drains. Also, don't roll to your side. It can distort the flap. Stay on your back for 4-6 weeks.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited April 2013

    Hi, Kuka, welcome home!  What an experience with the anti-nausea patch.  The drain removal is a big ouch, isn't it?  I really only felt one slither out, though, there's a lot of numbness from my chest to my thighs, and there are times this is a benefit.

    Showering for the first time was a huge luxury for me.  I was careful and put a plastic step-stool in there so I could sit if I got light-headed, but it wasn't needed.  It was, and still is, a little exhausting.  But worth it.

    Take it easy and rest, rest, rest.  Katy

  • 5andcounting
    5andcounting Member Posts: 232
    edited April 2013

    So glad to have found this thread. Getting more anxious. We leave for charleston tommorow. Couple of days before surgery on Wednesday DH is more nervous than me!!!!

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited April 2013

    bdavis, yes it was a shower, lol. I probably did a big oops because I showered at 1:00 am by myself when everybody was sleeping. I'm very hard headed and very independent, but I know I need to change my ways and have people help me. Tonight I was in the restroom changing my bra and looking at myself in the mirror. I was going to wash my other bra since it was a little stained with blood when I started feeling dizzy and sweats. I knew I was about to fall on my ass, so I screamed for DH. He came to me really fast and was able to take me back to bed. My blood pressure was fine, but I believe I have anemia. So starting tomorrow I need to start a diet of proteins.

    I have an old back fracture and sleeping on my back all night is impossible. I have to say the most pain I'm having after surgery is of my lower back😞

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

    Kuka. Do be careful. I did pass out in the shower. I called for my friend and she caught me but I woke up on the bathroom floor and my left drain hole was bleeding. I ended up with necrosis there and have to wonder if I caused a problem. I am still in the process of fixing it. And that was almost two years ago. Don't be a hero and think you are super independent. It can work against you as it did me.

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

    Kuka ask the doc for some flexerll. It will help your lower back pain. Lots of us came into this surgery with old lower back problems, but no matter what, you don't want to lie on your side. Please slow down. Give your body time to heal.

  • lilyun
    lilyun Member Posts: 54
    edited April 2013

    Has anyone else had GI problems after surgery? I am almost two weeks out from my Stage 2 and recovery from it has gone fine except for the GI part. I was only on painkillers for two days but dealing with the initial constipation I blew open my ever present pesky hemmorhoids. Then I couldn't stop going to the bathroom and having gas...all which resulted in bowls full of blood. My PS sent me to the GI who "banded" one of the internal hemmorhoids which seems to have stopped the bleeding. I go back in 3 weeks to have another one done. My PS also did blood work which now shows that I am anemic from the surgery plus bottom blood loss problems. I have eaten yogurt every day and yesterday started taked acidophilus. Yet several times a day the gurgles start and the gas or BM begins. My poor bottom can't get a chance to heal. If it wasn't for this issue I would be really doing fine in my recovery. As it is now a trip to the backyard is as far as I am going.

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

    Lilyun - perhaps the yogurt is a part of the problem - dairy can lead to gas?  You didn't mention if you are still on the antibiotics?  They can cause problems because they kill all of the good gut bacteria.  I used a more complex probiotic (more bacteria than just acidophilus) and took it at mid day since the antibiotics were taken AM & PM.  Increasing your protein intake can help with the anemia- try shrimp, chicken, red meat at least 60 gms a day.  My Fitness Pal can help you track your protein intake.  Are you taking a stool softener?  Maybe stop that?  

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

    CRS319,

    Safe travels to Charleston. Getting settled will help, and especially meeting for pre op with Dr Kline and Dr Baron will calm you even more. Still, it's hard not to have anxiety with BC treatments and major surgeries! You are in the best of hands with these top docs through God.

    I walk the beach the day before surgery to settle my mind and relax the pre-surgery knot in my tummy.

    Were you able to find oceanfront condo?

    I know this was all crazy and last
    minute for you with your active cancer, but If you have time (maybe after surgery) you can go to the Charleston Bound, part 2
    thread and also keep us up to date there if you wish.

    http://community.breastcancer.org/forum/44/topic/766866?page=79#top

    You can PM the thread owner to ask her to add your name to the list at top with surgery date, doctor, type of flap surgery, etc.

    Will be thinking of you on May 1 and sending a prayer for you. :)

  • sherry35
    sherry35 Member Posts: 409
    edited April 2013

    Wow, take a couple days off here and you get lost. A big congrats to all of you ladies who are now on the other side! Your strength and confidence help me each day. I'm thankful for all of you sharing your experiences, both good and bad, so we can learn from you!

    I hope when it's my turn I do half as well. Good luck to those of you going forward in the next week or so!

    Cheers,

    Sherry.

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

    Lilyun... Its unlikely, but antibiotics can cause antibiotic induced colitis. And no amount of probiotic or yogurt is going to help... You would need Flagyl. Also try using a suppository. When I have had hemmorhoids, the suppository helps a lot.

    As far as probiotics, I take Align every morning. Even when I am not on antibiotics. I also eat a lot of yogurt. You might also try some GasX or something like that??

  • lilyun
    lilyun Member Posts: 54
    edited April 2013

    Martyj and b davis, thanks for the advice. I am not on any antibiotics. They gave me some during the 2 and a half hour procedure and that was it. I was on painkillers during the day of surgery and the next then I stopped. The Flagyl or Gasx sound like good ideas. Maybe I'll give my PA a call. I don't know what else could be causing this-going on two weeks. I'm supposed to be taking a stool softener after the hemmorhoid treatment but I am not-I would like to spend a part of my life outside of the bathroom!

  • HHCats
    HHCats Member Posts: 121
    edited April 2013

    Hello All

    Nihahi - good for you!  Getting out and about.  I get the boredom thing -big time!  When bored, I think and analyze.  So now I am getting antsy about hair growth.  I lost my eyebrows and eyelashes to Taxol and I think I see itty bitty eyebrows coming in . . .my hair is definately coming back in.  So everyone left the house - for playdates and to go shopping and I took a nap and then played with makeup.  THIS IS NOT LIKE ME - AT ALL.  So I went a made that spreadsheet for my drains . . .which SADLY is totally like me!

    Sbelizabeth - I am working on my delete button!  Doing this surgery was a big step for me in putting this behind me.  From the beginning of my diagnosis, I've been looking at ways to get back to living my life and raising those kids and this surgery was the final physical step in that direction.  Now onto the mental . . .much harder.  But I'm trying.  Good getting out on the bike by the way.  

    bdavis - you are way ahead of most of us - does the numbness sort of wear off eventually?  I heard that it can but haven't heard of anyone say that it has.  I am just really bruised and trust me - I feel that!

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited April 2013

    I read a lot of you have taken antibiotics. Is this the norm? They didn't give me any while at the hospital and I just didn't know.

    Today I'm doing a little better. My dad made me some lentil bean soup high in protein that I will be eating later to help with my anemia. I'm just sooooo tired, and not being able to sleep much at night it doesn't help at all. I need to talk to my PS about what I could take for my lower back. I try to not get in my side, but sometimes I guess I do it in my sleep. I'm hoping I'll be string enough after nap to take a shower. It sounds so good!!

  • heavenschild
    heavenschild Member Posts: 212
    edited April 2013

    kuka21 - I echo not sleeping on your side!  Do you have a recliner you can sleep in?  You can fold a foam mattress tooper on it to make it more comfy.  It will keep you from tossing and turning.  It is important not to cut off the blood flow of the flaps. 

  • nihahi
    nihahi Member Posts: 3,841
    edited April 2013

    sbelizabeth.....you get the hairy chest medal for sure! Bike riding 2 weeks post sx- amazing feat!!!! I'm still struggling to get my "land legs" back. After 10 to 15 minutes of walking outside, my knees feel like jello! I walk along a pathway that has benches scattered along it as a safety net, but set a goal of going a little farther or stopping to rest a little less each time. Thank you so much for sharing the mental "delete" button. Great tool, I'll use it often!!!!!! 

    crs...thinking of you. Hope the travel went well, I'm sure everything will fall into place for you and soon you'll be joining us veterans!

    lilyun...what crap.....so sorry you have to deal with tummy issues on top of all this. Can't remember what you've written about what your docs have prescribed to deal with it...hope it gets sorted out soon, as it must be taking a huge toll on you mentally and physically. 

    HHCats...you sound like an awesome person, you will get through all this with flying colours, and put it all far behind you. I can tell you after multiple breast surgeries, that the numbness does diminish eventually, and feeling does return. It takes lots of time, and is not really "normal" sensation, but it is sensation that becomes the "new normal" for you. Of all the healing we do, nerve regeneration is defo the slowest process. Nothing you can do really to speed it up.

    Kuka...wow, home on day 3...I couldn't have done it, that's incredible! I was never put on antibiotics, pre or post surgery, never had to do special scrubs, etc. Every doc is different. Showers are soooo wonderful now, aren't they...goes a long way to getting back to the human feeling.

    I'm slowly being "busier", and doing more of the normal things like laundry, meals, etc. The support garment I got has been a huge help for my back, and I believe the pressure has started to flatten my tummy scar too. Still have quite alot of swelling and hypersensation in my right (flap side) armpit and upper arm, and the "dimensions" of the flap seem to be changing daily too. From my "view point" while in hospital, I was quite happy with the match, once I got home and checked things out in a mirror, I thought "crap, this isn't what I expected or wanted", now with time, things are looking better again. It's a journey, for sure. When in doubt.....I'm gonna hit "delete"!!!!!!!

    Towanda, ladies!

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited April 2013

    CRS-good luck on the 1st......will be thinking of you.....please post from the "other side" as soon as you are able-we'll be looking for it! :-)



    Lilyun-so sorry to hear about your digestive troubles......I really hope it all get sorted out very soon......digestive issues should not be front and center when you are trying to heal....:-(



    Kuka-listen to these ladies......you have gone through hell to get the DIEP flaps......you have to stay off your side-find a way to prevent it........the girls are sensitive, and they need to be babied.......I am over 3 months out, and I still cannot sleep on my side for long.....the girls get really agitated......be careful-you do not want to lose one of them.



    I took antibiotics-after I contracted staph......I was also on Flagyl......can't remember the antibiotic.....but wow.....did a number on my intestinal track! Ended up taking a probiotic that had 80Million live cultures in each capsule. I bought it at Whole Foods -called Ultimate flora, and it had to be refrigerated.....it really helped get my intestinal flora back in balance. I took it while I was on the 2 meds from the PS. I take a lower dosage pill now.....30million live cultures....never have a problem! :-)



    SBElizabeth -I echo Nihahi.....you win the hairy chest prize.......wow! Can't even imagine doing that at 2 weeks! You go girl!



    Nihahi-keep on keeping on......you will get your mojo back......I feel like I am ready to hike ANYTHING.......just in time for my next appt. with PS on May 1, when I will learn date for Stage 2a........more downtime....... :-(



    To all of you warrior sisters.......have a wonderful evening, and "TOWANDA!"



    Namaste and God bless - Jackie







  • mammalou
    mammalou Member Posts: 823
    edited April 2013

    It sounds like anemia is an issue for some. Is there a chance that we might need blood for this surgery?

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

    Mammalou- I had 2 units. The day after my DIEP the Doppler sounds were not quite right. Next morning they were wrong on my right breast. They gave me the blood during the repair surgery. I also had 2 units after the original MX. I sure felt better fast. A very good thing!

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited April 2013

    Thank you all for your advice. Definetly need to make sure I stay on my back. Tonight I'm trying a stronger sleeping medication and I'm hoping that helps. I took a shower after my nap and felt great! I can't look at the new girls in the mirror for very long before I start crying and asking myself why I did this to my body. Even though I know the answer is still hard! My scars on my breasts are a little sore at the same time as numb. Very weird feeling!! Do you ever get used to it?

  • Judy_63
    Judy_63 Member Posts: 247
    edited April 2013

    I almost had to have blood when my blood pressure was low the night after surgery. But they gave me two shots of some medicine that closed down my blood vessels and made my pressure rise. This was a strange thing for me since I had been taking high blood pressure medicine before the surgery. They made me stop the day of surgery taking it.

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

    Kuka21- it is hard to look soon after with the fresh scars, but as they heal and the swelling goes down......... I think you will be pleased. I had the same reaction. Hang in there. You are a hero. You extended your life for yourself and your loved ones. You will look great.

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