DIEP 2013

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

    Lmo45 - don't worry about buying anything, really!  Your hospital will give you something to hold the drains so they are not flopping around as they were years ago.  For my DIEP, the hospital gave me a velcro belt with 4 pouches to hold the drains. For Stage 2, I received 2 soft vests with pockets.  I alternated between the two types, no real preference.  Doctors all have their own preferences with regard to binders or compression garments.  Some use them and some don't.  Why not wait til after the surgery?  You may wake up in a compression garment or be given one before your leave.  They aren't essential, but I find them helpful.  Added support helped me in the long run, but I have a bad back.  If you don't get one in the hospital then you can make a decision.  You can order from marenagroup.com (and from others).  

    Wednesday is almost here so you need to take the time to relax, enjoy your family.  Try to ease your husband's mind.  Of course he is scared.  Mine has been for both and he is my rock.  He just doesn't show it too much.  My thoughts will be with you on Wednesday.   You will be fine and laughing when you are posting from the other side.

  • JJWendel
    JJWendel Member Posts: 3
    edited April 2013

    I ran across this post.  Apparently, there has been some confusion if the DIEP flap is offered in Tennessee.  Yes, Dr. J Jason Wendel performs the DIEP flap for both immediate and delayed reconstruction.  His office is located in Nashville, TN, (615) 921-2100. He used to be at Vanderbilt University but now operates at Centennial Hospital, Baptist Hospital and St. Thomas Hospital.  Best wishes to all of those having mastectomy and reconstruction for health and wellness. We know this is a very difficult time.

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

    Getting closer and closer and more nervous. Has anyone actually died on the table from this? Yes I am in full drama mode.

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

    JJWendel... Are you posting for yourself?

  • Janet_M
    Janet_M Member Posts: 1,068
    edited April 2013

    crs319 - I'm still six weeks away, and nervous. Can't imagine what you're going through. Holy cow.  But when I last talked to my reconstuctive surgeon, I said 'Can you promise that I'll wake up?'. And he said 'Yes, I can promise that'. And the surgery is not going into any major organs. So, from what I understand, dying on the table is absoluely not an option.

  • JJWendel
    JJWendel Member Posts: 3
    edited April 2013

    No, Ma'am. Dr. Wendel has just been amazed at the number of patients seeking information but didn't know who does and who doesn't do the DIEP.  I work with him. He asked that I reach out online with educational information only. My post was not intended as any type of ad. It is simply to make it known that yes, DIEP flaps are done in Tennessee. I hope I havent offended you.  It's so great that you support one another in this manner. I wish the internet was available when I had to undergo surgery.

  • Pattysmiles
    Pattysmiles Member Posts: 954
    edited April 2013

    That's ironic JJWendel, you replied to another post and said you ARE JJWendel...would seem to me you can't have it both ways.

    Very fast way to lose trust.

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

    I am not sure that Dr Wendell understands that the post is a rule violation. Perhaps he needs to do more outreach in TN so that people will be aware of his presence. Doctors who work with him will make referrals.

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

    JJWendel... in this post you say you are Dr Wendel:

    53 minutes ago JJWendel wrote:

    I ran across this post.  This is Dr. Wendel in Nashville, Tennessee.  Yes, I perform the DIEP flap and have extensive experience with a 99% success rate for this surgery.  For anyone who is interested in DIEP flap surgery, I am happy to help.  My office and other information can be found at drjjwendel.com.

    Best wishes for a speedy and complete recovery.

  • Gini23
    Gini23 Member Posts: 183
    edited April 2013

    lmo45 - It's no surprise you are weepy, you have been through so much the past few weeks. There will certainly be ups and downs throughout your treatment for both you and your DH. Be kind to yourself and let the feelings do what they need to. My sister gave my DH a great book - that I don't think he ever read - but I peeked at it and think it's full of great information, advice, and empathy. If your hubby is into books - he may like it. I'll find it and post the title asap.



    Wait and see what they give you in the hospital, and if no one offers anything, ask about the surgical camis. If they still don't offer - call me I'll meet you somewhere and give you mine! We'll all be in your pockets on Wednesday, you are not alone! Sweet dreams.....!



    So today I went "temporary" bra shopping while I await stage 2. All of my old ones have underwire and push-ups... ;) and they seem to small around my back! I definitely need to lose weight which is tough while on exercise restrictions. I went to Marshall's and got several bras for 9.99 or less apiece! Several Warners had no wires. At our Komen CT meeting the other night a few women with lumpectomies mentioned being told to avoid underwire because of the pressure it puts on the breast, which can damage tissue... could lead to tumors? It was speculation, but seemed to make some sense to me. Anyway - I was going for avoiding wires and just getting some nice soft support for the girls while they await their contouring. Successful mission.



    I also picked up a couple pair of the Flexees by Maidenform girdle-shorts... but it would seem to be a pain when you have to pee, isn't it? I've been doing the velcro binder and occasionally my girdle that's more of a tube that reaches from below breast to hips. That works great for going to the bathroom and I can wear pants that are not elastic waisted. Is there a reason to need a style with shorts - besides the obvious butt lift? ;)



    I have to say to those wondering about going back to work or on trips and such and how you'll be feeling week by week... I am 7 weeks out and exhausted this week. My first week back to work (last week) was a busy one, as was the weekend, and my body is not happy - is not back to the Energizer Bunny just yet. Feeling very bone-tired and need to remember to stop and take breaks. No other complaints. Everything seems to be healing nicely.



    So lovely to hear all the continued stories of healing! And bike riding?? You are my hero, Katy! Makes me so tempted to slip on my roller blades and just go around the circle....



    Big hugs - 'night ladies!

    =) Jeannie

  • faith729
    faith729 Member Posts: 244
    edited April 2013

    Lmo45 I know it's scary it's a really big surgery and with little ones at home it can add a little weight on your shoulders but I assure you that as scary as it seems now when you wake up and see dh you will both be relieved and for you especially it will just be as if you took a long nap. If your hospital participates in the "Jacki" program you may get a shirt with drain pockets while your there if not don't worry there are usually safety pins attached to the drains and they can easily be pinned to the Jonny or your clothes. If your PS uses binders at any stage they will provide one I think that is standard practice and if you don't like the one they provide you can check with your PS about other compression gear that a lot of ladies here have talked about ..but that's later for now deep breaths OK because your going to do great ! Hang in there on Wednesday we will all be in your pocket rooting for you.

  • faith729
    faith729 Member Posts: 244
    edited April 2013

    Crs319 That was my biggest fear going in but I spoke to my anesthesiologist and my PS and both of them assured me that as doctors their main concern obviously is our safety and they would not do anything to jeopardize that. I asked what their plan was if complications arose and they explained to me what their procedures are (don't at all remember because it was the morning of surgery) once I talked to them I had a much greater sense of security and made them promise me that if anything was questionable they would just stop the surgery and they of course agreed. No worries about drama mode I think it is safe to say most of us had similar concerns. Talk to them when you go in you may feel better if you do.

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

    LMO, I was a year out from my active treatment--chemo, mx, rads--and I still had some weepy moments leading up to the DIEP.  It's such a huge step, and such an unkown.  You will be fine.  You will be great.  All you have to do is show up.  The physicians and nurses will carry you, literally, and help you every step of the way, and before you know it, you're on the other side and recovering.  

    I took a bunch of stuff to the hospital I didn't need.  They provided a hospital gown, which was clean and convenient to wear (not very fetching, though!).  I enjoyed my own slippers and waffle-type robe, and some facial wipes, my own toothbrush, chapstick, and moisturizer.  Apart from that, the hospital had everything I needed.  I didn't need the professional journals I was hoping to catch up on--it was a challenge to kick my brain in gear to concentrate that hard.  No make-up, no pretty jamies, and not a stitch of jewelry.  Make it easy on yourself!

    My DH and I cooked up a plan that cracked us both up no end.  I had lots of post-it notes in my bag to stick on various places on my body after the PS finished his marker art-work, before I went to the OR.  "Mountain biker tan" went on my leg, with an arrow pointing to the tan line.  "Replace this one" pointing to the old mx scar, "Remove and replace this one" pointing to the healthy breast, and "Try to get this in the center" pointing to the belly button.  I had a simple drawing of the urethra, with "This way to the bladder" pointing to it.  When the nurse came to wheel me to the OR, we were giggling like school kids about our post-it hunt.  Small pleasures.  I hope it make the OR crew smile, because they sure put in a long, long day!

    Tired and going to bed!  Bless you, sisters!  Katy

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited April 2013

    Wow-just too much chitchat going on here since I checked in yesterday! Gonna leave all the counseling to the ladies that came after my DIEP surgery......it has been a long day.......but I will say that I am thrilled by the continual changes......sisters pre-DIEP nervous and scared......then the same sisters post-DIEP handing out sage advice, and comfort to other newbies......Lmo you will be in my thoughts and prayers.....just "relax" and let your surgeons do all the work......soon you will be posting from the "Other side"....

    CRS.....you up too, I believe .....thinking of you as well.....relax and envision yourself recovered and back to a full life......certainly worked for me!



    SBElizabeth, I nominate my DH for the hairy chest award.....when I had about 7-8" of my abdominal incision blow out due to an infection, the poor man packed my open stomach twice a day with saline-soaked gauze. I could not look at it without crying for about two weeks(overkill, I know), and he did it for 3 weeks, until the infection cleared up and the PS re-sutured it. Poor brave man...... :p



    By the way-I LIKE the toilet squats.....they will come in very handy ! LOL.....



    "TOWANDA! "



    Namaste and God Bless - Jackie

  • fredntan
    fredntan Member Posts: 1,821
    edited April 2013

    i was going to say something but forgot what it was:-)



    am four weeks out from stage two tomorrow. i am wearing compression and nipple gaurds now. i have no idea how they squished me into the compression garment i woke up in. it was a tight one. i can barely get it on myself



    my crazy head pain continues. very annoying

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

    Jeannie - just a note on the compression.  Panty girdles are a pain to pull up and down.  If you are looking to replace the binder your doc gave you, look for the attractive (not) open crotch models.  Then you don't have to pull them up and down. Another option is the hook and eye crotch.  My doc requires us to be in compression 24 hours a day for the first 6 - 8 weeks (stage 1 and 2), then 12 hours a day (stage 2). I purchased a Marena (fondly referred to as my sauna suit).  It is more expensive, but the compression is much stronger than a flexee or spanx.

    Katy - love your directional notes!  

  • liefie
    liefie Member Posts: 2,440
    edited April 2013

    sbelizabeth, love your no-nonsense approach re what to take with to hospital. I made a note of that, and that's all I will take. Maybe one magazine too, but I suspect one is too wiped out to read/comprehend much, right? DH will be there with the laptop, so maybe I can manage to squeeze out a short post or two, or maybe not. Was warned here the other day about posting immediately post-op - lol. Your post-it hunt made me giggle too. That OR staff must have really enjoyed that!

    Fredntan, hope you head pain subsides. Can't be pleasant.

    Movie, I like the name 'toilet squats' you gave to my newly invented exercise. Very appropriate! Your DH seems like a darling doing that so patiently for 3 weeks. For a man with no medical background that is really impressive. Must love you a lot too.

  • Morningsun1
    Morningsun1 Member Posts: 649
    edited April 2013

    Hi there, just checking in to shout out to everyone "TOWANDA!" Movie, your appt for stage II is coming up, correct? Let us know what you are having done, please. I don't post much but I do read every post and keep everyone in my thoughts. Keep them coming.

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

    Morning ladies....hope it's a good one for all.

    Think I have turned another little, but positive corner! I massaged the heck out of my hypersensitive arm yesterday, and it seems a bit better today. Didn't keep me awake last night, which is huge, as I feel like I got a fairly decent sleep too....always a plus!

    Windchill here this morning of -16, so defo not going for an outdoor walk. Never made it to the gym yesterday, but feel totally up for it today. Isn't it awesome, when you recognize that you're feeling better!!!!!!!!!!!!!!!!!!!!!

    Liefie.....I'd wait on the "support garment" purchase until after surgery. You don't know what size you might be, or what feels right until then. You may not even need one! Ditto on don't bring much to the hospital...I brought very little, (thanks to Marty's wise advice) and used even less of what I brought. Slippers, chapstick, toothbrush, facial cleanser wipes, comb, hand lotion, emery board ( always seem to break a nail at the most inconvenient times), clothes to go home in and a book. Didn't crack open the book until the last 2 days. Wore the hospital gown and robe, pinned drains to that, and never wished I had my own pj's/robe. I wanted those to be a "discharge treat" and it worked.....felt so good to put on my own stuff at home!!!!!!! I bought a couple oversized cheap cami's (Walmart) and pinned the one drain I came home with to that. I tried the drain in the pocket thing....didn't feel secure or comfortable to me....I soooooo get where you are right now, trying to plan for everything, it's a way of dealing with the wait. The biggest helps for me, were the "at home" aids I had arranged for. Being an OT, it is part of my mindset. The recliner...saved my life for the first week at home...no longer need it....it's going back. The wheeled walker....had to have to save my back....used for maybe 4 days.....already gone. The commode/raised toilet seat.....again, really helped......already gone back. The only thing I'm still using is the shower seat. I could probably do without, but I spend alot of time in the shower, doing gentle massaging on my tummy and around the incisions......and just relaxing. Don't feel I could stand comfortably long enough to do what I do. If I was just doing the hair and body wash, probably could do without it, but showers/bathrooms can be slippery, dangerous places, so better safe than sorry IMHO.

    Question for the veterans.....I know it's different for all, but just wondering how long the "tight tummy" feeling lasted for you? Days......weeks.......months??????

    Thinking of all the ones "waiting" and newly recovering.....thanking all the veterans. ((((x))))

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

    Movie, your DH absolutely gets a hairy chest award.  What devotion and love.  

    Remember those vows, "in sickness and in health"?  Many of our DHs have needed to step up and carry out that promise.  God bless them.  

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

    Nihahi - the tight tummy will last for quite a while. Just gotta roll with it, but you will stand straight long before the tightness leaves.



    I didn't have the wherewithal to stand in the shower for longer than absolutely necessary to do the essentials until all drains were out. Then it took me about a week.

  • Cuetang
    Cuetang Member Posts: 575
    edited April 2013

    Another vote for moviemaniac's hubby to get a hairy chest award!



    Nihahi-- do you mean the tugging feeling in your tummy/incision area? I think I stopped noticing around week 4-5.

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

    woohoo!   Look out sbelizabeth....I'm coming!!! Just did 6km on the recumbent bike. Wasn't going very fast or hard, but varied the resistance throughout and OMG, IT FELT SO GOOD TO BE DOING MORE THAN LAPS AROUND THE DINING TABLE!!!!!

    re: tummy tightness, I am already standing upright, unless I sit for an extended period of time. Don't really feel the incision line, but just above it, then again just below the boobs. Doable, but annoying. Thanks for the feedback. Today is SUCH a better day!!!!!! Now if it would just warm up outside!

  • faith729
    faith729 Member Posts: 244
    edited April 2013

    Sbelizabeth I think you may be the one who asked about getting into old pants ? Everyone is different I'm sure and you with the bike riding already ;) might be there before I was at 4 weeks exactly. I can wear my old jeans but haven't yet worn them out because we are usually out for a long time and it just didn't seem comfortable.



    As for the tightness in the abdomen I had that quite a bit weeks 1&2 but it slowly has gone down by now (week 4) and I hardly notice it at all now !

  • HHCats
    HHCats Member Posts: 121
    edited April 2013

    LMO - I was in complete hysterics sometimes leading up to my surgery.  Full blown panic attacks.  Then on the morning of my surgery, I was all business.  Something just clicked.  

    Having little ones at home myself - it is really hard to do cancer, chemo, surgery, recovery.  You are always thinking of them and what would they do without you.  It's only natural.  

    Oh and I really wondered if I could die on the table, too.  Then my DH pointed out the facts that no major organs are being touched, the doctors can stop if I started to have trouble, and in all my internet searches, I hadn't found one mention of a DIEP death. (I hate it when he knows me too well . . .)

    Today - I put on real clothes and my regular jeans were a bit loose and a button-down shirt that I never wore because I thought it made my boobs look huge - fit beautifully.   I put my makeup and wig on and went downstairs and my eldest said "Mom, you look great!"  I wanted to answer - what my bandana, your dad's old shirts, and my sweats don't cut it?  LOL

    Then I pinned up those drains and went with my friend to Walmart, and the grocery store, and the pet store because my "first" baby has needs that only I understand!  We had coffee after we picked up dinner items at the grocery store, too.  I felt human again.  My friend has been taking my kids to and from school and she said "Come with me on the school run tomorrow."  I just might but I haven't missed the snarky behaviour and the fighting - in the parking lot not the playground!  Remember this ladies - there is no Christian charity in the Catholic School parking lot!

    Then I came home put the bandana back on, found the old shirt and the sweats!  I also had the nurse come and remove another drain.  So only 1 more to go.  Now I am in bed resting with my cat.  I am getting real sleep again at night - what a difference that makes.  

    I also committed the whole family to go to my son's hockey team's lunch this upcoming weekend.  I can manage a lunch and my boy just beamed when I told him that we all were going.  So very much worth it just to see that smile.  I haven't missed much since my diagnosis but during chemo I was pretty much banned by my husband from hockey rinks.  So I didn't get to as many games as I would have liked.  When you are 8, you kinda want your mom to be at all your games.  This will make up for some of that.  

    Prayers being said for everyone at every stage of this process.  And TOWANDA!

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

    There were a couple of nice ladies who passed forward some items before my stage 1. If there is anyone that has a need for these I would be happy to pass them forward.



    2- adhesive pockets to put in shirts for drains(thanks Adey)



    2-wrap style shirts from Confident Clothing Company (never worn, but washed) expensive

    These are mediums that run slightly small. (Thanks Jennifer)



    2-short sleeved, M, linen button down shirts (Aqua and Lime Green)



    1-Large, front enclosure, Medical Comfort Bra ( after breast augmentation, mastopexy, DIEP,etc. sz. 38, never came out of package



    If you are interested please PM me with name and address and I will pass them forward. Maybe you will be able to do the same.

  • lilyun
    lilyun Member Posts: 54
    edited April 2013

    Hi Everyone-another post op Stage 2 visit today. Incision still bleeding but the DR said that is a good sign. So far I have managed to be allergic to every type of surgical tape that they have tried to use plus the bacitracin. Barged in to the GI office and cried "Help!" for my butt problems. The bleeding had finally stopped as of last friday when they banded an internal hemmorhoid but the pain and pressure had not. They were nice enough to examine me and give me a prescription for suppositories (thanks Betsy) and lidocaine. We also discussed the possibility of a visit to the hospital to get "topped off" in the blood dept. as I am anemic from all of the rectal bleeding. The GI dr said that people usually do not react this way to surgery but it is has been my main side effect for both Stage 1 and Stage 2. Just want to let  those of you waiting to have surgery that this is my own dumb body reacting to everything and if it wasn't for these issues I would be shopping and dancing a jig at the same time right now.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited April 2013

    Love, love, love the post-it notes!! That made me laugh so hard it made my tummy hurt;)

    My chest drains came out last night and it felt awesome!! The one in my hip remains but it doesn't bother me much and it will most likely come out tomorrow when I see PS.

    I took my ambien with Valium last night and I slept until 1:00pm. I'm thinking I'm only going to take half of the Valium tonight.

    I don't remember if I posted this yet. The gave me a binder at the hospital, a camisole with pockets for the drains, a surgical bra, a belt with Velcro to hook up the drains and two hooks to put around my neck to hook the drains to. I did change into my own pjs to be more comfy. I had crocks to wear whenever I walked around, although they give you socks with rubber on the bottom so that you don't slipped. I did take a book to read, but it was difficult for me to concentrate so I never read it. And of course I brought low rise bikini underware so it would be under my incision. They worked great!!!

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

    To all looking for support garments - I just cruised around herroom.com.  In the shapeware section, firm, I found several great looking options.  Knowing that I have not tried any of these - Roda had a highwaisted girdle with legs and a split crotch on sale for about $40.  It might be worth it to poke around as the roda garments looked to have better support than flexees or spanx.  They also have flexees and spanx at a discount.  I am not endorsing anything or anyone, but thought I would share what I found as they might work for someone.  Lots of interesting options.

  • heavenschild
    heavenschild Member Posts: 212
    edited April 2013

    Jeannie - Please give yourself lots of grace.  I was a slow healer with pain issues, but by the end of the third month post-op I was feeling human again.  A lot of people on these boards are amazing healers, but each person's journey is different.  I almost hated to post b/c I felt that I would be a *downer* to the newbies on the board, but so needed the advice and support I posted anyways.  The ladies are here for you, not matter what. I've had lots of surgeries, but this one takes the cake!

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