DIEP 2013

Options
18283858788421

Comments

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited May 2013

    I am so happy to have found this place.  I felt like I was out here alone (not really, but you know what I mean), and to talk to people who are going through, or have gone through similar things is so helpful. 

    Ninahi...I have read just about everything I can find about all the different breast recon surgeries. I was a full B when I had my mx, and I would be happy to be that again.  I have always been thin, not skinny and was developing my menopause pooch when this all happened, so I am hoping there is enough for 2 size B boobs.  I am leaning towards the DIEP, but that can always change if some doc comes up with a better option.  I don't have anything to give off my bottom, or thighs, so I am assuming tummy is the only other way to go.

    What is freaking me out  a little is that sometimes you can't have the DIEP if you have had other abdominal surgeries.  My current PS said my c-section is not an issue, but I did have a laproscopic hysterectomy 3 years ago.  The scars are gone, and I mean gone....but what kind of damage it might have caused my much needed blood vessels and arteries...I don't know.  I know there is some scar tissue below the surface because I can still sometimes  feel the pull when I do Yoga. As I am writing this I can feel myself getting anxious. What if I am limited to just one surgery now? Lat Flap.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited May 2013

    Goldie, I had the same type of surgery to remove my ovaries 3 years ago and the ps that it doesn't interfere with the blood vessels, and a csection doesn't either, so I'm guessing you'll be fine.

    Nihahi, my kids are really cute and full of energy. But I can't let their looks fool me! Specially my little red haired two year old. She's my payback!! And she gives me a run for my money for sure! This morning she came in my room as I was finally sleeping and whispered to me, mommy I didn't wake you up, so are you going to get up now? Lol. So Katy, no need to whisper, I'm up!

    And from here I salute everyone that has served in the military! Thank you for keeping us safe and serving!!

    Now time to get things ready for the cook out!

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

    Dvygirl, have you tried eating 4 - 5 dried prunes every day, or prune juice? Works like a charm for me, and won't interfere with other meds. Lactilose syrup also works well. Drink lots of water too. Hope this helps!

    Kuka, good for you on playing that surgery card - let him experience how much you actually do in a day. Always makes them more grateful and appreciative of what you have to do on a daily basis. Unfortunately the surgery card does not fool my DH any more. This morning he asked me to peel and cut up the fruit for our breakfast, he asked me to water all the potplants, to take out the dog etc. etc. He also discussed tonight's dinner, and my contribution preparing it . . . Small tasks, but he's adding more and more every day. I don't really mind, and just take care that I protect my left arm as far as lifting objects. He lectures me on that all the time. Guess he will feel guilty if I hurt myself carrying out one of his orders - LOL.

    Goldie, just to put your mind at ease. I had a laparoscopic hysterectomy 17 months ago, and my PS had no problem finding arteries and veins in my tummy eleven days ago when I had DIEP surgery.

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

    Goldie, you shouldn't be limited to just the lat, there are many other flap surgeries. I had a major 'pooch' due to 3 large babies (12#14 oz) and one emergency C section (my 4th was a 'little girl' at 8#6oz and lots of room to move around in, so prolapsed cord!) TMI?



    Well, I had that pooch removed 4 years before I got dx with bc! Dumb on my part to have wasted the tissue! Fast forward second go round with bc and I knew I didn't have an option for Diep - (although the removal was in essence similiar but no boobs from the pooch for me).



    I had a SGAP and I have had a PAP. I have several breast-friends who were very thin and were able to do the SGAP with very nice results, including the lady who referred me to my Dr. There are so many options but you need to find a PS who does micro vascular surgery and mostly they work in pairs in my experience.



    I too like this forum as the people are from so many different places and their experiences are so informative and interesting.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited May 2013

    Liefie, I can't believe your DH won't let you pull your surgery card! You tell him you just went through some major surgery and need to recover! I will keep using mine as much as I can, specially if I get to take a break from laundry, cooking and cleaning:). Sitting by the pool right now watching the kids swim and having DH doing the cooking. Got to live life!

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited May 2013
    Goldie,

    I din't know your budget or how willing you are to travel, but I wanted to let you know there are other options besides a Lat Flap.

    I am VERY thin (118 lbs, 5'6"), and the one or two local surgeons where I live are rookies at DIEP and dont do SGAP, PAP, etc. They push for Lat flap because that is easiest for them.

    Dr Richard Kline (and Dr Craigie), The Center for Natural Breast Reconstruction, Charleston, SC, did my bilateral SGAP, and I am very thin also. I could have had Dr Kline do the stacked flap procedure DIEP+GAP, but I chose to go with less scarring. So because of that I have smaller breasts but am proportional given my thin frame. (B cup).



    I had failed implants and attempts at implant revision by two prior plastic surgeons that had Ego Syndrome.



    Dr Kline has been a God send to help me through my complicated prior reconstruction mess. He is extraordinarily awesome in that he is in the top tier of microsurgeons in the U.S., devotes his entire practice to breast cancer patients, is the real deal down to earth kind person, emails with me and answers all my many many questions, during rounds pulls up a chair bedside and talks and listens, plus anything mentioned above by his patients.



    Please know that Dr. Kline also accepts ALL insurance, which most plastic surgeons don't. If you haven't met your deductibles he will do payment plan without interest. His staff can quickly and accurately answer your insurance questions. He also does free phone consultation, which I did to save on travel. If interested in another opinion, please call his long time office manager, Gail, and she will set up phone consult and have PA or surgery nurse call you to talk about your medical history and have you send pictures prior to phone consult. 866-374-2627


    The hospital does payment plan no interest as well on deductibles He operates in a brand new suburban hospital with all private rooms.



    The plastic surgeons who don't accept insurance put even more stress on breast cancer patients who get stuck with extra financial burden because they have to pay out of network costs to a PS who won't contract insurance because they won't make as much money.


    Which IMO is kind of sad because BC patients are dealing with a life threatening disease, loss of breasts, and reconstruction sometimes even more difficult from failed implants or severe radiation damage. They are not going to a PS for surgeries such as breast aug, tummy tuck, face lift, etc, which are of course not paid by insurance but paid by cash carrying healthy patients.

    Another option would be to check out a group of docs in San Antonio, PRMA? I believe they do more than DIEP. Dont know if they accept much insurance. They may be closer but I know Texas is a BIG state. :)








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

    Dyvgrl - mag citrate shouldn't interfere with Meds, but prunes and prune juice will usually do the same thing. Get on it now and drink lots of water. The water really helps push things thru and clears anesthesia.

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

    Kuka, I don't really mind doing these small tasks to help DH. I feel pretty good, and it gives me 'purpose'. In between I rest lots; don't worry, it's all good, and he is still doing 90% of what needs to be done. He just phoned to hear if I was okay as he does a few times a day. You are also doing something - watching the kids in the pool is a job, right? And a responsible one at that - but so good for your DH to do the cooking. I hope he gets hooked on it - will give you much more free time - lol. Mine made a lot of salmon fish cakes last night, so we don't need to do much tonight. I spent many hours watching my kids in our pool as they grew up. So enjoy your pool time - I'm jealous! 

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

    You guys are all the best! The phrase "strength in numbers" sure has new meaning for us all, me included (big time!!!)

    Catie....sleep issues have been the norm for me for years. I was so thrilled to realize how well I was sleeping post surgery. I'm hoping last night was just a blip, due to anxiety about an upcoming skin cancer appt and anticipation of physio being an "un-fun" experience again on the ****in shoulder. Hope we all sleep soundly tonight!

    MartyJ!!! are you still soaking up the sun in California? Good to hear your "voice" again! How are things with your shoulder????

    Liefie...Yes, I was given a handout of exercises by physio, prior to discharge. Like most "details" of these flaps, I'm sure every doc has his/her protocol. I wasn't allowed to start any specific exercises until the drains were out. Then, no shoulder abduction greater than 90degrees for the first 3 weeks post op. No pushing/pulling with arm, no lifting anything heavier than 5lbs. After 3 weeks, I was allowed to gradually increase shoulder range of motion to full range (which is when the friggin shoulder and axilla issues started to kick in.) No ab exercises until 6 weeks post op. Likely the arm exercises are very similar if not the same you did after the mx, but the difference now I think is delaying the start until the vascular connections are stable. Can you message your PS to see what she would like you to do???  HMMM....exactly how are you watering pots of plants without lifting, pushing or pulling????? 

    Dyvgrl.....hope you get things moving along........I think sbelizabeth might suggest dynamite!

    Gosh....I wonder how Movie is doing in Japan?????

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

    Nihahi, re the watering: with a small milk pitcher carried in my right hand, returning to fill it up again and again, getting some exercise at the same time - lol. Plants are on the deck outside kitchen, so not far to go. Thanks for info re exercises. Will get on that, and contact PS office. I think this fell by the wayside when I was summoned for the surgery so helter skelter.

    Speaking of Movie, yes, I'm also wondering what she's up to there. Probably still jetlagged, getting rested for her DIEP crotch eye attack on the Japanese - lol.

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

    Dvygrl, after my first round of chemo I thought I was a goner.  Not from BC, from constipation.  The chemo was on Wednesday, and I didn't poop until the following Tuesday at o'dark thirty, moaning like a banshee giving birth.  After that, I developed a plan.  Starting three days before chemo I took dulcolax twice a day, and at bedtime, mixed up a nightcap of Miralax and Metamucil.  I kept it up until a couple of days after chemo, and this plan fixed the constipation issues.  But like Nihahi says, I had a couple of sticks of dynamite in the freezer, just in case. 

    But the fact that you're making silly noises is a good sign.  Your bowel remembers how to work, it's just still a little asleep. 

    I bet Movie's steeling herself to actually eat the raw octopus with the pigeon egg broken over the top.  My ex-DIL, whom I still love, was half Japanese, teensy and dainty.  She wore size 5 shoe.  I've got a mental picture of a whole lot of teensy, dainty, size 5 shoe ladies having a dainty time in their hot spring, when I, a nekkid Brunhilda, splash down like the launching of the Queen Mary.  With eyes in my crotch, a beast staring out from the forest.  And no nipples.  I'm getting a stomach ache.  But I sure hope Movie's having a great time.

    Thanks for the Memorial Day thank-you's, dear friends.  When I got out of the Air Force, I was nine months preggers with twins, and I looked nothing like a defender of freedom.  I looked like a patriotic weather balloon. But hey...I was smuggling two very nice human beings under my uniform, so the country was well served!

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

    Oh, hey...I forgot to ask...is everyone who is ER+ avoiding all types of soy?  My onc said edemame was fine, but to stay away from soy supplements, such as capsules.  I love my edemame and would hate to give it up.  The research I can find online says the same as my onc, but what do all of you think? 

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited May 2013

    Konichiwa.....Ohiyo gozimas?   I just read through 5 pages of posts...can't possibly respond!  Still a little jet-lagged, but DD made sure I hit the groung running after landing in Hokkaido!  First day included a train ride out to a lovely coastal city, for fresh (just off the boat) sashimi (tuna, salmon, scallops, flounder-won't eat octupus or squid-too rubbery) followed by a 3 mile hike my DD said was just a "Walk" along the cliffs.....it was 1 and 1/2 miles of stair -stepping up and then the same DOWN....knees are shot (Cry) for at least another day.....am learning to get around on the Sapporo subway system......went to a Shinto Shrine (beautiful)yesterday and was blessed by a Shinto priest, and received my fortune, which was "Very Good", but mentioned an illness that will take some time to recover from.  Hmmmm???? Can't imagine what it was referring to!

    Today am headed to Furano in central Hokkaido, to see the tulip fields....excited to see the rural Japan, but bringing along several protein bars in case my stomack rebels!

    Onsen visit coming up Thursday and Friday!  So excited to introduce the Japanese women to my new girls and my "crotch eyes"!!!!!!  Will keep you posted on how that goes!

    Love and hugs going out to all.........Sayonara!

    Namaste and God bless - Jackie 

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited May 2013

    PS:  Katy-please consider a second career in writing.....you are hilarious!

    Jackie

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Sbelizabeth,

    I'll have to give that a shot pre chemo. Right now I'm trying Senocot, prunes, and prune juice. This doesn't work, I'll have to resort to the big guns and clean the entire plumbing system in one shot. It's horrible, but effective. It's been 4 days so I'm getting desperate! Such a simple thing to take for granted but man when it doesn't work, life comes to a standstill lol.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Sbelizabeth,

    I'm ER+ and PR+ and have no intention of touching soy in any shape or d

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Sbelizabeth,

    I'm ER+ and PR+ and have no intention of touching soy in any shape or form. I am also hypothyroid so have been told for years to avoid soy anyway. It really is a tough thing to do as manufacturers like to hide it and give it different names. I'm not taking any chances after all this crap just to enjoy a few soybeans. Might be extreme on my part but why take the chance after all you've gone through?

    Besides, it's a good way to tell Monsanto where to go!

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

    Domo arigoto! Movie! Enjoy!

  • Lmo45
    Lmo45 Member Posts: 39
    edited May 2013

    Sbelizabeth - I'm going to try your anti constipation plan. It sounds like a solid plan. And I get grumpy when I'm constipated. I think it took me 5 days post op to finally move my bowels. I've been having a fruit smoothie every morning and just bought the nutri bullet to have green juice every day. I'm motivated to eat better and more real food. I've been told to stay away from soy, I'm ER +.



    Ok, the acronyms have me a little puzzled? I think I can make out most of them, but tell me "DH"? Is that dear husband, darling husband or dumb husband?



    I can totally relate to our DIEP friend ( and I apologize that I can't keep up with who says what) whose husband was grumpy with all the company and family who came to help after surgery. My family did the same for me and It got to my husband. he just wanted to protect me, but he was rude to my Mother and I didn't like that. Thankfully, he is great at taking over most household and kid stuff.



    I'm so happy to hear about how well we're all doing pre and post surgery. I'm better everyday and have nothing going on until port goes in June 4 and I appreciate the advice on wig and caps with hair sewn in.



    Happy Memorial Day, went to our great local parade and ceremony today and appreciate the freedom I have because of the brave women and men who serve and have served our Country.



    Have a great week everyone, may we all continue to heal and feel stronger everyday. And for those getting ready for stage 1, 2, 2a, etc., best wishes!!!!!

  • Pattysmiles
    Pattysmiles Member Posts: 954
    edited May 2013

    DH- just as you said...dear husband, darling husband, dumb husband, damn husband....whatever the "D" stands for at the moment you are telling your story.

    Pat

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

    Dyvgrl - sounds like you will have a break through soon. What body can resist that combo.



    Katy - so confused by the no soy, edemame yes. Soy is soy, unless I am missing something. Do tell?



    Nihahi - we are now in Central Cali, Paso Robles. The Nixon Library did an amazing job recognizing the Vietnam POWs 40th anniversary of freedom. A really beautiful tribute. But I felt like I woke up, ate, chatted, ate, napped, got on a bus, ate, got on a bus, went to bed. Too many "ates". Hoping to get in some walking so I won't split my compression from weight gain. Starting personal trainer and PT next week.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited May 2013

    Movie, it sounds like you're having tons of fun! I can't wait to hear what Japanese women think of your new girls. I wish I could be there to see their faces, lol.

    As for me, after a day by the pool and a 2 mile walk, I'm ready to go to bed. Just 30 more minutes and kids will be snoozing. Of course that's only until morning. Tomorrow my baby girl turns 3 and I decided I'm keeping the other two kids from school and we are going to chuckecheese to celebrate!! And I'm planing to tell her that now that she's 3 the terrible two's is over!!! You think it will work? Hahaha

  • Goodie
    Goodie Member Posts: 244
    edited May 2013

    sbelizabeth - my oncologist told me that soy in its natural form (like edamame) would be fine on occasion but to avoid the soy prepared foods.  I really try to avoid it as much as possible in my food supply.  I buy Earth Balance soy free margarine, chickpea miso, etc.  I do eat Chinese food on occasion and I use soy sauce then too.  I don't think anyone really knows if it's bad but I personally feel like there's way too much soy in our food supply and I'm with Dyvgrl with telling Monsanto where to go!  GMOs can't be good for anyone.  Vegetable oil is actually only soybean oil! as is most margarines and shortening.  Most breads are made with some soybean flour too.  I could go on and on about soy!

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

    Here is an article that sums up the research I've found online.  They're recommending we stay away from soy supplements, which would be a whopping dose of isoflavones, but that soy in its natural form might even be protective for us.  

    http://www.cnn.com/2009/HEALTH/12/08/breast.cancer.soy/index.html

  • peacelovedogs
    peacelovedogs Member Posts: 57
    edited May 2013

    GOLDIE - I wouldn't worry too much about the previous surgeries. In a 10 year period I had 4 laparotomies (aka - C section cut) and 7 lapascopies. I had severe endometriosis and was trying to stop the pain and preserve my fertility. The last laparotomy was a complete hysterectomy. Just had DIEP on both sides 2 weeks ago today!

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

    Morning ladies,

    Want to share some info here. I just happened on an interesting thread, 'Cancer in DIEP flap', and was a little upset at what I read there. Seems we can never relax our vigilance, and that the beast is always stalking us. Although this is rare, we have to be careful not to have a false sense of security. It just reminded me that check-ups on the DIEP breasts are also very important.

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

    Liefie--yes, unfortunately, eternal vigilance is necessary for us.  Reduce our risk factors (exercise, lose weight if needed, healthy eating, no smoking), maintain onc check-ups, pay attention to our bodies.

    But...I will not spend the rest of my life, be it an hour or fifty years, being afraid.  I've wasted too much time in that condition already.  I still get "the shivers" once in a while, but I've learned to not wallow.

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

    Well, Lieifie.....that is a real bummer, but important to know I guess. Is it one of the threads on this site? Cause I want to check it out.

    I just got back from a derm. appt as a followup to the BCC I had surgery on last winter. Turns out, I now have a different, little more serious type of skin cancer in a different spot. Just when you think the sun's gonna shine....bam! Oh well, nothing to do but keep looking forward. I now have a frozen cheek with a couple sutures and steristrip from the biopsy and "hopefully" will get the path report next week when the sutures come out. Tomorrow, physio gets his hands on me again. I just know it's not gonna be fun, but I am looking forward in a sick way, to having help with this shoulder. 

    sbelizabeth...thanks for the soy info too! OY SOY....so many theories, but I agree, moderate intake of natural is ok, but steer clear of the "manipulated" stuff. 

    Looks like the lightening/thunder/rain have moved off.....time to lace up the shoes and walk off some "downer thoughts". 

    Shechirple......hope the healing is going well.

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

    sbelizabeth - I so agree. Need to keep up with MO, BS (mine specializes in BC) and our bodies, but the stress of thinking or worrying about it just can't be good either! Thanks for saying it so much better than I could!

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited May 2013

    Well ladies just got back from the doc, removed the dreaded ace for a compression bra, lost the pain ball, decided to wrap my right arm for swelling and got to see my breast for the first time. I couldn't see the sutures, but I was pleasantly surprised with the mound that was there already. The PS said he was able to fill the TE about 3/4 of the way full already so I'm already close to normal size. What a relief! Dr. Suver and Dr. Sandford have done an excellent job so far. I expected this emotional drama but I'm relieved!

Categories