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  • sciencegal
    sciencegal Member Posts: 1,120
    edited May 2013

    Ruth, so sorry for what you are going through and I am wishing you ALL the best.

    My PS had told me that a certain percentage of implants do get infected, and no one knows why.

    SO your PS might have thought that was what was happening over the phone and yes, prepped you for the worst case scenario- exchange it again, with pocket cleaning and heavy antibiotics.

    I sure hope you dont have to go through that! There are a lot of great antibiotics available these days, to help you keep the implant you have.

    The fluid they took out was likely cultured in the lab and may have been tested to make sure it isnt a resistant bacteria. If so they will know by now which antibiotic to give you, by what killed it in the diagnostic lab. This is a new type of "personalized medicine".

    Good luck!!!
  • SimplyAudrey
    SimplyAudrey Member Posts: 242
    edited May 2013

    Personally had Sientra HP Oval base 370's. 410's weren't available when I had my exchange.  Glad they weren't, as my insurance would have probably mandated them over the sientras....

    I had a chance to "play" with a 410 and a sientra - both profiles of similar size.  The sientra felt softer, there seemed to be more flow of the silicone in the capsule.....I just liked it better.

    Anyone who is deciding on implant type, ask to see samples.  The companies give the docs office "demonstrators" for patients to see and feel.

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    Well, I"m holding on to the implant another day !  Fever gone as well as aches and chills!!!  I got another IV (Vancomyacin) this morning and possibly another one tomorrow.  The foob is still swollen, but not as hot or red.  Steps in the right direction!  It is sore though, and I say this so anyone new knows what to expect.  

    Thanks Science for the antibiotic resistant reminder~  lol, I have had a zillion doses of antib's over my lifetime...they said the results would not be back till Monday?!!  

    Lilah - Oh yeah, I forgot it wasn't the end of the world!!  When you're dealing with this Sh** alone, it seems like it!  

    Simply - for my swap, the doctor offered the Sientra, but by the time I was ready for surgery, the hospital decided not to approve them!  I liked them better also.  Oh well, I may end up with them after all.  

  • Lilah
    Lilah Member Posts: 4,898
    edited May 2013

    Aw Ruth -- sending you strength!  I hope you continue to heal!

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    Well, everything looked even better today :):)  Swelling almost all gone, no redness or heat.  Did get IV again because I was running a little fever last night.  The culture was negative for strep and staph and fungus (and whatever else they check)  No massage for 10 days.  Whew, dodged another grenade launched by the ugly C. haha~  

    Thanks for the support!

  • sciencegal
    sciencegal Member Posts: 1,120
    edited May 2013

    Good news Ruth!!!! vancomycin is one of the most potent anitbiotics, and I am so glad it is helping you (yep I work with bacteria in the lab).

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    SG -  How much longer ??????????  I am still so freaking sore!!  Dr. said NO massage right now, but I feel like I want to break up the hardness.  The infection started right after I began my massage.  That side had the most drainage and was still pretty red vs the other side being 1/2 the volume and quite yellow.      That foob is not red or hot anymore, but a little swollen, hard and sore.  And moving my arm around is painful, so I can't do much and I'm bored!!

    In your opinion, do you think its ok to leave the tight bra off completely, or at least 1/2 of the day?   It feels so much better with it off~

  • sciencegal
    sciencegal Member Posts: 1,120
    edited May 2013

    Ouch!! antibiotics can take a week or two to fully have their effect. Be sure to take them all to the finish although you might feel better before that.

    My PS said a softer sports bra was fine instead of that surgical bra. We mostly need support from the sides to avoid lateral movement of the implant.

    Hang in there!!! I am sending healing thoughts.

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    I was told Friday that the fluid was negative, but they called first thing this morning and said it was a fungus, and put me on diflucan for 2 wks.  Grr, that's my 4th antibiotic in 3 weeks.  If I didn't have it before, OF course I have it now!  Foob is still hard and swollen, but not hot or red.  I wear a Butrans hydrocodone patch, so I don't feel the pain, lol.  Except a couple of spots that I put a cold pak on for 10-15 mins at night.  So, just thought I'd report in since a germ did find its way in.  

    Size-wise, I am so happy to be able to take a nice deep breath for the first time in 2 years!  Dr. C - 650s were waaaay too big and I should have had you take them right back out when I woke up.  Ladies, for the most part, what you see is what you are getting when you wake up.  A little settling, but that's about it.  

    Hoping I respond to the new meds!!  The night sweats are lessening some!!

  • Lilah
    Lilah Member Posts: 4,898
    edited May 2013

    Aw Ruth man that just sucks.  You have my sympathies!  At least you are happy with the new size... there's a silver lining somewhere!

  • MondaysChild
    MondaysChild Member Posts: 591
    edited May 2013

    tnbcRuth said: "Ladies, for the most part, what you see is what you are getting when you wake up.  A little settling, but that's about it."

    That is my experience, also.  I did not have gummies, but instead the regular Mentor cohesive gel. And while they have settled to be teeny tad better, I pretty much look like I did the day of surgery. I actually think they may not even be a teeny, tad better and instead I have just gotten more used to how they look.  Still not good, just my unfortunately normal.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2013

    tnbcRuth - glad they've finally isolated the problem and you're getting the right drug.

    What's your new size?  I plan to have smaller implants "installed" down the line.

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    I have Natrelle 410s, but would have to go upstairs to see what model.  

    These are really small and would not work for most people, but I had big boobs from the age of 13 and I'm over it!  I can take a nice deep breath & I don't have that heaviness on my chest.  The top of the teardrop is very high on my chest, but it gives the illusion of cleavage.  I would say I'm a small B cup. (I don't have any B cup bras to check)  Also keep in mind, I have narrow shoulders, so I'm not wide.  And still, they're small.  I will have to lose my gut so I"m in proportion...good motivation!

  • sciencegal
    sciencegal Member Posts: 1,120
    edited May 2013

    Hi Ruth,

    I am sorry you are going through this but so glad that the cultures showed what the problem really is. Now you can get it treated effectively, yay.

    Best healing thoughts to you!

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    ok, I'm panicking.  Realized my insurance expires Friday and if I have a problem after that, well I would be responsible for hospital charges.  Ya' can't just let a nasty implant stay, right?? !!  So after 36 hours, my foob is a little redder and a little more swollen.  omg.  So I looked online and they said it was ok to take up to 600 mg a day.  Call the PS, and they ok'd 200 mgs.  I want to take the whole 600 TODAY.  

    Do I crawl into bed and not move?  Do I walk to improve circulation?  Drink water to flush?  Do sweets I eat really count right now?  I have never had a panic attack but I am getting close.  In the middle of this, I got fired from my job (cancer got on my last nerve), had to put my dog down and am trying to pack to move (walking away from my home- under water) so I can live happily forever after in a small apartment.  My bff is unavailable for another 2 weeks, and I have no family in town.  agh!!!!!!!!!!!!!!!

  • Lilah
    Lilah Member Posts: 4,898
    edited May 2013

    Ruth -- you should check with the American Cancer Society about emergency insurance/assistance as well as with Medicare to see if you would qualify for assistance once your insurance runs out (it might make you feel better).  That sucks about the timing.  I can't advise re: the meds... I'm sorry.  Sending you big hugs.  Take a deep breath and try to relax.  Go for a walk (walking can be calming). 

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    Saw the PS, and he said the color is PURPLE now, and that's a sign of healing!  Who knew? Yay!  Its still swollen so I"m scheduled for a fine needle aspiration under ultrasound tomorrow.  I am thinking the drains came out too early.  I was at 20ccs+ but I was ready to have them OUT.  And they didn't peruse the records I kept, I just indicated it was time~  (warning to others)

    I took 350mg of Difulcan yesterday and the foob itself feels better.  Back to 100mg today.  Whew, what a load off!  The thought of having just one foob for a year did not sound like something I wanted to go thru.  Thanks for the support ladies!  

  • sciencegal
    sciencegal Member Posts: 1,120
    edited May 2013

    Hi Ruth- so glad you are healing.

    As a biologist who studies cells and bacteria, and fungal infections that happen after bone marrow transplant, i would give you this advice (I am not a doctor just a Ph.D.):



    Avoid sweets and drink lots of water to help the meds work better. Exercise isnt the best idea right now. sleep. get a big salad with lots of leafy greens if you can and take probiotics like yakult- this adds good bacteria to your digestive tract, which help your body fight off fungus like molds or mycoplasma and yeast.



    Isnt there some kind of continuation or gap insurance after yours ends, or are you at the end of that? I sure hope someone can give you advice on that. rats.



    I am sorry you are in a rough place- wish I was there to give you a (careful) hug. Sending cyber hugs.



  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited May 2013

    Thank you!  Haven't had much trouble sleeping :)  Woke at 10am yesterday!!!!!  Had an afternoon nap and was in my PJs by 7pm.  I appreciate your advice!

  • Lilah
    Lilah Member Posts: 4,898
    edited May 2013

    Yay Ruth!  It sounds like the worst is now behind you.  SO glad your PS was able to help you to save it.

  • sciencegal
    sciencegal Member Posts: 1,120
    edited June 2013

    Rest rest rest!

    Good for you Ruth.

    I, too, am a lover of comfy jammies.
  • Lilah
    Lilah Member Posts: 4,898
    edited June 2013

    How are you doing today, Ruth?

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited June 2013

    HI !  Thanks for checking in on me.  The fungal infection is systemic (crotch as well), so am still having to rest and eat lots of yogurt!  I ended up having to 'apply' the yogurt as well, but that may be TMI.   The NO sugar thing is killing me!  I don't eat tons of sweets, but I had 2 Snickers bites last night and my crotch was on fire this morning :(  New menu: Brown rice, bananas and a burger...oh yeah, yogurt!

    The foob wanted to stay swollen, so I decided to pack it and the swelling went down considerably.  I've got another 5 days on Diflucan, so I PLAN ON BEING WELL by then!

    Science girl's advice was to use probiotics, and I had some Pancreatin, so used that but it made it worse.  I think it was not the same thing.  I did eat salads and am drinking a lot of water.  

    You doing ok?

  • sciencegal
    sciencegal Member Posts: 1,120
    edited June 2013

    Hang in there Ruth!

    Pancreatin is an enzyme, while probiotics are products full of healthy bacteria, you are geetting them in the greek yogurt. I take yakult which is a little drinkable yugurt but the greek yogurt is excellent too.

    Keep it up and good luck!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited June 2013

    Ruth:  Just sending good wishes for continued improvement.

  • sciencegal
    sciencegal Member Posts: 1,120
    edited June 2013

    Minustwo how are YOU doing? You have been through a lot.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited June 2013

    Hanging in there ScienceGal.  Moving through SEs from chemo tx#3 right now.  Yuck.  Thanks for asking. 

    I think I saw on another thread that you're from No. Calif?  What city?  I was raised in Palo Alto (long before Silicon Valley when all the hills & valleys still had cows).  My son now lives in Novato.

  • Lilah
    Lilah Member Posts: 4,898
    edited June 2013

    Aw Ruth man what a drag to be dealing with this.  No sugar is easier as time goes on (similar to no cigarettes, I hear)... the dependency/craving supposedly lessens with time.  And 5 days is not a lifetime.  You can do it!  Reminds me of the kind of energy it took to get through chemo (I drank tons of water and visualized the water washing the cancer out along with the chemo -- so you should picture the water and the diflucan doing the same to the fungus). 

    I am good thanks for asking!

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited June 2013

    Well, I have cut the sugar in half, but still a nibble here and there.  Bottom line, the only reason I eat a meal, is to have the little sweet afterwards.  I don't like any food...I just eat healthy because I feel bettter when I do...or I should say, I pay when I don't!  

    Anyway, I think I have lymphedema under the problematic foob!  It is still swollen and the top ridge is pushed out some...and so sore.  No redness.  I lost my job 3 wks ago and have no insurance...so will try what I can at home.  I have a full spanx from my gall bladder surgery, so put that on, put on my LE sleeve, and a couple of bras with towels stuffed in them.  

    I had LE massage after the original implants, so I did that last night and today...(I read up on technique again)

    We are in the midst of Tropical Storm Andrea and it is pouring...NOT the kind of day I want to drive 30 mins downtown to have the doctor validate my suspicions.  I am a gambler!  oh well.  I did have 3 down days with vomiting and dizziness, so that inactivity probably backed up my lymph system.  I'm going to try and walk again between rain bands!  I'm rambling...I've been home alone for tooooo long!! My one and only family member will be here this weekend!  yay!

  • tnbcRuth
    tnbcRuth Member Posts: 454
    edited June 2013

    Sooooo, I took off the compression sleeve, etc and the foob was still pushed away from my chest, so called the dr., drove in thru blinding rain and wind, he poked and prodded forever and said I was fine!  It will take time for fluid to absorb, no infection, no danger to the implant or pocket, blah blah, so if he thinks I"m fine, then I"m fine!  Just thought I would post an update :)  Gentle hugs to everyone!!

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