DIEP 2013
Comments
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I think my favorite "help me cope" books were 1) Red Sunshine by Dr. Kimberly Allison, her story as mom, doctor and stage III patient and survivor and 2) HER2 the making of Herceptin by Robert Bazell, very interesting if you are HER2+.
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Bailey -
I have the Breast book from Dr. Susan Love. It's a HUGE book, but its a really good reference, go to book for looking things up, classifying terms, etc and understanding the ins and outs of cancer and treatment options. My BS recommended it and it was really helpful.
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Kuka, I think you misunderstood me. I was talking about dresses, or nightgowns for when you get home, not the hospital. When I had my mx I never felt I had the opportunity to wear anything put the hospital gown, because between the IV, the catheter, the drains, etc. I don't know how I would have gotten anything else on. I bought 4 of the same nightgowns from Kohls. They are summer nightgowns that you can step into, and they are practically wash, and wear. They are cute enough that I am not embarrassed if somebody comes by, and they cover up enough not be upset anybody. I wouldn't go out in them.
It is so hot where I live, Kuka will understand, she lives a few miles from me, you have to think about staying cool, and not having your drains, and other gross stuff showing. So much fun!
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Had to go see my regular family doc today. Have to go every six months so he will renew prescriptions. Anyway, he has been getting all my reports from hospital, etc. Asked me how I was doing, and I told him I couldn't sleep. I asked for Ativan, but got a bunch of Lunesta samples instead. Ugh. Anybody every try Lunesta? Ambien left me a zombie. He said that Lunesta is different.
Dvygirl, I had very mild seroma after my drain was taken out post mx. It was drained painlessly with a syringe. Then I went to compression for about a week. No recurrence.
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Yeah first family doc had a cow I was on Ativan (he got fired a few months ago for several reasons). I take 1/2 mg some nights when brain won't shut off (it's called anxiety lol) and it works for me. Onco prescribes. New family doc says it's fine with him as long as I don't show signs of addiction (needing more and more often). I haven't tried Lunesta. Did Ambien and trazodone and both left me with a hangover feeling. I know people who swear by Lunesta though! Hope it's the one for you Goldie.
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OMG - the old family doc told me he didn't like "how many cooks were in the kitchen" what with onco, radiation onco, BS, PS, OB/GYN, weight loss MD and chiropractor. I asked who he suggested I get rid of? He started back-peddling then. It ended up being him!
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Bailey, I love anything written by Nelson DeMille. They're cop/FBI action novels, very well written, great characters.
At the beginning of my journey through cancerland, when I couldn't sleep because cancer radio was playing in my head, I would read in the book of Psalms and a page from "Praying Through Cancer" a devotional book for women. It helped me develop a mental delete button, so I could turn off dark thoughts and find peace.
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Sbelizabeth I think we were separated at birth. I would take your suggestion but there is no DeMille out there that I haven't already read. He is my favorite and John Corey is my main man lol!
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I guess I'm lucky, no drowsy in the morning issues with trazadone for me.
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I read the Breast Cancer Survival Book when first diagnosed. It was good basic information. I'm happy to pass it along if anyone wants it...pm me.
Bailey, I just read The Cross Gardener. Excellent. I also love the Janet Evanovich number books...so funny. -
Bailey, I guess he didn't give me the Ativan because of the addicitive nature of the drug. I can't wait till bedtime to try the Lunesta.
That's pretty funny that you fired your family doc. Heheheheh...sometimes you just got to cut them loose if they don't get it. I am lucky, my family doc is great. Unfortunately, he lost his 20 year old son a year ago in a terrible car accident, and he hasn't been the same since, which is understandable.
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Goldie, first day after surgery, as soon as they removed my catheter I changed my hospital gown into my own pjs. I've never been comfy wearing night gowns, lol. But as soon as I came home I was just wearing my bra and underwear That's it! My husband hated it because he doesn't like anybody walking around the house in their underwear, but I told him when he gets cut from hip to hip, then he can talk to me about his rules, ha!
It is very hot today! Kids keep asking me to go swimming and I keep distracting them inside so I don't have to go out there. It's always nice to go to a movie on hot days since they keep it so cold in there. -
Ok, I have a question.....lol A silly question, but a question none the less.
First as most of you, I have complicated breasts. at 20 I had a breast reduction, they took off 4 and a half pounds off my chest then. (just to give you an idea) and as a result I have the anchor type scars. Basically scar underneath each breast then up the middle and around each nipple.
Well the general surgeon is supposed to do skin sparing bilateral mastectomy. Not saving the nipples though. My ps says it will leave a 'pocket' for him to do the diep flap, on the right side which has had no rads, and only a very small area on the left side has had rads but that was nine years ago so that might be ok too.
My question is, where will the scars be on my bellyboobs? (not the old scars,but the new ones) I haven't really seen them in pictures of people that didn't use a large area for a flap, and I'm under the impression that he is going to use my existing breast skin as much as possible. I know this is something I should ask him, but I won't be seeing him for another two weeks and thought someone here may have some info for me.
thanks!
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RobinY, I had a reduction about 30 years ago. I had a bilateral DIEP on April 15, and the prophylactic side had an incision that went around what used to be my nipple, down the old vertical anchor scar about 1" on either side of it, and about 2" along the bottom of the anchor scar. This is before my Stage II, though, and there's a lot left to do. I believe, once we're finished, I'll have what looks like another reduction scar on that breast.
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Robin, they will probably be horizontal right thru the middle, that's where they are on me. And my ps is Italian with a thick accent, so I must've missed the part where he said that I won't wake up with nipples. I had the same scenario as you, reduction 25 years ago with same scaring, so no talk of saving the original nipples.
Maybe someone else out there has other scars, this was my situation.
Lauren -
I am sorry, I don't mean to laugh at you reduction gals. You should probably laugh at me. I have never been big breasted. During menopause when I got up to a whopping average B cup I was thrilled. Anyway, when I asked my doc how much weight did I lose from him taking my breasts he said 480 grams each. I didn't know what that meant, but when I did the conversion it came to about 1.05 pounds each. One of you mentioned that you had over 4 1/2 pounds taken from each breast. My goodness!
Two years ago I had a fibroid in my uterus that weighted more than both my breasts.
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We are all wonderfully and differently made aren't we? My first question after mx surgery was, "How much did it weigh?" Answer, "3.14 lbs." Yup, some of you may get the joke there....My breast weighed pi....only me.JSMH.
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When I had my first MX years ago, I did my laps by walking from scale to scale to see how much I had lost. That big ole double D and I still weighed the same. My dad, who was walking with me, said he finally had confirmation as to how nutty his best girl was.
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goldie: my attire of choice after EACH of my surgeries has been sundresses. I have a few that are all elastic around the breasts (very loose) and then just drape to varying lengths between knee and ankle. I wear these alot even without surgery, and just really fit the situation. Pull up the skirt to pee, easy to pull down and off to change. I have a couple, like the one I am wearing today, that is like a tank top, elestic at waist then just hangs down to above the knee. I prefer not to wear pants at all over drains/incisions, etc...
bailey: "too many cooks in the kitchen". Typical. I like that you backed him down. I don't have too many cooks in my kitchen, I have an awesome Iron Chef TEAM!!! The leader changes depending on the course of the meal, but they are ALL important parts of the team.
So.............
I am back from PS appt. They moved me up from Wed at 11:45 to Tues at 1:30 YAY! All drains are out. I did request a stitch and he put in a staple, where th eincision kept popping open. When totally dry, the scab held it together. However, being in the fold, when I get sweaty it was pulling open. He put in a staple which he will remove next week. Except for that moment of excruiating pain, it all went great. I decided against sleep meds, hoping that being w/out drains will be enough to let me sleep. Last night I actually slept pretty well.
I had to make hubby take pictures when I got out of the shower today. I admit it's ugly, but I also know it's not done. I just want the pictures. One of my pet peeves through this whole process is not really knowing what it's going to look like at any given stage. So, I'm either shocked at the ugliness, or pleasantly surprised. I know I cannot judge until it's all done, but.............it sure would help to be able to look at someone's picture mid-process and see how ugly it is, then see the AFTER pictures and be able to say "yes, it is okay." Does that make sense?
Anyway, all is good.
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Bailey that's hilarious! You should make boob cupcakes on Pi Day!!
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Yeah, the boob that weighed Pi was worth it's weight in jokes and not wasted on my houseful of science geeks with wicked senses' of humor!
You've got to find the humor along the way! -
Hi Flappers......got to chime in here.....like Bailey, I am a birthday suit kinda girl......NEVER had a gown on in the hospital unless I was walking, then I had two, one in front, and one in back........since my abdominal incision blew open (like Tammy T's) after about ten days, I started wearing the mesh undies the hospital provided, so I could keep the surgical pad in place without tape, because , as Marty said, "tape is NOT your friend". I am back to wearing real undies (dammit!) and like the Maidenform "Barely There" in a granny-panty size(well, I AM a granny!) to cover the suture line, so my pants don't annoy the scar (that b**ch is SO temperamental!), and a Genie bra from BB &Beyond, which is soft enough that it doesn't annoy the foob scars, either. I prefer to go braless, and since I went in the OPPOSITE direction, from a barely A cup, to a B-/C+ cup, my scars are bigger than the nipples I lost, because I added territory to the foob region......I am just now starting to lose weight, which may be due to the Japanese diet of raw fish and chopsticks (fighting with those buggers wears you down real quick......suddenly you're not hungry anymore.......it's a fool-proof diet! ) I have adopted since coming home from Sapporo.
my drug of choice for sleeplessness is Trazodone.....used to take Ambien, but once I took it the night before leaving on a road trip to Missoula, Montana to watch my DD (who now lives in Japan) play college soccer.....I woke up the next morning about 200 miles into my trip-I am NOT joking.....scarred the **** out of me......never again! Trazodone doesn't leave me groggy at all. We are all so different, aren't we?
Good luck, Janet.....you are going to be fine! We are all in your pockets, and soon you will be a veteran....dishing out advice to other newbies!
Love to all.......
Namaste and God bless - Jackie
PS-Kuka......STAY OUT OF THE SUN!!!!!
PPS-I love Janet Evonovich! So funny! Also like Sue Grafton. And if you like Historical Romance (with a twist of time-travel thrown in) Diana Galbadon's OUTLANDER series is really good-love her characters! I have other, more "high-brow" selections, but I find it hard to concentrate for long.....too much anesthesia, I am sure of it! -
Hi Ladies,
I have not posted in a very long time but try to check in on you periodically and so happy to see you all are doing so well! I went back to work 3 1/2 weeks pretty much full time after my Diep January 21, and that has pretty much consumed me. All in all everything has turned out fine, just some back issues the surgery aggrevated to a point of tough to function some days.
I did have a stage 2 fat grafting today and wanted to share unless it was just the great happy shot they sent me home on...seems like a piece of cake. Got home at noon, 3 hour nap and feeling pretty good...stay tuned 😁
Ellen -
The reduction was 4.5 lbs total. That took me down to a full C. Once I had my son though, I was back in the land of DD. So I am probably looking at something substansial since they are taking them both entirely and using my not little belly instead. I haven't been a B size since 4th grade! So looking forward to that I have to say!!!!!
I'm hopeful that the bs will use the anchor scar as a guide....I think that is what my ps has in mind. I'm seeing the bs first though and he did my lumpectomy. I'm not very fond of him, and I'm mindful that I can be rather caustic when a male tries to treat me like an idiot, my plan is to play an idiot and sic the ps on him instead (more than on way to skin a cat). I had asked the bs for a bilateral mastectomy when he first diagnosed the rb in March of this year, and he turned me down flat. I'm glad about that now, because my plastic surgeon will have him do the skin sparing technique for my diep.
As an aside when I saw my bs for a post op (after seeing my oncologist) he asked me when I'd be starting chemo. It was my onco's opinion that once I tested positive brca1 that doing the diep flap, followed by the ovaries and fallopian tubes being removed, that chemo would not be benificial to me, and that is what I told my bs.
Well mr. general surgeon not only didn't agree, but got nasty with me and asked me if I wanted to die. I calmly (as you would to a child-yes VERY passive aggressive of me
) told him that of course I didn't, but I also didn't want to go through chemo unless it was medically nessessary, and besides my mom had much the same case over thirty years ago. She did a double mastectomy with no chemo or rads (not suggesting that to anyone). He then in a snotty way asked when she died. (what a nice guy huh) I told him she hadn't died and that she currently runs a construction crew and works as a property manager at a large condo complex in Los Angeles. That shut him down, but I haven't seen him since. I'm getting a bit nervous about seeing him, so I think I'm going to talk to the gal in my plastic surgeons office tomorrow first. Just so I'm prepared when I go to the general surgeon on Thursday. (He wants to talk to me before the surgery....:shrug:
Bottom line is that the plastic surgeon is running this rodeo, not the bs/general surgeon, but I'll let the plastic surgeon make that clear to him.
I won't be surprised if I have a line right across my chest though....as much as I would prefer the other way. Oh well. I'm blessed to be able to get this done and lower my chances significantly and that for me is the number one priority. Everything else is just frosting with a cherry on top (cherry on top is stage 2!) lol
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gotoell, I'm so happy that you are feeling good and that you have done so well! You inspire me. I hope to be back to work just an hour a day in three weeks. But if I'm not, I'm not.
Congrats on stage 2!!!!!
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Robyn - do your PS and BS operate together regularly? If not, ask the PS to suggest a BS that he prefers. Sometimes that can make all the difference in your comfort and outcome. It can also prevent the ego driven BS from getting into a pi$$ing contest in the OR.
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Wow, Robin. I pray that this guy's surgical skill vastly outweighs his comically absurd lack of interpersonal skills. Hang tough girl.
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Robyn, your BS sounds a lot like the first one I was assigned to. All about him/her and their regular practices. As my mom would say "does not work well with others". I chose to move to a team.
When was diagnosed I was a DD. I would be happy to be smalled, a large B, small C. After TE and exchange I was a D. Hubby joked he was going to slip my PS a $100 bill for 'porn boobs'. PS was not sure he could get more than a week B cup from my belly with a DIEP. Well, I'm certain we are at a larger than D, possibly DD! When I was discharged he told me 'your husband will be very happy, we got much better than we thought, at least a D'. Of course, we have stage II yet to come.
I'm having computer issues. My laptop is not working. I'm on my kids computer, but my son is screaming in the same room as he is on x-Box. Grrrr...now I understand my daughters complaints!
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Robin, I wouldn't let that BS touch me! Like Marty said, ask your ps about a BS that he usually works with. Funny thing is my DH works with doctors and that's how they get most of their patients is by referral. They refer to each other! They really make money by marketing patients!
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My ps has worked with Mr. Charm before and it was either Mr. Charm or another that the ps works with. I told my ps that I had no preference because I know that he was and would stay in charge and that I would be sleeping. I told him, that whoever he could get the best result from was fine with me. He ended up going with Mr. Charm mostly I think because Mr. Charm had already worked on me.
I'll be fine. I'm more concerned about me getting my back up if he says something I take offense to again then anything else.
God's got this. I'm under His protection and everything will happen just as it is supposed to. I'm happy to say that my ps is Christian as well. That gives me lots of comfort and confidence as well.
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