I guess I have LE now??
Hi everyone. Well, I noticed some swelling in my wrist over the weekend so I got myself in this morning to have an L-Dex done. The results were high (much higher than my baseline # done almost 5 yrs presurgery). My gut was telling me that something was wrong because lately my wedding band has feeling tight in the mornings when I wake up and my entire arm has just felt weird. I'm not sure what I did but I'm thinking the culprit may have been the 13 hr flight I recently took to Europe. I wore my sleeve but I guess that's not fool proof.
So anyway, my doctor gave me a referral to see a LE therapist to have it evaluated, etc. I'm just wondering, does this mean I have LE now? Like forever? I am afraid to read too many posts because frankly so far all I've seen is people complaining and saying how much they hate having LE. Admittedly, I think it sucks and I'm not looking forward to this, but I can't see how it can be that bad considering all the other worse things out there.
A little bit about me, I'm thin and in good physical shape. Up until now I've been working out 3 days a week and even developed muscles in both arms. I cried a little today when I heard my test result but then realized that if I beat cancer, this little bump in the road isn't going to bring me down.
I'm just looking for a little positive advice, info, or direction on what I can possibly expect going forward.
Thanks!
XOXO
Comments
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Lainey, Im sorry that from your post, it looks very much like it to me, youve very likely got LE. I know this is "not what you want to hear" but this is NOT the time to "get into the "positive" " but look at how things are in reality. Im not saying you should get on a downer and forever go woe is me, but theres NO mucking around with this condition. Im sorry to tell you that you ignore it to your peril.
Theres many people on here who know heaps and are only too willing to help, but none of them enjoy having LE. Im afraid it goes with the territory of BC and anyone who has had any nodes out. There are ladies here who are thin, fit and done everything right and only had one node out and have STILL got LE on BOTH sides. We are at risk for the rest of our lives. That is a fact and no amount of "positive thinking" is going to change that.
The good news is there are things we can do to minimize what the beast of LE can do to us. There are things we can do to help manage the problem.
Again, Im sorry you are going through this and I hope it is of some help. There are many threads where people have spoken of the steps we can take to help ourselves.
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Musical,
Thanks for your response. If I gave the wrong impression, I'm sorry. I'm not planning to ignore it at all. I have already made an appt for 8 a.m. tomorrow morning to have my initial consultatation to get busy finding out what I need to do to manage this thing. Staying "positive" is the only thing I have on my side and the only thing I can control at this point so staying positive is what I plan to do!
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Lainey, good to hear you are planning on not ignoring it. My post was not meant to be inflammatory at all, but to put into perspective your comments below, which I feel are not correct. Again I stress I don't mean to be inflammatory.
"I am afraid to read too many posts because frankly so far all I've seen is people complaining and saying how much they hate having LE."
I think this is a little harsh. If you read this forum, YES people do complain and rightfully so, but they also offer solutions and great help and there is sometimes a bit of laughter and fun.
"..but I can't see how it can be that bad considering all the other worse things out there."
LE is not to be minimalized or subject to a grading system of how many bad things are out there in comparison. The fact is, it is what it is, and a dose of cellulitis through negligence, lack of knowledge, or whatever, is dangerous and lifethreatening, so on the contrary, it doesn't get much worse than that. Don't even start me on wrapping and all the other things we have to do.
I'm all for looking for as much good as we can in any situation but not at the expense of reality.
HTHS
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Lainie, if it is indeed LE, the good news is that you can continue your activity and even lift those weights, only you will need to approach it a little differently and take some added precautions. Best advice is to pause the working out until your LE is stable and you and the therapist understand how that arm responds to weight and activity. The great news is that if it is LE, you caught it very early, at its most easily managed stage. The strange arm feeling is a bug hint to me that LE is the culprit, but the therapist will tell you a lot more than the L dex numbers, and you will get an answer.
Everyone has such a different experience with LE, so my experience cannot be generalized, but I can share that my LE is mild. I follow LE exercise guidelines and work out, including strength training, I am an avid kayaker, and in general I live my life as I wish. Sometimes I overdo and get aches and swelling, but I can handle that. Others here are not let off quite as easy, with more advanced LE that is harder to treat, but let us be optimistic that yours is of the mild variety.
There is indeed lots of griping here, but I like to look at it as a very safe place to let off frustration, where everyone understands why we want to let off steam. It's not that life with LE is all bad; just that here is a great place to commiserate about the parts that are bad.
I hope you will post news after your appointment. I am typing on my phone so not game at the moment to drop in tons of links for you, but others will so you can learn more about the practical business of dealing with LE. You have friends here if you need us! -
Hi, Lainie, and welcome!
Sorry for the new worry about an LE diagnosis, but I'm looking forward with you to tomorrow's meeting with the therapist. And brava to you for getting on this so quickly! Early treatment means both quicker control and easier management on-going. Good things to look forward to! Here's some factual and practical information on breast cancer-related LE:
http://www.stepup-speakout.org/LE is chronic, unfortunately. Learning to manage it can be a steep learning curve, but well worth the patience and perseverence it takes. Please keep us posted on tomorrow's discoveries!
Gentle hugs,
Binney -
Carol and Binney, Thank you both so much for your caring and helpful replies. I know that you women are very brave and have gone through all of the motions and "emotions" with this and I was hoping to get some insight from you. I try to be informed because I think information is power (I learned that with BC) but it's also scary to read too much before having the actual facts. This website was always a source of comfort and support for me and your posts alone have shown me that it still is. Again, thank you.
So, I did see the therapist this morning and while I know I have a new journey ahead of me, it's not quite as scary anymore. She measured me and told me the difference was 140 ml. I guess that's still the mild stage (fortunately) and I go back on Thursday to be wrapped and learn how to wrap myself. She said she wants to get the swelling down a bit before I get fitted for a compression sleeve but I'll probably do that next week. I've got PT appts set up through the end of July for now and then we'll take it from there. She told me that I can continue to work out but to take it easy so I'll probably skip the weights for now and stick to lowkey cardio. No problem there!
Coming up on my 5 yr anniversary this is just a reminder of how lucky I am to be here and not to trivialize this in anyway, if this is as bad as it gets, I'll take it.
Thank you for the welcome ladies
Will keep you posted! (And I'm sure I'll have many more posts to come in the future as my journey continues)
XOXO
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Lainey, it's great news that you're feeling more confident about what's ahead with LE. If you'd like some insights about exercising with LE, here's a document: http://stepup-speakout.org/Handout%20doc%20for%20SUSO-040113.pdf And if your therapist is interested, or any fitness instructor you work out with, here's an expanded version they (and you) might find interesting: http://stepup-speakout.org/Trainer%20doc%20for%20SUSO-040113.pdf
Five years--what a landmark!! It sure does help with perspective on LE.
Carol
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Lainey, learning to wrap is one of the best "tools" you can have for managing LE with confidence going forward, so all good!
If you have a DH or friend who can accompany you to therapy to learn wrapping along with you (take notes and/or make a video of it for you) that's a huge help. If you do a video, have your cohort stand behind you and shoot over your shoulder as the therapist wraps your arm, so he/she gets the perspective you'll have when you do it yourself. You'll be amazed how well wrapping works to reduce swelling
. But it does take practice (and patience) to learn. Also a sense of humor helps, and so does a supply of chocolate
. Keep us posted!
Be well!
Binney -
I am hoping my DH will accompany me tomorrow so he can learn the wrapping technique. My therapist did say that she will wrap it first so I can watch her and then she will have me do it while she observes. I was a little surprised at how expense the bandages are but if it will help, I am all for it. And yes, I will keep the chocolates nearby!! Thanks
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Don't forget youre allowed to biff the bandages at the wall when it all turns pear shaped lol. On the satisfiaction scale:
Pros - no damage done
Cons - none .
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Actually, Musical, as a former bandage tosser myself, I can say that IF you have pets and you pitch the bandages and they land on the floor, then you'll be spending a whole lot of time picking fur out of them
. So, better to vacuum before trying this at home!
Looking forward to hearing how it goes, Lainey! Good to include DH
. Hugs,
Binney -
LOL, Re the vacuuming ... and the good side? you always feel better looking at a nice clean room ... only thing you have to do is remember to do it just B4 spitting the dummy
and admittedly your spontaneity rights take a hit so thats one of your choccies each...deal?
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Ok I'm wrapped. My therapist was really good. She wrapped, made my husband wrap, and then she did it again while DH recorded it. I am fortunate because it's not my dominant arm but typing is still a bit slower than normal. I have been instructed to keep it wrapped continuously and only remove when I shower.
I have to say that it feels weird and a little claustrophic (if that's possible). I keep getting the urge to just rip it off and I just have to think about something else when that happens. Using the restroom and washing my hands is a bit awkward too. Should I get a glove to wear over that hand in those situations? Binney I know you were right about the steep learning curve. Especially in the way of little tips to get by with this.
Musical, if I throw my bandages anywhere I'm afraid my lab puppy will think their her new toys and they will probably end up slobbery and shredded!! lol
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Hey, hey, Lainie! We refer to ourselves during this claustrophobic period as Wrapped Wonders
. I will confess to still occasionally needing an ativan when the compression blues get to me. Short of that, though, here's a whole bunch of practical ideas for dealing with treatment: the "How You Can Cope" page from StepUp-SpeakOut.org.
http://www.stepup-speakout.org/How_You_Can_Cope_with_Lymphedema.htm
The section titled "Getting through the day with a wrapped arm" has over-glove suggestions for when you need to keep the thing dry but still use your hand. The good news is that with time and experience it actually gets easier to navigate while wrapped, so the awkwardness and stiffness you're experiencing at the moment won't always be so monumental.
This get-up is not exactly comfortable (though it does support the tissue and that can feel like a bit of a relief), but it shouldn't be painful. Pain indicates a need to re-wrap, add some padding, or otherwise make adjustments. A good therapist is like a guide through this rather dense period--don't hesitate to ask her any and all questions that occur to you (keep a list!). Before long you and DH will have it down to a science!
As for puppies, you're so right--they view these things very differently than we do. To them it's a playground.
Hugs,
Binney -
Oooh Ativan, I forgot all about those. They got me through many a night during chemo.
I may have to pick up a bottle of wine on my way hom from work today. That might work nicely too
Thank you for the information. I love the stepup-speakout website and will devote some time this evening to educating myself (with the wine, of course) Although now I'm thinking I read somewhere that alcohol is not recommended... ok, now I see the need for the chocolate.
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Lainey, Welcome....and if you get fed up with the wraps then you can give them to Carol and I because we are saving them up to have a "mass wrap" which will include all the "doctors in LE denial". We are hand wrapping up the docs in dirty bandages and sticking them ontop of the Seattle space needle.
We have been planning a long time and have asked for volunteer docs to head off the "mass wrap"....No docs have volunteered. i wonder why?
You got to keep your humor with LE. These board help with that!
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I had my 3rd appt yesterday with my therapist. She measured my arm and said that the swelling is down and it is now smaller than my dominant arm. Yay! I had my arm measured for my sleeve and glove. She told me to continue wrapping my arm until my sleeves comes in (about a week). I asked about how long to keep it wrapped and she was a little unclear about that. She said I could forego the wrap if I have a special occasion (i.e. 4th of July for those of us in the US). So the question I am wondering about is if the swelling is down, why do I have to keep wearing the bandages? I have a compression sleeve that I bought OTC. I am trying to figure out if I can wear that during the day and wrap at night. LE is so confusing to me. I guess I was hoping that once we got the swelling calmed down that I could stop wearing the bandages during the day. I have this fear that the second I take them off that the lymph fluids are going to gush into my arm!
I know I'm all over the place with this post. Sorry!
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Hi, Lainey! All over the place is where we all are when we're trying to understand this stupid LE!
Wrapping is the surest way to keep the swelling in control until your garments arrive. If you re-swell the garments won't fit when you get them and you'll have to go back to wrapping to get it down again before you can use the garments.
Unless your therapist has checked the fit of your OTC sleeve, you're better off not taking chances with it, as a poor fit can cause problems. You don't mention hand protection, but you definitely don't want to wear an OTC sleeve with no hand protection, which can cause new swelling in your hand.
It's awfully hard to be patient with continued bandaging--ugh!
But hang in there for another week and you'll avoid some really discouraging potential problems. As for the 4th, if you're not planning to be wrapped do make sure you're protecting your arm in other ways--sun and bug protection, stay cool, and be careful of all those outdoor activities (like volley ball, say) that you're not used to.
Gentle hugs,
Binney -
Thanks Binney! No big plans for the 4th here so I'll probably be taking it easy indoors. Well, I have to confess that I took my bandages off this afternoon not long after my post. I have an hour left at work and will re-wrap when I get home. It was just really getting on my nerves today and I needed a break! I did wear my OTC sleeve on Sunday for about 6 hours and still had my good measurement yesterday so it didn't hurt. But I will take your advice and stick to the bandages until my custom sleeve and glove arrives. As always, thanks!!!
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