Have I done the wrong thing?

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geebung
geebung Member Posts: 1,851
edited June 2014 in Lymphedema

I haven't been on this forum for a long while. Here's my problem: I have just travelled for 24 hours - 1 long hawl flight of 14 hours, then a 6 hour stop over followed by another 3.5 hour flight.

I wore my sleeve. It's a fairly new one - had it fitted at the end of 2011. I'd always had ones with a gauntlet before but the new therapist I saw thought I'd be more comfortable in just a sleeve. I wore it on 2 ten hour flights beginning of last year and all was fine but today, I could see my left hand inflating. When I landed about 4 hours ago and got out to the car, I tore off the sleeve and massaged myself to try to get the swelling down but it's still pretty swollen - no tendons are showing and it still looks a bit puffy.

It's just after 2am so I need to go to sleep. Have I been really silly? Was it the non-gauntlet sleeve which has caused this? I swear I'll never where a sleeve again! Grrrr. Any advice as well as some criticism (gentle, please, I'm feeling tired and emotional) would be welcome.

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  • Estel
    Estel Member Posts: 3,353
    edited June 2013

    geebung -((((((hugs)))))))



    It's always wise to wear at least a gauntlet with a sleeve. The new therapist gave you bad advice. :(



    Are you home now?



    Do mld if you know how.

    Drink lots of water

    Elevate your arm



    It's beyond frustrating and infuriating to try to do everything right, do what people you trust tell you to do and it turns out all wrong.



    Hugs to you, dear one. Prayers swelling goes down quickly.

  • Binney4
    Binney4 Member Posts: 8,609
    edited June 2013

    Aw, geebung, that was bum advice, and I'm so sorry (well, no, actually I'm madYell!) I did have the same thing happen early on in my LE experience--long flight to Alaska, wore a sleeve but no hand protection (same deal--LE therapist told me I didn't need anything but a sleeve), and my hand blew up. I knew a lot less than you do now, so you'll soon have this under control with the mld, hydration, and elevation that Dawne-Hope suggested. But it sure is upsetting and emotionally difficult, and you need to be really gentle with yourself. In fact, give yourself points for ripping off the stupid sleeve when you did, for starting self-massage quickly, and for being so self-aware.

    When doing self-massage, make a special effort to go SLOW and keep your strokes GENTLE, because when a flare like this happens it's hard not to overdo it in an effort to force that fluid out of there!Embarassed Slow and gentle, and for goodness sake no criticism! In fact, chocolate is in order!

    Please keep us posted, and tell us how we can help.

    Gentle hugs,
    Binney

  • hugz4u
    hugz4u Member Posts: 2,781
    edited June 2013

    Oh dear, I am sorry that you are having to deal with this, Sounds like you are having a flare. The reason you have hand swelling is because your therapist did not send you with a gauntlet or glove and the fluid pushed into the non compressed areas which was your hand. FrownYou need to see a qualified therapist asap to get things under control so you can reverse this as much as possible.

    Your post doesn't say if you have had LE before and were being treated or you just visited therapists to get fitted for a preventative sleeve for  flying so I will just try to guide you on how I interpret your post.

    Not sure if your therapist is certified or not but you really need an experienced person with LE, They are usually physio or massage therapist with extra special training for LE.  Visit stepup-speakout.org  for all your Lymphedema needs.Some girls here on the threads wrote the site and it is the best out there. It answers many questions such as how to find a qualified therapist in your area and how to feel better until you meet up with the therapist.

    Not sure if you are landed home or at the hotel but in any case get that arm elevated on a pillow as you rest or sleep, Take deep belly breathes every so often to get your biggest lymph area moving which helps the whole lymph system and raise your arm straight up in the air and pump your fist 25 or so times real slowly every few hours. Drink tons of water to help the fluid move.

    Do not lift your luggage at all with that arm if you are travelling still. No weight such as a grocery bags or heavy weight exercise right now. Ask someone to help with bags.  Many people are good about helping.

    This is not going to resolve overnight and you may be dealing with a problem in the future but the good news is if you treat it asap then maybe it can regress back to near normal or reverse it if it not too bad. Yes, this is Lymphedema and you may have to wear garments now which is a must to keep more swelling at bay. Your therapist will judge. She should measure you too and teach you MLD and wrapping too. These are all good tools to have in case of an emergency which today was. Stay out of sun because you don't want to burn because you will just end up with more lymph fluid in the area. Watch the bug bites too. Good to carry antibiotics also.

    I know this is a steep learning curve but we are here to help and we feel for you. We are great gals and answer all that we can. Our experts will come on and help even more.

    Don't beat yourself up, we all have had things happen. Silly me sunburnt my arm and swelled, It was preventable and I blew it. Also burnt my whole hand in a campfire. Don't ask how! Tongue Out But I know I just have to deal with and life goes on. The LE beast is such a stupid thing but with proper care you can get a handle on it. 

    Others will come on and give you help but it is late and many are in bed. Please do keep us posted and give us more details on your background such as if you ever had a swell before or have been seeing therapists regularly. 

    Oh... I am going to give you one of my kisses that I reserve just for ones that are having real trouble. I don't hand them out often but here goes!Kiss Hope that helps.Smile

    Dawne,Binney: thanks for the post, You posted while I was typing!

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Oh thank you so very much for all your lovely replies! Brought me to tears!

    I do wish I had gotten a sleeve with a gauntlet...oh well - I won't make the same mistake again.

    After my surgery in 2007 (left mastectomy with 2 clear nodes) I had a swelling (trunk, arm etc). Had a wonderful LE woman who was a trained therapist and bc surivor herself so she realy knew what she was doing. After about a year of mld, some kinesio taping etc, the swelling abated (except for a small round area near my wrist which has never gone but gives me no problems). I've flown with a sleeve before but it always had a gauntlet so the swelling after long hawl flights has been minimal.

    I am from Australia and currently in Chattanooga staying with family here so I won't be able to seek professional help as it would probably be very expensive and difficult to find someone and get an appointment. I'll just do as Beezie suggests and continue to massage, elevation and drink lots of water. Thanks to all of you so much. I do hope I can keep this under control.

    Thanks for the hugs and kisses too! Sending some back to all of you for being so awesome!

    Jane

  • kira66715
    kira66715 Member Posts: 4,681
    edited June 2013

    Jane, you can buy a gauntlet for the flight back, and they are relatively inexpensive, you can either order one on line with express delivery from a place like Brightlifedirect: http://www.brightlifedirect.com/LYMPHEDEMA-PRODUCTS-Gloves-and-Gauntlets.asp

    The average price for gauntlets on line is around $20.

    I initially bought a Jobst sleeve and gauntlet from a full service pharmacy and some surgical supply stores will sell them as well, if you want to try that.

    Here's a link to why it's important to protect the hand: http://www.lymphedivas.com/handprotection.asp

    You may find that there are well trained therapists who are massage therapists who may have more accessibility and are far less expensive:

    http://www.mylymphedema.com/therapist.htm

    Here is what came up from the Vodder School in TN:

    http://www.vodderschool.com/find_a_therapist/search?province=228|TN&submit_btn1=Run+Location+Search

    Also, BeckySharp is located in TN and runs a support group and she might know: http://community.breastcancer.org/member/120255/profile

    Good luck! And I'd suggest ditching or strongly re-educating the therapist who sent you off with just a sleeve, just my opinion

    Kira

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Thanks so Kira. I will check those sites out & order a glove.

    I will be certainly be giving that therapist some polite feedback when I get home. I think I'll find myself a better qualified one too.

    I've just been lying in bed this morning, with my arm up on pillows, drinking water, slowly doing some mld and trying to remember to breath deeply.

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Sorry for callling you Beezie, Binney!

  • hugz4u
    hugz4u Member Posts: 2,781
    edited June 2013

    geebung As usual our experts Binney and Kira showed up with great ideas. What would we do without these girls? They have given you excellent help.



    Brightlifedirect has excellent returns if you are not satisfied. Oh,and don't forget about us, we need your good tips too! Right now a lot of us are suffering the heat. Being from Aussie you must have some good sun tricks up your sleeve. :) I sure need to know what is the coolest sun clothing as some tight weave polys are hot :(



    For your plane trip back try and stand at the back of the plane ever so often and stroll the isles. Drink tons of water on the plane, thats is essential and there you can get your strolls to the bathroom. Hopefully Carol who is our frequent flyer will come on and give you more flying tips. She is away right now but sometimes checks in while out of town. She also is our exercise guru too. Carol says she does deep belly breaths inconspicuously on the plane too.

  • carol57
    carol57 Member Posts: 3,567
    edited June 2013

    Hugz is right that I do some belly breathing on airplanes, and I do try to be unobtrusive about it, but really I do not care what people think.



    Geebung, when is the long trek home? I hope that tomorrow when I am back home, I will be able to post some thoughts for you for your long travel home. At the moment I am waiting to board a plane and no time to dig out my laptop and type.



    I did send an email to a friend in TN who may have some resources for you (find a way to get you some professional MLD), and she is a member here, but I think she is at the moment not able to spend much time in the forum. If she can help, I think she will PM you, and I am truly hoping that she does have some resources.



    The so-called LE therapist who put you in a sleeve without hand protection for a marathon flight day...words cannot describe what I think of her irresponsible advice.



    I will post some flying suggestions tomorrow when I am back home.



    Carol

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited June 2013

    My therapist suggested a sleeve and I asked about a gantlet. I mean, seriously, isn't it logic that the sleeve would force lymph into the hand? SHAME, SHAME, SHAME on your "therapist"!!!! And the sad thing is that you knew better!! My therapist admitted that a sleeve without a guantlet is useless, but she thought I wanted/needed something to show for my treatments!! I said I'd rather do MLD and avoid a sleeve/gauntlet if at all possible. I used to have to wear wrist splints at night for arthritis and hated it. Why the hell would I want to go around wearing a sleve if I didn't have to???

    I feel so badly for you. Has your hand ever swelled up before??? Hopefully you've caught it early enough to save your hand. You could at least wrap it on the way home if you don't manage to pick up a gauntlet. Good to see you post, though!!

  • kira66715
    kira66715 Member Posts: 4,681
    edited June 2013

    Geebung: one more thought--gauntlet vs. glove. The gauntlet will not prevent you from getting swelling in the fingers, but gloves are difficult to fit, and are much more expensive.

    Juzo offers a relatively inexpensive glove: http://www.brightlifedirect.com/juzo-1101acfs-glove-wfingers-20-30mmhg.asp

    Still almost $80

    And I personally like medi-95 as they have full compression in the fingers and half at the wrist:

    http://www.brightlifedirect.com/medi-95-glove-20-30mmhg-wcompressive-fingers.asp

    If you can get some finger bandages, a hand wrap is inexpensive and "custom"

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    More great advice - thank you so much everyone. Yes, Barbi, I was an idiot to agree to a sleeve without a gauntlet. I think I just thought I'd "grown out of it". Ha - I'm just so silly!

    Carol, you sound very experienced at travel. I'm due to fly back to Australia on July 5. I was supposed to arrive here almost a week earlier but was sick with gastroenteritis (never had anything like that before and hope I never experience it again).

    Hugz, personally, I like wearing light, open weave, linen clothing. I bought a few linen garments at the end of last summer (when they were especially cheap) and I find them very cool and protective. Also, I tend to do most of my outdoor stuff early or late in the day when it's cooler and the sun can't attck me.

    I love the idea of wrapping with gauze banadages. Kira, thank you so much for those very helpful pictures. I wonder if this would be a better idea than getting a gauntlet? Would wrapping my hand while it is currently swollen be helpful or should I try to get the swelling down first?

    Well, I'm just about to lie down and elevate my hand again and do some deep breathing and mld.

    Thank you so much for your wonderful support and advice.

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Sorry Barbe, didn't mean to call you Barbi (must be the jet lagInnocent)

  • kira66715
    kira66715 Member Posts: 4,681
    edited June 2013

    Geebung, wrapping your hand will definitely help get the swelling down. Do you have fingerbandages?

    Personally: I use a folded over transelast: http://www.lymphedemaproducts.com/products/transelast-classic.html

    Fold the 4 cm in half to double it and use one roll for the pinkie, ring and middle finger, and the second roll for the index and thumb and use the extra bandage to go between the fingers

    On another thread, KS1 had an extra case of 6 cm transelast to give away

    An alternative is the cotton finger band: one bandage will do the entire hand.

    http://www.lymphedemaproducts.com/products/fingerband.html

    There's a youTube video of JoAnn Rovig wrapping herself, and she starts with the hand wrap--but she goes around the wrist and I was taught to start at the base of the thumb, which avoids trapping fluid at the wrist--she pads it, which is a hassle--everyone does it differently:

    http://www.youtube.com/watch?v=OWq1kP4fvtY

    Sometimes a durable medical equiptment store will have the bandages.

  • BeckySharp
    BeckySharp Member Posts: 935
    edited June 2013

    Jane,  I am the person in TN several referred to.  I just sent you a PM.

  • carol57
    carol57 Member Posts: 3,567
    edited June 2013

    Becky, you are up to your eyebrows (and beyond) organizing some amazing LE advocacy activities, but you find some time to do what you can to help a visiting swell sister. I nominate you for my personal heroine of the day!



    Carol





  • BeckySharp
    BeckySharp Member Posts: 935
    edited June 2013

    Jane,  Here are some possible resources for you:

    Siskin Hospital Lymphedema Clinic in Chattanooga

    John Jordi, PTA, CLT-LANA  Phone: 423-634-1246

    Avalon Therapy Services in Chattanooga

    Margaret Secrest, PT, CLT-LANA  Phone 423-553-8175

    Maybe you could at least see them for wrapping for trip home.

    Becky

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Thank you again! I like the idea of the finger bandage. I think I'll order it nowSmile

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Well, I got half way through my ordering the finger bandage and it said that express shipping would get it here tomorrow. Does anyone know if this product is within the US or is in Germany or somewhere? If it is shipping within the US, I could probably wait...Or it might be best to get something locally. Sorry to have so many questions.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited June 2013

    I think the idea of getting wrapped for the trip home is a great one.

    I am with Kira on the Medi glove, I wear an old one at night, I have a ton of gauntlets and almost never wear them. I used their size guide and mine was a tad big but it still works.

    Yikes that all just sucks, having to deal with this on vacation.

  • KS1
    KS1 Member Posts: 632
    edited June 2013

    Another inexpensive glove to consider is the Farrow glove:

    http://www.brightlifedirect.com/farrow-microfine-compression-glove-20-30mmhg.asp

    Brightlife has free shipping and gets things out really fast even with free regular delivery. Two things to be aware about with respect to the Farrow glove.  First, people say that the black glove runs small.  Farrow has a reputation of being bad about returns.  Consistent with this, Brightlife -- which is  amazing about returns -- says on their website that the Farrow glove is non-returnable

    If you decide to do a fingerwrap, Brightlife also sells gauze, though not the brand I usually get.  The 2 inch is about $4 for 12 rolls:

    http://www.brightlifedirect.com/elastosoft-gauze-bandage.asp

    With respect to gauze, Lymphedemaproducts.com ships out of NJ.  They are very quick at shipping but they do charge.  Just went to their website and it seems like if you order by 8 pm EST tonight (Wed6/19), they will ship tonight.  Cost to TN is about $4

    http://www.lymphedemaproducts.com/products/transelast-classic.html 

    In fact, when lymphedemaproducts.com inadvertently shipped me 6 cm gauze instead of 4 cm gauze, they got the 4 cm to me within a day.   Rather than having me send the 6 cm back, they told me to just keep it or donate to someone/place.  So, long story short, I have 300 rolls of 6 cm x 4 cm transelast classic to give away.  

    Obviously, you don't need that much gauze, and parcel post mail would be too slow anyways, but I could stick a bunch in a flat envelope envelope and mail them to you via first class mail.  When do you leave the US?

    KS1

    ****************************

    snipped from another thread:  

    PM me if you want:

    =>>  15 BOXES of Transelast Classic 6 cm x 4 m (300 rolls)  <<= 

    It probably makes more sense for someone living in the US because the box is big (23" x 15" x 11 and 10 lbs) so it's kind of pricey to ship. I just calculated it and, for UPS ground, it's about $23.50 to California, $18.50 to Chicago and $15.50 to NYC.  (For comparison, the gauze cost $175 +S/H for Lymphedemaproducts.com)

    KS1

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Thank you KS1 for your very kind offer but I'm sure someone who does a lot of wrapping here in the US would be a better reipient. Hugs to you!

    Now that my jet lag is starting to abate, I'm hoping to make a decision this morning with a hopefully clearer head. I think I'll get one full glove for my return trip and any future flights (I'm going to be crossing the Pacific a bit from now on as my middle son is married to a sweet American girl and they are in the process of moving here after living in Australia for 2 years) and one gauze finger bandage for now. Although, I must say, due to the lovely support, encouragement and advice from everyone here, the swelling has gone down a lot this morning - I've had lots of water and have been elevating my arm and doing mld a lot.

    Thank you again to everyone - you are worth your weight in the finest gold!

  • kira66715
    kira66715 Member Posts: 4,681
    edited June 2013

    Geebung, what I like about brightlifedirect is their return policy--so often the gloves just aren't right. I also found that I felt better in the larger medi95.

    You could order 2 sizes and return one.

    In our fantasies, there is a shop with all the products and we could try them on and compare... That only happens at conferences.

    Binney and were talking about our closets/drawers full of stuff that didn't quite work out, but we don't toss it....What's up with that???

    I was looking at Becky's post and  I know Margaret Seacrest from LANA-- she's a regional rep: I'd recommend her highly

    http://www.clt-lana.org/lana-regional-reps.html

  • carol57
    carol57 Member Posts: 3,567
    edited June 2013

    Kira, count me in for the closets and drawers full of compression stuff that didn't quite work out, but I can't bring myself to toss it.  We need a LE-patient swap meet. With lots of dressing rooms!

  • Estel
    Estel Member Posts: 3,353
    edited June 2013

    Hear that on garments that didn't work out. Have both gloves and sleeves.

  • Binney4
    Binney4 Member Posts: 8,609
    edited June 2013

    Geebung, you really have been away for a long time, and I'll bet few of the gals here know about your beautiful avatar, so I hope you won't mind if I quote you here (from five years ago!) about how this little fella came to be your avatar. Any updates on him/her?

    "It's a baby swamp wallaby. My son found it last week after its mother was caught in a fence and threw him out of her pouch. (They do that when they are in danger). It was in a very busy suburban street (bushland nearby) so she wouldn't have been able to come back and get him. I looked after the darling until a wildlife carer came and picked him up to rear him. He was so sweet and incredibly beautiful! The photo doesn't do him justice. I have never seen such huge beautiful eyes!"

    We've missed you and the little guy, geebung! Hugs,
    Binney

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    Thanks Binney! The little wallaby is probaby fully grown now and living wild and free as most native animals get released back to the wild when they are old enough.

    I have an appointment today (yes, I'm writing this in the middle of the night due to jet lag!) with a LE clinic to be fitted with a glove. I was told that, unless I really know what I'm doing, I could make the situation worse if I wrapped my hand so I've decided to get a full glove.

    Many thanks again to everyone,

    Jane

  • geebung
    geebung Member Posts: 1,851
    edited June 2013

    All fixed up with a glove now. Feeling much happier and prepared for my next flight. Smile

  • Estel
    Estel Member Posts: 3,353
    edited June 2013

    geebung - Yay!  What kind did you get?  I'm always looking for gloves.

    So, so happy that you've found someone to help you and you found some gloves.  Great news!

  • Binney4
    Binney4 Member Posts: 8,609
    edited June 2013

    Whew!Laughing Now you can enjoy the visit. Hope the weather's cooperating and you're having a fabulous day. Gentle hugs,
    Binney                        

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