Double with Diep flap and Ooph July 9th ... Take It All!
I caught this early because of BRCA1 and preventative maintenance. My first Mammo and CA125 was clear last year, my first breast MRI found a lump in April of this year. I had researched and just started planning prophylactic surgeries when I was diagnosed...so I went ALL IN !
Without hesitation I'm having skin sparring double mast with diep flap recon, throw a little salpingo oopherectomy while they got me open.
I'm 36 with good insurance, for now, and a very supportive boyfriend at home. It couldnt have happened at a better time.
Has anyone else said to themselves' "TAKE IT ALL! " Get it out and deal with everything as it comes. Reducing the risk as much as this all will is worth it 10 fold for me.
I have young daughters and I want to see them become women. My mother was 42 when she died after a 4 year fight against ovarian cancer, my grandmother not even 60 when she died after an 8 year battle against breast cancer. Medical science has grown leaps and bounds in these last 20 years and I am taking full advantageof it to save my life as we all should!
Comments
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That's what I said " TAKE IT ALL"!
The best decision I have ever made in my life. BMX with immediate DIEP reconstruction!
Mena
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Hello Mena!
I haven't been on here a while. Thank you for the response
I just had a sentinel lymph node biopsy and my lymph nodes are good and some more of my family members have been told, a couple of my girlfriends and my two daughters. I still feel really good about my decisions but I think I'm starting to panic a little about what my chest will look like when all is done. I'm confident in my surgeons, its not that. But i'm just freaking out I guess, finally. I've been pretty calm and cool.
How long has it been for you? How do they look? I can't keep my nipples because my originals are so droopy. They're giving me a lift and I'm really happy to hear that. But i'm just worried about looking like frankenstien forever.
Uuugh. -
Gotcha,
I also said "take it all!" I had BC in BOTH breasts, IDC (ER+) and ILC (TN). I also turned out to be BRCA2+. Such a lucky gal! Tried lumpectomies initially last June, but they couldn't get clear margins. Surgeon said they gotta go, so I agreed.
Did chemo first (A/C,T), then on Jan 8, I had double MX, immediate DIEP, and ooph--all done in a 10 hour surgery at MERCY Hospital in Baltimore. I couldn't keep my nipples either. Surgeons were great. Surgery recovery was tough, but first week was the hardest.
On May 8, I had stage 2 DIEP (lipo, fat necrosis breakup, nipple reconstruction). All I have left to do are tattoos.
So, back to your Q, yes, you're going to look a bit "Frankenstein" for a while. The coolest thing is that nobody can tell from the outside. I have a hard time looking at them sometimes on the one hand; on the other, I'm grateful all was caught early and could be removed & reconstructed at the same time. We have indeed come a long way! Much different from when my mom was diagnosed in the early 80s and had radical mastectomies.
It's hard not to worry, but as most women on here say, the anticipation is worse than the actual event. Ask your doc for some xanax if you need it (I did and it really helped). Good luck & hugs!
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Thank you Shelley

Yes, anticipation is starting to break me down a little. I pride myself of the strength i have and I'm starting to doubt myself a bit. But i know i have it in me, i know i'll get through this.
Another question, did one of you ladies have a sentinel lymphnode biopsy? I did on tuesday and they only took 2 and they were clear
))))
However i'm having trouble sleeping because I'm really uncomfortable not full on pain but the electric shocks like things, the tingliness that itches. I took one of my 5 percocets left and it helped me sleep. Is that not a good thing? -
Gotcha,
Yep, I had SNBs on both sides during my lumpectomies. Had one removed from the right (clear) and four removed from the left (microscopic cancer cells, which led me to chemo). It was uncomfortable for a while. If you need something to help you sleep, I'm of the opinion "do it!" Sleep is an important part of the recovery process.
The nervous anticipation and doubt are quite normal, I think. I went through it too. A lot. But based on your DX and BRCA, etc, it's the best decision. Same for me. And your supportive boyfriend sounds wonderful! I'm blessed with a wonderfully supportive husband.
Any other questions, please ask. And if you haven't seen them already, look at the DIEP threads under the Reconstruction topic. They are soooo helpful.
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I don't know if I replied before, but thank you for your input

I picked up some Melatonin and it actually helped me alot.My doc tthen described some adivan or something for nerves. I haven't taken it much but it's good to know I have it.
Last night was my first dream about surgery, it was scary just really uncomfortable. I was walking around holding my chest like it would fall off. I felt good and thought "wow if this is for real this worked out pretty well!" lol
I'm not looking forward to the pain but I still just want to get through this. EVerybody at home is prepared I gues. My bag isn't packed but I have a littel list of items ready for tomorrow.
Thanks again for the words of encouragement. I've heard such mixed comments from women who haven't experienced any of this and I don't take it personally, I just think to myself, "they just don't know how it is". I remind myself that doing all of this now, even with a tiny lump of cancer, buys me a better chance to be cancer free and have a long life ahead.
Next stop ... treatment..we'll see how that goes.
Take care and best of health to you.

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Gotcha,
Apologies for not checking in sooner. You're 11 days out of surgery? How are you doing? Are you able to sleep okay? Use that ativan if you need it.
You're right, many others just don't know how it is. And that's understandable, as they probably haven't had to face what we've faced.
I'll check in on the DIEP thread b/c I remember seeing you post there also. I hope things are going well! Again, feel free to PM me if you have any questions.
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Hey!
I'm about to slip into dream land but Iwanted to say hello and thanks for catchin up
I am feeling sooo much better than I expected. I can list a handful of little issues but considering I was just cut and pasted 11 days ago I'm doin pretty darn well. I love when people remind me of how much was done at once, it makes me feel like Superwoman. I walking well, not 'hunchback of Notredame' hunch just a little "ooh my back hurts" hunch. I'm down to 3 drains and healing well. My belly button is getting a little red and tender so I'm paying extra attention to that. My right side of my breast is holding alot of fluid and I'm just waiting for the flood gates to open up.
Staying positive, moving forward. I do get a little weepy here and there. Sometimes a slight depression, sometimes feeling so grateful it brings me to tears.
It's exhausting and i'm a not looking forward to chemo. I may be repeating my self but its the truth.
So how are you? I see yourlast surgery was your nipp recon...how was that??? -
So glad to hear you are feeling better! In addition to the drain discomfort, my biggest source of pain was my back. I would shower and literally come out crying the first few times. It hurt so much! I talked to my surgeon about it and he would say, of course, "walk more." I felt like I was stuck in a vicious circle: supposed to walk to help pain, but couldn't walk across the width of my house without sitting and/or crying. It was tough, but it got better very quickly.
I understand the mental switch between depression and grateful. Not sure if you're to this point yet, but if you need to, talk to your onco about an anti-depressant. It helps 2 things: (1) depression/anxiety, and (2) those god-awful hot flashes that come on like crazy after the ooph. Since you're ER+ (as I was, on one side), he/she will likely suggest Effexor. They started me on a low dose, but I didn't start feeling better until we upped it 2x to 150mg.
Chemo isn't fun, but "doable." So many ladies on this site say it, but it's true. When do you start, and are you having AC/T (Adriamycin/Cytoxin and Taxol)? I did dose-dense AC biweekly for 4 treatments (and thank god it didn't last any longer than that....that's tough stuff), then weekly Taxol for 12 weeks. I know it's hard, but try not to think too far ahead. Your body needs to heal first. If you're overly anxious, again, ask the onco for something. Xanax helped me 0.5mg twice a day.
Nipple recon went very well! I can't even tell it's not my original. The only thing I hate are my Frankenstein tracks across the front of my chest. I'm sure I'm not the only one. If it weren't for those, I likely wouldn't even still think of my journey every day. I still have to get the nipple tattoos, but I'm waiting until after summer b/c they said I'd have to give up swimming for a week. We have a pool, and with this east coast heat, I definitely enjoy it, so I'm not giving it up, even for a week!
Plus, the tattoos are such a minor thing. They'll happen when they happen.It's such a cliche, but yet so true...try to take everything one day at a time. And check in here/PM me whenever you need to. Hugs!
Michelle
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