DIEP 2013

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  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited September 2013

    Seacretgardn, I can understand not wanting to have another surgery. It all gets so tiring. I'm not sure what to do about nipples, either. I have heard they can flatten out. Do I really want to go to the trouble of making them if they flatten out anyway? That is down the road for me. I wish I had experience to share with you but I don't. Good luck!

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    goldie....another "pothole" sorted out for you....hope the next news you get is a surgery date. Have you completed decided to go with a flap or are you still contemplating permanent implants? 

    cherrie....also meant to say....your "quick decline" in hearing also seems to be in the same timeline as your dx, tx and multiple surgeries. I would be surprised if there wasn't some correlation, that has NOTHING to do with dementia!!!!!!

    My mother (who had multiple signifacant health issues) was once admitted to hospital for a serious bladder infection that occurred at the same time she had stomach flu. She was admitted from her care facility, and the hospital decided to stop the NUMEROUS, important meds she had been on for years, without consulting the doc at her nursing home. Two days later, now missing drugs she really needed to be on, and ill enough that her electrolytes were completely screwed up, the worlds stupidest resident, informed my brother she had developed "profound dementia" and would not be returned to the care facility that had been her home for 10 years! I just about came through the phone.....and demanded she be reassessed by her regular doc. Two days later...back on proper meds....electrolytes in balance....back to normal!!!! Dementia is a word that should not be used in ignorance!!!!

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited September 2013

    Whoa, Nihahi, I'm glad you're in my corner! I wish you could keep the residents and nurses from doing dumb things to me next time!

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    Just point me in their direction, jeannie!!!! I have worked in the trenches of medicine long enough to have absolutely no intimidation factor from a white coat!!!! I recognize and appreciate and acknowledge the good ones...I have no tolerance for the stupid ones.  hmpf......

  • MartyJ
    MartyJ Member Posts: 1,859
    edited September 2013

    Nihahi I am with you girlfriend. Although I have no medical training, caring for 3 elders for 10 years gave me new perspective. Like whe the gerontologist diagnosed one with end stage renal failure. When I asked where the tests were that validated the diagnosis, he simply stated that all people have a bit of ESRD late in life. Really??? Sure didn't show up on any of her blood work or urinalysis.

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited September 2013

    Haha, Nihahi! You should have been in my ER room when the doc walked in and loudly said, "I can't believe she's in so much pain from constipation!" My DDDDH promptly took him aside and schooled him! That doc was a disaster from start to finish.

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited September 2013

    Hi all, been lurking here and there and not posted, but was suggested by Cherrie to post this thought I had on this site as well as NOLA - so here goes (a little background, my dad just passed away 2 weeks ago from brain mets from melanoma - he had a total of 5 melanomas in his life - so not to worry, but miss him dearly and wanted to do something positive. The tree planting, while nice, won't guarantee I'll live in the same house to see the tree grow, but this thought intrigued me so thought you might like to hear about it and maybe do it yourself?



    Just a thought - I was listening to Dr. radio on Sirius on the way home from church and heard a woman talking on the oncology show about a letter writing campaign to write a letter of encouragment to newly diagnosed breast cancer patients. Who better than us?



    We've been there and can certainly lend encouragement (as shown by your so many encouraging words to me!) to those recently diagnosed!!!!



    The website is www.girlslovemail.com - if you are interested, go and see what it's about and check it out for yourself. They are trying to get a goal of a mile of letters in a year. I personally checked off once a week, but you can do it only once, once a week, month, or just thinking about it in case you want to do more.



    After just losing my dad 2 weeks ago from brain mets, I am thinking this might be something for me to do in his honor (of course there are guide lines and not mentioning someone passing b/c of BC!!!!!). The letters need to be handwritten but not necessarily terrifically long or specific. The guidelines tell it all.



    Just a thought!

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited September 2013

    Here's one for ya.  I was caring for my MIL who had Peripheral Artery Disease, which causes you to have wound healing problems like diabetics.  I took her to the wound care "specialist" to address a wound on her shin.  He wanted to debrid it,  and said he was putting numbing cream on it and would be back when it took effect.  Well, she starts screaming, and crying, and begging for somebody to take the stuff off of her it hurt so badly. I go look at the tube of cream the doctor had just used on her, and it was heavy duty debriding ointment, not numbing cream.  I went running out to get him, and they still were blowing me off...I LOST it.  He came in, and I showed him what he had done.  It was the only tube on the counter, the only tube of cream in the room!!!  He tried to deny it!!!!! 

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2013

    Oh, Cherrie, I'm so sorry.  What a nasty thing to have this new worry.  Please come here and rant all you want.  We're here for you.  Have you asked for ativan or valium or something for the MRI?

    I won't be 58 until October 14.  Apparently you're all much, much older than I am.

    Yay, Goldie!  Of course you're a very, very, very unique and rare person!  When will you talk to your PS about getting the DIEP on the books?

    Wow, Nihahi...I want you in my purse whenever I have a medical something or other.  Like taking a wolverine along.  Absolutely medical people make mistakes and dumb assumptions and can be arrogant and ignorant.  I trust my team, but I sure keep my eyes open!

    The home care nurse was just here to change my wound vac dressing.  She and I hit it off right away.  She's been doing this for a gazillion years and really knows what she's doing (so far as this trauma nurse can tell!).  She'll be the only one to provide my care and will come three times a week.  I looked at the wound with a magnifying mirror and I'm amazed at how well it's healing.  Last Monday it was sort of dark with some yellowish, goopy areas.  Now it's nice and pink, with fresh pink granulation tissue.  Healing!

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited September 2013

    LOL, SBE.  Yes, you are the baby of the group.  So glad you wound is on the mend!!!   

    I see my PS again this Friday, or at least I am seeing his nurse.  I will check to make sure all results have reached him, and we will take it from there. 

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    hahaha...got your backs, gals. My hubby says when he sees my eyes change colour....he knows it means the "target has been locked onto"....

    sbe....that sounds like wonderful progress for you!!! Hope the granulation tissue isn't too "ouchy".

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    whoa....back the truck up...secretgarden....sorry, somehow I completely missed your post. Surgery fatigue seems to be fairly common around here. I think I'm in the minority, for length of time between stages. My initial flap surgery was on April 12. I see my ps again on Oct 16 for a 6 mth evaluation. (not the only time I've seen him). At that time, I am pretty sure I'll be ready to set the date for a fairly minor second stage. I feel healthy and positive and healed. Not "just healed", but "well healed". I'm pretty sure because the next surgery will be minor, it won't feel like a setback to me, but a "close to the finish line" thing. I know, without a doubt that I am going to ask for nipple recon. I am a uni.....had the uni nipple thing for waaaay too many years. I know I won't have perfect symmetry, but to me it will be better than one nip and one tattoo, or just one nip. I am in awe, of the ladies who start recon while still recovering from tx, and those who have a number of significant surgeries in relatively condensed timeframes. I am grateful that in Canada, the need to "get stuff done" within insurance timelines, is not part of the picture. 

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Hey ladies - long time no talk! I've done 6 rounds of chemo and decided I've had enough poison so am ending my treatment. Anyone here done that? My doc wants me on a vegetarian diet - pushing me towards vegan (not sure if I can go that far) and taking natural supplements. Was wondering if anyone here has gone the au naturale route before recon. My PS seemed fine with it and wants me to drop some weight prior to surgery. Thanks the the steroids I've gained another unwanted 20 lbs! Ugh! Thankfully - 1 week without chemo and I've dropped 8 of it so hoping the rest comes off as easily. Think it will be awhile before I can exercise much as I get winded and lightheaded just going up the stairs. Hope everyone is doing well!

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    Hi dvygrl.....good to hear from you!!!! Is it your onco doc or your naturopath doc wanting the vegetarian/supplement route?? Your signature shows you as ER+, and many theories out there caution the use of "estrogen mimicking" things like modified soy products. You sound like you still have some spunk!!!! Don't be too hard on yourself to drop the weight too quickly, won't help your energy any if you get hit with too low a calorie intake, or too little iron. Hope it goes well for you.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2013

    Hi, Dyvgrl, nice to hear from you.  My chemo was similar to yours, with the exception of the taxol.  They gave me adriamycin, cytoxan, and taxotere (a similar drug to taxol, I think).  How many rounds did they want you to do?  I did six rounds of this cocktail and that was it.

    Like Nihahi, said, be careful with the rapid weight loss.  It can really bite you in the fanny.  A pound a week is plenty, although if you're coming off steroids you'll lose some of that weight a little faster.  Winded and lightheaded going up the stairs sounds to me like low hemoglobin.  Did you take oral iron supplements after your DIEP?  

    I'm ER+ too, and my MO told me natural soy foods like edamame were fine, but processed soy or especially soy supplements were off limits.  

    For anybody who's into metabolic/electrolyte stuff, I have a question.  When I was admitted last week for the cellulitis, my potassium was 2.7, which is pretty low.  They gave me oral potassium and hooked me up to a cardiac monitor.  I'm not taking any diuretics, wasn't vomiting, and I eat a pretty standard (although low-ish calorie) diet.  Anybody have a guess as to where my potassium went?  

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Hey sb - I was supposed to do a total of 4 AC dd and 12 ld of taxol - I did the AC which was brutal, and 2 of Taxol and just decided enough was enough. My heart rate is still elevated - told the onc's but they don't care. Said my labs were fine and maybe its cuz I'm overweight and sedentary. SERIOUSLY?? Everyone I've talked to on Taxol had the same SE's just dealt with it. I'm not going to kill the rest of my body on the off chance there might be some lingering cancer cells somewhere. I did 6 - that's enough for me. The rest I'll deal with naturally. Chemo and rads don't kill cancer stem cells anyway so if I were to get a recurrence, the tx wasn't doing anything to prevent it - just line the doc and pharma pockets. I haven't done my DIEP - still waiting to lose weight and get it scheduled. Meeting with regular doc tomorrow who will work with my naturopathic onc since they are in the same office and he isn't covered by insurance. I need to call my BS and get a PET scan scheduled. Have yet to get one of those either - onc wanted to wait until tx was over - of course she did @ 5k a week!

  • Cherrie
    Cherrie Member Posts: 1,423
    edited September 2013

    I want to thank you girls so much. My MRI is Tuesday, the 8th and a follow up with the doc on the 11th. It damn better be good news as my birthday is on the 12th. (59) Also, my son is visiting that weekend.



    I should have asked more questions, but all thoughts went out of my head with the mention of dementia. I also tend to be an introvert. I should have brought Katy, Nihahi, and Marty with me. I wonder if stress could account for hearing loss and my eyesight did the same thing.



    I did get a script for taking Valium before the MRI. Hope that helps. I have never taken this before.



    Goldie- Good news that it wasn't cancer. Now you can move on to other things.



  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    dyvgrl....I'm so sorry you have struggled with chemo and se's. This may not be what you want to hear at this time, but I have a close friend, who's (editted to mean brother, not father) is a medical oncologist. This man has lost a wife, a motherinlaw, a sisterinlaw and a daughter to breast cancer. He makes himself available literally day and night for his patients, and I'm sure he lies awake every night, trying to think of how he can help his patients. I'm quite sure, he is not in it "for the money".

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2013

    Cherrie, here's the secret to making it through an MRI.  Close your eyes.  Seriously.  If you don't think you can keep them closed, bring along a sleep mask or a scarf to use as a blindfold.

    With the valium, it'll be a breeze.  Take yourself mentally to a place you love, like the mountains or the beach, and relax... You can do this.

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    sbe....don't have much of an answer re: your potassium levels. I'm sure you routinely work up a pretty good sweat while on your bike rides, but didn't you say once that you drink an electrolyte type fluid post ride? Maybe try a sports (electrolyte based) drink while you're riding instead of water (though not a normal suggestion from me), and a banana either during or after each ride? Was this the first time your k levels have been low???? Maybe it's been low for a long time, and no one thought to mention it - anychance you could check back on previous bloods??

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Nihahi-

    I have no doubt there are countless oncologists out there that want nothing more than to cure their patients - I just didn't feel that was the case with mine. I felt like a number being run through a drug mill. The nurses were very nice and good at what they did - but the onc - she was useless. I know the AMA keeps them corralled in a little box, but she shouldn't get a deer in the headlights look when I mention a known SE or a viable tested supplement to aid in my treatment. Literally everyone in that office gave me the same look. I may as well have been talking to a bunch of children. Ridiculous. I want to do what's best for me and treat my WHOLE body - not just some random cells floating around my body. I know far too many people on their second and third trial of cancer - they've all done exactly what the doctors told them - yet here they are yet again. I don't want that to be me - I have to do something different. Call me crazy, but I feel good about my decision and that's all that matters right now. I will check out some of the other boards to see if I can find any natural tx info. STILL looking forward to my DIEP!!

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    dvygrl....As there is no guarantee (sadly) with any kind of cancer treatment modality, it is important to have faith in the path you are chosing. You sound confident you have made the right choice for you, and that is what is most important. Go Girl!!! There most certainly are (read some early messages of mine today) poorly informed, oh heck, let's call them incompetent, physicians out there, no doubt about it. There are some wonderful ones. Your message sounded to me, more like you had bundled the incompetancy view of your doctor, along with the view of chemo being useless. There will always be controversy between "holistic" and standard western medical practices. In your choice of a more "natural based" treatment (and I'm not ever going to say it's the wrong decision, I defend your right to make that choice!!!), I also think you should take a bit of care, to not imply that the choice to have chemo by others, is an ineffective, dangerous or "callous" choice of treatment. There are successes and failures, from both medical practices. I think it is more valuable to "support each other's journeys", than to "undermine the strength" it takes to get through this difficult thing called cancer. I'm sure you were just venting some very deep emotional pain. It will be good to hear how you start to feel better, stronger and healthier. There is a wealth of info and support here for you regarding the recon...hope you stay with us!!!

  • Goodie
    Goodie Member Posts: 244
    edited September 2013

    Dyvgrl - You have to do what feels best for you!  I truly admire your courage.  I had chemo first (A/C every two weeks four times and then 12 weeks of Taxol - I actually thought the Taxol was a lot easier than the A/C but I did gain weight with the steroids), BMX, radiation last year and my DIEP this year.  I also started eating more plant based in the last year (I'm probably 95% veganish eating), take low dose aspirin, vit D, and got my regular doctor to prescribe metformin.  I love my way of eating and I feel very healthy.  I also started internal jogging/walking in the past year.  I'm willing to try almost anything to supplement the possibility of bettering my chances.  PM me if you have any questions.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Nihahi - I hear you and I'm doing my best to make a truly informed decision along with the aid of doctors I do trust and will keep a very close eye on my body. I will be getting a PET scan soon to see if there IS any evidence of cancer - and if so - I will certainly keep an open mind about any treatment whether that be chemo, rads, or taking natural supplements. I just want to be the healthiest me I can be! If not, then I will stay the natural course and do everything I can to prevent a recurrence!

  • nihahi
    nihahi Member Posts: 3,841
    edited September 2013

    Go for it dvygrl!!!! ......"healthiest me I can be" is a wonderful target we're all aiming for. Do you have any idea when your recon surgery might be scheduled?? You've already got TE don't you???

  • christina0001
    christina0001 Member Posts: 1,491
    edited October 2013

    sbelizabeth, my potassium has run low ever since chemo up until a few months ago. I have no clue why. But it sure saps my energy when it is low.

    goldie - so glad you do not have cancer! I'm sorry you have more health issues to deal with but, hooray that it is not cancer! I hope your appointment on Friday goes well.

  • jlbloom
    jlbloom Member Posts: 228
    edited October 2013

    Cherrie, I think all of us that are in that 58-59 age group have hearing loss because of the loud music in our teenage years.  I'm blaming my dementia on AAADD, age activated attention deficit disorder.  I did the Valium route with my breast MRI and slept through it.

    Katy, you youngster!  You are going to catch-up soon.

    Goldie, you go girl!

    Now do I really have to worry about the Morning Star Farms and Boca that is a big part of my diet?  Please, no!

  • nihahi
    nihahi Member Posts: 3,841
    edited October 2013

    jbloom....huh???? Is there a food recall out?

    cherrie....I also meant to add...YES! I have no doubt that stress plays a big role in vision problems, so I don't think it is much of a stretch to consider it's affect on hearing either. In fact, I wouldn't be surprised if enough stress could cause someone to grow extra toes on top of their head, if severe enough!

  • mammalou
    mammalou Member Posts: 823
    edited October 2013

    Ahh girls, I'm only 55!



    Cheerie, so sorry for all that you are going thru. Hang in there and feel free to vent here.



    Sbe, glad to hear you are healing! My potassium was low when I had the diep. They were giving it to me in the hospital. I have no idea why and I surprisingly didn't look that up.



    I thought my wound might close today, so I skipped wearing my girdle. So, I'm standing there teaching in front of 30 6th graders and I feel wet gauze in my pan leg. It slipped out from under my Tegaderm. Well, I caught it as it fell out my pant leg. Geez, it would be nice to be independently wealthy!



    I have now earned my 50 mile Fitbit badge in only 9 days!

  • nihahi
    nihahi Member Posts: 3,841
    edited October 2013

    don't want to be the bearer of bad news, mammalou...(jeez I'm wordy today)...but you'll likely be better off if you kept the compression on, even for a couple weeks, after you have "closed". Then, I'd suggest wearing it during the day for another week or two. You have struggled to heal....that skin/tissue is not going to have alot of tension strength right away. Sorry, but it's the honest opinion of an OLD (63) OT.

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