DIEP 2013

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

    Thinking of you, Deb.  Lahela, what a cool idea!

  • LucyV
    LucyV Member Posts: 177
    edited December 2013

    hope all you ladies had a great day yesterday. I had a very relaxing day and ate way too much food and watched Elf more times than I like to admit ( I think it was on 24/7)! We don't have many days when everything just shuts down and you can't do anything even if you wanted to. 

    Zoemom- hope those antibiotics are kicking that cellulitus's butt. Good news on the  "no hernia" front! One less thing to worry about.

    Ridley- love those sneakers....what a sweet DH you have.

    Debdylan- sending you a whole lot of luck today.

    Lahela- congrats on being drain free. And flashing your headlights to the northern lights is one of the best ideas I have heard!

    Bdavis and movie- now you are my rotated flap expert! Is there any risk of losing the flap during this maneuver or does it already got a good blood supply?

  • Zenful
    Zenful Member Posts: 599
    edited December 2013

    Good luck today, Deb.  We are with you.

  • RHGSR
    RHGSR Member Posts: 774
    edited December 2013

    anyone had trouble with insurance? Mine is denying claims because they say I had a pre existing condition !! What??!! All I've ever had before October is sinus infections and c- sections. I'm so stressed about this I can't even see straight. I have the strength to fight the cancer but not the insurance too. The only thing I can think of is that I told my OB I found the lump in July but that I thought it was a clogged milk duct since I was still breast feeding my son. 

  • LucyV
    LucyV Member Posts: 177
    edited December 2013

    RHGSR - sorry this is happening. I am not a fan of insurance companies. I thought "pre existing condition" clauses were illegal now. I would think your Dr got pre approval for your surgery. It does not sound right that they could deny claims.

  • bdavis
    bdavis Member Posts: 6,201
    edited December 2013

    Lucy... I think that the flap is not at risk. I didn't have any dopplers or anything... I think the flap is viable and just being moved over.

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

    deb- good luck today! 

    Insurance aid a pain in the butt. My doctors office is appealing for more money and only got $1500. That was for my DIEP. They have not given her a penny for the 3 surgeries after that. I am lucky that she doesn't balance the bill. I hate dealing with them.

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited December 2013

    Ladies, still busy with family stuff, but I have a question for those of you who have had fat grafting......my breast area has been extra sensitive and a little sore (seems to be when I am more tired).  I am 3+weeks out.......no visible signs of any infection.....none....just super tender......is this normal?

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

    Great news, Deb.

    Movie, I wish I had an answer for you but I don't know that I've experienced that. I have had two tries at fat grafting in my upper right boob, fat necrosis both times. It's getting pretty bad. I have a look-see appt. on Jan. 7 unless I start to run a fever, etc. I guess it's more surgery for me to get it out of there, which has lots of risks for me. And taking it out will leave me with what?? It seems silly to try it again if it's failed twice. That boob had a smaller DIEP vessel so the blood supply is not going to change. 

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

    Movie, you and I are the same amount of time out for fat grafting.  Mine has gone away about 50 percent (or, was it swelling, who knows?) but I have no soreness at the graft site, but I still have some soreness at the harvest sites.

    Call your PS tomorrow. Always better save than sorry. Also, maybe you have done too much.  Rest a bit.

  • RHGSR
    RHGSR Member Posts: 774
    edited December 2013

    okay ladies... Port placement tomorrow!! Wish me luck :0)

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

    RHG, good luck.  You will do great.  It's so much easier than trying to use your veins, from what I hear.  I think you can expect some minor soreness after, but that's it.  We are with you!!!!!!!

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

    RHGSR, I had a port and I'm glad I did. It did hurt a lot at first so don't worry. Soon you won't feel it. Be sure your doc gives you numbing Lidocaine to glob over it before blood work/chemo. You put it on an hour before and cover it with Saran Wrap.

  • jmb5
    jmb5 Member Posts: 532
    edited December 2013

    I am planning to have a BMX and DIEP flap reconstruction in late January. Should have the surgery scheduled by next week. I was trying to sift through some of your posts, but there are so many! :) Hoping you can answer a couple questions. I'm wondering how many vacation days my husband should take. If I'm in the hospital 4-5 days, should he take off those days and stay with me, and/or should he take off the first few days I'm home? My mom can help me out too, but I don't really know what to expect. I read that I will have trouble getting out of bed by myself, so I'm thinking I shouldn't be alone at home for awhile? Also, what is the best thing to wear when I'm home? Are tops that button in the front the best? Will I be able to get a t-shirt on or is it impossible to lift my arms like that? These are a couple questions that I haven't been able to find answers to. Thanks!

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

    Hi There, jmb5....I noticed you have jumped in with both feet and started a Diep 2014 thread....good for you! I'm sure many of us will be popping into that thread too, as time goes on, as a number of us still have stages to go in our recons that started in 2013. 

    My advice would be to save your hubby's vacation days for when you are home. The nurses will be caring for you in hospital, I should think. The day of surgery is pretty exhausting for your family, so I'd tell them to use the time while you're in hospital to get some rest themselves. Of course, it depends on the hospital you will be in, but mine didn't really encourage anyone to hang around my room, and I certainly was not up to company the first few days. We are all different in our "mobility" once we're home, but there are options that make sure you are more independent, like renting electric recliners, it you are really concerned, or know there will be early need to be independent. You are going to be tired, and you will have lifting restrictions, so being alone for extended periods of time the first week at home isn't a great idea, in my opinion. Button or any kind of front closure tops are going to be your best friend for the first couple weeks. Some people have been able to "sneak" into oversized, loose tops that go over the head, but, most find that too challenging.

    Hope that answers a few of your questions....best of luck to you in your surgery!

  • lahela
    lahela Member Posts: 515
    edited December 2013

    jmb5, I second Nihahi's advice about hubby having more time at home. I was amazed at the things I couldn't do, couldn't reach, couldn't lift or open... I needed a lot of help. You may bounce back quicker - many, many women do - but you won't know until you're there so it's best to plan for maximum help, IMO. I wore loose drawstring PJ bottoms and wife-beater type tanks that I got in extra large and stepped into - soft and comfy.

  • Zoemom
    Zoemom Member Posts: 50
    edited December 2013

    jmb5 -  I agree with Nihahi, it will be better for your hubby to take time off to be with you once you're home from the hospital.  I would say having him home for the first 3-5 days will be helpful...to help you take a shower, lift things etc. I live by myself and also prepped a lot in advance, I made lots of soup etc and froze it for dinners to eat once I was home from the hospital.  I purchased an electric recliner (you can also rent) and a shower stool.  Both were extremely useful and the recliner was very comfortable for sleeping.  I also have one of those robotic arms to help me reach for things on a high shelves.  Re: clothes, I wore lots of sweat pants, blouses that button in the front and cheap sleeveless T-shirts (I think they're called muscle shirts). Easy to get on and off, I didn't care if drainage leaked on it and I wore it under my ab binder.  Also, I had a supply of Aveeno body soup for sensitive skin. Someone suggested putting that soap in a spray bottle with water to spray on your ab and breasts in the shower. I found that very helpful as it allowed me to gently apply the soap on my incisions without touching them. 

  • LucyV
    LucyV Member Posts: 177
    edited December 2013

    hi jmb- I agree with everyone that having DH home is better. I got surgical scrub tops that snapped in front. I liked them because they had pockets and I kept some tissues/cough drops/ blistex close by. I wore sweatpants but would have preferred a longer scrub top or button nightgown as it would have made it easier to go to the bathroom. After going to the bathroom or while getting dressed I kept dropping the pants on the floor and it was close to impossible to pick them up myself! I also froze a lot of food.

  • Janet_M
    Janet_M Member Posts: 1,068
    edited December 2013

    Jmb - Good morning. I agree with the ladies, keep your husband close. Especially the first week or two at home. At the hospital my partner was a frequent visitor, but I was just as happy to be on my own staring out the window, sleeping, or watching movies. Also, the nurses were fabulous so I was never on my own.

    But back at home I needed help with everyday tasks. One of the ladies on this board likened herself to a tyrannasurus rex., walking around with stubby little arms sticking out in front of her. Reaching high shelves, opening stick drawers, filling the kettle were all out of the question. And I also needed help navigating the bed for the first week. I never used a recliner, but I did visit a place where they were available for rent, and I had it on standby in case I had to have it delivered. In the end, I was fine with a whole bunch of pillows, including a 'wedge' which was invaluable in bed. 

    Lucy is so right about the sweatpants. Picking them up off the bathroom floor and getting into them is a challenging for a T-rex. My surgery was in the summer so I wore a stretchy cotton skirt with an oversized button down blouse. I also wore a cheap cotton cammi every day, to which I attached my drains. It was stretchy enough that I could step into it - rather than put it over my head. 

    But if I was to recover in the winter, I'd go for a long nightgown at first, and save the sweats for week two. But everybody is so different in their ranges of motion. I managed to wash my own hair, while standing up in the shower while I was in the hospital. But - I was very slow in standing up straight - that took ages. 

    Also - I went on a crazy shopping spree before my surgery. Lots of stretchy lounge wear in many sizes. But I ended up wearing only two or three things, and Jim (my partner) returned everything else. I got a lot of it at Target, because they had the best return policy. 

    Best of luck in the coming weeks.  Janet

  • jmb5
    jmb5 Member Posts: 532
    edited December 2013

    Thanks everyone. I never thought about buying stretchy cotton tanks/shirts and stepping into them. I have a lot of zip up hoodies, but wanted something to wear under them, and the tanks should work. I'm always cold in the winter, so I need warm clothes. I plan to get some lounge wear (I was reading about the Target recommendation on earlier posts.) and maybe a nice robe. I have an acquaintance who messaged me about getting a Softee two recovery camisole. She said she had two. They have the pockets for the drains. They're pricey, so I think I'll see if the hospital provides anything first.

    I really appreciate the advice, especially on when my dh should take off work. I think we'll plan on the day of surgery, and then the first week I'm home. If I'm lucky and doing well, he can always go back earlier, and like I said, I have my mom too. He could maybe even take some half days. I want him to be available to go with me to follow up appointments down the road too.

    I plan to read through more of the posts on this thread. It's so good to know what to expect.

  • Rachlmarch
    Rachlmarch Member Posts: 9
    edited December 2013

    jmb, looks like we might be in this together!.  I am tentatively scheduled for a DIEP, January 29 on my left side.  I will be at the Cleveland Clinic which is 3 hours from my home.  I was wondering same thing relative to my husbands time off.  It is really nice to be able to go back and read these posts and know what to expect. Any major pointers or advise anyone could give would be so helpful.  I was wondering when the average 1st follow up is after you go home? Being that we are 3 hours away I can stay at my sister's which is only an hour away between getting out and first follow up appt. I just need to be prepared. Looking forward to communicating back and forth. 

  • FierceBluebird
    FierceBluebird Member Posts: 758
    edited December 2013

    Merry Christmas! I'm behind on posts, (have a year's worth of home stuff to catch up on!) But wanted to check in on you girls.

    RHG, thoughts with you today. I still have my port in and its become a part of me. Looking forward to having it out, but you'll be glad you have it. Love the pink shoes! Good for kicking butt and running away!

    Lahela, wish I could go with you!

    Deb, great news!

    I'm also a member of the sore shoulder club. :(

    Sbel, hope you saved me a piece of pecan pie! Yummy!

    As far as hubby time, not sure where you are from but my advice would be for him to apply for Family Leave act asap if he hasn't done so yet so he can take off any day if necessary. My husband took a week off to be with me when I got home, (I have no family in area) but I had complications in the hospital and he was a true comfort to have him be there with me holding my hand. If he hadn't been with me in hospital, it would have been so much more distressing. I was glad he had flexibility to have extra time off.





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

    jmb...and rachl.....one of the biggest things you will discover, is that everyone, every hospital and every surgeon have different timelines, protocols and techniques. What I found so valuable about this thread, is that I was able to gather all the "what's, when's, how's and why's" together, then I discussed them with my surgeon. I felt better prepared that way, and I had a better idea of what to ask him to get the answers to questions I may not have thought of on my own. 

    The stages of recovery can be very short....so I wouldn't spend $$ on something to wear, like a pricey postop camisole...cheap and stretchy worked for me. My last drain was removed 3 days after I came home, (which would make it 10 days post surgery), so that was the time of my first post-op visit. After that, it was 2 weeks until the next one. Having someone with you to folllow-up visits is important, that extra set of ears or shoulder of support is invaluable!

    Have you considered renting or borrowing a shower chair/stool? Or do you have a plastic chair or high enough stool to safely use instead? Some women have been fine without them, some of us found showers to be as tiring and awkward as they are amazingly "feel good" wonderful. You can also practice getting out of bed and chairs around your home, without using your arms or much of your abs, to get an idea of how you might manage. 

  • LucyV
    LucyV Member Posts: 177
    edited December 2013

    welcome rachlmarch- ask your dr what his usual follow up is as it may vary but I saw my dr five out of the first seven weeks. I'm not sure if that is typical.

    Also for the newbies ask if you can have an extra surgical bra and binder. Makes it easier to wash one while wearing one.

    I also went to the hospital wearing large sweatpants but went home wearing extra large sweatpants and wore those until the drains came out....then went back to the large.

    Agree with janetM - keep the tags on everything so you can return if you don't use. I returned a bunch of pants/hoodies/socks that I never used.

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

    hey Lucy!......how's the "coffee control" doing???? I'm still at one cup....except, I confess, I had (gasp) THREE CUPS ON CHRISTMAS MORNING!!!!!!!! Just seemed so cozy to sit around feeling happy and holding that warm, cup of coffee in my hands. Back on the wagon for me yesterday though...

  • LucyV
    LucyV Member Posts: 177
    edited December 2013

    nihahi- three cups! Were you buzzing around the house!? I am still sticking to the one cup but seem to be drinking and craving it earlier and earlier. And I got one DD hooked too.....she walks downstairs and starts making her coffee....what have I done! Haha

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

    hahaha....yep, I likely WAS buzzing...but I think I was able to camouflage it as humming along with the Christmas music we had playing!!! I was doing fine until my son and his fiance arrived. Daniel, who NEVER liked coffee before, announced he was now a "drinker" so of course, we had to brew up another pot, and, of course, I had to join him!!! I swear, my ADHD son is less hyper on caffeine, then he is "off it"....must be the natural form of Ritalin???

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

    Nihani, when we took my son to be tested for ADD when he was little the psychologist told me to give him Coke, or coffee.  If he calmed down then we would know if he needed meds like ritialin.  Well, he was climbing the walls and couldn't sleep that night.  No ADD meds for him.  He was just a regular pain in the butt....lol.  I spent the rest of his school career hearing the same think from every teacher, you son is so bright, but he never shut's up!!!!!!

  • lahela
    lahela Member Posts: 515
    edited December 2013

    My ADHD 22y.o. self medicates with energy drink. After a childhood on meds, he decided to see if he could cope when he was 18... been sucking on energy drinks ever since... he doesn't see the link *rolleyes*

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

    Lahela, I am sorry.  Our kids can drive us crazy!!!! Isn't there an adult ADHD med that is supposed to be very effective?  I think it's called Adderall.  But, if he doesn't want to take it then there is nothing you can do but wait for him to make the right decision somewhere down the line.  I think there are few things worse than breast cancer, and one of them is watching our kids make mistakes, and letting them pay the consequences. Ugh!

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