DIEP 2013
Comments
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Hi girls, I've maintained radio silence here since Sunday when I came back from my travels in Africa - too jetlagged to think, let alone post, but I'm getting better. Read a little, but cannot possibly cover all the posts, it is just too much. I do want to wish all of you brave fighters a happy new year filled with joy, peace, beautiful breasts, and good health!
Saw my PS today, and my date for Stage 2 is April 23. Will get a nipple, a small lift on the healthy side, and some lipo on the left side of the tummy scar to get rid of some puffiness there. PS was pretty pleased with how symmetrical the two girls already are, and so am I. The DIEP breast sat high up in the beginning, but has softened and dropped over time. This last surgery will be about 45 minutes long, and I can go home immediately afterwards. Not looking forward to this. I'm so ready to be finally done, move on, and forget about this whole ordeal.
Movie, sorry to hear about the pneumonia, and hope it will get better soon. My PS said nothing about compression for the lipo area. Just hope it is not too painful.
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Liefie, welcome home! I have missed you and have thought of you often, especially when Nelson Mandela died. Hope you get your energy back soon. You will sail through your stage 2!
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movie - you have been in compression for a month now. With the pneumonia, I am sure wearing spanx will make sleeping a bit easier. Why not wear the spanx at night until Monday and see how you feel. If you are better, then back to the marena. If your marena has a wide band of elastic at the top, that is probably noy helping. That is why I prefer the Design Veronique - no band.
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Liefie....I'm right there with you girl....I'm getting myself closer to the "just show up" stage.
movie...PNEUMONIA??? That is just crap, crap and more crap!!!!! I hope you feel better soon, but pneumo is very tiring, so take things easy for awhile, ok!
mammalou....hope you find out soon what is going on with the enzymes, and that it turns out to be another incidentaloma.
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WOW....check out this article!
Identical twins share breast cancer, rare surgery
CHICAGO -
Identical twins Kelly McCarthy and Kristen Maurer have shared a lot in
their lives so when one was diagnosed with breast cancer, she urged the
other to get tested, too.
"You just do everything together, don't
you," the doctor told Maurer before delivering the bad news that she,
too, had the disease.
Now the 34-year-old twins from Crown Point,
Ind., are sharing a medical rarity: Maurer donated skin and fat tissue
for McCarthy's breast reconstruction.
"It wasn't a question, she
didn't have to ask me," said Maurer, a college enrollment counselor.
"Having a twin is very like having a child. You would do anything for
them ... in a heartbeat."
The first successful organ transplant was between identical twins in Boston in 1954 and involved a kidney.
Since
then, identical twins have been involved in many other transplant
operations, involving kidneys and other organs, bone marrow, and stem
cells. But breast reconstruction between identical twins has only been
done a handful of times; Maurer and McCarthy, a nurse, are among the
youngest patients.
Identical twins are ideal donors because their
skin, tissue and organs are perfect genetic matches, explained Dr.
David Song, chief of plastic and reconstructive surgery at the
University of Chicago Medical Center. And that eliminates the need for
anti-rejection medicine, he said.
Song performed the twins' surgeries on Tuesday and both fared well.
Typically,
breast reconstruction surgery involves implants and/or a woman's own
tissue, sometimes taken from the abdomen, thighs or buttocks. But
McCarthy is among women who don't have enough extra tissue; plus,
radiation treatment damaged tissue near her breasts. So Maurer offered
to be a donor.
McCarthy said her sister's sacrifice, "just so I can feel better about myself ... is really humbling."
With
their blonde bobs, sparkling brown eyes and easy, engaging smiles, the
twins are clearly mirror images of each other. Discovering breast
cancer in identical twins isn't unusual because of their exact genetic
makeup, Song said. With twins, there's also often a "mirroring effect,"
with breast cancer developing in the opposite breast, he said. That's
what happened with McCarthy and Maurer.
While their mother died from colon cancer last year, there was no family history of breast cancer.
McCarthy
was diagnosed first, in December 2011, with triple-negative breast
cancer, a hard-to-treat form of cancer whose growth is not fueled by
hormones. She was nine months pregnant and her son was born a week
later. Soon after she started treatment, chemotherapy, surgery to remove
her right breast, and radiation.
Maurer was diagnosed with a very early-stage cancer in her left breast a few months after her sister.
"Kelly was more upset than I was during my diagnosis, and likewise, when she was diagnosed I was a mess," Maurer said.
Maurer
had a double mastectomy, recommended because her sister's cancer was so
aggressive, but she didn't need chemotherapy or radiation. She had
reconstruction with implants after the birth of her second child last
March.
McCarthy's operation this week involved a second
mastectomy, and reconstruction of both breasts. Some of her own tissue
was used to fashion one breast. At the same time, surgeons essentially
performed a "tummy tuck" on Maurer, removing lower abdominal skin and
fat tissue and transplanted it to her sister to create a second new
breast.
The twins have always been extremely close, sometimes
speaking in unison or completing each other's sentences. But now,
McCarthy said, "I feel closer. Her tissue is over my heart." -
I have identical twin girls and I pray they don't have to do that. I guess this is one instance where people can donate fat. I've sure had a lot of offers! Lol
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Great story. I also have had many offers, Mamma. Even my husband. I told him I didn't think his belly hair would look all that attractive on my chest.
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Wonderful story Bluebird. 'Tissue over my heart' is a tearjerker.
I had a lot offers as well - lots of people very generous with their fat! Lately I've been getting a lot of 'You're so lucky to have a flat stomach'. Am I?
Welcome Home Liefie!
I'll be joining many of you in Stage2land this winter. No date yet though. My tummy scar, at 6 months old, is still 'too aggressive'.
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mammalou, I had elevated liver enzymes over the summer. My "enthusiastic" onc's nurse practioner had me get a scan of my liver (I think a CT scan) to make sure everything was okay. I was sick to my stomach with worry! But the scan turned out perfectly fine. And they rechecked my bloodwork a month or two later and the enzymes were back to normal. It turns out, there's about a million things that can make your liver enzymes go up. I wish they'd skipped the imaging and not worried me so much about it, honestly. But if you are worried, talk with your onc, maybe they will scan you too.
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Movie - so sorry you have pneumonia. How was your night last night? Any improvement? Prayers for you.
Zenful - she didn't move my belly button, just redid the angry looking scar. I think I could be classified as allergic to the stitch material she used on my stage I incisions. I need to pull all of my post op reports from the last several surgeries and we what they used. It might explain several issues I have had. Just my theory...I will check it out one of these days. Definitely before anybody cuts on me again. My belly button wasn't moved at all (although I have heard of the umbilicus being removed from the stalk and "floated" downward recently....I didn't know it was possible to move the stalk...interesting).
Mamma- I have had elevated liver enzymes several times....always went away by the next blood test, but ask for whatever is going to ease your mind.
Blue that is a cool story. I would do anything for my baby sister, just hope I never have to!
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I hope you had a good night, movie. As for compression, I can't offer anything useful. My ps does not believe compression helps, but I did not listen to him because I like compression
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Welcome Home Liefie!
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Movie - hang in there! {{{hugs}}}
Welcome home Liefie, and welcome back Bailey!
mammalou - fingers crossed for no bad news!!!!!!
Bluebird, that was such a touching story. I offered my sister my belly for her recon, but am now glad she didn't take me up on it! LOL!
Got my stitches out yesterday and noob is healing nicely, touch wood. A bit disappointed that I have this 6cm scar along the bottom edge when I only had crop circles before, which will be filled by nips and tatts
But on the up side, I had the most glorious shower this morning! Would have spent hours in there if it wasn't laundry day!
My body continues to confound me... I had a period that ended right before my ooph last month, and now, 4 weeks later, I am in the throes of full-blown PMS! Tearful, snappy, bloated, uncomfortable... but I've got no blinkin' ovaries!!!!!!!!!
Edited to add - for those of you experienced in such things, how long do seromas/hematomas usually hang around? I've got a doozy of a side-boob looking thing going that the PS called a hematoma.
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Deb, how are you doing, honey? Hope you're feeling fighting fit and ready to face the new year and the chemo stuff has been left behind.
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Deb,
Know that feeling very well! I had my last chemo in October and my hair is fully grown in but still very very short. It looks like I cut it this way on purpose tho, no more Oh poor cancer victim looks anymore! It grows in fast! I'm excited for you! By the end of the year you'll have plenty of hair to fuss with. Mine is now long enough to actually get messed up lol. It's the little things
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Happy 2014, everyone! Nihahi, my stage II was a breeze. I had only a little lipo on the underarm excess. You will do fine!
Bluebird, I had mentioned Bass Farms. She came to one of our support groups. I love the Triple B cream. Happy to hear you like it.
Bailey, you are truly an amazing woman. You are such a supporter of all of us on this thread. I would never have guessed you were dealing with all that disappointment. I'm so glad you are happy with the stage II!
Mammalou, I'm another one with elevated liver enzymes. They were the same two months in a row. We will be heading to Florida for a couple of months so I will be going back the end of March. Are you on an AI for hormone therapy?
Love and healing to you all! ...Julie
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lahela... Hematomas and seromas can last a while... Compression on the hematoma can help it dissipate, but side of the boob may be a hard place to compress. You have two choices, leave it til is absorbs or have it drained. The advantage of getting it drained is that if it takes too long to absorb on its own a pseudobursa can form (scar tissue around the bubble). And the only way to get rid of the Pb is surgically. So... just keep an eye on it.
http://thetummytuck.blogspot.com/2008/09/what-is-p...
For the record, I had a Pb in my butt after a GAP flap revision... this just gives an explanation of what it is.
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Oh Lahela, sorry you are feeling the post hysterectomy oopherectomy side effects. I am guessing your body is experiencing the estrogen depletion right about now which is why you are having the PMS symptoms. They are actually menopause symptoms. This is going to be an adjustment period. Just know the way you are feeling physically and emotionally right now may last a while, but it's not where you will be forever. I think one of the symptoms of it is feeling like it's never going to get better, but it is. If it doesn't just know my obgyn put me on 10 mg of Celexa a day which keeps me on a more even keel emotionally and almost completely eliminates the hot flashes for me. I can't take hormone replacement because my cancer was estrogen positive so the Celexa is my "replacement" lol. I have a tendency to be anti-drug so it was kind of hard for me to accept being on it long term. I did try going off it at one point. I almost melted from the not flashes so now I pop the pill and shut my mouth
Thanks Julie! You are a doll. I hope you enjoy Florida....send warm weather....it was -10 F or so this morning......brrrrrrrr.
Welcome home, Liefie!
Debdylan....YAY HAIR!!!!
Edited to add Lahala....check out www.hystersisters.com if you need more info....they are very helpful!
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jlbloom.. Yes, I am on Tamoxifen and have read that it can cause liver issues. I have had 4 blood tests since last March and they have been elevated everytime And slowing increasing. I have an appt with GI doc in February. I just wish my MO would do a CT to make me feel better.
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Just had time to skim things today.
Goldie- I had that drain belt! It was perfect for the four drains under my arms. The two in my FUPA....well still don't know what would have been the best way to deal with those.
Bailey- very happy to hear about your results! Can't wait to hear about the trip to victoria secrets!
Nihahi- the saying goes you don't have to be brave you just have to show up! You will do great. So glad you will be getting out of the cold and heading to Arizona. That will be a nice thing to think about to distract yourself!
Movie- sorry to hear about the pneumonia. Ugg!
Don't mean to leave anyone out. Thinking of you all.
DD is doing a semester abroad in London and of course left last night out of JFK in the blizzard. So many flights were cancelled but for some reason hers went. Last one out at midnight. Waited all day to hear from her. DH was ready to hop on a plane himself to look for her ( I think the umbilical cord is still attached sometimes) anyway she can't get her phone or computer to work but finally used someone else's phone to text us and say she is in her dorm! Worry never seems to stop.
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Deb, it took a couple months for my eyelashes and eyebrows to come in, and now my eyelashes are falling out again (5 months after finishing chemo). What's up with that?
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Lucy, I had only four drains for my bmx so the belt worked perfect. I wonder how many I will have for the diep? Hmmm
If you are anything like me you never stop worrying about your kids. It's the way it is. Human nature. Glad she is okay. Sounds like she is probably having the time of her life!!!!!
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Lynn... Eyebrows and lashes grow in cycles. Usually we lose lashes and brows everyday (otherwise we'd be getting brow cuts and lash cuts)... the problem is, when you lose your brows and lashes in chemo, you generally lose them all at one time. So when they cycle through, you lose them again. It takes a while for the cycle to readjust. I was fortunate and didn't lose many lashes and didn't lose all my brow either. I used Brian Joseph lash and brow gel. So once mine came back, they seemed to stick around. So I guess whatever I lost, I lost it a bit at a time.
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Deb, I had more luck with powder. Anastasia makes a great two tone powder with a nice brush applicator. Sephora carries it. Also, if you use some foundation powder before and after applying, they look more natural.
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Thanks, Betsy. That makes total sense.
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Julie, thanks for the recommendation. Love, Love, Love their products! Enjoy your stay in Florida!
My hair has finally grown in enough it is almost time for a haircut. So exciting! It is still crazy curly and blonde on the tips and is now coming in dark. Normally it is bone straight.
I also lost my eyelashes for the second time about 4-5 months after chemo. I thought it was from starting radiation. But they came back quicker than before.
Bailey, how did they fix your "side boob"? Did they just lipo it? I'm hoping that at some point the side boobage can be shifted to the right/front, but don't know if that is a viable option. I too am tempted to have the whole thing removed and just go with a matching set of implants. I've started wearing a Genie compression tank and that helps a bit. At least I don't notice my boob getting stuck under my arm as much! The bonus with the Genie tank is I just double up the cups on my missing side. Cheating has never been so comfortable.
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Yup...Genie bras and camis take up a lot of space in my drawer....and Coobie....and Bali...and my Belize compression ...and rolls of kinesio tape to tape that flap up and over ....or down out of my way lol. I won't miss tape on my body once this fandango is done. And I used the padding cups too when I was a uni....when I had drains and needed to wear something more form fitting (like to a fancy party or dinner) would sometimes pack them in the empty bra cup and cover them with some of the cup pads lol!!! Making lemonade out of my lemons lol!
Good gravy . It's all just kind of crazy, really, the stuff we go through and do!!! Aye yi yi.
I'm with Zen....I preferred eyebrow powders to pencil. I had the same type of cycle of grow back and then complete loss again. I used to joke with DH that I was batting my two eyelashes at him lol. I have had very good luck with Latisse on my lashes and brows. It's spendy, but something that was really important to me. That was the one vain prayer I allowed myself during treatment. I prayed to not lose my lashes and brows. I felt like I could handle any other physical loss or pain or lameness or sickness....just not that. I kept them....until about three weeks after my last chemo....but at that point it seemed no big bleeping deal anymore. I started the Latise about six months later and it took a good month to see results.
Blue...I don't know exactly how she did it...I need to get my surgical report and read it. I can tell you that before I had a football shaped flap. It was fit into my mx scar that they opened and lifted up. So she opened up the entire flap scar and removed some of the tissue from the center (thAt had all the stretch marks) while adjusting the rest of it toward the center (and subsequently away from my armpit). I think she also adjusted the entire flap down and removed the tissue from the bottom "native" tissue, so the bottom of m y noob is all belly tissue and not so much radiated tissue. She also removed the fat necrosis that were completely or partially located in the side boobage.
I do have to say, since I didn't yesterday, that I never felt that flap surgery was the wrong decision for me. I just thought mine didn't turn out as well as I had hoped. Does that make sense? I knew diep was the recon I wanted within 48 hours of diagnosis...and that decision never wavered. I just never expected it would be such a burden to me between stages. And I was more physically comfortable without it on.
I would still do it all again.
Just not today lol!! I need a break lol.
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Bluebird, I do the same thing with the Coobie bra inserts. I have doubled and tripled them up. I love those bras.
Jeannie, we were talking about the laser for the broken blood vessels a couple of pages back. I got it done today. There is a tiny bruise where each vessel was, but they are gone, and the bruises will be gone in a week or so. They gave me some arnica cream. No pain to speak of. Now, most of mine were on my chest right above my foobs, so I went ahead and did it because I was told nothing was going to be as rough on me as my bmx, which is when I originally got those broken vessels. The don't anticipate I will get more, but if I do, I will have them zapped to. I just hated seeing them poking out of almost everything I wore. If yours are directly on your foobs and you still have more to do, then you might want to wait till everything else it done. But, it works!!!! Yah!!! I spoke to the Dermatolgist that did the zapping, and there are several lasers they are using now to greatly improve the appearance of scars. I don't know how many of you care about the scars enough to look into it, but there is help out there if you want it.
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Goldie, I got the broken vessels after DIEP. PS was going to zap them in Stage II but forgot. I thought I was done with just nips/tattoos left to do so my boob was going to be zapped by PS during the nipple procedure. There is a large area of fat necrosis in that boob now, though, so I will find out on the 7th what, if anything, can be done about it. The fat has died there twice so I don't see the point in trying again. I don't like having it there. I am still so thankful for having soft boobs again.
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Thanks for the explanation and the link, Betsy. I will see the PS on the 20th so will discuss the options if it's still there.
Deb, yay for hair growth! That must make you feel great, some forward momentum at last!
Thanks for the support Bailey. I will talk to the gyn about my options - my BC was 100% ER+/PR+ so no hormones or me either. I joined hystersisters a while back so will go and check it out again.
Jeannie, I hope your PS has a good solution for the necrosis problem.
Love and hugs to all! -
bailey....I have all kinds of reactions to medical things too. Past surgeries have proven that my body does not like the dissolvable sutures that look kind of like dental floss (sorry....have forgotten the actually name...sbe might know). They don't dissolve in me...they fester, create little pus pockets and eventually get spit out. For the flap surgery, my PS used a different suture and I had no problems with them at all. The "good" sutures look like clear fishing line...again, sbe might know the right name.
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