DIEP 2014

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  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2014

    Nihahi, I think the hyperbaric treatments to help heal the incision around the radiated skin was a Godsend.  It worked so well that it wouldn't surprise me if my PS started sending a lot of his patients who had delayed flaps into previously radiated tissue for HBO treatments post-op.  It also makes me wonder if I'd had HBO therapy when the radiation burn initially took several months to heal, if it would have healed faster and better.  

    Aack!  The constipationator strikes again!  Metamucil, Colace, Miralax, Dynamite...!  Or...you could just get a bit more exercise, drink more water, and see if that works.

    It's been month and a few days since my last surgery, involving long incisions, and I still have lumps of stitch knots sticking out on the surface.  How long until they give up and fall off?  They're too tiny to just snip off; my DH can't even see them very well.  

    Baily, your description of your drain hole pocket is most bizarre.  In EMS, when we have a wound that extends into the lung area and lets air go in and out, we put a vaseline-impregnanted piece of gauze over it.  Maybe you could express all the air out, smear some vaseline (or antibacterial ointment) on the hole, and cover it with gauze?  And how do you shower with the scar stuff and tape in place for three days?

    Happy Sunday, everyone!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Yup yup, Nihahi, compression bra and wrapping over that with a compression wrap. Still floopy :(

    Avastin is one of the chemo drugs I was on and one of the side effects is that it can make tunnels or pathways or pockets internally. My theory is that when I had my mx four weeks after last chemo I still had enough Avastin in my body to create a pocket. I no longer think it's a normal seroma/hematoma. At one time, during rads, it actually came all the way across my mx scar and filled with fluid so much that it really looked like I was growing a new boob. Then the radiation damaged the scar area and dried it out, so to speak, and the fluid no longer filled there. But it still fills down my side....and I have truncal lymphedema so that keep fluid in the area and keeps a source to keep the pocket filled. I see the wound specialist/lymphedema docs (they work together) in a few weeks for a check up and to get a new compression bra ordered so that'll be timely. In the meantime, compression compression compression.

    I've been researching a bit and I saw a couple of studies where they used a slurry of saline and talc and injected it into the pocket and it closed. Seems the talc dries it out? I'll show docs and see what they think. Might be able to use my favorite KT tape to draw fluid away again, too. We will come up with something. Got my horns on now and have lost patience with waiting for it to heal and hoping it will heal. Time to start prodding and pushing. 

  • iowagirl1
    iowagirl1 Member Posts: 130
    edited January 2014

    JMB5. You are doing a wonderful job with the list but if you don't want to do it , I hope someone else steps in.  I can't help because I have severe chemo brain and I would get it mixed up.  Honestly, some days I'm afraid I must look like a monkey playing  with a mirror when doing the simplest tasks!  One day I couldn't figure out how to reset the time on my alarm.  You could add BMX to my entry.  Thank

    Kellyb. I'm glad it went well and your recovery is moving along nicely.  Hope you get discharged soon.

    Aemcat33.  I already have a hysterectomy scar so I am not worried about the stomach scar.  They suggest a skin-saving BMX if possible because my cancer was close to the chest wall, but will decide when they get in there.  

    Good luck to the next girls in line for surgery.  Hope it's smooth sailing.

     I'm having a good weekend spending time with my brother who's home for a few days. I don't see much of him.



  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Ha ha ha Sbel.....they said to just shower normally ...as if the papertape would stay there. It didn't occur to me to wonder about that until I was applying it....what the??? This is barely staying on now....it's never going to survive a shower. I started out rubbing the gel in and then putting on the tape....no go. So then I started over and just applied a thin line of gel directly from tube onto scar and then put the tape over it. We'll see what we see by the end of.the day. Everything is now under compression, too.

    My skin doesn't always like even paper tape, so again we'll see what we see end of day.

    Nihahi...the scar across the top of my flap has 5-6 (under wraps so I can't count right now) reddish, scabby, oozy areas, wider areas....the rest of my redone incisions are just closed, no scabs, slightly pink, beautiful. It doesn't look or feel or act infected, just slow to heal and creating scabs. I have Manuka honey on those. 

    WAY WAY WAY WAY WAY TOO MUCH MAINTENANCE, BY THE WAY.

    (Ok, I'm done....as always, grateful to be here to bitch about it).

    I will add hyperbaric treatment to my list of questions, too.



  • bdavis
    bdavis Member Posts: 6,201
    edited January 2014

    Donna... My PS wanted me off tamoxifen for the week before and the week after surgery (two weeks total), but my MO wanted that to be one week... So for all of my surgeries while on tamoxifen (which were all stage II revisional surgeries), I stopped T about 4 -5 days prior and started again about 4 days after. I split the difference in opinion.

  • lahela
    lahela Member Posts: 515
    edited January 2014

    Bailey, hugs to you! Sorry that the healing is not going according to plan. That air pocket sounds... kinda scifi! I hope it resolves!

  • Deb-in-LA
    Deb-in-LA Member Posts: 17
    edited January 2014

    Hello All,

    I've been off list for awhile. Recovering from Chemo, Holidays, etc. I'm now considering recon after BMX. (I had 2 tumors - one on each side.) In Nov. 2013 saw Dr. Boudreaux in Mandeville, LA to discuss DIEP surgery. I live a little north of Leesville, LA. I did a little research and found him and Dr. Robert Allen who I understand developed this surgery. I was impressed with Dr. Boudreaux and also spoke with Dr.Allen's office. My problem at the moment is Insurance coverage. My primary is Medicare and secondary is TriCare. I now find that Medicare doesn't cover DIEP but will cover TRAM.  Dr B is still an option but I won't have full coverage and am concerned about out-of-pocket costs. I see a lot of you mentioning NOLA so am assuming you mean New Orleans, right?  I see Dr Trahan and Dr.  Sullivan mentioned. Are they with the same Clinic?  Dr. A's office told me about Dr  Sadeghi in NOLA and Dr. Spiegal in Houston. The travel time is about the same for both. Anyway just wanted to find out more about some of the Drs. you have used in my area. I know that flying is an option but I have an RV and thought that would be best to use. 

    I look forward to getting to knowing all of you and learning more about what you have done and what is best for me. Once this is settled I can delve more into the particulars of the surgery. 

    I feel fairly certain this is the right surgery for me. The tissue expander/implant route doesn't sound right for me. I have a good amount of "excess abdominal tissue" that would be useful. LOL. 

    Thanks for your support. 

    Best,

    Deborah

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    Lahela...oh thanks but no worries....the fluid pocket is actually old hat to me...just want it resolved for good at this time. I have had so many other things to worry about that it was kind of on the back burner....actually I thought it had healed ....but front burner again.

    Welcome DebinLA...I  can't help with your questions as I am a MI girl! But I wanted to say hi. Weekends can be a bit slow on the boards, but rest assured people will chime in over the next few days with answers.

    While we are on the subject anybody know a great diep doc in the Boulder CO area. I have a friend looking for one. Thx!

  • Sharon1942
    Sharon1942 Member Posts: 272
    edited January 2014

    Deb, Medicare covered my DIEP. 

  • bdavis
    bdavis Member Posts: 6,201
    edited January 2014

    Deb-in-LA... When people say NOLA, yes they mean New Orleans, but they specifically mean Dr DellaCroce, Sullivan and Trahan at the Center for Restorative Breast Surgery on St Charles in NOLA. Their website is www.breastcenter.com

    I met with Dr Allen, and even though he was one of the first to perform this procedure, he has not continued to improve on it, as many others have. And others trained under him, but after meeting with him in NYC, I chose to travel to NOLA. I am sure he is very good at moving the fat flaps, but he is not interested in aesthetics or stage II. Plus, more concerning to me, he told me I was a candidate for DIEP (even though other PSs said I wasn't) because he said he would have his BS retain breast fat thus not needing to harvest as much. That did not sit well with me, as I was having a MX to strip the boob clean of all tissue, not retain some to make recon easier. I am not surprised Dr Allen's office didn't mention the Drs DellaCroce, Sullivan and Trahan as an option... they used to work together, but Dr Allen left NOLA after Katrina and really doesn't work there anymore.

    Also check out the thread NOLA in SEPTEMBER... lots of information there about your area.

  • kelleyb
    kelleyb Member Posts: 94
    edited January 2014

    Cross-posting from 2013 forum:  They're going to discharge me shortly. I've got to be honest I don't love the nurses here. I've had nausea and dizziness since my surgery Wednesday and things like being in a dirty gown for two days, no toilet paper in my bathroom, both bras they gave me are dirty - and I'm in one of them. They haven't cleaned my wounds today despite telling me to do it twice a day. Nurses disappear for long periods. Has anyone experienced nausea and vertigo post surgery? The doctor said it was a reaction to the pain meds, but I didn't have this issue after my mastectomy.

  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    Dang bailey.....don't have any other ideas for you. Not familiar with the paper tape thing, other than aware of the "theory", never used it in practice though. Doesn't sound like a good pairing with silicone gel though? Currently digging through closets looking for the magic wand. You certainly get an award for patience "above and beyond" in my estimation! 

    kelley....geez, that doesn't sound like good care, wound wise! So sorry it's been a tough experience. You may have been given different meds after your bmx, which might explain the difference in how you feel now. Do you feel you still need heavy duty meds, or are you getting them per a schedule without you asking for them? I was just on regular tylenol before I was discharged. Nausea is a big se of some pain meds, and depends on your sensitivity too. Are you drinking lots of fluids...that might help with the nausea and the dizziness. Hope things get better ASAP.

    deb in la....I'm sure you'll get feedback from others in your area. Glad to hear chemo is done and dusted....Now...focus on getting fit and healthy...regardless of what kind of recon you pursue.....being healthy and fit going into it, is the best advice I can give you at this point, and puts some "control of the situation" back into your own hands!!!

  • BellaMomma
    BellaMomma Member Posts: 77
    edited January 2014

    I really need my BC sisters now.

    This all started August 2012 when I decided to get the latest and greatest, 3D mammogram and was told since I had not been seen before, to return in 6 months for another mammogram to compare to the baseline. I was told in April 2013 after another 3D mammogram, everything was great see you in a year.

    Two weeks later I felt a hard pea shaped lump in my right breast next to my nipple. I was diagnosed with IDC of the right breast, with almost a 2" tumor.

    So I started Chemo. in June 2013, and just finished the last dose last Wednesday. I am scheduled for right mx with DIEP on February 11th, and now I am starting to get scared. I had reactions to the pre-surgical prep used before my lymph node dissection (rash all over chest & abdomen), pain medications (nausea), and a superficial blood clot in my arm after surgery. 

    After sent home, the breast with the cancer began to look red and inflamed and my blood pressure (always low before), had an average reading of 160/90. My blood pressure is normal now, and inflammatory breast cancer was ruled out. Just not feeling very trusting. Maybe it's the still continuing nausea from chemo, the loss of all hair on my body, or the neuropathy of my feet but I just need to hear from you girls.

     I just want some feedback on how you prepared for your upcoming surgery, and what gave you the strength to continue the process. Sending love to all the brave women who have gone before us, and thanks for providing strength to those of us that are following your lead. God Bless you!

     


       

  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    dear bellamomma.....how impossible it is to feel safe and able to be "trusting", when blindsided with a dx of bc right after "normal" mammos! Of course you feel scared, unsure, unsafe, etc. Those feelings are the most normal thing about this whole experience. Chemo can be tough, it takes time to feel better, and now you are heading into another "unknown" of mx with reconstruction. The most important thing you need to know is that strength and bravery have nothing to do with your outcome. There are no medals or special rewards for those feelings....you just need to take it one step, one day at a time, and "show up". Remember that even the toughest parts of the journey....do not last forever. Things do change, things do get better.

    It sounds like you need to have some conversations with your surgical team, regarding the complications you had earlier, so that they can be aware and plan as best as possible to avoid them this time around. Does someone go with you to your appts., to speak up for you, and to listen for you, if you are struggling? Honestly, the surgery you are facing is doable. For many of us, having reconstruction was a way of getting back, some of what bc tx has taken away. 

    I hope you have a support system around you, and that the ladies here can be an additional source of understanding and compassion. We certainly "get" what you are dealing with. Where are you having your surgery???? There might be someone on the thread who shares a hospital or surgical team with you, that can give you more accurate info as to what to expect, how to plan, etc. Stay with the thread....you are not alone! Sending you hugs.

  • jenjenl
    jenjenl Member Posts: 948
    edited January 2014

    The count down is really on now.  About a week to go.  I'm all over the place with emotions.  So happy I have you ladies to lean on.  

    Hope recovery is going well. xo

  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    jenjen....deep breaths, one day at a time....YOU...CAN....DO....THIS!!!! If anxiety is getting out of hand, or making it too hard for you to sleep, ask for some short term help like ativan. Made a huge difference for me....stay with us.

  • jenjenl
    jenjenl Member Posts: 948
    edited January 2014

    Bella - so sorry to hear about what's been going on...most certainly frustrating!  The way I am approaching this is that it will make me whole and complete the journey.  A little bit of positive in a sea of negative.  thinking of you.

  • jenjenl
    jenjenl Member Posts: 948
    edited January 2014

    Scatter brain...how long have people stayed in the hospital post surgery?  I think the Dr said 3 - 5 days?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014

    I had surgery on a Thursday and went home on Monday.

  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    Surgery on a Friday, went home the following Friday. 

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2014

    Surgery on Monday, went home Friday.

  • Ridley
    Ridley Member Posts: 634
    edited January 2014

    Surgery on Thursday,went home Monday. 

  • TBerg
    TBerg Member Posts: 27
    edited January 2014

    Bella,  I understand how you feel. I had my lump mamogrammed and ultrasounded for 5 years and was repeatedly told it was a cyst. Go figure. Now, I read all of my own reports and double check everything I am told...part of the reason I am on this board! The rest of the reason is that my surgery is in two weeks, and I'm looking for the same kinds of help with what to expect that you are. I hope you do well. You will feel better the farther you get away from the chemo, and be ready to take the next step.

    Can anyone tell me what to expect after the DIEP regarding sensation in the abdomen? Is it going to have a big spot with no feeling, like the breasts are now? How about the belly button....I think they have to move that too, so will it feel different, or not have any feeling?

    I typically just read and don't post. I have learned so much from you ladies--I wanted to tell you all how much I appreciate you being there and letting the rest of us non-posters learn from your experiences, and gain information, strength and support. THANK YOU ALL!!! 

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited January 2014

    Surgery on Friday....discharged the following Thursday.......

  • Ridley
    Ridley Member Posts: 634
    edited January 2014

    Hey TBerg. I'm a month out from surgery. I have no specific feeling in my new belly button.  It's not numb, but no pain either.  My abdomen feels like its being stretched lengthwise when I walk or lie flat in bed.  I don't have pain, and don't feel anything sometimes, like now that I'm just sitting (and watching Downton Abbey:)).

    Back to Downton!

    Ridley

  • Cherrie
    Cherrie Member Posts: 1,423
    edited January 2014

    I am 14 months out and am numb from belly button down. I feel pressure. This is what I expected. I am more bothered by no feeling in breasts and especially nipples. Again, what I expected, but miss sensation. Instead, I get life. Good trade overall.

    For my DIEP I was in the hospital from Monday to Friday.

  • Zoemom
    Zoemom Member Posts: 50
    edited January 2014

    My diep surgery was Tues and I was discharged on Friday.  

    Bailey- I share your incision woes. My emergency surgery on my abdomen was Dec 5 when they reopened my incision.  Since then, I've had 4 holes that opened up, bled and I was diagnosed with cellulitis (i had other symptoms too) On 12/24. I took antibiotics and no longer have cellulitis, have scabs on the 4 holes but now a 5th hole just opened with a little discharge.  I"m keeping the area compressed constantly.  Still have some swelling. This is so frustrating. Seeing Dr Levine on Tues.  I can't believe it is taking this long to heal. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2014
    Zoemom, I had closure issues after diep. I feel your pain. If you had chemo, how long ago was it? Try to concentrate on the inches and inches that DID heal right....you have far more going well than going bad! (Now I will curl up and take my own advice lol)
  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    cherrie....are you completely numb in the tummy area and below your incision?? I have feeling throughout, not normal, but it is definite feeling and seems to be improving. 

  • nihahi
    nihahi Member Posts: 3,841
    edited January 2014

    listen up bailey and zoemom and anyone else that this may relate to.....HEAL, DAMN IT, HEAL!!!!!!!

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