bmx on friday....very nervous

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momaton
momaton Member Posts: 780

I am going in Friday for a BMX. Boy oh boy . usually I am pretty calm about surgery...this one has me in a near panic attack.  I just want to run in the opposite direction. had a bit of a melt down yesterday so not like me DH is great he just talks me through why we made this decision...it helps but the nerves are still chattering away.

I have read tons of threads on here and feel somewhat prepared but my situation seems to be unique (pretty sure I am not the only one)

I am having a nipple sparing bmx. I already have implants. My BS is going to try to save the implants but if she nicks them they will have to come out. AND one of the smaller lumps is very near my nipple.

It is all the unknown stuff that has and is driving me nuts.  Will I end up with nips, implants, nothing or a combo there of..:)

Sheesh, can't wait to just get on with it.

you all are lovely,

Eve

Comments

  • hoping42
    hoping42 Member Posts: 117
    edited January 2014

    I just wanted you to know that I am thinking of you and hope for a speedy recovery with no surprises!  It is nerve rattling and head spinning for sure!

    Take good care!

    xo

  • mimi32
    mimi32 Member Posts: 61
    edited January 2014

    I was a mess the days leading to my bmx. Tears poured down my face when they wheeled me away from my husband to go to the surgery room. I will be the first to tell you that it's the fear of the unknown and the unknown is not as bad as you fear. Don't get me wrong it's a tough one but it's completely doable. Take your meds around the clock and stay on top of the pain and you will be just fine. (((HUGS)))! 

  • momaton
    momaton Member Posts: 780
    edited January 2014

    thank you hoping 42 and mimi32

    it is hard for me to be a mess....... oh and yes, I am so going to cry when I have to leave my husband....  big wuss there...

    you both are so new to this thank you sooo much

    may I ask why you opted for BMX with DCIS....I did because I did not want rads and chemo. AND I did not want to go through this again if can help it.

    hugs

  • budrfligal13
    budrfligal13 Member Posts: 110
    edited January 2014
    Hi Eve. I know all too well about your hesitation. I kind of resembled the dog that just won't get in the back seat because he knows he is going to the Vet. HA! I literally wanted to back out of it that morning. But I was lucky to have family and loved ones there. My oldest sister was at the hospital before I was.


    I had BMX on Nov.18th so I am still fresh out and presently getting filled. I guarantee that you are not alone in already having implants. I had to lose my nips, so I think you are lucky in that dept. In the event that there is a tear, can't you get new implants at the same time? Or Tissue Expanders, then implants? I know you are nervous. I hope you know that you are in the very best of care throughout the whole thing. (and plenty of really good pain meds)
    Honestly, from my experience, I was very relieved when it was over. Although it wasn't comfortable, I felt like a weight had been lifted. I finally got to that point where I was over the hump. Chemo was done, surgery was done, and I felt like I was finally going over the point on that long anticipated hike up the roller coaster.

    I'm still working on this......but worrying is just a waste of energy. Besides, you want that nasty cancer b_t_h out!

    You will be prayed for, my dear. You will come out on top when it's all over! I won't say "Good Luck" because you won't need it. You'll be A-Okay, my dear.

    Best wishes and stay on the boards if you like. I keep the page open in my browser all the time, lol.

    Best wishes and I'll personally keep you in my thoughts. PM me if you want. That browser is open too :)

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited January 2014

    momaton - You asked why...  I was
    diagnosed in early July 2013 with DCIS and when they went in to do a left
    breast excision three weeks later, they found I had LCIS as well.  As I am
    a DES daughter and have suffered with a severe case fibrocystic breast disease
    for over twenty years, the choice to have a BMX was a no brainer -
    no more pain, no more cysts, no more mammograms, no chemo, no radiation, and no more cancer hanging over my head.  (My mother died of a very aggressive form of BC within five months of her diagnosis; so when they found the DCIS and LCIS in me, it didn't come as a huge surprise.  Unfortunately it runs in both sides of my family.)  BMX was MY choice and I am completely at peace with it even now.  As many have said before, I felt a huge sense of relief when it was over and I would do the same thing again in a New York minute.

    I also had nipple sparing but almost wish that I hadn't.  (But no implants until now.)  I just had exchange surgery a little less than three weeks ago (the day after Christmas) and now as they settle, my nipples are all lopsided and point in two different directions - one to the left and one down - go ahead and laugh, it will do you some good.  It's a pretty funny visual that I'm hoping will correct itself as the new girls drop.  Had I lost my nipples, and many have, I would call Vinnie Myers ASAP and have him work his tattoo magic.  This man is a genius as evidenced by his work that you can see here:  http://vinniemyers.com/section/105672_Nipple_Areola_Tattooing.html



    I wish you
    nothing but the best of outcomes on Friday and each day does
    get better, believe me...  Let us know how you are as soon as you're able!

     

  • momaton
    momaton Member Posts: 780
    edited January 2014

    thanks ladies,

    I am a little less jittery today.

    wow! just checked out Vinnie's portfolio. Amazing tats. We are a varied bunch aren't we.

    Love the analogy of a dog going to the vet..My 11 month old border collie loves the vet...probably because she gets cookies. Hmmmm maybe my BS will have a couple waiting for me.You made me laugh ladies, Yes...I will be AOK.

    off to fold laundry...puppy is napping so perhaps I can avoid chasing her around after she steals the underware.

    love,

    Eve

  • hoping42
    hoping42 Member Posts: 117
    edited January 2014

    Hi there momaton!  You ask why I chose a bmx. Well, it was more out of necessity really.  I was diagnosed with high grade dcis.  The surgeon was pretty certain he could get clean margins even though a large chunk would have to be removed.  I was large breasted so he said he might be able to get a good cosmetic result.I had a breast mri prior to surgery and all info seemed to be leading to this being the right course of action.  I had a wire guided lumpectomy with a SNB on February 5th of last year. I did ask for them to do a punch test of my left nipple when I was out for the lumpectomy.  Something was just not sitting right with me.  I had some itching, burning, irritation for about a month and a half before my screening, annual mammogram.  I called my GYN, who said to try a cortisone cream and to call if it did not get better.  It did seem to get a bit better with the cream.  Well, when the microcalcifications were found in the same breast as the itching.  I really panicked.  Although NO ONE thought there was more going on.  Not the surgeon, not the radiologist, not the breast health nurses, not my surgeon.  I just knew. I kept asking about it.  But I will say they did listen to me and the surgeon agreed to do a punch test when I was under.  I was hoping that if the lumpectomy got clear margins and no trouble on the nipple was found--I would be okay--physically and mentally.  Anyway, the final pathology from the lumpectomy showed Paget's disease of the nipple.  Thankfully no invasion was found, SNB was clear.   The surgeon and others really were surprised.  Pagets is rare and they have only seen it once (surgeon) four times (breast health nurses).  Mine was not presenting the way they were accustomed to.  I am not angry, just glad I was an advocate for myself.  Kind of difficult to swallow that I could have avoided one surgery, but I know they acted in my best interest. Paget's required I had my breast removed.  I opted for a bmx.  (February 21st-16 days later)  My mom is a survivor, age 65 at diagnosis, doing GREAT today.  I just knew I would worry.  Worry being an understatement.  

    I was er- pr- so Tamoxifen is of no benefit.  I was tested for Her2 which was +++. but irrelevant for DCIS--even with Pagets.  I had another lymph node removed as it was a bit swollen at the time of bmx.  Surgeon thought it was due to drainage from lumpectomy.  But erred on the side  of caution.  Yeah, my husband, surgeon and mom kept that little tidbit from me until final path was clear.  I get it though.  Mentally I was a mess.  I worked (teacher) to the best of my ability, but cried A LOT when the kids were not in the room (2nd grade).  I cried at home, couldn't eat, couldn't sleep.  Stuck really.  

    Fast Forward, doing great today!  Next month will mark a year from my surgeries.   It seems so long ago, and  yet like yesterday.  I had never had any surgeries before.  Then whammo!  At 42, I had 4.  The latter two recon. surgeries.  DEFINITELY not a picnic, but I am no considered disease free!!!!!!!!!!

    I know you are scared.  I know the emotions are all over the place.  I know it is something you try to explain, but can't.  As some things have no real words.

    I am thinking of you and sending lots of hugs and positive thoughts!!!!!!!!!!!  Ask for and accept help during your recovery.  That's hard sometimes.  PM me if I can answer anything else for you!

    So many on this board helped me in ways, I don't think they even know.

    Blessings and take good care!!!

    xo Danielle

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited January 2014

    Bump!  Anyone out there who already had implants before BMX?  THANKS!

  • momaton
    momaton Member Posts: 780
    edited January 2014

    Well here we are,

    planned upon a girly girl day today with my best friend.

     Received a call from the hospital that I needed to come in and have pre-op tests. WTF

    So off we go.  Actually was a good thing in that I had a lot of questions answered.

    I feel a lot less nervous than I did yesterday.

    However, and thanks hoping 42, I was not going to sign off on the surgery layout...for lack of a better description.

    SNB was ok...but just having a simple double mastectomy was not. There are just too many variables for me to NOT talking to my BS in detail first. So before the surgery tomorrow I will clarify some questions I have. I probably would not have done that if I hadn't  gotten feed back from you ladies first.

    By the way my BFF brought me 3 pairs of button up yummy jammies......wow.... wow...nice to be loved.

    So my dear, dear friends..thank you for your help and love.

    Talk to you on the other side.

    peace,

    Eve

  • 1toughmomma
    1toughmomma Member Posts: 87
    edited January 2014

    Thoughts and prayers with you !

  • momaton
    momaton Member Posts: 780
    edited January 2014

    I'm back home! Saturday the 18th. at 2pm

    Hey all got home an hour ago. Do you believe it!!!!? Feeling great, just a little sore when I reach up . If I do it slowly it's ok.

    I am taking Percocet ...no big deal.

    My nipples are intact and so are my old implants.....yippee.

    I am of course smaller but perky again. Boy did I luck out. The SNB plus one node came back clean...now waiting on pathology.

    Surgery took 5 hours...a lot longer than expected, but my BS said she was very meticulous and took a lot of time adjusting my boobs.

    I will tell you I was scared to death.....but once I woke up I was fine. Everyone totally pampered me....sweet.

    Thanks for all your thoughts and prayers.

    Eve

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited January 2014

    Eve - So glad you're home and happy!  Great news!  Please let us know how you're doing and as hard as it may be, don't try to do too much too fast and rest as much as you can.  Good luck and I'm so happy you got to keep the nipples and the implants like you wanted to! 

  • percy4
    percy4 Member Posts: 477
    edited January 2014

    I am SO happy for you, Sweetie.  When the numb wears off, there could be ups and downs.  Though it sounds GREAT so far. Don't hesitiate to describe your feelings in detail here.  I don't have exactly the same situation, but we are all together, here.  This forum has saved my life.  Drink water, take precautions about possible constipation from pain meds (stool softeners, stewed prunes, etc), and feel LOVED! - Percy xx

  • hoping42
    hoping42 Member Posts: 117
    edited January 2014

    So glad to hear, Eve!!!  Better and better each day!

    xo Danielle

  • momaton
    momaton Member Posts: 780
    edited January 2014

    Hi all,

    percy..you are so right about ups and downs, I felt a bit yukky yesterday morning and again today. As the day goes on I feel better...just tired I guess.

    BS called a little while ago with the path report .

    ALL 7 areas of DCIS turned out to be invasive....I am sooooo glad I did the BMX.

    Good news is that it is still considered stage 1. and I am er+. 0/2 nodes

    When I go in to get the drains out we will discuss further treatment. BS will get the onconotype (sp) done. I am so hoping to avoid chemo decision.  Not going to worry about it now.

    So 5 days post op...practically pain free, anf felling good.

    love and hugs

    Eve

  • Dancermom1999
    Dancermom1999 Member Posts: 122
    edited January 2014

    momaton: did your BS say the size of the largest of the 7 tumors.  I met with my BS and MO yesterday and my largest was 2.6mm - too small for onco - my MO said chemo is not recommended based on the size.  NCCN guidelines is anything under 5mm they do not give chemo - I will be on tamoxifin for the 5 years.

  • AZ85048
    AZ85048 Member Posts: 2,613
    edited January 2014

    Eve - You're going to be just fine.  I'm so glad you're on the other side of the BMX.  Every day will get a little better, trust me; especially once you get those pesky drains out!  Rest as much as you can and sleep when you need to.  Your body will let you know what it needs.  Give yourself plenty of time to heal and don't
    push yourself physically as so many of us are prone to do.  ;-)  That will pay
    off in the long run.  Please keep us posted on your progress.  Sending positive thoughts your way!

  • momaton
    momaton Member Posts: 780
    edited January 2014

    Hi Dancermom,

    the largest was just under 1cmx1cm keeping stage at 1. so hopefully no chemo however I think that will be based on oncotype.  I've just been reading the hormonal therapy threads....not sure I am thrilled about that possibility either. I think everything will be based on risks of possibility of mets and this stupid BC coming back.

    So freaking tired of thinking about this stuff.

    love and hugs,

    Eve

  • momaton
    momaton Member Posts: 780
    edited January 2014

    Thanks AZ,

    forgot to say..I CAN TAKE A SHOWER!!!!!!!!! WHOO HOO!!!!

  • Dancermom1999
    Dancermom1999 Member Posts: 122
    edited January 2014

    Hi Eve:

    I know..my MO said to try it for a month and we shall see how I tolerate the tamoxifin.  I am going to be speaking with my doctor about having my ovaries removed.  Anything I can do to avoid this coming back.  All the best and we shall think only positive news on your onco score.

    Love, Kathy

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