DIEP 2014

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  • aemcat313
    aemcat313 Member Posts: 20
    edited January 2014

    hi Diepers,

    Checking in 8 days post op. Sympathizing with all the complaints and frustrations voiced by the other recent patients! Is anyone else's butt getting sore from sitting all the time?? Trying to figure out my top complaint, but seems to constantly shift. The bizarre tight numbish feeling below my sternum to my abdominal incision and about 4 inches wide is driving me nuts,hate hate, hate! Feels like I have duct tape on and I just want to riiiiippp it off.

    Went yesterday to PS office so they could take a look at how it is doing, and to massage the breast and under arm area to break Up stuff? And improve drainage. Haven't heard anyone mention this before but I assume its normal. Yow, some of it hurt like hell, burning sensation,but big relief hours later after after lots of drainage. But then it just got all swollen again, oh well.

    hope all is well with everyone else going thru this!

  • Beebop
    Beebop Member Posts: 206
    edited January 2014

    Having a rough go of it this week.  Feel crappy, have a cough and this morning when I took my tape off (ps has me taping the incisions because he says it helps them look better when they heal) I found 4 spots that are oozing and opening up.   I called the ps office, he is in Peru, but they got a message to him and he called me back.  He said it is normal for this to happen and not to worry, he will check it out next week when I see him.  Does that sound right?

  • jmb5
    jmb5 Member Posts: 532
    edited January 2014

    Well  trying not to freak out. I called my BS today to see if they got the pathology report. She just called and said she has it but would prefer to go over it at my appt next Tuesday. I asked if she could just tell me if anything was invasive or was it all DCIS. She said it was all DCIS in the left breast but they did find cancer in the right "healthy" side. She said it is Paget's Disease and that it was only on the nipple. Nothing invasive in either breast. She said she would explain all of it to me on Tuesday. I also asked her about the hardness on the left breast near the armpit and she said both breasts should be nice and soft. I really don't think either of my breasts are nice and soft. They feel like they did when I was nursing my babies and were full of milk. Very full and harder. Can anyone relate to this or ease my mind? Did any of you have some harder or fuller feeling areas? Basically she said the only option I have to be seen this weekend is an emergency room. Also, what about the Paget's disease? I'm thinking there will need to be clean margins where they removed the nipple and will they recommend radiation? Can you radiate a flap? 

  • LucyV
    LucyV Member Posts: 177
    edited January 2014

    Donna- two more drains to go! That bloated/swollen feeling will subside with time.

    Jmb- great news on the BM. I had no appetite post op for maybe four weeks ( that isn't these case anymore ;) but I ate small things throughout the day. A hard boiled egg....a Greek yogurt...a kind bar...peanut butter on a rice cake. Hope your PS got back to you. Hope you feel better. It does feel like a slow process in the beginning,

    Beebop- Peru! Well that's good that he still is on call! I would think putting tape on and taking it off everyday would disrupt the healing on the incision?! Are you still on antibiotic?

    Aemcat- hi! It's hard to distract yourself from some of those weird feelings sometimes! I would sometimes try to take my bra off and realize I didn't have it on! 

  • LucyV
    LucyV Member Posts: 177
    edited January 2014

    jmb- we crossed posted. Don't Drs know we need answers now. It's to stressful for you to wait til Tuesday! Does she think you should go to the ER to see her or the PS? I would not say that my breasts were nice and soft right away. That took a few weeks. They were fuller and more swollen in the beginning kinda like you said when you are nursing. I know it's almost impossible but try not to worry.

  • Beebop
    Beebop Member Posts: 206
    edited January 2014

    jmb - my radiated breast is harder than the other one, its been like that since surgery so I have not worried about it.   I think I will ask him about it next week.

    Lucy- yep, still on the antibiotics.  Yeah, I thought it was great he called from Peru and within 30 min of my call to his office.  I love him!

  • jmb5
    jmb5 Member Posts: 532
    edited January 2014

    Thanks, Lucy. My PS's physicians assistant should call me back when they're out of surgery so hopefully she can explain the hardness at the top of the breast near the armpit. It's sore there too so I'm just a little worried. 

  • Kat-ski
    Kat-ski Member Posts: 212
    edited January 2014

    Feb. 1st!!  Counting down the days to the 24th!!  PRMA sent me their "bill" yesterday and that has to be paid on the pre-op consult on Feb. 5th.  I am ready to get this all done.

    Now, that a couple of weeks have gone by, I have gone through my other dad's things.  I have added things to our house.  It will be comfort to have some of his things.  My own mom is getting ready to move in with my sister in April.  I will have to make more adjustments and hopefully, my girls will want some of my things they grew up with.  It is crazy going through setting up reconstruction while dealing with aging parents but "Life does go on".

    PRMA has set me up with a BC nurse navigator at the Methodist Hospital in San Antonio.  The nurse has called me a couple of times this week.  She is working on getting me a binder that will not be "horrible" with my sensitive skin. I plan on using 100% cotton shirts cut up to go underneath.  After having my skin break open from radiation in March, I do not want to deal with any skin irritation.  It will be what it will be I guess.  It is quite a relief to know I will have someone at the hospital working with me. 

    Packing for the flight has overwhelmed me.  I am trying to pack clothes for the two week recovery in the hotel. 

  • kelleyb
    kelleyb Member Posts: 94
    edited January 2014

    Curly, you are beautiful.  Jmb sorry about the results and having to wait. My left breast has some areas of firmness at the top too.

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

    Jmb I had a hard spot in the same spot. They weren't sure what it was at first but weren't concerned. They said a hematoma or fat necrosis. It turned out to be fat necrosis in the end. It was the size and shape of a golfball at first and then over time sort of flattened out and became more like the shape and size of an old flip phone. The joke was the ps left her cell phone in there ;) and yes, mine hurt, too, unfortunately. They took it out in stage II. I hope yours is not anything serious.

  • kelleyb
    kelleyb Member Posts: 94
    edited February 2014

    Bee sorry you're feeling crummy 

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

    Bee....several of us have had little areas open up. My ps had me doing the same thing with the tape. But I stopped when I started opening up ....I don't do well with tape anyway. Are they deep or more superficial? I have 5 little spots that have done the same thing after stage II. All are in the radiated side scar. I react to neosporin too....do you have those sorts of allergies or sensitive skin?

    I went to a seminar on scarring this week at a local compounding pharmacy. I have an appointment with the compounding pharmacist next week. He thinks he can compound something to heal up my little open spots, something else to reduce my scarring and stretch marks on my noob and possibly something that could relieve pain in my radiated tissue.....hell, I'd be thrilled if he could do one of those things... all three and I'll be turning cartwheels!

    I will definitely keep you all posted. 

    Headed to a hot stone massage.....life is good. 

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

    aemcat... I have never heard of massage on DIEP breasts. My PS tells patients to leave them alone so as not to disrupt the connections. I can see massaging after 2-3 months, but not 8 days. So be careful.

    Beebop... it really isn't normal to have the incision open up. It happens, but it isn't normal.

  • Curlylocks
    Curlylocks Member Posts: 1,060
    edited February 2014

    I ordered all my "head gear" in anticipation of the dreaded by safesaver" in_rurl="http://i.txtsrving.info/click?v=Q0E6NDczNTA6MTMwNDpoYWlyIGxvc3M6MTVjNDJiZGY5NjNhMjkyZmYzNGFhNDNiNWJhODUyZmE6ei0xNTQ2LTI4NzYwOTpjb21tdW5pdHkuYnJlYXN0Y2FuY2VyLm9yZzoxMTY3NjM6MDpiYmEzNmQ1ODk0MWQ0Mzg2YTM2ZTE2ZTE2ZTc1OWUxYw" id="_GPLITA_10" href="#">hair lossimage.  It is scheduled to arrive on Monday.  I am sure I will be a teary eyed mess trying them on.

    The hospital notified me of all of my appointments for next week - Bone scan with dye at 9:00 am., pic line insertion at 9:30 am., CT scan at 10:30 am.  on Wed, Feb 5/14.  They said I will be there for several hours with the bone scan, I think you have to wait 3-4 hours for the dye to by safesaver" in_rurl="http://i.txtsrving.info/click?v=Q0E6MzE0NzI6MTIyMDp3b3JrOjdkMWY3YTM2ZmVhY2RlMjViOWZlMzk0OGM2M2QyMTRkOnotMTU0Ni0yODc2MDk6Y29tbXVuaXR5LmJyZWFzdGNhbmNlci5vcmc6Mjk3MjU6MDhmZmQ5ODc4OGVjMjZjYWIzMWUwODdmYWUzYjgyMzQ6YTVlZGM5ZDMzODU5NDIyYmE2ZWVlZTQ2NTYzNWFkYjI" id="_GPLITA_9" href="#">workimage it's way through your body.  CT scan is also going to take awhile.  Chemo teaching class on Thurs Feb 6/14.

    Chemo is at 9:00 am. on Feb 11/14.

    Jmb - DIEP breasts are not soft to the touch for awhile after surgery.  I felt like my boobs were clay mounds attached to my chest for the first 5 weeks.  They are starting to feel a little more normal, the right breast (non cancer breast) is more soft to the touch compared to my radiated breast.  

    I would be pissed if I had asked the BS about the pathlogy and they only told you half the story.  If they were adamant in not sharing anything, they should have told you so and said they would explain everything when they saw you on Tuesday.  I am sorry that they found something in the healthy breast.  I dont know alot about Paget's disease.

    Kellyb - awe thanks:)

    Katski - you got this girl!

    Beebop - I had a few very tiny areas that were nooptimally open skin covered the underlying area but more of a little idented area on the ab scar line on the one side.  Wound clinic had me put this gel stuff on it and a bandage...changed every day, each one cleared up within a week, there was never any large drainage coming out just a tiny speck on the bandage.  I will be 7 weeks out on Monday.

    amecat - LOL, my butt felt numb at times but you really need to take it easy for the first three weeks or so and allow yourself to heal.  Its tough not doing anything but it allows for fewer complications.  I have now gone for a few nice walks, it was so refreshing:)

    Hope you ladies have an awesome weekend!  I am so tired of snow and winter...more snow fore casted for tomorrow:(

    Michele

  • aemcat313
    aemcat313 Member Posts: 20
    edited February 2014

    bdavis, just to provide more info, the NP at the PS does the 'massaging' and now that I think of it, it mostly was concentrated under my arm, not as much on the breast. But I'll ask them about what you said, about disrupting the connections. I assume they are avoiding the area. But glad you mentioned it, I'll certainly keep my hands off!

    New problem, burning sensation around the right abdominal drain area. I was occasionally getting quick pain stabs there when I moved, but now a constant burning. And too late to call them. I may have done a stupid thing,  I put neosporine on the incision (they said to use polysporin but we forgot to pick it up) and that is fine, but I thought I could also put it on the drain sites. Maybe a baD idea? Not sure that's even the reason. Never had a problem with it before. Hopefully this pain will disappear.

  • Kat-ski
    Kat-ski Member Posts: 212
    edited February 2014

    This is for my Canadian Sisters!!  I fund-raised and walk in 2005 and 2006 to give back!!  Take a lookie at my donation jar!!  Men loved it!!

    image

  • Beebop
    Beebop Member Posts: 206
    edited February 2014

    Bailey-I don't usually have skin issues, so not sure about that.  I am going to leave the tape off, at least until I see him.  And they are not draining much, just a small dot on the bandaid like you had.

    I would love to hear about your results with the compound cream.  I have nerve pain on my radiated side and need to figure out what I can do that does not involve taking more drugs.

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

    aemcat.... My PS actually has his patients put neosporin on the drain site, but not on the incision. Ointment on the incision will keep it moist and it may not heal properly. I was putting ointment on some blistered skin on my breast and some was getting on the incision. When the glue came off at two weeks, the incision opened up cause it didn't heal right. Big mess. The whole breast started melting out the incision, and I needed a debridement and do-over DIEP flap.

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

    I will definitely share my experience with the compounding pharmacist, Bee! Whether it works for me or not, might work for somebody else. I'm kind of excited.....I hope I'm not counting my chickens before they hatch! He was so confident that he could help with at least some of the nerve pain that it's hard not to feel excited.

    Jmb praying for you!

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

    curly....you are as "on top" of all this as anyone could be. We're all thinking of you, "huggling" to support you as best we can. Do you have an idea yet of when chemo will end? 

    Is neosporin similar to polysporin??? I'm not sure if they are similar, (likely they are).  I have had LOTS of incisions with sutures for various reasons, and always have been instructed to put polysporin on the sites for 3 days after removing the initial bandaging. Then, the instructions are to stop using the ointment, as it can apparently "weaken" healing incisions. If steristrips were used, however, then it is a "no ointment" protocol. If it was something with more "depth", like a punch biopsy, then the rule has always been to use polysporin until it's healed. I guess it's the difference between "healing edges together", and "healing from the bottom-up. Don't have any idea what the norm is for incisions that are glued, but, as always, follow your own surgeons instructions, and they DO vary.

    bailey....would love to hear the feedback re: the compound cream! sounds interesting!!!

  • Donna2012
    Donna2012 Member Posts: 201
    edited February 2014

    I am putting bacitracin on all incisions (and drain holes) 2x per day.  Everything looks good & is healing well.  I have not had anything -  bandages, steri strips or glue on the incisions.  I was told all of my sutures are dissolvable & internal - not quite sure how the top layer of skin is being held together, since no sutures are visible!  

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

    Neosporin is similar to Polysporin, but it has neomycin in it, which can be a problem for a lot of people.  It's easy to become allergic to the neomycin and develop a skin reaction.  When I worked in the ED (a million years ago) we always recommended Polysporin just for that reason.  

    I'm starting to see commercials on the TV for people to join the Breast Cancer walk in September--is it Komen or Avon?  Anyway, it shows a young mother walking, and she says, "When I walk, I remember my mother's smile."  And it makes me so sad.  Damn cancer.

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

    sbe.....I get hives from neomycin..not fun. 

    Already with the "walks" ads???? I can never see those kind of ads/reminders without feeling sadness.

  • jmb5
    jmb5 Member Posts: 532
    edited February 2014

    I finally went through my private messages and added some new girls to the surgery list. Please let me know if I made any mistakes or need to change anything. 

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited February 2014

    Sbel, the Komen 3-day walk is usually in September. I know one lady who died of cancer this week, another friend's bestie died of fbc. Hate it, hate it, hate it! It's important to remember we each have our own story in life. 

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

    I imagine they are advertising the three day walks now so that people have time to build teams and train before the walks later in the year. I have a friend who did the Avon three day a few years ago and she said it was very hard but very inspirational.

  • Curlylocks
    Curlylocks Member Posts: 1,060
    edited February 2014

    I did the 60km Weekend to End Women's Cancers in September last year.  It was extremely tough, I didnt have much training as I signed up in late July.  It was very moving and inspirational.

    They have already started advertising for this one here as you have to raise a minimum of $2,000 for the 2 day walk and $1,250 for the one day.

    Michele

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited February 2014

    My daughter walked in the Komen 3 day in 2012. She is an athlete, on two soccer teams, bikes, works out. However, she didn't train by walking long distances and was hobbled with tape all over her legs by the second day. She did what she could but couldn't walk the whole thing. She said it was a very inspirational experience (she walked with her best friend and a team that had bc survivors on it) but not one she would do again! We spent a whole afternoon cheering her and the other walkers on at one of the refreshment stops. It meant a lot to me, especially seeing elderly women cranking along, trying to do something to fight this horrible disease.  By the way, I don't really like to refer to myself as a bc survivor when talking about FBC. Do you have any other descriptors for yourself? I have said warrior, but I don't like the implied idea that there are " losers" in this thing. Nobody who has ever had FBC is a loser. It's been a year today that I finished chemo. That's something even if I don't know what to call it. I don't think I'll celebrate any of these milestones, although today comes close. I can't bring myself to celebrate the day of my bmx when my breasts were whacked off....I'm going to sign up for the 5K walk in the Race for a Cure. I enjoyed meeting other bc women there in 2012. There is a Survivors Parade which sounds awful but you're grouped by diagnosis dates and get to compare notes with others at similar stages of recovery. I promise not to flash anyone.....

  • aemcat313
    aemcat313 Member Posts: 20
    edited February 2014

    lucyv - lol !

    Bdavis - yikes scary story about the neosporin / need for redo! Sorry you had to go thru that.

    And nihahi - thanks for the info on your experience with incision care , glad I'm not a Dr ,I'd never keep it all straight.

    Decided I'd stop with the neopsporin until I can get more clarification from them on Monday.

    As it turns out I had that burning for a few hour, then called my sister in law (she's an OB/GYN) and asked about it. She thought it was probably fine, maybe the drain moved a bit and is hitting a nerve that before was only  occasionally getting hit, for example. I decided I'd call in the am if still a problem. Well, wouldn't you know, just as I got off the phone with her, the pain just disappeared! !!   I think i'll be calling her if have any other big pain problems show up. ;-)

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

    I have done the Avon Walk in NYC for the last three years (raised 7k last year), but may take next year off... My team was started by my dear friend 13 years ago, but she now suffers from Brain cancer and couldn't do the walk last October. I just don't think I can do another one without her there. Even though her sister was there and many of her friends, it just wasn't the same.

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