DIEP 2013

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  • RHGSR
    RHGSR Member Posts: 774
    edited February 2014

    hi ladies. Just checking in. Hope you are all doing well. I'm sitting in the chair for. # 3 of 4 AC infusions. Then will start Taxol after that. Miss all of you. This was the first board I joined so y'all are like family. Hoping to get to my phase 2 by the end of the summer.  

    Holli

  • lahela
    lahela Member Posts: 515
    edited February 2014

    Great to hear from you Holli! I hope those shoes are doing their job! {{{hugs}}}

  • Tarot
    Tarot Member Posts: 41
    edited February 2014

    Oh Janet....your post was just what I needed...thank you

  • Tarot
    Tarot Member Posts: 41
    edited February 2014

    Jeannie, my mom cancelled a vacation because of my cancer! I didn't ask her to come stay with me, 5 states away, or visit or anything else. I don't even know my treatment plan or schedule.She wants me to return to my home state for treatment, and my aunt even emailed with the same request. I don't want to leave my house, long-term boyfriend, pets, etc, for months, let alone all the insurance nightmares and doctor changes that would go along with such a decision I m angry that I am in the position of feeling pressured and guilty. I do better by myself or with one rare person near me to help when I really need it. I wont call her because I WILL hang up and it will cause trouble for years. And I HATE being the subject of her work "conversations" (gossip).....

    End of rant. Thank you for your attention.

    ;)

  • RHGSR
    RHGSR Member Posts: 774
    edited February 2014

    thank you Lahela!!

    Wearing those shoes to chemo and later to rads. I'm hoping to have a ceremonial burning of them at the end of all of this. :0)

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

    Lol  Rhgsr....I wanted to burn lots of carp too, but DH said there was too much plastic and other man made materials in my pile....he thought the fumes would likely give me cancer.

    I've been really busy lately but still reading and mentally sending out prayers and hugs as necessary :)

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

    Pre-op finished.  Everything is okay.  There are plans in place but the one I don't like is if they can't do a diep on the right side, they want to do a ld implant.  This is the main reason I want a tissue to tissue procedure is to avoid strange materials in my skin.  I had the tissue expanders but the had to come out due to infections so why do an implant knowing my skin would reject it.  It would put me through more surgery and mental angquish.  Any reasoning or thoughts on this?

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

    ridley.....sounds like you had a great appt! Good to hear that no "plot twists" have popped up on you.

    sweet....I think you're doing awesome...you've had a tough go on many fronts. Hope your sister is made of the same strong stuff that you are. 

    RHG...so great to hear from you too! 3 down, one to go.......those shoes are getting you down the road!

    kat..glad to hear things went well at the pre-op, except for the "plan b" scenario. Hopefully you questioned them in detail about the whats, whys, etc. Although a ld flap isn't a "desired" alternative, an implant in conjunction with a flap, is a very different scenario from a tissue expander/permanent implant situation. If for some reason that is your outcome, it's possible you wouldn't be as reactive to the implant this time. Hopefully things will go Plan A all the way.

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

    Tarot, I'm sorry. Sometimes people don't stop to think how what they are saying or suggesting will make us feel, that's for sure. In my mom's case, she is lonely and she misses me. She is in CA, I am in WA.  We were not close when I was growing up. When I was in my forties and she was retired, she showed more interest and wanted a closer relationship. Better late than never!

    RHGSR, good to see you here!  I don't blame you for wanting to burn those cute shoes eventually! I purged a lot of things when I was done.

    Teacher, welcome here! DIEP is a marathon, not a sprint. Your PS's guidelines are the best. Listen to your body and don't push it too far, too fast. Good nutrition, rest, and short, frequent walks are the recovery tools I used. That and patience! Lots and lots of patience!

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

    oops, Teacher is on the 2014 thread. Aaaaaargh!

  • FierceBluebird
    FierceBluebird Member Posts: 758
    edited February 2014

    Holli!!!! One left!!! You can do this!  Taxol is much easier than that damn red devil. 

    Kat, they can't always predict if the blood vessels are going to work well. Better to have a backup plan if there is any doubt, in my opinion.  I also didn't want to live with an artificial implant, but I'd happy to have one now.  Now I'll have both.

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Hi guys

    Hope everybody is doing pretty good today. 

    I have a question.  For those of you that had any nodes removed, do you all wear a compression sleeve when flying?  I hear flying is the worst.

  • Janet_M
    Janet_M Member Posts: 1,068
    edited February 2014

    Good Morning Goldie - 

    I hade 18 nodes removed, and I only wear a compression sleeve because of lymphodema in my right hand/arm. My longest flights were four hours, and flying for me is painless.  But just to be afe, and because of my LE, I would periodically keep my arm raised, and rest it on the head -rest. Sometimes I would also raise it with a little plastic glass of wine. Much more fun. 

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Thanks, Janet.  So, if I understand you correctly you wear your sleeve all the time, even when flying?  I like the "wine" elevation technique.  Works for me.

  • Janet_M
    Janet_M Member Posts: 1,068
    edited February 2014

    I am supposed to wear my sleeve all the time, but I don't. However, I always wear my glove. And there were a few short (two hour) flights last fall when I forgot to wear my sleeve, and I was fine. But like I said, I occasionally keep it  elevated and do a little forearm and hand massage. But my techniques are my own - they weren't suggested by any doctors, so I don't want to lead you astray. The elevation is because of my LE, and the prevention of fluid pooling in my hand. 

    I hope you're going somewhere fun!

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Thanks, Janet.  Unfortunately, not fun. My BIL had a stroke, and they are planning on putting in a nursing home because his kids can't care for him at home. It's all so sad.  He was too young for this to happen to him.  Anyway, my husband and I want to go see him soon.  Probably when the "polar vortex" leaves us all alone. LOL. 

    I am sorry you have issues with lymphedema. Did It happen immediately after surgery, or come on later?  I have been doing some reading on it, and am learning more than I knew before, like the flying and compression.

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

    Goldie....the LE specialists I see say all women who have had nodes removed should wear a sleeve and glove or gauntlet when flying to prevent the onset of LE even if you've never had an issue....even if your node removal was a hundred years ago. I don't know if they are "cutting edge" or "lunatic fringe"......lol....but I wear my sleeve and gauntlet or glove when flying and when working out. Compression bra for trucal LE most days.

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

    And I am so sorry to hear about your BIL. Prayers for you and your family.

  • lahela
    lahela Member Posts: 515
    edited February 2014

    I hadn't thought about wearing a sleeve when flying - I only had one node removed. Should I be more diligent? I never let them stick that arm or do BP on it...

    Saw the PS - the ultrasound showed that the long abdominal muscle they dissected to access the artery has split in a couple of places, but it's minor and they aren't worried. It'll heal, I just need to take it easy. And avoid coughing!

    Goldie, sorry you are going through even more stuff. It's just not fair!

  • Morningsun1
    Morningsun1 Member Posts: 649
    edited February 2014

    Anyone had Keloids or Hypertrophic Scars treated? I am having mine tummy scar revised on Tuesday and PS talked about having steroids injection after surgery as aggressive way to treat it. Anyone had experience with that?

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited February 2014

    my BS was also one that didn't think LE was a big deal so I allowed her nurse to take my blood pressure on my node side. It was excruciating and took 2 weeks for the swelling to subside. Never again. I have minor LE and wear my sleeve when working out and definitely when flying. I will need a better glove for next time cuz my hand swelled a lot. I'm a firm believer in an ounce of prevention is worth a pound of cure. Don't get LE. It sucks!! Also, for those of you who need sleeves, the Affordable Care Act allows for 1 sleeve a year (I think might be 6 mos) to be covered by insurance. Progress...

  • Ashira
    Ashira Member Posts: 161
    edited February 2014

    I just received my pre-op packet which lists my protein requirements pre surgery. By my calculations, they want me to be eating 145 grams of protein daily. I weigh 155 lbs. can that possibly be right?  Maybe I'm calculating wrong? Did you receive the same instruction? 

  • MartyJ
    MartyJ Member Posts: 1,859
    edited February 2014

    Ashira, that protein sounds like a lot.  Most docs don't give protein instructions, though it is essential to good healing.  I think I tried to get about 100 grams just before surgery.  What formula did dr. K give you?

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

    Tammy....cortisone is sometimes injected into significant keloid scars as a means of reducing them. Keloids are a very different type of scar formation than normal or even hypertrophic scars. 

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Tammy, my son had a steroid shot into a scar once, and it helped a bit.  You know the ones so many guys get across their eyebrows from playing sport.  Yep.  He got one.

    Thank for the heads up on the lymphedema sleeve for flying.  Do I need to get fitted for it? 

    Dvygirl, I bought and take with me to very doc appt I go to my own blood pressure cuff that goes around the wrist.  I read  about them on the lymphedema thread on this website.  It is small, and I can through it in my purse.  Absolutely no pressure on your lymphnodes there.  Doesn't feel much tighter than a sweat band when it tightens up.

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

    As some of you know, I have bilateral lymphedema (in both arms). I was seeing an LE specialist for education on it before it showed up. She started measuring my arms and they were getting a little bigger each time. My rad onc wrote the rx to see her but my MO said she would write one anytime. I was told from the get-go by my bs to always wear a sleeve/sleeves when flying. We weren't too worried about the non-cancerous side that had 5 SNB removed but it swelled first after I had a skin lesion removed. Any injury, even a hangnail, can cause swelling because the lymph nodes are missing  to filter the lymph fluid/bacteria and the lymph fluid is protein rich and ripe for infections like cellulitis. LE is nothing to fool around with. There is no proven cure, it is a lifelong condition and if you've had any lymph nodes removed you have a lifetime risk. I know of a bco girl who got LE after ONE node was removed. There are several LE threads on bco. In my experience, many doctors and nurses are uneducated on lymphedema. Deb, I would put your MO in that category. I remember a group of nurses approached me after my DIEP surgery to ask a lot of questions about it. They knew nothing and this is a well-regarded university/cancer research hospital.  I'm glad they asked but it frustrated me that they didn't know anything! Getting BP/blood draws/IVs is a source of great anxiety for me. I have to have blood draws in my feet which some people just can't do. Ouch. IVs have been done in my neck which only doctors can do. I have to make sure there is someone who can do those things before any appt. requiring them.  BP is taken on my leg. It is all a BIG hassle. I wear sleeves/gauntlets every day, all day. You can buy them OTC yourself but if you have an LE fitter order them, they can bill your insurance. Lymphedivas, for example, doesn't bill insurance. My LE gal  goes through a store that sells/orders compression and they bill insurance. I also have heavy-duty custom-fitted sleeves/gauntlets that I wear when flying or if I notice my arms are swelling. We measure my arms at home about once a month. The compression garments are very $$$$ and I have to order new ones every 4-6 months! They aren't covered by Medicare yet but I hope they will be by the time I am enrolled. Whew! That's a lot of info! My advice, don't play with fire. Be proactive, get educated, learn lymph drainage massage.

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Jeannie, that was so nice of you to type out all that info.  Very informative, and so true. The docs just don't talk about it.  Everything I have learned about it I have learned on here. 

    I do have a question.  I supposedly had SNB on both sides. I thought that there was only one sentinel node. That being the first node the dye finds.  But, I have been reading a lot today about it, and come to find that is not always the case. I am really confused about it.  I just recently got my hands on my path report and was surprised to find that they took more than one sentinel node.  And, does sentinel node "biopsy" mean they biopsy the node, or take them out?  Does dissection mean removal of the nodes, and does "biopsy" mean they leave them, but take a piece?  I am very confused, and my breast surgeon has not returned my call to answer my questions.

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

    Hey BosumBlues  glad to see you here!

  • Sharon1942
    Sharon1942 Member Posts: 272
    edited February 2014

    Jeannie, I have an LE question. Do you think it is risky to get manicures in a nail salon where they cut your cuticles?  I have been getting shellac manicures, & am also concerned about the UV lights they use. Maybe I should discontinue all this. 

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited February 2014

    Sharon, everything I read says you should never let them cut your cuticles.  It's a very small sacrifice.  I have only been having pedicures since my surgery.  I am too scared of the manicures.  JMO.  If you trust your salon, and you are sure it is clean then go for it.  I might do everything myself a home, like soaking, pushing back cuticle, etc. and then let them shape my nails and but the polish on, since they do a much better job then me.

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