DIEP 2014

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  • Debwarrior
    Debwarrior Member Posts: 72
    edited March 2014

    you're looking good Michele. Halfway there. Hang in there. Lemon, I feel the same way. I'm so grateful for the advice of the ladies here who have gone before me and at the same time as me. It has helped my perspective tremendously to know that not everyone is thrilled out the gate and that the docs have a lot of ways to make things look better. 

    Lemon, I took hydrocodone for about 3 or 4 days after getting home. But it made me so constipated that I switched to Tylenol about the 5th day and that did the trick. Haven't needed anything after the first week, but again I think everyone is pretty different on this. 

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

    Beebop.....sorry to hear you are still having significant pain. In my opinion, there's nothing gained by comparing one person's pain history to others. If YOU are feeling pain, knowing that someone else isn't, doesn't make your's any less valid. Keep your PS informed of your issues.

    10 HOURS on your first day "back"..when you are still experiencing significant pain...how is that reasonable????  Hope you can moderate your work hours a bit going forward, and break the time up with some walks and movement.

    recon is TRULY a journey of time and patience. Some of us that post messages of being happy with the recon, started from "unhappy scenarios", so almost ANYTHING to some of us, is better than what we had or didn't have. The most common element in this whole thing, is how different we all are.

  • Beebop
    Beebop Member Posts: 206
    edited March 2014

    Thanks nihahi, those are wise words.

  • sweetpickle
    sweetpickle Member Posts: 749
    edited March 2014

    Hi Beebop, just wanted to chime in because I had swelling and pain for a long time afer stage one. I can not imagine going back to work under those circumstances, I hope you are taking it easy so you can heal.  My pain lasted until about ten/twelve weeks out.  What worked for me was going on cymbalta tempoarily which reduced my pain enough for me to start going to the gym. The more I worked out, the less the pain was. Getting to that point was hard tnough and I wish I had gone on the cymbalta sooner. My PS thought I was crazy when I tried to talk to him about it. I ended up researching things myself and going through my primary care doc.

    It gets better, I have had my stage two and am getting back in the swing of things again. I didnt have as much pain the second time around. Just the weird numb feeling around my belly button.  Hang in there, it does get better.

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

    Maggie, I am glad you are feeling a little better. I can almost bet that by the time you are finished with your stage 2 you will like your new boobs. Sometimes I think it is harder on the immediate recon gals than the ones that lived without breast, or with implants, or expanders for a while.  The diep gives us back something we lost completely so we are (I don't want to say more grateful, because that's not the word) happier with anything after having nothing, or something painful we couldn't wait to get rid of. I am glad your depression is lifting, and hopefully there is some acceptance in your future.  It's a hard process.  This last few days have been hard for me because it is the one year anniversary of my tests and dx.  I keep thinking where I was at a year ago, and doing the "if only" thing.  But, my DH keeps pointing out to me that I am not counting my blessings, and sometimes I want to punch him in the face, and other times I know he is right.

  • sweetpickle
    sweetpickle Member Posts: 749
    edited March 2014

    goldie- so true, and sometimes I want to do the same to my dh but he is so darn cute!  lol    I hope you feel better soon, I am coming up on my one year from surgery so I know how you feel.

    Also, please excuse my typos, I am on my pad and it is a pain to try to go back and correct.

  • Zoemom
    Zoemom Member Posts: 50
    edited March 2014

    Beebop - I'm sorry to hear you are still in pain. 

    I had significant pain after 8 weeks also. The pain was just above my ab incision.  I had a CT scan which uncovered a small mass of infected scar tissue formed around a hematoma.  I had gone back to work 2 weeks after my diep surgery and worked from home. I went back because I was feeling ok, things looked good and i have a desk job-i am on the phone in meetings all day and it isnt physically demanding.  However, I was working 10 hrs a day and barely moving during that time. I think that contributed to the complication.   Definitely keep your PS informed of your symptoms and don't hesitate to ask for a CT scan or sonogram to see what's going on.  Even if nothing is uncovered, it will give you peace of mind.  

    Good luck and ((hugs))

  • Beebop
    Beebop Member Posts: 206
    edited March 2014

    Thanks sweetpickle.   I am just concerned because its gotten so much worse over the last couple of days and is only in one spot.  At times it is excruciating.   I am going to call the PS tomorrow to see what he thinks.

    Maggie, jaz, annajo - I am right there with you.  I am really unhappy with my results, and was hoping not to have another surgery.   I am still glad I did the DIEP (actually just found out they did a DIEP on one side and Tram on the other).  Hopefully just some minor fixes and I'll be happy.

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    Thanks, Goldie ... I think of myself as being able to handle anything, a tough cookie.  Always have been.  Dr. Trahan told me in my consult for Stage I that he has seen women who eat nails for breakfast completely break down after this surgery.  I think he recognized this in me, and was trying to warn me.  My sister is a nurse, and I haven't even told her about the depression.  She will want to put me on a drug, and I don't like taking any kind of drugs at all.  I didn't take any pain pills after surgery, that's how opposed I am to taking pills.   There are two things that I will do ANYTHING to avoid:  throwing up and crying.   So, I haven't really told anyone, because I'll start boohooing like a baby!  Besides, it gives me a dang headache!

  • jazlaumir
    jazlaumir Member Posts: 91
    edited March 2014

    Maggie, hang in there, we'll get thru this!! :) we've gotten thru the toughest parts already so let's just keep showing up! :)

    I think that what makes this forum most effective are the differences and at the same time; similarities of our journeys and again, the ability to have all vent their emotions safely without judgement.

    I for one did have delayed diep reconstruction on one breast and immediate SIEA reconstruction on the other, so , I do know the feelings involved with each.

    The thought of the surgery frightened me but found it very helpful that when I expressed that fear, many of you encouraged me to just show up :)

    Now , it isn't that I regret my decision or am not appreciative or grateful or happy overall but it doesn't solve for how I feel about the way the breasts look now . Again, by expressing how I feel about it, I again received words of encouragement from my doctor that will help me focus properly on this journey. I do feel much better about it now but the first couple of weeks have been tough. So in the end, it's helpful to talk out your feelings truthfully and hopefully it will benefit all of us if done in the right spirit. 

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

    Lots of wise words tonight. May I offer one more thought.....

    Thinking there is something "wrong or weak" if we are discouraged, disappointed, depressed," etc., is living in denial of honest, understandable emotions. Just as we say...."you don't have to be brave, you just have to show up".....I think we can also say...."you don't have to wake up happy, you just have to give yourself and your body more time". 

  • sweetpickle
    sweetpickle Member Posts: 749
    edited March 2014

    Beebop- You should most definately have that looked at by the doc. I got frustrated in my case because the docskept looking at me like I was a crazy drug seeker.  Really made me question myself and I felt crazy for a short period of time. I was happy to find a nonnarco relief to my pain. I hope you are able to get relief soon, sending lots of healing vibes your way!

    Nihahi- Amen :)

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

    Regarding body acceptance, Nihahi is SO right. It all takes time - and you don't have to wake up happy. The whole DIEP process is a marathon, not a sprint, and marathons come with lots of hills and valleys. I'm absolutely delighted to have two soft warm boobs that fit into my favorite bras, and are healthy and pure and mine. I Iook down and see all the cheese and roast chickens and delicious pastas that I indulged in, in order to get myself here. 

    But for the first few weeks, maybe more, I didn't look at them at all. Ever. I took a shower with my bandages on. I taped the gauze pads at the top so they were loose, and I washed my myself, but I never looked. I even covered the bathroom mirror with a towel cus all I could do was think of myself from the inside, not the outside. My doctors, mother, and partner assured me that everything was on track, and that was good enough for me. One day the towel fell off the mirror and I saw myself full frontal. I almost passed out but I forced myself to look. 

    I don't know if my behaviour was normal. Maybe not, but I didn't care. Everyone has coping mechanisms and that was mine. Some days I think of my original breasts and I miss them so much it hurts. But that's just a blip. My point is that you get through this convalescence any way you can and try to remember that you're nowhere near the last turn in your marathon. There's mental healing that happens too. Your story has yet to be written, so even if you're depressed or sad, it's not the end of the story. 

  • Teacher64
    Teacher64 Member Posts: 840
    edited March 2014

    13 days to DIEP . I've made my to-do list because it makes me feel in control of day-to-day things, but  apprehension leaps in at unexpected moments because there have been so many changes. I used to tell my students that different isn't bad, it's just different. Then, I was different with a serious heart issue. Eventually, I will accept this new difference. I hope I don't faint like I did after the cancerectomy when I saw the result. (Never fainted before!) Don't want to scare DH getting hauled back to bed by nurses, so I will ask to see the new look while I'm in bed and remind myself that different is just different, but it will still be cancer-free.

  • kelleyb
    kelleyb Member Posts: 94
    edited March 2014

    annajo - give yourself time. I had two surgeries within a month and ended up super depressed, I believe it was from all the anesthesia. My stage 1 isn't a thing of beauty either but as others have said you'll get feeling better, the anesthesia will clear your system, your strength will come back, and you'll adjust to your new breasts. Then you can decide what needs to be done next. It's a lot to go through, be good to yourself while you heal. xoxo

  • kelleyb
    kelleyb Member Posts: 94
    edited March 2014

    Help!  I have a hole in my right breast this morning. I had a swath of black skin (necrosis) on my right breast (Dr Sullivan said it would heal up on its own) which was slowing hardening and lifting. This morning most of that scab is gone and there is a pretty substantial hole underneath where that black skin was. 

    I sent photos to NOLA and called my local PS to see if she can get me in to clean it up and advise on how to care for it. The tissue in and around the open wound looks clean and is bright pink. 

    Anyone experience this and have any tips? What was left of the scab did not smell pleasant, I cut away what I could and put antibiotic ointment and surgical dressing on everything.

  • TBerg
    TBerg Member Posts: 27
    edited March 2014

    Nihahi, thanks for the shoulder information. And for your perspective and wise words....Janet too...I guess patience is something we all need. 

    Jaz & Maggie, I am right there with you. Not that thrilled yet. I guess it is so frustrating for me because we have been through so much already...it gets old. 

    My ps said that she can do  quite a lot down the road, so I guess I will have to continue to trust that she knows what she is doing and see. BUT I WANT TO BE FINISHED NOW.....LOL...maybe I should get some cheese with that whine!

    For those of you that had stage 2, do they ever do that under general anesthesia? If not, how bad does lipo hurt, either during or after?

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    kelleyb - I had what I thought was a hole, too. I actually thought my incision was opening up.   I contacted NOLA and sent a picture, and Laura didn't think it was as deep as I thought it was.  At the time, she had me putting the betadine on it (because I had a blister form the day after surgery, and that breast has taken FOREVER to heal), but she sent me an ointment to get it to heal up quickly ... its called Vasolex ointment, which is a generic for Xenoderm.  My sister is a nurse, and she said its a fantastic ointment ... I have to admit, it has sped up the healing tremendously and is almost all done.   

      

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    I really appreciate everyone's input on the depression thing and not loving my body after Stage I  ... I really thought I was alone in feeling like I did.  

  • Ridley
    Ridley Member Posts: 634
    edited March 2014

    Hi everyone - lots of great posts in the last couple of days.  I'm 12 weeks out as of tomorrow and have to keep reminding myself that this is a marathon.  It's definitely a time for being patient with and kind to ourselves.

    Kelly -hope you hear back soon from your ps/Nola.  I had a "hole" in my abdo incision - from a stitch they had to remove - ended up over an inch wide and about 1/2 inch deep. It was never deep enough to pack.  I clean it with saline, put an antimicrobial paste on it (the one I'm using is iodosorb) and cover it with gauze and tape.  It is almost closed, thankfully.

    TBerg - I haven't had stage 2, but talked to my surgeon about "lipofilling" last week for a flat area I have on one side, and he said it would be under general anaesthesia. 

    I'm starting back to work tomorrow - half days to start for a week or two.  I'm looking forward to seeing everyone at work, but a bit nervous about the actual work.  I had a really hard time focusing after I was diagnosed last June.   Wish me luck!

    Ridley

  • kelleyb
    kelleyb Member Posts: 94
    edited March 2014

    Thanks for the great feedback!  I've cleaned off the ointment and put a dry surgical pad on the wound. Just waiting to hear back from the medical professionals. Damn beggin' strip failure!

    I posted a photo on my forum thread for those with a strong stomach. :)

  • dlm217
    dlm217 Member Posts: 81
    edited March 2014


    Hi,

    I am scheduled for DIEP on 3/24/14.  I haven't read this thread yet and haven't really been to this site in awhile.  I am starting to feel really nervous.  I just turned 42, work full time and have 3 boys (16, 10, and about to be 5).  My husband was in the hospital recently and we just don't have the money for him to miss much work to help or for me to hire a cleaning lady.  I actually felt better about myself during chemo.  I have gained about 30lbs on Tamoxifen.  Is this really going to make me feel better about my appearance?  Will it be worth it?  My dr. said a week in the hospital and my husband is taking the week after off to be home to help.  All my friends work.  Will I be ok 2 weeks post surgery to be alone pretty much all day?

     

    Thanks for any insight. 

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

    Kelley... I just looked. It looks fine to me. I posted a reply over there. Some betadine and gauze and you should heal fairly quickly. And I am sure the docs will get back to you soon.

  • annajo
    annajo Member Posts: 84
    edited March 2014

    I really appreciate the wisdom from this group.  I am home now and managed to get some decent sleep (on my side, hooray) and still weepy but hopeful.  I asked my PS if I was going to be glad i did this and she said "Yes, but probably not today."  She went on to say that the first month is the hardest and then things begin to look up.  All the reasons I didn't want an implant are still valid.  On the bright side, my 3 drains are not putting out much and I think I may be able to have them out tomorrow or Friday.  And thank you for reminding me of he effects of anesthesia- that hadn't crossed my mind.  

    Maggie- I also had DCIS and it made things worse in a way, I kept thinking, is this surgery really necessary?  Why do I have to do this?  I said something like this to my BS and he said, "Yes, the surgery was necessary.  You eliminated your risk."  But I still have trouble with fully accepting this, so many articles out now advocating for "watchful waiting," whatever that is, making me feel like a chump for doing this.  It sucks.

  • lemon68
    lemon68 Member Posts: 684
    edited March 2014

    I have gone back today to re-read the posts after the past couple days and they are deep and wise! I agree we are all different but yet we are all the same in some ways. I have felt pure joy and laughter reading these posts and I also have shed tears. I am so happy when I see some success for someone, someone that is happy and such sorrow for those not so sure yet or depressed. Its just hard but I feel we make our choices and man there are a lot of them. My choice is because I was DX at 44, I have a 20 yr old son and a 14 yr old son, my dream? To be a grandma and there is no way in hell I will allow this crappy disease to take that from me. I have a wonderful DH and I want to grow old with him, maybe not so gracefully but still the same. I joke with him a lot that I am getting all the bad stuff out of the way so I can be healthy in my old age, joking but I sure hope its true. I remember reading on the boards early in my DX, I was in awe of the women here so brave, I told my friends I am not like them I am not strong..well guess what, I am and I am even stronger now. I never felt why me? I always felt sh!t why not me? I wouldn't wish this on anyone. I am not mad about it, if I can help just 1 person to get checked or show my kids how we don't lay down and die we fight for life because it is beautiful , it will have been worth it. I am sad that I have had to go though this and even sadder my parents , DH and kids had to watch but they are watching a Champion. I look at all of you who come before me with the DIEP as Champions and I again am in awe.

    Sorry for the rant, I am feeling emotional today, a bit scared and this is really the only place I feel I can really say what I mean and be 100% understood.

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

    Oh, Lemon. You made me tear up. Thanks. You're awesome.

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    annajo - YES!  I have felt that exact same way about the necessity for DCIS.  The reminder that kept replaying in my head was "You don't want to go through this twice or three times if you do a lumpectomy, having radiation could possibly mean no reconstruction, and what if it turned invasive next week or next month or six months from now?"  I don't regret doing it ... the financial aspect is what keeps me tied in knots.  I got a letter today from the center asking for twice the amount they quoted me for Stage II.  I may have to do Stage II with another doctor - one that is in network.  I just cannot pay any more.  I'm single and I'm still getting my youngest through college.  I'm calling Vickie tomorrow and tell her X amount is what I can give you, and if you cannot accept that, then send me my records and I'll find another doctor to finish me out. 

  • Teacher64
    Teacher64 Member Posts: 840
    edited March 2014

    It's been encouraging reading about anesthesia because I have not responded well to the stuff in the past. Not the depression, but truly bizarre dreams and nausea. Last procedure was first time without being sick but the dreams/nightmares seem to last about a month. I dread that. I realized I have to be my own advocate, but thanks to lemon, I will think of myself as a champion from now on. Today I made some pouches to hold the drains. I used a pretty, spring floral fabric to replace the Santa fabric I'd previously used. Knowing the nasty things will tucked away in something pretty makes me feel better.

  • Teacher64
    Teacher64 Member Posts: 840
    edited March 2014

    Maggiie85, I did preregistration today for DIEP. If I didn't have a pacemaker and heart meds, the surprise/shock would have been enough to jolt me back to life! A friend called right after and said it was like they wanted my left and right boobs, then said, "Oh yeah, they already got them." Dark humor, but we had a good laugh and agreed that perkiness may really be priceless.

  • jazlaumir
    jazlaumir Member Posts: 91
    edited March 2014

    final two drains removed today, happy day!!! Yay!

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