March 2014 Surgery
Comments
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Frostcat, One of the things that my husband did was download a pill tracker app for his phone. It was very helpful. He was also kind enough to buy me a wedge. I didn't find it helpful at all and it cost a ton of money. I wish we had gotten body pillows instead. little squishy pillows have been very helpful to just stick in places that needed support. Baby wipes and anti bactierial hand stuff was good to have around.
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Hi Gram
Hmmm I understand how you feel. The blah-ness. I just came home from the hospital a week ago from my BMX. Onco told me Tuesday at my infusion that my path report was all clear & surgeon told me Wed when I saw him....& yeah I had no elation. Not sure but since I still have 6 weeks of rads & the Herceptin infusions til Dec I just don't feel I am *done*...?
~ I cautiously accept the words *cancer free* but feel kind of bummed there I had no big WHOOP! & tears of jubilation.
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Hi all,
I haven't posted in this particular forum (but did in a few others). I had a single MX (left) on Monday (3/17), and have been home from the hospital since Wednesday afternoon. I was supposed to go home Tuesday morning, but they kept me a bit longer because I ended up with post surgery anemia (wasn't anemic at all before) and passed out cold in the hospital bathroom very early Tuesday morning. Good thing my nurse was there to catch me. They said I lost consciousness for about a minute. Anyway, I'm still feeling quite weak from the anemia, and have trouble handling even the supposedly very easily digestible iron from the health food store. Took a little bit on Wednesday with lunch, paid for it with worsened nausea the rest of the day, and was going to take some last night before bed but forgot. I have Crohn's disease, and mild nausea is "normally" part of my daily life. I reacted very badly to general anesthesia twice now, both with my lumpectomy (2/20, left) and now with the mastectomy. Zofran is still my friend. I have not taken any pain meds, they just make me too sick, it's not worth it. I do take homeopathic Arnica, which helps a bit at least. Thursday late evening and yesterday morning I had the worst shooting pains so far, and it had me in tears. It got much better since getting my IV infusion at my naturopathic oncologist. This was my first infusion there, and I am definitely feeling a lot better today. I have decided to not do reconstruction. I am pretty small chested anyway, and with anesthesia and surgery being really hard on my body, I just couldn't fathom the thought of going through it for reconstruction. I know it's a hard decision for all of us to make; it took me some time to decide too, but for me, it is the right decision.
The good news is that the pathology report from the sentinel nodes came back negative, and all margins were clear also. They found one more spot of DCIS. With the lumpectomy they took 3 spots of DCIS (2 margins not clear), and one small invasive tumor (5.5 mm, clear margin).
So I think that means that I am now cancer free, right?! I'm really relieved that it's all gone. I will not be having any other treatments. I know my surgeon wouldn't recommend radiation anyway, but she did (before my last surgery) say it would be good to consult with a medical oncologist to see if additional meds would be beneficial. I was most likely already going that route anyway, but with this good pathology result, I am definitely going the naturopathic route. It's amazing what this infusion did for me; it will speed up my healing tremendously! This doctor really knows what she's doing, has a lot of experience and expertise, and I really trust her. I will be getting 2 infusions next week, then once a week for another 3 weeks, then biweekly for 1 or 2 months, then once a month for 6 months or so.
I can't wait to get my drain out. I haven't taken a normal shower since Monday morning, yuck! I'm going back on Tuesday for my follow-up appointment with my breast surgeon; I'll see what she says then. Until right before the infusion yesterday it was still pure, thick blood coming out of the drain, has slowed down a bit, but still 60-70 ml per day. Yesterday it was barely 50 ml total, and definitely lighter in color and less thick. Hopefully it will continue to slow down more now.
While I feel a lot better today, I am still very easily fatigued, and am having to go and rest for a while very often. I was up for about an hour to make gluten free bread (in the bread maker!) and then fix myself a salad for lunch, and am now (more than an hour later) still exhausted from that. Is that normal? Or is that the anemia causing that?
Wishing everyone here the best!
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Hi vlnmama~
Hope you are on the way to a quick & easy recovery. Scary with passing out!
I had BMX (no recon) on the 13th & just as I was sitting waiting to be discharged I started bleeding & ended up with my non cancer side filling with clots, back to OR! Guess we gotta have a little drama LOL
I'm GF too. Did you use a mix in the bread machine? The last one I made looked & smelled good but I didn't like the taste at all. Now I can't remember the brand!
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I'm sorry you have had such a hard time Vinmama. I'm sure your anemia is making you even more tired than usual. For me, I had my bilateral mastectomies 12 days ago and I don't sleep well and take 2 hour naps everyday!
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Hi,
I'm home - quite unexpected since I've never gotten out on day two before. It was better to leave. The only bed available was in a room for 4 with shared bathroom. It was super noisy all night with different people coming in and out tending the other 3 people and all day today with their friends and family coming in and out, very loud, one sneezing and coughing, several going in our bathroom, etc. Last night an aide came in to figure out why one of my monitors was beeping and quickly picked up the lumens of my PICC line without gloves, pulled out the tubing to the antibiotic bag and plugged in the saline bag to "flush it out." That is NOT how it's supposed to go. I was a bit groggy and it was dark so I didn't catch what she was doing until she already touched it As soon as I called her on it, she made an excuse and hustled out of there. I reported it to the RN who said that person shouldn't have even touched my PICC, much less with no gloves. I don't even think she washed her hands! The RN flushed the lines correctly and called in the PICC nurse to change the dressing. (We all have to wear masks and they use sterile procedures whenever they change the dressing.)
I'm paranoid since I got a bad gram positive bacterial infection on post op day one in the hospital after my first surgery seven months ago. That was a "one and done" surgery, BMX with permanent implants, no tissue expanders, no more surgeries at all. . Instead I've had three more surgeries and still have one more to go, all caused by the damage done then. So the doctor agreed the environment was not good for me and said I could leave. I'll be on IV Vancomycin for another 7 days at home with a visiting nurse coming to do blood draws every other day. My husband was taught after the first surgery how to hook up the IV Vanc and do the flushes, do wound care, take temperatures, and blood pressures. He's the best nurse you can find!
Those of you whose surgeries are coming up, I have one word for you - Exparel. My PS said he used a lot of it and hopes I'll get about 3 days of pain relief from the injections into the incisions. So far, so good. It doesn't take the pain away, but dulls it, which is a blessing I've never had before. When you can't take pain drugs (except Tylenol) you really appreciate anything that can reduce pain even a little bit.
The left implant was removed, the pocket revised, and a new implant was put in. The tissue on the left is weaker and was not keeping the implant in the right place. I have a large incision shaped like a Z from the front of my shoulder down through the underarm (axilla) to the side of the left implant. The muscles there were damaged and partially removed after the infection so this was an attempt to repair them in a way that will grow some more muscle fiber as it heals and lengthen the muscles to give me more range of motion. I had some scar revision and mudflap-ectomy on the right too. So no shower until Monday, no picking up much of anything for 4 weeks, but it should heal fine. Right now everything feels swollen and the pain level is about a 5. Better than usual, so I'm happy.
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Sandra, i hope you heal soon and feel better quickly. xoxo to all my sisters.
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Sandra... Can't believe you've gone thru all that. A little scary to think that could happen. Glad you're home and being cared for.
Hope everyone knows how much it means to us newly diagnosed to hear your advice and encouragement. I'm 5 days away from surgery and getting more anxious by the day.
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Sandra, I'm so sorry for all the complications you've been through! I just can't imagine!! And I can't blame you for freaking about the person that messed with your IV line. Hope he or she hears something about it from a supervisor at least! What a blessing your DH is taking such good care of you. Wishing you a speedy recovery.
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Welome back Sandra! You sound wonderful or at least you type great for someone just home from surgery!
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Sandra, sounds like you are right on top of it and thank goodness your husband can be there to do all of this for you. Stay well. Will be thinking about you!
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I know how you feel Wynne50, but we will get through it together! I will surely be thinking of you the morning of our surgeries. I have already been through the chemo (6 rounds) so I am hoping this will be a piece of cake. Being a 34 year old mom of 10 year old twin boys, I don't have time to be down and out!
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Aww Twinz I can't imagine going through this at your age and with kids. My heart goes out to you. I'm 63 with my kids grown and gone. This is my first treatment so I'm new to all of it. I'll keep you in my prayers Thursday morning and we will both do fine.
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Welcome back, Sandra! I've been thinking about you all day. I'm glad you are home and the Exparel is working its magic. (((Very gentle hug)))
To those with upcoming surgery I wanted to let you know that stretchy tank tops and zip up hoodies have been my best friend. The tanks are stretchy enough to step into and pull up , so I don't have to lift my arms over my head. They are also tight enough that the fabric doesn't shift and irritate. llbean.com has some great stretchy tanks and free shipping. Unlike many, I did not have a surgical bra or bandages after my bmx, just gauss, so the tanks help me feel a bit more protected too. Tanks and hoodies have helped me to manage my drains as well. I had 4 and they were just too bulky for the special tops with drain pockets that I had purchased. I have been using large safety pins to pin drains to the tank and then zip the hoody over. It's still bulky but looks some what normal for going on walks and to the doctor.
Congratulations on all the clear path reports! I will be getting mine on Monday and hope to have good news too.
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I should add, it has been very important to keep my drains covered all the time because they upset my son, 12. My daughter,15, on the other hand helps me empty and measure them. Every kid is different.
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Welcome back Sandra4611!
You sound as if you haven't missed a beat.
Lovemytwinz...two 10 year old boys. I'm tired just thinking about that.lol Hopefully they are old enough to be able to help you and know that mom needs lots of rest.
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I have a question. I came home with a very tight (and wide) ace wrap around my chest. When my surgeon checked on me before discharging me on Wednesday, she said I could take the ace bandage off to shower, securing the drain thingy some other way (it's otherwise pinned to the ace wrap). From that I understood that I was to otherwise wear the ace wrap at all times until my follow up appointment next Tuesday. But this morning I read the discharge instructions, and she hand wrote on top to keep the ace wrap on for 48 hours; below it also said (typed) that I could shower without the ace wrap. While having the ace wrap on helps in a way with the pain, it is also getting to me, as I can't breathe as freely with it on, and the soft thick gauze pad underneath causes a lot of itching everywhere on my skin. So I've taken it off a couple of times today while resting in bed. So long as I'm laying still I don't have any more pain without it on, but as soon as I get up I can definitely feel it.
I have a history of hematomas, has really bad ones with all 3 of my biopsies, but not with the lumpectomy (she had me wrapped really tightly then too). How is everyone's experience here with those tight ace wraps? Keep them on? How long? Could I still develop a hematoma (or bleed more) if I don't wear it enough? Not sure what to think of the instructions anymore now...
Thanks
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It's so good to hear from you, Sandra. I hope all goes well with your recovery. It sounds like your husband is taking great care of you. My PS also used Exparel and it really works. After that, I still had numbness and no incision pain. The skin on my chest is starting to wake up more but I mostly feel soreness at my drain sites and in my armpits. 2 drains has definitely been easier to manage than 4. I also have muscle soreness from the expanders.
Blueberry, I am finding stretchy camisoles very comfortable. My insurance paid for 2 camisoles with little drain pockets that velcro inside. But itwas a little tight so I use the pockets inside my own stretchy camisoles. I have great range of motion 12 days out. I can raise my arms over my head and I drove for the first time today to run errands and get my son from college half hour away. Soreness is always worse during the night or when I wake up but not too bad.
Good luck to all of you having surgery next week! For me, surgery and recovery has been so much easier than I expected it to be.
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My hospital gave me 2 Fannie pack like pouches, they have elastic belts and button around your waist that hold the drains. I just wear it under my shirts, they work really well. So no problems with my drains! They also sent me home with 2 compression bras which are kind of tight. Hope I don't have to wear them for much longer. I think the pouches are called Poucharoos. They are nice!
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Juliecc, yay driving! My surgery was the same day as yours, and I'm going to give driving a go next week. Twelve days out I too have my range of motion back, much sooner than I expected.
Gramof2boys, I am jealous your hospital gave you the fanny pack to deal with your drains. That's so nice. When I asked my nurse what I should do with them, she told me to do anything I liked, not very helpful but kind of funny. Luckily I had the camisole with pockets and Velcro pockets too. I just ended up preferring pins when I got home.
Does anyone know, do we get drains again after the exchange operation?
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It is SO encouraging to hear so many of you doing so well!!! Yay!!!!!!
I do have a question....can I have surgery if I have a cold? I know I'm getting a cold....I've been sneezing all day, now am stuffed up, and occasionally coughing. Mild sore throat....typical beginning of a cold. I am taking Zicam and Vitamin C (I hope this is OK to take 5 days before surgery!). I am getting nervous that if I don't feel better, they won't do my surgery. However, nobody has ever told me that if I don't feel well, I can't have surgery. Nobody will call to check, I'm sure. I would think they wouldn't want me to show up at 6:00 a.m. to find out I can't do it!!!
Has anybody else had any mild illness around surgery time?
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mnmbeck,
I'm not sure how they deal with a cold at the time of surgery. I do know they don't want you to have a fever, or a bacterial respiratory (or probably any) infection. I tend to get frequent sinus infections, and was getting close to getting one shortly before my lumpectomy. I think it was right around 5 days prior too. They told me to call my PCP and get antibiotics asap because they wouldn't do the surgery if I was sick. Still being on antibiotics, but no more fever and feeling all better was ok. I ended up fighting the threatening infection off with natural immune boosters, and was ok. But apparently having a fever is a big no at the time of surgery, which is tricky for me, because I spike a fever even just from dehydration, so I have to make them aware of that and request the start of IV fluids at check-in time. My mastectomy was in the afternoon and I was already developing a slight fever by the time they started the IV, but it went down shortly after I got some fluids, so they were ok with that.
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vlnmama,
Watch that cold carefully. I had the same thing a week before surgery and they said as long as no fever or green gook, they will proceed. I'm not sure if I was completely over my cold on surgery day and ended up back in the hospital a week later with an ear infection, strep and touch of pneumonia. I think in the back of my mind I was worried but didn't want to postpone anything. Mentally I was ready and wanted to get this over with. I don't mean to scare you, just listen to your body. Lots of fluids! Everything turned out fine, it just added an extra unnecessary bump in my recovery. Good news is they have some heavy duty iv antibiotics that can quickly take care of most of these things when they happen. Take care of yourself. Listen to your body! :-)
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Welcome home Sandra. My PS is using Exparel, it sounds like the way to go. At first they weren't sure if insurance would cover it, and told me it would cost $340 but they highly recommended it. Then checking further they thought it might be covered and said it was such a new drug, some do and some don't. Either way, I'm getting that!
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mmmbeck,..make you sure let them know about your cold in advance. I was asked many times pre-op if I feel any sort of change in my health ie cold?. I think they want you as healthy as possible going into surgery.
I am thankful on the prune juice and Milk of Mag. advice. I am having some issues, and I am not comfortable. I am taking senecot before bed, along with other stool softeners, but my body is not responding.
To those going for surgery, take a deep breath. it seems the anxiety can get the best of you, but before you know it, it will be behind you and you will be OK. My MIL keeps saying how amazed she is at how the body can bounce back after such a major surgery. Each day gets better.
I have not received any call regarding my pathology report, and I do not have an appointment with my BS until April 14. My initial biopsy was extensive DCIS, and they took 2 lymph nodes, but 9 days later, i have not received any further report. My DH keeps asking, did you receive your pathology yet? I am not in any rush to know,... but I guess I can't avoid it. I just think it is funny I have not got a call
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Good morning ladies!!
Well, I am laying here in my hospital bed. I have been here since Wednesday. I developed a nasty Staph infection in my last drain. 3rounds of vancomycin later, my plastic surgeon took me back to OR for a good power washing as he put it. I also have a new expander and drain. Also, Experal is my new best friend!!!
Sandra, I guess you could call us PICC line sisters. We are guarding that line as if it were gold!!! My veins are so small, they literally only had 1chance, none of the others are large enough. I am typically pretty good re: all that has been going on, I keep my sanity through humor/sarcasm and taking action. Well, the PICC line thing was not pleasant. Lidocaine took the pain, but not the pressure. That was one of my breaking points. Those poor girls in that procedure room got to see the ugly cry! My nerves were shot. I also knew I was going to surgery, but not 10 min after I got back to my room from PICC.
ON A GOOD NOTE....that awesome anesthesiologist got me some versed...life was much better. Also, PS DEMANDED no narcotics in OR or recovery and no gas!!! I have never come out of surgery feeling better!!! I might just love that man for life!!! If I needed one part to go smoothly, that was it.
Hopefully, home tomorrow...I will have minimum 2-3 weeks of IV antibiotic with home care.
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Blueberry
I agree on the tanks & hoodies. I had bandages after my BMX & two drains which we all removed 6 days post op. But I felt the need to have something close to my chest without being *picky*.I didn't get any kind of garment from the hospital nor did I get any info on *what not to wear*.
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Welcome back Sandra, hope things go smoothly now for you!
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Sorry you had to go back to surgery Lakegirl. That's rough. I still have one drain on each side and they both feel irritated. I should look at them today for any signs of infection. I hope thing go smoothly for you now.
Are all of you taking oral antibiotics? I was given Keflex that I will continue to take until 24 hours after the last drains are removed.
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Fayth, I got my path results 9 days later so maybe you'll get yours Monday. I didn't get approval for an Oncotype Dx test until last week so I don't know how long it will take to get those results. I meet with an oncologist April 1st to see what the next steps are (probably just Tamoxifen).
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