March 2014 Surgery

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  • Footballnut
    Footballnut Member Posts: 742
    edited March 2014

    sandra4611 what a lovely post!!  Ur very strong and courageous!!  I share similar thoughts as you. 

    It is you and all others that help me every day. Having said that I will continue to lean on all of you as I go through my next steps which terrify me to death!!

    You are all inspirations!!

  • KLJ
    KLJ Member Posts: 284
    edited March 2014

    I think this March group has been the best and most supportive group ever. Sandra you have been our fearless leader in spite of.everything you have been going through yourself.

    I have a personal.shout out for SpecialK. Two years ago I was on this forum as a mom with a daughter going through breast cancer. Way back then you were on here supporting me answering my endless questions. I finally remembered my login and checked my posts and there you were. And you are still here answering questions and supporting all of us.

    Thank you from the bottom of my heart to all.of you. Never thought I would be here even once...but twice you have all been a life saver! 

  • scary
    scary Member Posts: 213
    edited March 2014

    surgeon said my wound was healing well, but the rest of the fluid has to drain from the hole next to the dog ear.  he laughed when he saw that over the packing, and a bandage, I had a menstrual pad there to catch the extra fluid.  he packed the wound again, covered it up, and removed the last of my steri-stips under the arm.  it is so RAW there.  i have 5 days of antibiotics left to go.

    Best of luck to my March surgery sisters, and wishes for quick healing.

  • MCbeach
    MCbeach Member Posts: 110
    edited March 2014

    I had my 1 week post op today from my exchange. All is looking great. They took off the steri strips and cut some sutures. It actually hurt. I think this is good as there is now some (not much but some) feeling coming back. I can get back to yoga in 3 weeks (slowly tho), and will start scar strips in 4 weeks. I was also told to get back into a bra. So happy that they all still fit (and a better fit then before too). I will see my PS in 4 MONTHS (yep thas right, I am thrilled that things are progressing so good!). We will talk about nipples and more fat grafting if I lose the current FG.  Feeling so joyous!

    Healing ladies, take care, take it slow and keep your head up (as best as you can). Some days it is hard but you all have so much stength, more than we often realize. Best to you all.  

  • linda505
    linda505 Member Posts: 847
    edited March 2014

    Ready to get on the bus for Mcwill - hope all goes great for you tomorrow and hope all are having a great recovery.  Drains out today!! yeah - didn't see Ps - just the nurse - who is WONDERFUL and she said that they will have to keep an eye out on a pink area on my right breast.  Otherwise she said every thing looked great.  Appointment tomorrow with BS and hopefully my final pathology report.   I want to thank EVERYONE -- especially Sandra from being such a great hostess for us all. And I 2nd the thank you to SpecialK - she has such a great source for all of us newbies and so freely gives her knowledge. 

  • Lakegirl1
    Lakegirl1 Member Posts: 316
    edited March 2014

    March Ladies!!!  Happy healing to all!!!   

    I'm home again in my recliner!!!  Home health is coming to show us the IV infusion for the antibiotic, which we do every 8 hours.  They are also checking my drain site and PICC line site. 

     Working very hard to keep my head up today and my $/&@ together.  My sister is going back to Austin, she has been here since the 1 st surgery on 3/4...  I didn't think it would be this big of a deal, but it is. I've learned and experienced things in the past few months and weeks I was more than happy to be ignorant about and she has been there.  

    Enough of that, putting on the big girl panties and getting on with getting better!!!  

    Question...PS has said to increase protein intake a lot!!!  Has anyone heard of this?  Any suggestions?  In the hospital they were giving me Ensure  Clear.  It OK, but looking for suggestions. 

  • Juliecc
    Juliecc Member Posts: 4,868
    edited March 2014

    Sounds like a lot of good news today.  Best of luck McGill and Wynn and the rest of you having surgery this week.  I know the days before surgery are very stressfull!  I found they were much more stressfull than actual surgery day and the days after.  There was so much preparing to do at work and home.

    I am having a great day.  It's day 15 and I saw the PS.  She took out my last 2 drains.  I called them my alien babies and I don't miss them!  My drain exit points were really feeling painful and irritated.  She said everything is looking great.  I see her again next Thursday and I might get my first fill then.  I meet with an oncologist next Tuesday.  The Oncotype DX test was ordered last week so I doubt that result will be ready yet.  Maybe I'll be starting Tamoxifen then.  After my appointment today, I went out to lunch with a friend.  I'm feeling like a normal person again.  I don't return to work until April 7th and today I feel the most difficult times are behind me.

  • Juliecc
    Juliecc Member Posts: 4,868
    edited March 2014

    Lakegirl, I read that it is good to eat 100g+ of protein per day to aid healing.  I've been eating too much "comfort food" so I'm not doing that great on the protein.  I'll try harder to make wiser choices.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2014

    lake - 100g of protein a day aids in healing - good sources are Greek yogurt, red meat, chicken, fish, leafy greens and eggs, also fortified cereals like Cream of Wheat.  I personally don't like Boost or Ensure because of the soy content and being ER+.

    linda - thanks for the shout out!

    Just returned home from my PS appointment - he is cautiously optimistic - does not want to take me back to surgery, at least not yet.  He sees granulation around the edges of the wounds which indicates the skin is trying to heal and close, and the open areas are less oozy, so progress.  Will continue with the xeroform dressings and see him in a week.

  • Lakegirl1
    Lakegirl1 Member Posts: 316
    edited March 2014

    Congratulations Julie and SpecialK...I love it when we get good news !!  

    Imagine this...they were telling me to increase protein and a low fat diet....I looked at PS, "Seriously?"...he backed off the low fat part.   I'm not crazy about eggs.  I too am ER+/PR+ didn't even think about that!!!  Thank you for keeping me on track.  There is so much info coming at me...I really am about to go CRAZY!!!

    I found a Kashi cinnamon harvest cereal I like that I didn't realize had protein and fiber!!!  I will work for more yogurt too, hopefully will somewhat help with the less than desirable side effects of the IV antibiotics.   Do you do regular or Greek yogurt?  Do you think it makes a diff?

  • MakeLemonade
    MakeLemonade Member Posts: 153
    edited March 2014

    I got back home today after lumpectomy yesterday. Unfortunately there was cancer in the sentinel lymph node so ended up with a lymph node dissection. 

    I was slow to wake up after the surgery, so looks like I take after my mom :-). Was very loopy for a few hours as well as nauseous. Couldn't even keep down water. But was better this morning and had lunch and breakfast

    Am achey still, but not like when I woke up.  Just tired.  And still peeing blue :-)

    Hospitals certainly are not a place to go to rest, are they! Nurse was in every 2 hours or so for blood pressure readings. My room mate was on a morphine drip and her machine kept going off with an alarm. 

    Visiting nurse comes tomorrow to show us how to take care of the drain. Surgeon is happy with the incisions and i go back to him on Monday to get the dressing changed and drain taken out. He will have the pathology report by then as well. He is confident that he got it all out, but cancer is an insidious bastard, so who knows. 

    Then RO and MO to set up the next phase of this journey.

    Forcing myself to let others do things for me . .. That is hard for me.  And still have to be strong for my boys - they each were very upset after they spoke with me last night. I was so out of it, I must have sounded really bad! :-)

    Good luck to those still awaiting surgery, and good healing for those that are in that stage!

  • jbdayton
    jbdayton Member Posts: 700
    edited March 2014

    Lemonade glad you are home.  Hopefully the boys will feel better after seeing you in person.  Take care of yourself and praying for a good pathology report.  

  • jbdayton
    jbdayton Member Posts: 700
    edited March 2014

    McWill I am joining the bus tomorrow.  Get a good nights sleep and relax as much as possible.  

    See all tomorrow. 

  • EverForward
    EverForward Member Posts: 242
    edited March 2014

    My post-surgery follow-up appointment did not go as I expected. Margins still showed DCIS. So I'll have a third surgery on Monday 3/31 (my second March surgery!). If those margins don't come back clean, then it's definitely a mastectomy. I was completely blindsided by this. I thought I was past the point where I had to face the possibility of a mastectomy. Still raw from that news, I met with the medical oncologist the same afternoon to discuss chemo, targeted therapy, and hormone therapy. I have a lot to process tonight. I think I'll allow myself some extra self-pity time tonight.

    Good luck to those having surgery this week. I'll send good thoughts your way.

    For sleeping, 2 Percocet knock me right out. I've taken Ambien when I travel, I haven't had the memory loss, but it did make me feel happy before putting me to sleep.

  • Juliecc
    Juliecc Member Posts: 4,868
    edited March 2014

    Sorry about your positive lymph node, Makelemonade.  I hope the rest of your path report is favorable.  Let your family pamper you.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2014

    lake - I think the Greek has more grams of protein.  Also nut butters are a source - like almond, cashew or peanut butter.

    makelemonade and everforward - sorry to hear about your setbacks - hang in there!  Everforward, I am a triple pos girl too and have already had all that treatment - if you have questions, just ask.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2014

    klj - thanks for that - you are sweet and it is my pleasure!

  • jbdayton
    jbdayton Member Posts: 700
    edited March 2014

    Everforward so sorry for the unclear margins.  Hopefully they will get it all next time.  Try to relax and get adjusted to the idea of another operation.  Not fun to get less than favorable news.  A lot of us have been through these disappointments and are still marching forward.  You are welcome to join us and we will get to the finish line. 

  • VintageGal1111
    VintageGal1111 Member Posts: 705
    edited March 2014

    MakeLemonade & EverForward....sorry how things went and I hope the rest is smooth sailing.

    Today I really feel I turned a corner (10 day post BMX) I drove (my little PT not the truck) & went to WalMart & Lowe's with no problems. A friend picked me up later & we went to an auction. It was good to see some of my friends there. Hubby came by after work & picked me up. 

    I did get a call from my long lost onco nurse liaison/co ordinator (whatever she is) She contacted me last Aug right after my diagnosis before lumpectomy & then went on vacation. I tried to call her a few times & when I finally got her let her know she dropped the ball. I was surprised to hear from her today, after 6 months of treatment & surgery. I am assuming she got my surgery & path report & figured she best touch base.

  • sandra4611
    sandra4611 Member Posts: 2,913
    edited March 2014

    I hope our group stays together as we continue to battle and support each other on the rest of this journey. There was so much good news today, it was heartwarming. On the other hand, several of you are having unexpected and unwanted "scenic detours." (That's a description I stole from my friend Moonflwr.)

    Everforward and Lemonade, crap, crap, crap! DevilI am so sorry for your bad news. Ever, it sounds like your PS is pretty confident he will get good margins this time, but I'm so sorry you have to go through this again. It's really difficult to deal with two surgeries in so short a time. (My first two were only 14 days apart so I know a little bit of how you feel.) Lemonade, you are right. Hospitals are NOT where you get rest. That positive node is scary. ((Hugs)) to you sweet girl.

    Lakegirl, glad you are home. Fingers crossed you get a good visiting nurse. The one I had tonight was ok, but seemed to be awkward while drawing blood from the PICC. (They have to pull back quite a bit and some of the nurses seem unfamiliar with how a PICC works.) I'm getting 2 grams of Vancomycin every 12 hours and so far the blood tests are showing no liver unhappiness.

    Scary, LOL...a Kotex pad! But if it works, why not? Julie and Linda, no more drains!!! Yay for you two. That's a major hurdle in recovery. The irritated drain site will close up pretty quick and you'll be left with a little scar.

    Thank you for the kind words KLG and Linda.

  • bobogirl
    bobogirl Member Posts: 2,777
    edited March 2014

    Everforward and makelemonade, thinking of you both and sending hugs.  We are all with you.  Jumping on the bus for McWill!

  • fayth
    fayth Member Posts: 30
    edited March 2014

    So sorry to hear of the bad news Everforward and Lemonade. 

    I am still awaiting my pathology report which I am told will not be in until April 14, my first post op with my BS. My initial biopsy showed extenstive DCIS, however I felt my lymph nodes aching for quite a few months, so I don't know what to think. My breast was having infected/mastitis like symptoms which is what sent me to the doctor in the first place, so it may have just been my body fighting the swelling in my breast. I felt no lump, my only symptom was nipple pain, redness and pain.

    I am so thankful for all of you also. My anxiety prior to my surgery was OVER THE MOON!!!. I was more afraid of having the needle in my breast for the Sentinel node dye, than I was for the surgery. (I guess because my breast was so tender and my biopsy was not pleasant) For those who still have surgery in front of you,.....YOU CAN DO IT!!! it will all be ok,... take one day at a time, as it comes and before you know it, it's on to the next day!!

    Take care all of my march Sisters,....XOXO

    FAYTH

  • Sandrac3
    Sandrac3 Member Posts: 28
    edited March 2014

    So sorry to hear of the bad news Everforward and LemonadeThumbsDown Hoping for better news for you both!!  

    I went for my post- op with PS, PA actually saw me. She took out 2 of the 4 drains. Also had my first shower today. Good day  Hoping everyone is healing fast and feeling better. 

    Also want to thank Sandra4611 and SpecialK for all their help and wisdom!!

  • vlnmama
    vlnmama Member Posts: 98
    edited March 2014

    Everforward and MakeLemonade, I'm sorry for the disappointing news! Be strong! You can do it. Prayers for strength and better news!!

    Saw my BS this afternoon. As expected, the drain did not come out. She did take the dressing off, cleaned up the area, and put a small gauze dressing and some waterproof sticky covers over the spot where the drain comes out. I was surprised (and not too happy) to find out that there are staples!!! Yikes. I had staples with my C-section, and it was quite unpleasant to get those out, to say the least. Not looking forward to that moment, although, I have to say that, now that there is no dressing covering and protecting the incision (and staples), I can feel the pulling on the staples of the gauze pad when the ace wrap slides on, so in a way it will be nice when those do come out. She said the staples should come out at my next appointment, next week Tuesday. She said that I bruised way more than normal. Little did I know that the entire front of your chest and abdomen, and a good part of your back, was not supposed to be covered in colorful art after mastectomy. Even though I only had a mastectomy on the left side, even the right side is very black, blue, green, yellow, purple and several other colors, down to my hip bones, and even up to under my right arm! I thought that was normal, but my BS said it's not! She said nothing really "looks" infected, but there could be some infection going on deep enough inside so you wouldn't see it, so I need to finish the course of antibiotics. My lungs sounded good, so it's unlikely pneumonia. I'm also not really coughing.

    Anyway, I really feel so much better today. I'm hoping the bleeding will slow down. She said it needs to be less than 30 ml per day, or a max of 3 weeks. Although she did say that if it doesn't slow down at all, I may need another surgery. So prayers for less bleeding would be welcomed! I do not want another surgery!!!!!!!!!! Not sure what I can do though. I have a gene mutation and some other things going on that cause abnormal clotting and bleeding, so I was given one shot of Lovenox (a blood thinner, to avoid a clot) the day after surgery, so that probably didn't help things.

    Time to make sure the kids get their evening showers and get to bed. My son hasn't been doing much school work for the past couple of weeks, but that's ok (he's homeschooled). We can catch up later; he's a full grade ahead anyway. My daughter has gotten away with some homework slacking too, and that's not so great, because she's in public school and that will reflect in her grades. But, we'll make it through.

    One question, since they didn't find anything much in the pathology report (nothing in 4 sentinel nodes, no more invasive tumors, one more smaller DCIS spot, but all clean margins everywhere), I had assumed no other treatments would be recommended.

    Now my BS told me she wants me to call a medical oncologist to consult about possible drugs? WTH?!?!?! Isn't this it???!?!?! 

    I am doing IV treatments with a naturopathic oncologist, but that's different. Those treatments make you stronger, help you heal better, and strengthen your immune system so you can fight off any other possible future attacks of cancer cells trying to grow anywhere.

    I also made some very drastic life style changes several months ago, right after my diagnosis right before Christmas, such as no more coffee, way less sugars (pretty much no sugar except some 72% chocolate, and honey, and fresh fruits), no more alcohol (used to like my small glass of red wine with dinner). Instead, I added several supplements known to prevent cancer, or kill cancer cells, or inhibit their growth. Wouldn't all of that be better than throwing some nasty chemicals at my body with such a clear pathology report?

    I have Crohn's disease, my body is extremely sensitive to drugs (can't even take Tylenol without some fairly major side effects), and I am underweight as it is, from that, have been all my life. My BS didn't seem to take any of that into account, it seemed like that was just standard protocol and that was that. It didn't even seem like she was listening. I will be talking to my naturopathic oncologist at my next treatment, on Friday, and see what she says. 

    Thanks again for all the wonderful support here! I'm finally starting to feel a little more human again, one day at a time. Can't wait to be strong enough to drive again.

    Edith

  • Lakegirl1
    Lakegirl1 Member Posts: 316
    edited March 2014

    Sandra...the Infectious disease MD will not allow blood draws from the PICC line. Fortunately, no vanco..cefazine (sp)?   

    He is very picky about this PICC, if we lose it, I will have the one in your neck, YIKES!!!  A little concerning was that in the hospital they were doing blood pressures from my rt calf.  The RN tonight did not seem familiar with that particular method.  There was a great deal of concern when they realized my last successful blood draw was fom my ankle...that worries me a little. Also, you know that little disc that goes around the line at you skin, home care says they only use tha in the hospital.  I'm going to see if the infectious disease MD will order me some of those discs...they seemed to help a ton with pain at the site.

  • Gramof2boys
    Gramof2boys Member Posts: 194
    edited March 2014

    Sorry some of you are having some setbacksWe all seem to make it through somehow. I got my last drain removed yesterday, yeah! My sister came with me to the PS appt. She said she started to watch them pull it out and said after about 8 inches, she turned her head thinking jeez that must hurt! It really didn't hurt though. She was glad to hear that. I feel so much better today,11 days out. Wishing everyone success with there upcoming surgery, it is easier than you think.

  • Blueberry4
    Blueberry4 Member Posts: 98
    edited March 2014

    Hello March Ladies, I'm with Sandra.  I hope we can continue this thread as our treatments progress forward. You all inspire me with your courage.  I too am very thankful to Sandra and SpecialK for their expertise, insight, and encouragement.  

    I saw my BS and PS yesterday and today. Healing issues seem to be resolving themselves somewhat.  The docs are taking a wait and see approach since the problem skin is improving and still viable, just purple. Much of it is pinking up and a large area is back to looking like skin again. There are no signs of infection, the skin on my cancer side is just thinner and having trouble getting enough oxygen.  My pathology report came back with clear margins and no additional cancer was found.  My tumor was a bit bigger than originally thought so I am staged at stage 1b.  Due to a high KI67 and oncotype scores, I will be starting chemo next month.  I will meet with my MO April 1, hopefully we will learn what my chemo schedule will be then.  The BS has already discussed scheduling the port surgery.  The port scares me, I think because it makes my next phase of treatment seem so much more real. 

    Everforward and Lemonade - a gentle hug for you both.

    I'm jumping on the pink bus for you Mcwill and sending warm thoughts and prayers for peace, courage, and gentle healing for all the March ladies.


  • Sailon
    Sailon Member Posts: 55
    edited March 2014

    Juliecc -- Congrats on drains out and feeling a bit normal.  I have had 2 fills now.  60 the first time and 70 the 2nd time. I am at 230 now. (I had 100 put in at time of BMX surgery) The pressure is quite intense but manageable.  Aleve and sleep.  It certainly knocked me physically -- I think it is the body adjusting to the change.  Breathing, restorative yoga, (no upper body) walking -- more blood flow the better it seems to get through day 1 and 2 after the fill.  Glad to hear things are progressing well and hope fill is uneventful.  

    vin mama -- One way to help reduce bleeding and draining is to not use your arms much at all.  The less activity with the arms the less fluid generated and drained.  Once I discovered this, I adjusted and the drainage reduced significantly in just a few days.   Regarding the additional treatment even with clear lymph nodes, yes yes a 5 year regiment of estrogen managing drugs are the standard course.  Depending on whether you are pre or post menopause the drugs will be different. There are side effects to each drug that are unique to each individual (so they say.) I have been on Arimidex - which is one of the post menopause options.  If too many side effects appear there are two other options to try.   Taking this drug treatment for 5 years reduces by an additional  6-7% the recurrence rate.  So taking the drug is a good thing over the long run.  Sticking with it for 5 years is critical -- is what my Dr. says to achieve the desired result. 

    Letting other friends and family do things for me has been challenging from the start.  It is critical though.  It helps reduce stress and angst about things not being done.  Let others do it.  So many people say to me, if there is anything I can do just tell me what.  Well tell them, ask them, let it go, and left friends and family be there for you.  It has made me feel better and it has made my friends and family feel better too.  MakeLemonade -- hang in there.  Your boys will be there -- and even help you in their own ways -- hang in there.  Hugs Hugs Hugs for your boys --- and normal as possible Mom words and humor and love -- will help them.  I am thinking good thoughts for you and your family. 

  • Frostecat
    Frostecat Member Posts: 447
    edited March 2014

    It's done.  Yesterday was in my room at 5 after 10:am surgery.  I've been awake most of the time since then with about 4 hours sleep.  SNB was clear WHEW!  So very thankful.  Was told I didn't receive Experal don't know why but little bummed after hearing such great things about it but have a pain pump. Might be going home today waiting to talk to Drs.  Best wishes for McWill today.

  • Footballnut
    Footballnut Member Posts: 742
    edited March 2014

    Good morning everyone!  9 days since my surgery. I actually woke up with my left arm over my head about seems that my range of motion is increasing. 

    Just a comment re staples - for me I didn't feel a thing. I think that I had 20 and only felt 1. It seemed to go very well. 

    My husband told me that one if my drains was very long too. Thankfully I was still fairly numb when it was pulled out although I did feel an increase in burning and twinges the next day but all was bearable

    Best to all and have a great day!!

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