March 2014 Surgery
Comments
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Good for you Linda!
All the best for the Ladies going into surgery tomorrow. Next week you will be here chatting with us, feeling much better, glad that it's all over.
I saw the radiation oncologist today. All went well. We discussed the heart issue, & a breathing apparatus to use at the right moment so the heart ventricle is lower/down??? (never heard of this) And he asked if I ever considered NOT doing rads (no) cause that puts my chance of systemic re-occurrence to 35%. I go in 2 weeks to have the whole thing set up, then get a schedule going for 28 visits.
He told me the two main SEs were skin issues & fatigue. I told him I knew & expected that but wondered WHY the cumulative fatigue. He said the medical community does not really know why...they/we assume it is partially the stress of going every day but he couldn't say specifically why radiation would cause fatigue.
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footballnut: wow, you're my hero, back on the treadmill already!! We had the same surgery date, and working out is not what I'm up to right now! My DS (9) and I made our second loaf of gluten free banana cocoa bread this morning together, and that pretty much took it out of me, even though we used the bread machine. He did all the "heavy" work, such as mashing the bananas, taking the bag with all the flours out of the freezer, and helped with a few other, more fun for him things. He's been a good little helper, also did some laundry for me end of last week.
I am getting much better though each day. Today it seems like a lot of the swelling is gone, and the only pain and discomfort I have left seems to be from that long drain in there. I'm really hoping that the output will slow down so that that thing can come out next week. I also still can't drive, just don't have the strength in my upper body to turn the steering wheel. Doesn't help that I'm such a lightweight, so everything takes quite a bit of strength for me.
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Wynne, I hope the mapping today goes well, I too was nervous but found it far easier with nearly no pain A bit like a bee sting but shorter in duration.
Best wishes to three ladies that are up next. I'm one week out and found the waiting was more difficult that recovery has been.
Will be thinking of you and sending positive energy your way.
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Another thing I just remembered , ask for the Exparel!!!
My insurance didn't cover it, however it was totally worth it!!! They used it for my surgery on 3/4 and 3/21. PS said he didn't know if it would work since there was infection in the 3/21 surgery. I told him I was willing to incur the cost, esp since I don't get narcotics, not even in OR. I think it gets me over the hump where we can use Toradol weaning to the 600 mg motrins I go home with...oh and the Valium.
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what is 'spring weather'?
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Aviva... I'm pretty sure we have no idea what that is here in IL!
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Hi Juliecc, Yes one tumor her2+ (left breast) one her2- (right breast) both IDC both almost the same size and both grade 1. I was surprised that this didn't change with the final pathology on the her2 tumor - the nottingham grade was 5 on the her2+ and 4 on her2-. I even asked the BS if she could explain how an her2+ tumor would be aggressive and end up with a grade 1 - she basically said in my case it doesn't really matter as it doesn't change what would be the suggested treatment so just accept it as finally something to feel good about LOL
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Joining from the December 2013 Chemo forum. Scheduled for bilateral mastectomy with tissue expanders on March 31st. Since I have spent all of my time on the chemo forums, I have a lot of reading to catch up on with this forum. My husband thinks I already spend too much time on breastcancer.org, but it is the only site my BS would recommend.
I was fortunate with the chemo SEs, but I know surgery may be a whole new game! I don't wanna play this particular game!
Keep smilin', keep shinin'..
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So happy for you Linda! Just the best news!
Vinmama -- young kids make it more challenging with the arms. But less movement -- as much as possible is a good thing.
TE's -- vice grip is how I would describe them -- or perpetual elephant sitting on chest. The raw burning sensation in first week as the TE found its spot on my rib cage has gone away -- but the heavy, feeling of a vice grip compression bra is never gone -- the hot shower cascading over my shoulders is soothing. Hot compresses - wash clothes on the upper (pec part) of the TE is soothing. Not on the scar. I just had my second fill and heat and sleep are a good thing later in the day of the fill. The vice grip pressure and elephant are exaggerated on those days!!
Fayth -- I have not had anything with my TEs like you describe and would be into my PS immediately. I have not had a leak, but what you describes sounds suspicious.
Burning under Lymph Node arm. I have it and am told it is the nerves that were cut through and that it will hopefully go away all together but as others have said sometimes it does not go away at all. -- The heart shaped pillow the volunteers made and gave me that fit up under the arm pit is a life saver. It helps mitigate the burring pain. It was horrible for the first 2 weeks after surgery, that last 2 weeks it has slowly lessened, but it still crazy there. The pillow really helps -- and you can walk around with it everywhere you go. It's just softly lodged under your underarm.
SIZE of TE does seem odd --Kind of rectangular almost or so they seem as I look at the shape that is emerging -- they seem basically evenly set in my chest cavity. First week after surgery, I looked like I'd been hit by a baseball bat! Tons of bruising -- but it is almost all gone now. They are filling pretty well I guess (2 fills.) I can gently poke my finger against little air pockets in the TEs where there is no liquid. They do not look like breasts -- more like mounds, and yes they are set of from sternum out to arm pit. I assume this is the method the BS's use to create space -- for better things to come!! Who knew that just about everything you do with your arm involves a pec muscle! Per BS I put AquaPhor on the scar and Nivea to massage the surrounding Breast skin -- to help it stretch. I put this on as much as possible throughout the day. Scar looks incredible since I started using AquaPhor at week two after aseptic ointment was done.
All my positive energy and good wishes to
mnmbeck
lovemytwinz
Wynne50
Having the surgery behind you will be such a relief on so many levels.
best to all -- Sailon (also a Linda)
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Thank you all.....less than 12 hours until exchange. Thank you for all the warm wishes and love.....MUAH!!! I love you all!!!
Terrified as usual.....deep breaths......
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fayth - I am not thinking you have a leak - the saline leaking out of a TE would be more likely dispersed and absorbed. I am leaning toward a seroma, which can be aspirated. Either way, you need to contact your PS asap. I am not sure the ER is a good choice - you don't want anyone besides a PS (preferably your own) trying to aspirate. Some develop seromas, which are pockets of fluid, when their expanders are not as tightly filled. Expanding the te helps press and tighten so it discourages seroma formation.
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Do any of you wonderful ladies happen to know if there is any contraindication to drinking green and/or ginger tea shortly after mastectomy? That's my usual morning (and often after lunch also) drink. I stopped drinking it 1-2 weeks prior to surgery, since I read that both could possibly cause more bleeding during surgery. My BS said she didn't think 2 cups of green and ginger tea a day would make any difference, but I still played it safe and didn't drink it. I started drinking it again after I got home, about 48 hours after my surgery was finished.
Could that be contributing to my prolonged bleeding? Just try to research a bit online and I'm not finding anything about after surgery, only before. Obviously my BS won't think it's a problem after, since she didn't think it was a problem before.
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vlnmama....I have never heard that about green tea or ginger tea!!! Nobody ever told me it was contraindicated. I drink a LOT of decaf green tea. In fact, I am scheduled for my exchange surgery in 7 hours (who can sleep?) and until an hour or so ago....I was drinking green tea! Now, I'm wondering!!!!!!
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There is some connection between green tea and interference with platelet production. Have a lower level of platelets means it may take longer for blood to clot - therefore a possible risk during surgery.
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Well ladies, it's the big day! Surprisingly I slept very well last night. I think it's because I am just ready to be done with all of this and this is one step closer! Thank you for all of your wonderful wishes and prayers, this group of ours truly is amazing! To Wynne and mnmbeck.....We Got This!!!! I will be praying for you both and we will all be a little stronger than we ever imagined after today! !!!
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Lovemytwinz, mnmbeck, wynne50 wishing you all the very best today!
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vlnmama thanks for ur kind words! Felt good to get on the treadmill!! I manages to go 3 miles per hour for 30 min then was pooped. Thing is I've been sitting around since surgery chatting with friends playing games like farm heroes and candy crush and doing my arm exercises. I understand that I have to rest but since being freed of my drains and staples I thought that I better start to get moving!
My normal aches and pains which I've had for years in my hips, lower back and every joint that I can think of is slowing starting to return so I had to try
Last night I was so itchy where my dressings are and have heard that it takes approx 2 weeks for the histamines to kick in to drive the healing process
As far a green t/ ginger I was never told anything about that. I was only told to drink lots of water 48 hours prior to surgery and avoid alcohol. Funny I haven't touched alcohol since this business started
Lol
Here it is Thursday already! All the best up all approaching surgery or in the healing process
For me 6 days until I meet with my surgeon to hear what he has to say
Yippee!!!!!
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Linda: Wooooooo!
Football nut: Your husband is soooo cute. Watch out -- we are going to steal him
On the bus!
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Lovemytwinz, mnmbeck, wynne50, I'll be thinking of you today.
Vinmama, I was told not to drink green tea 2 weeks before surgery but it wasn't on the list of meds and herbs to avoid that I was given by the pre-op nurse at the same time.
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the hubby and I in Nyc for the Super Bowl which we didn't go to. Lol. Long story short - went to NYC before biopsy to try and forget about things for awhile. As I love football and my favourite team - broncos - were in the Super Bowl we figured why not. Of course the broncos lost but we met so many awesome people and got to c billy Joel at Madison square gardens.
My hubby has been a blessing for. 30 years despite being a drummer!! Lol
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My tes were not terribly painful. Felt tight across chest but for the most part, after the bmx healing, it wasnt what I would call painful. I had no bruising after the bmx either, so guess its another one of those things that each of us is different on.
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Lovemytwinz, mnmbeck, and wynne50 will keep you in my thoughts today. One step closer!
I was also told to stop drinking green tea. I was given a long list of things to.avoid pre-op. I followed all of my instructions and have not had any post opens complications thank goodness. My drains came out yesterday and I am a little more comfortable. My biggest issue is the nerve tenderness under my arms. Any suggestions?
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I wouldn't describe the TE's as being painful but they are uncomfortable to me. I feel like I have a really tight underwire bra on that is glued to my chest lol. I can feel them under my arms but do not have stinging there. The tightness in my chest sometimes makes me feel like I can't breath deep but all said it has been much easier so far than I anticipated
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Linda, like you I didn't think my TE was painful either...until the last fill. Prior to that all I ever felt was some minor achy tightness in the evening after a fill. A dose of Tylenol took care of that and I felt fine the next morning. I felt a little guilty about not having pain since everyone else called their experience TE hell. People would ask me how I managed to get huge fills without pain. (First one was at 3 weeks post-op,180cc, second was 240cc, then 100, 80 & 80 to 680cc's.) I have a high pain tolerance but really there was nothing to "tolerate." It just didn't hurt. I could feel the bottom of the TE dig into my ribs when I sat a certain way but that went away as I shifted position. I slept fine and could even sleep on my stomach if I wanted to.
Then came what turned out to be the final fill - 60 cc's - and a few hours later I finally knew what others meant by TE hell. I told the PS that I didn't want anymore. 740 would have to do. Fortunately I only had it bad for two days, then Tylenol and Lidocaine patches kept it tolerable for the month I had to wait until my exchange. The skin above the TE was the most uncomfortable. I had a "shelf" where it went from flat chest to a huge round stripper boob. (Handy place to put a drink or the TV remote.) I'm sure I went through 2 boxes of Lidocaine patches while I waited.
It really is weird how we are all so different.
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Football, loved the picture. Such a cute couple. Congrats!
Sailon, I agree with you. Those little heart shaped pillows are the BEST. The American Cancer Society sent them right after my diagnosis and I thought, "What the heck will I do with these little things?" Obviously somebody had been through this before, because those pillows have saved me over and over again these past seven months. My hospital gives them out too but theirs are bigger and firmer, so not as good. My little heart shaped pillows are 10" at the widest but the middle of the heart shape to the point at the bottom is 8". That dip fits perfectly under my arm. They are very lightly filled - less than 2" thick and quite soft. I don't think I could sleep without them. I've dragged them with me to the hospital for all my surgeries and keep them under my arms all day in my recliner during recovery. They've been a tremendous help after this surgery in particular because of incisions in or near the armpits. I also use them to sleep on my side. One goes between the bottom foob and the mattress, one under the top arm to keep it from leaning on the top foob. Works GREAT!
Want to make your own pillows? If you're not handy at the sewing machine, fill a quart size Ziploc bag LOOSELY with soft pillow stuffing or cotton balls.
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I had a check up at the hospital this morning and the doc is quite pleased with my progress at 6 days post-op. There is some redness of the big Z incision, but he says that is normal as long as it doesn't spread. I'll stay on this heavy dose (2 grams) of IV Vancomycin twice a day for another three days to make sure no infection develops and then can get the PICC removed Monday. My rather spectacular bruising is on to another couple of colors today but should begin to fade soon. I quit taking Tylenol yesterday. Stitches on the Z-plasty will come out in another week and then I can begin gentle stretching. He estimates I'll be ready for the final surgery #5 in two months. Even though I feel great, he said to stay quiet for another week and put no pressure on those healing muscles under the Z-plasty incisions or the new left foob incision. The mudflap on the other side looks worse than it did before surgery, but he says that's just swelling due to the liposuction and as it heals and scars, the tissue will contract and smooth out. Yay!
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Welcome Sothernbli. Sorry you have to join us here. You will not be alone on the 31st because we will be right there with you.
Fayth- any update on your situation?
Sailon, thank you for your TE description. Hit by a baseball bat? Funny and can totally relate to that. I can relate to most of your description which makes me feel better because even though the the PS said it "looked Great" I hardly believed him and felt that I was totally unprepared for what I looked like.
footballnut- I did my elliptical for 15 min the other day and then stopped because I was afraid that maybe I shouldn't. Did doc say it was ok? I NEED to exercise because I now look 7 months pregnant without my DD's to balance me. Not loving the new view of my belly. I was able to ignore it before and blamed my large breasts for my not fitting into clothes well.
Hope everyone is enjoying their day.
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Stfne, I was not allowed to exercise for the first two weeks after any of my surgeries, even walking was out. (Not around the house, that was ok of course, but no walking for exercise.) I got the same instruction in my 6 day post op check this morning. I am to stay quiet for another week, no exercise, no lifting of my arms past the shoulder level. No stretching, pulling, or pushing. He said the delicate lymphatic system needs to heal after surgery and restrictions now can prevent lymphedema development later.
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Welcome Southernbling. This is a great group of women and we're glad to have you join us.
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I find it interesting that we are given different direction regarding exercise. I was told to listen to my body. It goes without saying that I'm not to do anything too strenuous which would result in my working up a sweat while (ie running)
As far as my arm is concerned - because I only have the one I have no choice but to use it. The nurse at the hospital encouraged me to start my exercises the day after surgery and all instructions from the hospital stressed the need to have full range of motion within 1 week or face the possibility of never regaining
I have been doing everything slowly and without sudden movements. I must admit that my arm feels much better today than last week
Sure I continue to have the "sunburn" feeling and the feeling of being unable to stretch my arm for fear of tearing something. I feel a strong pulling if reaching for something on a high shelf. At times like that I call my hubby!! :-)
Bit by bit day by day!
:-)
Next week I'll follow up with the surgeon re increased exercise. I used my hair dryer twice this week with no issues so am hopeful that I can start light weights soon!!!
:-)
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