March 2014 Surgery
Comments
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Frostcat, are you maybe doing too much? I literally am sitting on the couch all day watching Netflix and playing on the iPad. Taking a shower is my activity for the day.lol
I will be thinking and praying that you get them pulled. I was dying to get mine out too. They are such a pain!!! Remember if they are draining it's a good thing and you really don't want to end up with a seroma. Let us know how it goes.
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Wow Kitty, looking good! I had BMX no recon so it ain't a pretty sight! So in a way I am a bit envious of you gals who were able to have immediate recon.
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Vintage, these are just the expanders. Filled 100cc in each during surgery and won't be getting another fill until my 6th week post op. I think my PS likes to go slow compared to others here posting. Are you able to change your mind now and get recon done? Or are you set with your decision?
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I am doing the same as Kitty - sitting in the recliner all day watching HGTV instead of Netflix and playing on my iPad. My surgery was 3/19 (3 weeks ago today) and I still have one drain we were hoping to get pulled today! My total for yesterday was 19 so I thought for sure it would be low this morning, but it was 18! Will have to see what it ends up being tonight and hopefully tomorrow will be the day for me.
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Well they look good Kitty! I am quite sure I will not be getting recon. I still have radiation to do & know the odds/risks of failure from damaged skin...& I am not up for several more surgeries.
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Ucfmom, will be hoping that you too will get that last little bugger out as well. Now that the weather is getting warmer I wasn't sure how I was going to be able to go out in public. I only planned for zip up sweatshirts and jackets. I didn't realized how few button up shirts I had. Went hog wild shopping at Goodwill for comfy button up pajamas and sure glad I did. Thought I would be recycling them after the drains were pulled, but I actually love them. They aren't sexy, but at least some of them are silky and that should be an even trade off for my DH. Lol
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Hello March 2014 Surgery Sisters! Hope everyone is doing well. I am 9 days post op and doing okay I guess. Still have all four of my drains of course. I had secretly hoped the PS would take two of them during yesterday's visit since two have been less than 5 for 2 days. He must have read my mind because he said he almost never takes drains out until two weeks. Considering my surgery ended up taking almost 12 hours, I think he's extra attentive to me.
Okay, am I crazy or does the pain feel like your foobs are in a vice? The tightness has increased in the last couple of days, and I feel like the pain is getting worse. I hate to complain since I basically sailed through chemo (thank the good Lord for that), but man this is making me only want to stay in the recliner all day. I walked two miles starting day two after surgery so I don't know what is going on. On a positive note, I was able to keep the nipples. The PS made them smaller though. He had already mentioned mine were rather large compared to my breast size. Guess that's not in vogue now. I must admit they do look better, all things considered.
Hope you ladies have an AWESOME day!
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When my breast surgeon discussed mastectomy with me the other day, she said she wants to do the incision at the bottom of my breast, along the crease. I've noticed that most of the photos I've seen show an incision straight across the front middle of the breast. What goes in to deciding where the incision will be? I'm fairly small (borderline A-B).
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My incisions are at the bottom of my breasts and I was thrilled when they said they would do it that way. Of course now that I have to lose my right nipple, I'll also have a straight incision in the middle of that foob, but I don't think it will be all that long.
Southernbling (love that name), it's funny your PS said two weeks on the drains. Mine said he often takes them out at one week but wants them to be around 20 for two days in a row. Here I sit 3 weeks later and still have one. Well not all that funny to me now. lol
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Hi ladies - dealing with a setback after Friday's return to the OR - having a pretty violent allergic reaction to the tegaderm and have a spreading blistered rash over quite a bit of chest. I saw my PS yesterday and did get some Atarax which is allowing me to at least get some sleep. The same thing happened at BMX so I know what to expect.
Where to place incisions is determined by many things - PS experience and preference, type of surgery, patient anatomy, etc. Ever - I have incisions in the IMF (underneath in the fold, and I had nip sparing on both sides).
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I am so happy to hear all the chat about tissue expanders. I am 3.5 weeks post op and I feel like I am all healed up from the actual mastectomy. My drains were pulled on day 8 and I barely even have any scabbing left. The trouble however is this darn tissue expander who I dislike very much. I feel like I have a tight uncomfortable bra with underwire jabbing into me in various spots,.. and I can't take it off. I also have some wrinkles that are causing my skin to poke out in a triangle shape. When my clothes rub on these areas, it is really uncomfortable. I will say though, that every day things seem to get a little better. Yes, it feels like a rock has been implanted under my pectoral muscle, but I am coming to terms with it. I think it takes time to get used to the new normal,... and remember they are temporary.
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SpecialK, sorry about your allergic reaction! You can't seem to catch a break!
Kitty, I am also jealous of your incisions. They are so thin and nice! Mine are bumpy in some areas. I took a couple of pictures this morning I will try to upload tonight after work. My sternum is hurting less today. At work I need to remind myself to sit up straighter instead of slouching but then my clothes press on my chest more. Boo. I am tired of the rock hard expanders, too. I think I have new stretch marks on my left side :-(
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Julie - sometimes I feel that way, lol! I always seem to fall into that small percentage of whatever the complication du jour is! Good thing I am a patient patient! Oh well, just happy that the stitches are holding.
For those concerned about their incisions, remember that when you have exchange surgery your surgeon will use the same incision line so what they look like now is not how they will stay.
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Specialk, I hope they can do some scar fixing at the exchange. Here is a picture of my bumpy chest and incisions. I still have the dark pink/brownish area on the left above the incision, bruising, dents, areas that poke out a little, and what is up with the extra armpit fat and puffiness especially on my left?? It seems that others have a better appearance earlier on. I'm 4 weeks and 2 days out. This is at 300 cc.
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You will be surprised at how things flatten out the farther you get from the original surgery, and remember that the purpose of the TE is to create a pocket for the eventual implant. The real artistry is done at exchange time. The armpit fat thing is common - when they excavate all that breast tissue you lose the structure and end up with little bunches like that - also common on the sides going toward your back. Those are areas that you can have lipo-ed either at exchange, or after. If you are concerned about your incisions flattening, ask your PS about silicone scar strips to assist.
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Thanks for all the information, SpecialK. I've read about the scar strips. I'll ask my PS about them. She has always said don't put anything on them so I might have to do it secretly. Shhhhh.
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Julie - just make sure the incisions are fully healed first. The purpose of the strips is to flatten the scar, but you don't want any complications that might come from using them too early. I am assuming if your doc is doing fills they feel the incisions are fully healed.
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Hi Friends! Had my 1st appt with MO today. Great news that my sentinel lymph node was clear and they got clear margins at chest wall! They found more DCIS but nothing else invasive was found! (They found 2mm IDC after re-excision lumpectomy.) Average 10yr BC risk for 40yr old is 1.47% and for 50yr old is 2.38%. Ladies with history of BC have 3x that risk. So MO said my 10yr risk of getting BC in left breast is 5% risk. I was actually thrilled that it's in the lower single digits. Was expecting it to me higher. But he does want me to try Tamoxifen to lower my risk to 2% which is about normal risk level for a woman in her 40-50's. I told him I'd try for 6 months and see how it makes me feel. He assured me that the vast majority of women have very few side effects and that the only people you read about online are the women who do. Hoping that he's right! My prescription is waiting for me at Wal-Mart...
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Great news, Franny! Do they plan to do an Onco DX test? Based on my score, my recurrence rate is 8% with Tamoxifen. I started Tamoxifen last Friday. No problems yet but I'm thinking side effects would take a month or 2 to show up. I tried to google that but gave up after awhile.
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Awesome news Franny!
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SpecialK, I am so sorry to hear of yet another complication for you, geez! Went to the PS today, and no my tube did not get pulled, it was a gusher today - ugh! I told him and his nurse that I am in pain all of the time. From the pain in my chest to the raw, numbness under my arm, it is getting to me. He and his nurse were deciding whether to give me a fill, she wanted to do it with the thought that the fill will push out all the extra fluid and they debated amongst themselves. Thank god he said, "no I'm not going to fill her, she is in pain now, and she will be in more pain". She said "not even a little?" and he said "No we will wait until monday, pull the tube and fill then".
I think I found out why the pain, I was filled with 300 cc's at surgery not 200 and they want to fill me with 150 cc's on my first fill. I said "wow that sounds like a lot" I keep hearing "low and slow" and the nurse said that is how they used to do it, but not anymore. "They" have found by doing it that way, more scar tissue forms over time and actually makes even the low fills over time more painful and that better results happen with the quicker larger fills before scar tissue sets in.
They warned me to take motrin, percocet and valium Monday and to not drive, that someone will have to do it for me. This does not sound like fun at all. Also, they thought I may have overdone it too, I did go to the grocery store yesterday, I really didn't think any big deal of it, until I had to start loading and carrying bags, lifting onto conveyer belt, loading car, carrying in, I guess I shouldn't have done that. I sat and did nothing the first week and a 1/2 and really couldn't do it anymore. But I guess this is the consequences.
I did go and buy a Genie bra hoping that the cutting in my armpit from the compression bras will be alleviated somewhat, that was making a bad thing worse. Meet with the BS tomorrow to review pathology report.
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Frostecat I have the pain in the center when I bend over too. Mine is a sharp pain . I also feel like I have ghost nipples when I get cold. So odd.
SpecialK, I hope that you are not too uncomfortable. Glad to hear that your stitches are cooperating.
My incisions were in the middle across where the nipple was but because i was so large and there is so much extra skin when the process is over the scars will be underneath and much of the extra skin will be taken off. It really does look horrible right now but I am trying to be patient. I'm only at 270cc's and the TE's are 550's so I know that things will look better eventually.
I met my MO today. My oncoDX score is 15. No chemo!! I feel like I was holding my breath for a long time.
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hello everyone!
This is the update that I received from my MO yesterday:
I am HER2/ER/PGR positive. My tumour was 2.3cm, grade 3 with 2 nodes impacted.Thankfully the skeletel muscle is free of cancer as was the skin.
April 22 - I go for a non invasive cardiology test referred to as a nuclear angiogram (SYMA). My nurse told me that then is no injection involved but I think that there is. Crap! I HATE needles!!!
At some point during the same week I will also have a PORT installed. Yippee!!!
April 29 - I have bloodwork and some other stuff - I believe that I also meet with my MO.
April 30 - Chemo. I will have 6 cycles - one week on, two weeks off. I can't even find some of the chemo meds listed on this website!!!! My regimen is called FEC-D Treatment. The first 3 cycles = 3 drug combo - Floirouracil (also known as Adrucil) + EPLrubicin (also known as Pharmorubicin) and Cyclophosphamide (also known as Procytox). The last 3 cycles = DOCEtaxel (also kmown as Taxotere). At some point Herceptin will be introduced which will last for approx 1 year. I will also get Tamoxifen for approx 5 years (if not more). During my chemo treatment, I will also have a shot called Neulasta after each chemo cycle.
I am actually scared of the treatment and even thought I know that too many women have gone through this I'm scared that I'll die from the chemo and all the other crap!!
My MO stressed that all treatment is precautionary and that he is confident that I will come through this okay and hae a very healthy life after treatment.
So - what can I do? I am petrified of having to take drugs when I feel healthy. I am petrified of becoming skin and bones. I am petrified of the side effects especially the severe ones which may cause DEATH such as heart damage etc when I am so healthy right now. Sometimes I think that I shouldn't read too much - it might be better NOT to know because then the mind can't play tricks on you.
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Crap football. I'm so sorry that you have all of that to think about and go through. Hang in there and try to think of your travel plans with your hubby. I know...easier said than done. ((Hugs))
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Football- you will do just fine. I worked throughout my chemo tx and never had any nausea at all. Just do what they tell you to do, take nausea meds even if you aren't nauseated. Rest when you can, it is all doable. It doesn't seem like it will be but it is. Enjoy your trip with the hubby and have a great time!
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Today was my first day back to work. I don't really have a strenuous job. I work at a desk mostly but I am hurting!! Yesterday was 4 weeks post op and I am so tired of pain. I have such tightness at the top of each side, it is hard to sit at my desk because I feel like the TE's or something must be digging into my ribs. Sorry to complain so much but pain is so tiring!! I start Chemo a week from tomorrow and I hope all of this pain lessens more by then. I am so glad to be back in my recliner. Uggh.
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Footballnut.....just want to reach out and give you a virtual 'hug'. All of this stuff is so scary. I did not need chemo, but I know I would be feeling EXACTLY as you are if I had. Please keep sharing....this is not an easy thing to face and to understand. Praise God that there WILL be another side to this. You WILL go on to have a wonderful, healthy life. But, there is going to be some tough stuff in between. I have 2 friends who went through all of the chemo, etc (after BMX and reconstruction). I was so terrified for them, but their attitude was so positive. It was just a 'bump in the road' to them. One of them was 10 years ago, the other was 3 1/2 years ago. The first is now running marathons, raising her boys, and many people who know her now don't even know she ever went through it. The other one is now on the other side as well...all of her hair is back (obviously), she is a busy mom, and just got back from a wonderful trip from Mexico. It is WONDERFUL to see women just living their lives as if this never happened ...at least that is how they explain it to me :-). I know you don't go through something like this without some residual emotional scars. It helps to see that.
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Question? I'm almost 4 weeks post op and am still wearing a bra at night to sleep, are you still wearing one to sleep? It just makes me feel a little more secure and comfortable, is that crazy? I worry about supporting my implant and sleeping on my side. I'm a stomach sleeper and this is killing me to not be able to sleep on my stomach. Maybe some day:)
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Gramof2boys.....by looking at your info, I am assuming you are talking about the TE's...not the implants? I was NEVER able to sleep any way except on my back with pillows under my arms, slightly elevated, the entire time I had TE's (5 months). I am in awe of those who can sleep on their sides....I always felt like I had blades in my chest and if I moved the wrong way, it would NOT be good!
I did wear a bra for awhile. 2-3 months, probably.I don't know why. It was a little bit psychological for me. I had such an intense 'iron bra' feeling. I thought that if I had an actual bra on to fiddle with, and 'pretend' to make myself more comfortable, then maybe I WOULD be more comfortable. In the end, it became such a pain to decide which bra I should wear that I just gave up. I was never able to put any kind of pressure against the TE's....it would just smash those blades into my chest and make me miserable. But, others do well with sports bras and wear them all the time. There was nothing on earth that was going to move those TE's, so the idea of a bra was a little silly....completely unnecessary. But, I guess it made me feel better. It's OK to wear a bra....wear whatever you need to to feel comfortable.
After exchange, I am back sleeping in the recliner...2 weeks tomorrow! I am also back in a bra, and am required to be 24/7 for at least 4 weeks. He said I could do whatever I want after that. If he gave me permission to get rid of it right now, I don't think I would. Again, there is some strange sense of security in wearing it. I would, however, get out of these underwires and find something more comfortable!
Many people can't sleep on their sides with TE's. Stock up on pillows and prop yourself into a postion that is comfortable. In my bed, it because a huge ordeal to get me into a sleeping position! LOL. I always tried to get there before my hubby...or else I would wake him up getting everything 'just right.'
Hang in there!
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Juliecc.....Your PS can fix those scars during your exchange surgery. I have a friend who said hers looked like her PS had used a dirty alligator to open her up! (what a picture, eh? LOL). But, after the exchange, she says her scares are beautiful (as beautiful as scars can be!).
And, that underarm fat you mention? yours isn't bad at all, actually. But, it seems to appear when they take away breast tissue and not everything attached to it. All of that stuff blends nicely for us when we have breasts and the fat that goes with them. I guess when they take that away, they have to draw the line somewhere, and we are left with bizarre bits of fat under our arms. Mine was a little lower, and is often referred to here as 'mudflaps' (here....not at your PS office). If it is still apparent at exchange, your PS may suggest a little liposuction....or maybe when/if you choose to do nipple reconstruction.
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