Nurses with Breast Cancer
Comments
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yes its busy because alot of people want to get their surgery out of the way but have not noticed any increase in infections plus central supple who process surgical supplies don't get to take a holiday from their quality control checks, also unde i had surgery last dec without any problems
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I've never heard any issues with having surgery in December. The only thing I would ask your surgeon if he will be going on vacation soon after your surgery. My BS went on vacation right after my BMX so was unavailable to get results and my PS went on vacation shortly after my revision/ nipple areola reconstruction so was unavailable when I had complications. The only time of year that I have heard to avoid hospitalization or surgery is July in a teaching hospital, which once I starting working in a teaching hospital found that to be true.
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I have had a couple surgeries in December and have had no complications. There is always a great risk for infection with any surgery at any time. I completely agree with Foreverchanged about the doctor's vacation schedule and also teaching hospitals in July. Getting healthcare personnel to wash their hands is an issue all year round!
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Thank you all,I was fairly sure it didn't make a difference. Big brother feels better now.
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I have been a nurse for 17 years and I have never heard of such a thing. Good hand hygiene should be practiced at all times. If anything, I'd think it would be better because less elective surgeries are done during the holiday season and therefore staff would be less rushed. There is NO excuse for improper or lack of hand washing, however. As for instruments, my husband works in the central sterile department and their procedure for sterilization remains the same at all times. I'd have no reservation whatsoever having my surgery performed during the holiday season.
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RN -I agree, thanks for the reassurance.
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I am newly diagnosed IDC at age 28. I am also a nurse and concerned with my treatment options and ability to work. Can you work during radiation therapy???
Thank you!
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I am a nurse and have not worked since diagnosis. I had chemo for 6 months, then rads, then DMX
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(((Kstars))) so sorry you have to join us and at such a young age...I'm a nurse too...I didn't have radiation but I was able to work while going thru chemo, I used intermittent FMLA if I was really tired the day after treatments. I'm sure you'll hear from others who did have rads...take care, I hope you have a treatment plan soon (((hugs))) Maureen
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i had dcis and worked through out rads on pcu, mind my fmla did not get approved until tx 30 of 33! but needed it after as the tierdness really kicked in when i finished rads
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thank you all!
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I am an RN also. I have been a nurse for 30 years. I just completed my masters as a FNP 5 weeks ago, only to find out I had an "area of concern" on the mammogram. I was just diagnosed four days ago with DCIS.
I am considering a double mastectomy. I don't want to have radiation therapy and am hoping to avoid that. I also don't want to worry every time I have to go to the doctor, or have a mammogram, etc. I am fortunate that as a nursing instructor I have the summer off. I will have to take the last 3 weeks of school off though. Can you guys elaborate on why you chose mastectomy or lumpectomy? Thanks so much. It is encouraging to hear from all of my fellow nurses who have undergone treatment and who have not only survived, but are thriving!
Thank you for sharing.
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(((Renee51)))...so sorry you've been blindsided by this beast...welcome to the club that no one wants to join...I had BMX and did not have radiation. I had extremely dense breasts and "proliferic cysts" (that's how the pathologist described it) - my breasts were very lumpy and sore all the time. I had my annual mammogram which was deemed "Normal, BiRad 2" - the only recommendation was annual mammogram then I found my lump just a month later. I contacted a surgeon and asked her to evaluate the lump - she sent me for an ultrasound and the radiologist said it was "a mass" with lymph node involvement, what a shock? The pathology from the core needle biopsy showed several areas of LCIS, DCIS, and IDC. I had lumpectomy followed by dose dense chemo to give me time to think about what my choices were. About half way thru chemo I had two rad onc consults to see what the risks and benefits were for me to do radiation. The RO's said rads would only prevent local recurrence in the skin or chest wall but no other benefit. I had great margins and no extracapsular invasion in the positive nodes so they couldn't say rads were worth the risk of heart, lung and rib damage. I decided to have the BMX to avoid the risks for radiation and because mammograms were not reliable for me - I did not want to find myself with another lump after another "normal mammogram". I had immediate reconstruction direct to implants and have no regrets:) Good luck with your decision...(((Healing Hugs))) Maureen
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Renee--I
had a mastectomy due to radiation damage with chronic abcesses and pain.I had the other breast removed at recon time
due to an "area of concern" that required more views and extra trips
every year for almost 5 years.I was
teaching at the time and had bilateral DIEP recon in June, was able to go back
to work in late August.The rads did
lung damage and makes the asthma harder to control now.Just waiting for the heart damage to show
up. -
they were unable to do the sterotactic so had a open biopsy, they were being extra cautious because my sister had bc kept telling me they didn't think it was anything but wanted to be sure, so one diagnosis of dcis later did have a follow up surgery because 2 of the margins weren't clear so had a follow up surgery to get clear margins and a sentinel node biopsy which was negative . did rads and still doing tamoxifen ( 2 years to go) had a area of concern on the first mammogram post surgery which was adh , do have occasional chest pain which after several trips to er and multitude of tests has been diagnosed as post tx pain,due to age got the full cardiac workup
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Dear Renee
I am an FNP so I know what you have gone through...Let me just say that I had 10 treatments of stereo tactical radiation in the VERO machine at Shands at Jacksonville, Fl last month...did not feel a thing. It is a very star wars type treatment and machine. Mind you I had to set the wheels in motion to go do that myself. But I encourage you to not be afraid of radiation. I am stage four from diagnosis in Dec. 13. Unfortunately I was one of the ones that mammograms did nothing for. I had had one that was "clear" 9 weeks before cancer was diagnosed and then 2 weeks later I was told it was stage four. Go figure. Take care and know that these boards help us all to chat and get strength from one another . Carolyn from Tn./Fl.
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Thank you all for sharing. I am going tomorrow to meet with the plastic surgeon and on friday I meet with the oncologist. Everything seems to be moving in slow motion and yet moving so fast. I want this to be over, yet I don't want next friday to get here. Call me conflicted.
I want to make good decisions and you all are helping me so very much. I am forever grateful!!
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Renee--conflicted is a good way to describe how we feel during treatment, especially early on. I DOES get better!
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nm is right it does get better, been referred to the local star program for the ongoing chest pain so hope i get accepted . had no problems during rads craved protein like crazy tho
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I was able to work during RADs. I had a BMX without recon. Was hoping to avoid RADs. I ended up having bilateral RADs. I feared that because I was getting so much radiation I would be too tired to work. I scheduled myself to work only two 12hr shifts per week during that time(sat & sun). I was glad I did because keeping busy helped me take my mind off the annoying skin changes RADs caused. I didn't want to work during the week. It would mean having to rely on coworkers to cover for me & if the RADs center got behind it could be problematic. I ran every day thru RADs. Swam laps the first couple of weeks(then my skin got too red). Depending on where you work, where you are getting treatment & how flexible things are, I think it might be possible to work fulltime. In hind sight, I probably could have pulled it off.
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Renee1 I chose BMX after being finding a 5mm cancerous mass in July 2013. Personally, I just could not leave the breasts there. I needed them to be removed. I am glad that I did. When the final pathology report came back, there was an area in the same breast with additional "microcalcifications" noted. I feel in my heart of hearts those would have turned to cancer later and who knows if I would have been lucky enough to find it this early again? Good luck to you as you begin to navigate your way.
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wandawoman, that is exactly what I am afraid of. I know I am lucky that mammogram identified the cancer so early. I am not afraid of what I know is there, it is the things we don't know about that is frightening. BTW, plastic surgeon isn't available on 25th, so now date is changed to the 29th.
I had a truly bad day yesterday. I don't want to be angry and bitter, because I am thankful, but let's just say as all the surgeons and oncologist offices were calling, scheduling, setting apps for sentinode mapping, etc. reality slapped me in the face.
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if mastectomy is all you need, then you can proceed to the DIEP surgery to begin with getting the breasts removed and getting reconstruction started. I flew to san antonio from Va to have docs at PRMA do mine. I was very pleased. there are also the nola docs
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Renee51 The appointments can be overwhelming. I feel like I lived at a doctor's office from the time of diagnosis until just recently. I believe that it is hard to not be angry sometimes. Your world just tilted on its axis. Right now things are beyond your control. But this will not last. Soon you will be a part of the decision making process and will feel a little more in control.
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I saw my oncologist for the first time yesterday. She explained every single detail of the reports. She reassured me that I was making good choices, and that given the same scenario she would choose the same path I have decided on. That has made me feel so much better. I have second guessed every single move I make and now I feel a little more settled and at peace with decisions.
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That is good news, indeed, Renee!
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so glad you were able to get some peace of mind at your appt
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Hi there, I am new here. I've been a nurse for 24 years now and am in a Master's program for FNP with about a year to go. I had JUST gone back to my old job in our local ER after having done hospice for two years when I got my "preliminary" dx of DCIS intermediate....will get the final report at my visit tomorrow. Have had some really bad experiences so far with bx's and MRIs and am starting to think I have an issue with anxiety!??
Anyway I got through orientation at the ER and have been off this week, with my manager calling to see when I can work. Well I really don't know! I guess I will know more tomorrow.
Will it be possible to return to the ER within 4 weeks of a mastectomy? Am thinking I should have stayed with hospice.
Confused and soon-to-be broke!
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Hi bethq. Anxiety was tremendous for me. I am a runner and I could not run enough to help with the overwhelming feelings of anxiety that seemed to come on out of no where. Eventually I did have to resort to an antianxiety med to help. I can not say enough good things about the benefit to my sanity the medication provided. I was back to work 5 weeks after having a bilateral mastectomy and tissue espanders placed. I do supervision so I was never really lifting/turning anyone, I think 4 weeks may be a little quick when you work in direct patient care.
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Bethq--I developed
huge anxiety issues, too.I'd talk with
your PS about returning to a heavy work area like the ER in 4 weeks.With my first mastectomy I had a JP drain for
7 weeks--not typical but it can happen.With lymphedema precautions I'm not supposed to lift more than 15 pounds
with that arm.
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