March 2014 Surgery
Comments
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Love love this pic SpecialK and Linda! I wish I had a sister in my neck of the woods.
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I love seeing people get together in real life!!!! :-) Thanks for sharing the picture. HOW FUN!!!
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Lynnlyre,
I was wrapped up for 3+ weeks, and I learned how to wrap myself up. I lowered the wrap around my tummy, with the velcro facing to the front, so I could secure it easily. Then, once it's wrapped around all the way once, turned it back with the velcro facing back, and raised it up over my chest. Just had to make sure to wrap it quite tightly when around my tummy, since it's a bit smaller there. Then I just kept wrapping it around, and secured the velcro when it was at the end. Also, a trick I came up with to keep it from sliding down all day was to hook the straps of a bra with removable straps to the ace wrap, over my shoulders, like a bra. Worked like a charm! My BS was pretty impressed with my "invention" actually.
I was lucky enough to not get much fluid build up once I was finally allowed to come out of my mummy wrap. I still have a little bit, but so minimal that it doesn't have any effect on anything. I am now wearing a mastectomy bra with prosthesis, at least when I go out. I am finding that it makes me very hot, and the area of my chest under the prosthesis gets really sweaty, so at home I don't always wear it. Keep in mind though that we're already in the triple digit heat here in AZ!
Hope that helps some.
Edith
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Thanks SpecialK!! It was so great to me one of my sisters and so very nice to sit and chat with someone who has been through so much and see that she does have hair!! lol. Seriously it was great to just talk to someone who REALLY understood what I felt and was thinking and I so appreciate her taking the time out of her day to help me.
I went to Moffitt for a 2nd opinion on my chemo regime due to my discomfort with my MO's plan and Moffitt's opinion on chemo is in line with mine with a regime of TCH. I will be talking to my MO tomorrow and letting him know that this is the regime that I want to pursue. It was like a ton a bricks were lifted as I really felt that the other regime was more than i needed.
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What a nice picture of you two together, SpecialK and Linda. How special that you got to meet each other IRL!!
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SpecialK and Linda - that is sooooo awesome!!!! Great Pic! Thanks to everyone for the support!
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Oh, Frostecat, I almost forgot to post to you: congrats on the great news about your onco score. What a relief. I'm not sure why, but I never got one. Never even thought about asking about it either, and I'm sure it's too late now.
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Great picture SpecialK and Linda!
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Power walked and did elliptical for about 30 minutes total today - I really needed it as I've felt so stiff and restless! Found some cording today in my left armpit and bicep (and only because I lifted my arms over my head in the mirror and saw it - my left arm did feel a little tighter but I had no idea!) I can't tell you all how thankful I am for these boards and that cording has been mentioned. I would've really freaked out as it looks so weird and comes right from my SLN biopsy site. Going to research PTs in the area tomorrow that specialize in this. Have had pretty good ROM overall but don't want this to be a problem down the road. But thanks to all for sharing because the docs don't seem to say much unless you know what to ask!!
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hi Kelly. I just started seeing a PT for cording last week. Like you, I had very good range of movement but didn't want future issues. She's been helpful with only two visits. So glad to be in therapy, helps me feel I'm actively participating in healing. Massage is at times painful but seeing results already.
Good luck
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So happy for you Frostecat!!!!
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Great photo Linda & SpecialK. Isn't it cool when you can meet in person? My friend Moonflwr and I met two days ago when I was in Chicago. She drove from Wisconsin and we met halfway in northern Illinois.
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Yay for Moon and Sandra meeting
frostecat - excellent!
For those experiencing cording - try to find a PT who is lymphedema certified, or at least does PT at a cancer center. You do not want someone who is inexperienced or unfamiliar to cause harm, cording can usually be resolved, lymphedema not so much!
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I have my first appointment with an oncologist next week. My BS said he couldn't imagine anyone recommending chemo for me based on my path results. Can anyone tell me what questions I need to ask? I really want to be informed but so far I've found so many things from you guys that I wish I had asked various docs at the beginning of all this.
Thanks so much and hope you are all healing well!
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Hi wynne50 - the thing that will most likely determine if the oncologist will recommend chemo will be your oncotype score. That would be the question I would ask and maybe your BS already had that number?
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My BS never said anything about doing an oncotype score. I wonder if that is unusual?
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It may not have been done yet - the oncologist may order it to determine if chemo would be needed. Your BS may have ordered it and knows the score and that may be why he said what he said - but it seems that BS usually have a good idea what a oncologist will say do - so I wouldn't worry - when you see him or her - they will fill you in on what they know or what they still need to find out. An ER/PR+Her2- your size would usually not call for chemo
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Question for those who have done mastectomy. My surgeon says she can do the incision at the bottom of my breast and is confident she can save my nipples, unless path shows cancer cells too close to the nipple. Everything I've seen so far suggests that most mastectomy incisions are typically across the front of the breast and nipples are not saved. Did your surgeon discuss options with you about where the incision would be, or did you not have a choice? If my surgeon is recommending the incision at the bottom of my breast, I'm curious why more women don't do it that way. Does breast size come in to play? I'm on the petite side.
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Hi Everforward. I was never given a choice about where my scar would be or about nipple sparing. I was not on the petite side.
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My incisions are in the IMF (the crease on the bottom) AND half-way up about a third of the way from the side. I had huge FFF natural breasts. Much depends on the size of your breasts as to where your incisions are and I'm sure the surgeons have their own way of doing things too. I did not have a choice as to where the incisions would be but he did draw pictures for me so I knew what to expect. Because my cancer was in the ducts (like yours) on one side and in the lobules on the other side, the surgeon said nipple saving was not a good choice for me. (Not all surgeons agree with that opinion, but many do.) Nipples are part of the ducts/lobules system and he said it increased my chances of recurrence of the cancer. My oncologist agreed. (Again, there are differences of opinion among doctors.) Because of my large breasts, the nipples would have had to be removed and transplanted to a different area. I also read a lot here from women who had issues with nipples healing after their mastectomy and others who complained of nipples misalignment after implants were put in. They can point different directions or be on different levels. On the other hand, others had no trouble and were very happy. So it's not an easy decision. Do your research and decide what's best for you.
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ever - many surgeons who do skin/nipple sparing make the incision in the IMF (inframammary fold) to camoflauge so that the breast has as normal an appearance as possible. I had this procedure. Many are not candidates for either this type of procedure, or this type of incision, based on tumor location and breast size.
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I saw my plastic surgeon this morning for a one month check up after surgery #4 in March. He is quite pleased, took a bunch of pictures, and said I'm ready for the next surgery in early June. That should be the last one. I'm not going to have any cosmetic-type procedures, no nips or tattoos, and no nips or tucks. Enough is enough. If I hadn't gotten the infection after BMX & Implants surgery #1, this wouldn't have turned into a five surgery odyssey and it would have been one and done. The pocket on the right will be "reinforced" with another level of sutures, just like he did on the other side last month . Fat grafting will be done on my chest due to the deep divots. The left side that has had so many surgeries needs fat grafting to fill in the "skin and bone" under my arm. Fortunately the mudflap on that side is quite large so he will use that as part of the fill. The other mudflap was lipo'd away in my last surgery but the left one is too big. For once, that's a good thing. The plastic surgeon said although I will never look "normal" because of all the reconstruction needed after the infection, but under the circumstances, I look pretty darn good. (He's so proud of his work. ) One implant is a bit square because of all the scars on the side of it, but all in all, I'm pretty happy.
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My BS told me she doesn't do nipple sparing mastectomies very often to begin with, and also that I for sure was not a candidate for that, since I had DCIS very close to the nipple. My incision is horizontal across through the middle of my breast. Since I wasn't going to do reconstruction anyway, it didn't really make much difference appearance wise anyway.
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Sandra, I hope you get all fixed up in June. I'm hoping I won't need too many surgeries in the future. My PS said most women have 3-5??? I count 1 for MXs, 1 for exchange, 1 for nipple reconstruction, (which I'm not interested in anyway), and maybe one for any revisions needed. I know that complications are so common! I'll keep my fingers crossed. I've been doing a lot of reading about implants and looking at the picture forum. I'm thinking I want silicone rounds somewhere between 400 and 500cc. I'm a short small boned (but lately chubbier) person and don't want to be too big chested. I hope I can still go braless anywhere in that range. My TEs are at 350cc. I'm feeling quite busty in some shirts, and small in other shirts so I am going a little bigger with the TEs.
Everforward, I had very sad droopy size C breasts. My nipples pointed downward and neither me nor my PS had any interest in saving them. As others have said, there are things to consider. Nipples are "breast tissue" and I imagine a recurrence rate might be lowered by removing them. My incisions are actually lower than a lot of other people because my nipples were lower. Also my tumor was at 1 o'clock so they sort of angle from the armpit area and go diagonally down towards my sternum. Before surgery I asked my PS to trace where my incisions would be with her fingers. Intersestingly, if you are getting reconstruction at the same time, it's the PS who tells the surgeon where to make the incisions. At least that is what my surgeons do.
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Can you guess what I'm doing? I'm sitting in my recliner, trying to gag down the last glass of the first half of Golightly. I begin the other half in about 3 hours. No sleep tonight...unless I can catch a few winks while I sit on the toilet. Yay for me! (Not) I have a colonoscopy and endoscopy tomorrow morning. The bowl prep the day before is the worst part of a colonoscopy but I'm halfway through it. Tomorrow morning I'll check into same day surgery, get an IV, and wake up an hour or so later, ready to go home. Wish breast surgeries were so easy!
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Oh my gosh, Sandra. Poor you. I probably would have put that off a few months if it was just a routine thing. But I never put off my mammograms so I don't blame you. Good luck. I had a sigmoidoscopy once but never a colonoscopy. I think those start at 50.
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Sandra - good luck tomorrow (and tonight!), the good news is that the prep is the worst part. The colonoscopy is a piece of cake!
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I was supposed to have the colonoscopy in January of LAST year. (It had been 10 years since I'd had one.) It was scheduled and I had all my bowel prep stuff, but I had a stroke so everything was postponed, including my yearly mammogram. Six months later after rehab I had the mammogram in June of last year and this whole breast cancer nightmare began. I've got a nagging worry that they might find something in my colon too so I want to get this over with while I have window of six weeks. The gastro doc is doing the endoscopy to make sure everything in the top half is ok too. Maybe I'll get some peace of mind out of this. (Plus I'm used to getting "put out" every month or so.
)
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Oh my Sandra, just when I read your second to last post things sounded pretty good. I asked my surgeon about nipple sparing surgery, he looked and me and said "no, you are not a candidate, your breasts are too large". I am a 40dd, and on that note, I have been trying the Genie bras, and they are comfortable, but yesterday I did a lot of running around, errands, walking etc and must haver overdid it, cause I was getting shot with some real zingers and had to take pain meds.
I realized the Genie was not providing me with enough support so this morning, I went back to my old bras (which have plenty of support) and no underwires and went to the Survivor Shop and bought these "poufs" to put in my bra to even me out (UMX). They work great! They are filled with a fiber like pillow filling and you remove some as you get your fills and gradually make them smaller. They were all of $10 and today for the first time, I felt like the old me and everyone wasn't looking at my unevenness. If anyone is interested they are "Fiberfill post surgical form made by Amoena".
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Sandra - lol! Shortly after I turned 50 I was being seen on base for something routine (probably the well woman pap/mammo appt.) and the young tech asked if I would like a colonoscopy referral since I was now 50. When I said yes, she looked at me like I was nuts - I think most people answered no! I had reflux surgery in '95 and have had several endoscopies - in various stages of awakeness. Experience has informed me that I prefer the ones where you are completely OUT! I will be crossing my fingers that all goes well for you - they find nothing to worry about - you have been through enough!
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