June 2014 Surgery Sisters
Comments
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thanks much! I am a nurse and a survivor! But I did spell Hibiclense wrong (cringe!)
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I guess I winged the shower stuff- didnt hibiclense and didnt do new shower head...all good suggestions tho.
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I plan to Hibiclense in the days before surgery, but would not have even thought of changing the shower head. I'm not having much luck finding oversized button down shirts to wear. First of all, I'm always hot, so I can't take long or quarter length sleeves. Still looking though. I need to get some of the front closure bras, and some new panties, but can't we go commando? I was thinking about doing that at first because some have said that panties are just uncomfortable with the tummy incision. What is there actually covering the abdominal incision after the DIEP? Gauze?
One love,
tp4ever
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thinkpink - I went to goodwill and salvation army and found some button down short sleeves and didn't spend a fortune to get some items that I would most like not ever wear again. Can't help with the panties question as I didn't do Diep.
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I didn't do DIEP, but panties went off anyways before surgery. They cath'd me in the OR.
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I think I just got some cheap mens button shirts, short sleeve, at Walmart
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I bought a small basket that I could carry around the house that I could put small things in, my cellphone, my thermometer, my blood pressure monitor, my Ipad, my chapstick, a little notebook that I kept my meds timing log, my temp and blood pressure info, and my drains output info, mints, etc. This way when I moved from bedroom to living room to dining room, I always had my stuff with me and it kept it all in one place especially because I was pretty out of it while on Percoset and Valium. Also essential were two body pillows that I bought, I placed them on each side of me while I slept, propped up by regular pillows and rested my arms along their length. They helped both keep me on my back but also relieved a lot of pressure from my arms laying flat, slightly elevated felt much more comfortable.
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yes, elevation is a good thing! It really helps minimize swelling and discomfort
My doc said sleep in a recliner. We bought a cheap side by side theater seat. I slept on one side, my partner took the other. Perfect! Cup holders, storage in the armrest. Plus, in the early days when I didn't have the power to recline and push the footrest down ...she was right there!
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Thanks jbdayton and thanks to everyone for all the information and tips, it helps make everything a little less stressful. My surgery got moved to the 11th because of scheduling conflicts (already pm'd Sandra) so I get more time to really wrap my head around everything and prepare.
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Walmart has lots of button front pj's for $14.95. If I wasn't wearing the soft surgical bra the first few days out of the hospital, I wore a stretchy bandeau-style strapless summer top from Walmart under my shirt. It really came in handy if I had to leave the house. While I still had gauze pads and drains those first three weeks, it kept everything tucked in. Those 4 long drain tubes could be coiled up and stuffed under the bandeau. Everything stayed put.
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Hi ya'll! I just got my surgery date set for June 26th. Fairly new to this forum but have gotten so much information and I'm grateful to all that participate and share. I have chosen to do a BMX with TE. I'm praying that I will not have to do chemo or rads after. I will be taking tamoxifen. I've had two MRI's, the second one after my second biopsy. There was one node that looked enlarged but it Im hoping that it just because it's doing it's job after the trauma my breast went through with the biopsies. My BS thinks that's a good possibility. We will,know after surgery. I'm grateful be moving on with this journey. All the limbo of gathering information and second opinions is exhausting emotional and physically. Feels good to be moving forward with a plan. With that being said, any tips on getting prepared would be appreciated.
This may seem like a silly question....after a BMX has anyone had difficulty doing simple tasks such has wiping there bum after going to the bathroom? My dear fiancé brought this up and said he would do it for me, bless him. My response was "of course I'll be able to wipe my arse" but then it dawned on me that I really don't know if I will, lol.
I've gotten great tips on this thread. Going to make sure I have plenty of loose comfortable button up PJ's and tops. I'm going to look into getting a bra that snaps close in front. I thought that I would get a compression wrap like I did after the biopsies and wouldn't have to deal with a bra for awhile. At what week does one start to wear a bra?
I have my final consult with my PS on Tuesday. I've been so busy trying to get my work affairs in order I haven't had a chance to get anxious or scared about the surgery yet. I still have almost 5 weeks togo but I'm sure it will be here before I know it. Kind of wish it was tomorrow so I could get it over with already
Trying to stay positive and I've been on a roll with it. As I get closer to the 26th I'm sure the normal emotions will hit me.
Good luck to all who have upcoming surgeries and thanks in advance for any wisdom or advise you want to share.
Ojoyjoy
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NO silly questions!
I had no trouble with reaching my bum. It's the raising of the arms that difficult. Think of a T-Rex dynasauer with its teeny arms. Your elbows will be tight to your sides for a few days. Combing your hair may need some assistance
My PS was strict on wearing a supportive front closure bra for 6 weeks and NOT sleeping on your side or stomach. It was to preserve internal stitches and the Aloderm sling I had.
EVERYONES procedures and PS are different but they are good question for you to ask!! No matter how good your docs are, you must remain in charge! Ask questions and make no assumptions !
We often used out iPhone to video early information visits. Good thing because my partner and I would recall different information. ( did he say 6 weeks or 6 months..? ). We refered back to video and settled the arguments!
Also, ask about recommended arm excercises during recovery. I had a modified radical on the right because of lymphnode removal. I had to do " finger crawl up the wall"to regain my range if motion. I was also PROACTIVE on seeing a lympedema therapist for preventative excercises and techniques. Very glad I did!
We actually created a 3 ring binder to keep organized. We call it my "owners manual". Sound over the top( especially for me...I am not a detail girl) but it was emmensly helpful. All info, phone numbers, phamohlets, schedules,pathology, radiology , lab records in one place. It's good to have a single, neat, go-to place when your feeling overwhelmed. It's helps mimimize the chaos. Very helpful when a family member or friend had to step in for a respite or a doctors visit.
Hydrate hydrate hydrate!
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Ojoyjoy. Yes you can wipe yourself. Buy those moist wipes if you don't already, For the first few days, I wore loose pjs that were easy to pull up or down. I was allowed to shower with my drains 2 days after surgery! I had the glue instead of steristrips so maybe that was why. I did need a little help with showering the first few days. It was a project. I would take all the drains out of their pockets, undress while the drains are laying on the bed, attach them with safety pins to a lanyard around my neck, etc. I needed help turning on my difficult shower faucet, adjusting the temperature, stepping in and out, etc. I washed myself. My mother stayed for 2 weeks but I mostly needed her the first week.
The drains are the biggest pain. My mother also helped me with the stripping and emptying of the drains, then measuring. Buy those little alcohol pad squares to use to strip your drains. You unplug the valve, and use the alcohol swab to pinch the tube at the top and move towards the bottom. Because of the pads, you won't have any friction. Look up jp drains on youtube and you will find videos about them. I had very little incision pain but my drain holes often hurt.
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I slept in an electric recliner for the first 10 days - I rented one from rent a center - it was a monthly rate - i think about 120 for the month but I tried to sleep in the bed propped up for two nights and could not get out of bed by myself to go to the bathroom and my hubby is a very sound sleeper so I couldn't take that anymore. We had a regular recliner but I could not use my arms to raise the foot rest. I also went to office depot and bought a laptop table with side legs that could go under chairs and the couch to use as my hospital like table so that I didn't have to reach for things so much - all the things i needed were on that table and it was on rollers so I could take it around with me - I did have to prop the couch up with books to make enough room for the legs to get under the couch. One of my best friends from when I was in the army in the 80s came and stayed with me for the first week. It was wonderful because we have only seen each other twice since 1987 and we had a very nice time together and sure made my recovery easy - it was such a help - here is a link to the type of table I bought - I didn't pay this much for it though - I think it was about 30 and I still use this now everyday - it is a great place to put things that I want to take to multiple rooms throughout the day - like my chemo bag and meds - keeps all that stuff off the coffee table or kitchen table and all in one spot.
http://www.officedepot.com/a/products/366999/Realspace-Split-Top-Mobile-Laptop-Cart/
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Yes the trouble with getting in and out of bed is that people usually use their arms to scooch around the bed. Well your arms are connected to your pec muscles that were just operated on and it hurts! Satin pjs are good because you can sort of slide and slither out of bed with little use of your arms. More than 2 months later, I still have to sleep on my back. I miss sleeping on my side but if you have tissue expanders, the bed pushes against them if on your side.
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Just found this thread. My surgery is set for June 5th. Getting a double mastectomy because I don't want to go through this again in a few years with my currently "healthy" breast. Had a panic attack yesterday. I've been down lately and just wish this were over with. I will probably have to do some kind of chemo, maybe oral.
Shirley
Forgot to put diagnosis info:
4/7/2014 IDC 2.9CM with 2 satellite lesions ER+ PR+ HER-
Surgery 6/5/14 BMX no reconstruction
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I was one of the people who COULD'NT reach my butt after the BMX. The T-Rex arms (see below) were just not long enough at first.
Fortunately I was prepared with a trick I'd learned after a previous abdominal surgery. Go to the dollar store and buy a cheap long handled wooden spoon. In the bathroom, wrap toilet paper a few times around the end. It's the perfect length to reach all the way to "the back" if needed. Just tap the wooden spoon and the toilet paper will fall off into the toilet. When you leave the hospital, toss the spoon in the trash.
At home, I did try to sleep in my bed with lots of pillows and also on the couch, again with mounds of pillows, but the recliner was the only place I could get comfortable enough to sleep or even rest during the day. Every once in a while I would go upstairs and try the bed, but soon after I was back in the recliner. The whole thing was ridiculous...why was sleeping upstairs the goal? I put a lot of unnecessary stress on myself rather than just concentrate on letting my body relax and heal, no matter where it was in the house. After a few weeks I did get back upstairs but was afraid that my husband (who tosses around a lot) would throw out an arm or elbow and hit my chest. I moved to the guest room until I could sleep on my side and figured out how to position pillows to protect my chest. It's fine now. (He's also made an effort to stay on his side.)
A hand held shower head is so helpful. I was not allowed to get my chest wet for the first week (I had Bacitracin covered with gauze under a soft surgical bra.) My husband wrapped my chest in Saran Wrap! I stood there while he walked around me, putting on a couple of layers. Then he wet down the other parts of me - I soaped what I could reach, he did the rest, and then he rinsed me off. To wash my hair, I bent over the sink and he washed it for me since I couldn't raise my arms above shoulder level.
All you need to manage your drains in the shower is dental floss and big safety pins. Make a long loop of it to go around your neck and pin your drains to it. If the dental floss bothers your neck, use 1/2" flat elastic instead. (Find it in the sewing aisle - a package is cheap.) The big problem with drains is when the sutures that are holding the tubing in gets tugged on. It irritates the skin around the sutures, which isn't happy to begin with, and it hurts! Some doctors make the tubing from your skin to the bulb at the end SO long that you are more likely to have pain. Why? When part of the tubing gets in the way while you are trying to scoot to the side of the bed to get up and it pulls HARD. Or it gets caught on something because while the bulb is secured to something, the tubing is just hanging out there. When you have to go to the bathroom and pull down your jeans and underwear AND tubing all at once. OUCH. I asked my PS to shorten the tubing and he cut off about 8" which helped a lot.
When squeezing the tubing from the skin down to the bulb to move the drainage down it can be a problem. This can REALLY hurt unless you hold the tubing still at the sutures so it cannot pull on the sutures. My husband did the stripping...I held on tight to each tube. Your skin is going to get irritated anyway, especially if your drains are in very long, so protect the suture area to prevent pain. Also after emptying each bulb, squeeze all the air out of it and fold it in half before you put the "stopper" back in. That sets up a good suction that will help move everything down the tubing quicker.
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Sandra - your cartoons always crack me up!!
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Hi all...just a note on the Hibiclens...it can be very irritating. I ended up with hives only in the bmx area for 3 weeks!!! IT WAS NOT GOOD!!! Also, if gen anesthesia makes you sick, tell everyone who will listen prior to surgery, esp the RN who will have to care for you in post op recovery!!! There are def things they can do to help, even before surgery. If you are prone to motion sickness...that can be an indicator as to how you will do with anesthesia. Also, pain meds can make you nauseas too...tell them. It is no good throwing up after bmx...just trust me on that one. Also, sometimes muscle relaxers work better than pain meds... That surgeon just made them very unhappy!!!
Each having their own journey...as you can probably tell, nausea was my nemesis!! I can take pain over that. Surgery for me was far less upsetting than the chemo and the subsequent SE's. My favorite saying, "Yes, they are fake!!! The real ones were plotting against me!!!"
Hope everyone enjoys their Memorial Day weekend...to those with family protecting my freedom and those that came before them...my thanks to you.
Hugs and prayers...
Janice
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Hello. I am new to this group but I just got my surgery date today. June 5th. I went for my THIRD opinion today and fell in love with the BS and PS (and was so impressed I got to see them both in the same day). I will be having a BMX, nipple sparing with TEs. Today I couldn't decide on nipple sparing or not so I was told I could just let them know the day of surgery. I was told there is a small chance the cancer could come back in the nipple. Scary. I also couldn't decide whether to just go right to B cup implants immediately or do TEs to get to a C cup. I guess the theory was if I am going to put myself through this why not go bigger?
Am still trying to figure out what I will need to put in place prior to surgery for my recovery. Am thinking about getting a recliner.
Also I was told I will not have to wear a bra immediately after surgery like some do...has anyone else heard of not having to wear a surgical or support bra post-op?
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I've only heard of a surgery bra, ace bandage or hook in the front jogging type bra. You are going to want compression.
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Really good advice from all the big sisters out there! A couple of comments on items from above:
I don't recommend the alcohol wipes on the tubing...while they are great for protecting the fingers the alcohol is drying and can degrade the tubing...if you end up with the drains a long time, you can face cracks in the tubing.
Recliner will make your life EASIER!! You will rest better, as mentioned, because you are more comfortable and it will help facilitate the drainage and minimize swelling.
Those flowy beachy moomoo's work well too...the arm holes are oversized and easy to get on...you may even be able to wiggle it up by stepping into it. Its easier to get in and out of the bathroom without wrestling with pulling up pj pants.
So sorry to hear Lake Girl had a reaction to Hibiclense!
The cartoons are hysterical!
When you wear a lanyard in the shower, be careful when you bend over and make sure the bulbs don't swing out and tug. The sites are tender enough!
Shirley, hugs to you. You are joining a sisterhood you were not intending, but you are in good company. I too opted for removal of the healthy...which btw wasn't so healthy. It has lots of pre-cancer going on and I made a good decision. Listen to your gut.
I wrote an obituary for my boobs on my blog:
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I never had any compression after any of my 4 surgeries. The soft surgical bra was really only there to hold the gauze over the incisions. Once I didn't need that anymore, I did not wear a bra. Never wore one during the TE phase either. My PS said if I wanted to wear one, ok as long as it was non-constricting, no underwire, no compression. Any bra that left red marks from rubbing or pressure on the skin was a no-no. A soft sports bra was suggested only if I wanted to wear it. The only exception was when I got cleared to do some good walking...PS said sports bra that would keep me from bouncing was necessary. Worked fine for me.
PONV (pronounced pon-vee) is quite common after general anesthesia. It stands for Post Operative Nausea & Vomiting. When you research it you'll see that anesthesiologists are trying all kinds of new things in an attempt to eliminate it or reduce it. It has always plagued me. I'm deathly allergic to narcotics & opiates as well as some pain drugs (like tramadol) that lots of people take. (I have actually flat-lined 4 times.) I can take Tylenol. That's it. So post-op is tough enough for me without PONV making it 100 times worse. I can do a bit of biofeedback to reduce pain but if I have any nausea, I can't and it even makes pain worse. So meeting with the anesthesiologist days before surgery is essential to my recovery. He or she MUST take me seriously and do what I know works for me. I thought I had everything taken care of before my BMX but apparently the anesthesiologist decided I must be exaggerating, so he gave me some drugs that are known to increase PONV. (Worst ones are opiods, gases, nitrous oxide, and the reversal agent for muscle relaxants routinely given during surgery.) I was sick as a dog for nearly three days. This is NO fun anytime, but when you are trying to deal with post-op pain, it is intolerable.
Ask the anesthesiologist to give you an Emed tablet prior to surgery and to place a patch behind your ear. During surgery, he should give you Zofran and make sure you get it afterwards regularly if needed. I get propofol and versed, I ask for TIVA (total intravenous anesthesia) and aggressive IV fluid replacement. The PS used Exparel at the end of my last surgery and I'll NEVER be without it again. Exparel is injected into the incisions. It's an anesthetic foam that eliminates pain for about 3 days! It works great. It is expensive and not all insurance companies will agree to it without a fight, so get your PS on board AHEAD of your surgery to make sure you can get it.
Using the above procedures, my last surgery (#4) was SO easy to recover from. Absolutely no nausea, no vomiting, no brain fog from general anesthesia, and NO pain!!!
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For PONV (which I suffer horribly from) the ONLY thing that has ever worked for me was a Scopolamine patch. Only problem was I could not see for several days after wearing it (not sure if I touched it and then my eyes or if that can happen anyway), but I honestly had not one second of nausea.
Ladies I am asking for opinions on the nipple sparing mastectomy. My PS said if I was doing this for peace of mind that I would want to know there is a slight chance the cancer could appear in the nipple. My husband wants to save the nipples and it is the only request he has had so maybe I should honor that?
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Bethq, it depends on your diagnosis. Of course we know the nipple is connected to the ducts which are connected to the lobules, so if you have cancer in the ducts or lobules many doctors will not consider saving the nipples, which could harbor cancer cells or be a place for recurrence of your cancer. Mine said it was not worth taking the chance. Made sense to me. He said you can't have a recurrence of ductal or lobular cancer if you no longer have ducts and lobules. It doesn't grow anywhere else. You can, however, develop one of the other kinds of cancer in the small amount of breast tissue left after BMX, but with everything gone, including nipples, the chance is 1% - 2%. I did not ask how much higher the chances were if the nipples were left.
It depends on whether you will have radiation too. Radiated skin is difficult to deal with and has healing isues. My plastic surgeon says that reconstruction on radiated skin works about 50% of the time.
Also, it depends on the size of your breasts. It's not like they make a little hole and take out the "stuffing" so they can put in new implant stuffing that exactly matches what they took out. Implants come in certain sizes and shapes. Usually a good bit of skin is removed. Breasts look MUCH different afterwards and what looked fine before may not after. The nipples in some cases must be repositioned, which raises healing issues. Even without repositioning, both nipples do not always survive.
Bottom line - there are many successful stories of nipple sparing BMX so it's certainly worth discussing with your doctor. Only YOU can decide if the pros outweigh the cons. For me, it wasn't worth it. For you, it might be. There is no right or wrong. This damn disease seems to be a matter of choosing the lesser of two evils and then crossing your fingers.
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I did not have a compression bra, or ace wrap after any of the many surgeries I have had.
I used cut a small piece of gauze half way across and fit the slit around the place where the drain tubing exited my skin, then put paper tape over the whole piece of gauze so the tubing was actually taped to my skin - this prevented the incidental pulling of the tubing.
The patch behind the ear Sandra mentioned is Scopolamine. They stay on for several days to provide long-lasting anti-nausea relief. When you remove it (looks like a small flesh colored disk) just remember to wash your hands before you touch your eyes (see bethq's note for the reason why!). Zofran does not work for everyone - it is completely ineffective for me - and it can cause a wicked headache, particularly if you are headache-prone, or have migraines. Not all plastic surgeons use Exparel - mine does not, nor does the one my friend is seeing who just had a BMX/TE surgery. So asking for it does not mean you will get it, I asked about it at her initial consult and was told that they did not use it.
bethq - what is your diagnosis? I had a skin/nipple sparing BMX. They will core out the nipple and do a separate pathology on it at your surgery. I had both DCIS and IDC and my oncological breast surgeon (all he does is breast cancer, and is preeminent here) had no problem doing this surgery for me. I can tell you that the nipples flatten out because they have no structure behind them anymore, you can't feel them, and they do not function. They end up being decorations - not much different than a 3D tattoo. Initially it was a boost to look and see them there, but as time has gone on (and I have had a lot more surgery) I have come to realize I would have been ok with tattoos.
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Hi Everyone -- I am joining from the March Sisters to support the June sisters.
1. Recliner was a God Send. Lived in it for 10 days post surgery. Set up everything on table next to it -- and watched the world go by. Absolute God Send -- if you can rent or buy do it. Electric is better because you cannot use your arms to reach over and yank the handle to move yourself back and you want a gentle recline going back.
2. Look for Surgery bras with little pockets (for the drains) that attach to each side. Mine had a velcro strip that made for easy on and off -- for someone that was helping me. I could do it, but less easy. I wore these in the shower too to hold the drains on day 3-4 once I was allowed to shower -- and covered myself neck to waist with a garbage bag with a hole in the top for my head, and my sister helped me take a fabulous 1st shower.
3. You can reach your bum! Downward movement with the arms seemed totally possible. anything above chin level -- was a no no. If I pushed it -- drainage would increase and the day for the drains to come out would be extended. Less is more -- Walking is good, have everyone around you if possible help with things your arms needs to do -- this way drains come out sooner -- if no other complications. Bottom line is you will be on narcotics this first week or so -- and it will feel like you can move around and use your arms -- don't do it -- less it more -- the narcotics will allow you to -- but try to hold back and do less with the arms for the first few weeks -- it increases healing and less drainage is what I experienced.
4. In Advance -- Shave underarms well -- wax them even -- any underarm maintenance is a no no for a month or so -- plus my underarms were numb from auxiliary Lymph Node removal -- so it would be risky to shave as a. you cannot seem under there too well, b. you cannot feel under there too well.
5. If you have the Lymph Node removal as part of your procedure, chances are your underarms and upper forearms on the side of the removal will be in various types of pain. My and as many report, was a burning, sensitive to touch, pain. The hospital gave me a heart shaped pillow - about 15 inches long -- with a huge V in it that fits under your underarm. I used this for 3-4 weeks to help manage the sensitivity under the arm/armpit that was in pain. It was very helpful.
6. The Drains -- yes a nuisance -- and I recommend this approach -- "this is part of the program - so let's make this work well, deal with it, keep 'em clean, empty, measure, don't move my arms much so that drainage will stop and soon they will be gone" 8 days out they were gone!
7. Before surgery -- in the "you do not have enough information to know what you don't know stage" Yoga, meditation, a good counselor if you have one, letting the tears come out, hugs all the time, breath, breathing, oxygen, walking -- honoring the damn fact that this is real was a good and important thing - to have my head in a good and positive place when the surgery date came. The not knowing the whole story is the worst. Gut wrenching worst. But doing these things helped so much. I found my team of doctors handled me pretty well -- telling me all they could each step of the way. Stay off the internet. Trust your Doctor and the second opinions on your specific condition. This site helps too -- but we March Sisters will tell you after trading many stories, our BS and PS and oncologists all have slightly different approaches to just about everything -- tho -- there is a lot of overall consistency as well.
8. The nipple sparing choice -- was one my surgeon was very opinionated about. On the cancer breast -- he said -- NIPPLE MUST GO -- the tiny cancer cells could remain someplace in the nipple and we do not want to risk that. For the non-cancer breast - I opted to do the same as the cancer breast -- to have better luck on building two matching breasts on the reconstruction phase. Having completed my 6 fills (I am an even 500cc) -- I have purchased silicone nipples for the summer -- that look great -- as I await my exchange surgery in October. No feeling on the breast and of course the nipple -- so that's a bummer -- but they look good for when I want them to look good.
9. Use the narcotics they give you in the first few weeks. The process of the tissue expanders settling into my chest cavity was painful (the incision itself was not painful at all) -- I tried at first to not take too many pain pills -- but then said why not -- this hurts. Use the stool softeners at same time -- just to be safe.
I hope this helps and is not too overwhelming. Bottom line -- is it gets a little easier every day "post surgery" to process all of the data and physical and mental changes that are coming your way. It really does. Breathing, walking, talking to all of us on this board is crazy helpful and nurturing. When husband, boyfriend, girlfriend, kids, parents, sisters and all those well meaning friends out there, have no idea what you are feeling and experiencing exactly -- we do. And we are here for you.
xoxoxoxoxox
Linda L. (aka Sailon)
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Such great advice! We went recliner shopping today but I started getting depressed so we left. Go figure. I am torn about the nipples. Maybe I will let them go. It seems like it would be best. At least I have a little time to think about it.
I have to update my info but thought I would wait until after surgery to see what I actually end up having. So far DCIS grade 2-3 with comedonecrosis of the right breast.
Thanks everyone.
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I have had a wide gauze wrap each time after surgery. I have one on now and it is compressing, so slightly contributing to the pain. Off Tues tho, so I can handle it.
I wore the behind the ear patch the last 2 surgeries. I havent had terrible nausea but wanted to avoid it. It does badly dry out your mouth tho- and yesterdays surgery in pre op she started me on an iv med that purposely dries your mouth- something about anasthesia causing alot of saliva, so it helps avoid that. So between the 2 things my mouth was a desert. I took the patch off last night and my mouth is gettng back to normal now.
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bethq - I have had a bunch of surgery and did not use a recliner. I had a lot of pillows on my bed and slept on my back in a semi-sitting/laying position. No problem.
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- 285 Who or What Inspires You?
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- 50 Immunotherapy - Before, During, and After
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