Diep regrets...barely recognize who I have become
It has been a while since I have posted here. I have spent a few days looking at all of the new posts from different categories , and all I can say is my heart bleeds for everyone! When I started this journey in May 2013, I was a happy, healthy, very young for my age (45) woman who loved my career, husband, 3 children, going to country concerts, singing karaoke, cocktails with the girls, etc...AND I WAS GOING TO KICK CANCER'S ASS! Bilateral mastectomy was uneventful, and reconstruction was the only option for me because I didn't want a daily reminder of what cancer took from me. Against my husband's wishes, my PS and I agreed the diep would be best due to my age, and, hell, I could get my lower hanging stomach removed for free? I was all in. First came the constant tissue expander infections, iv antibiotics at home, never ending drains any multiple surgeries for slipped te's. With the help of the strong, encouraging women on this board, I persevered until my Diep on Oct. 18. A 17 hour surgery ( had to repair an unexpected hernia), I developed a pulmonary embolism within hours, and was placed in icu. There, I developed c diff, and my life hung in the balance. 5 days later, I went to stepdown, where my urine tested positive for klebsiella ( a life threatening bacteria that caused ever one who entered my room to wear gowns and masks and will prevent me from ever sharing a room with anyone in a hospital for the rest of my life). The assumption is I caught it from a catheter in icu. My c diff gets worse and worse ( despite big gun antibiotics, both iv and enema), the pressure has blown my beautiful abdominal incision wide open. I am one day from losing my intestine. By some miracle, my wbc goes down a little the next day and they hold off. They actually discharge me a few days later to home nursing care and continue iv antibiotics. I cried the whole way home because I was not ready. Within a week, my temp spikes and my home nurse is on the phone with doc. .. My abdominal wound is black and opened even more. Back in the hospital for 42 days, my wound is gaping and upon the first surgical debriedment, staph grows on the first culture. More surgical intervention, and now psuedenoma has grown in addition to staph. Infectious disease doc expresses fear that the klebsiella may make its way in there, too. We can only hope for the best. The next surgery proves our worst fears have come true. It is the antibiotic resistant type of klebsiella, so I will have surgery (full blown under anesthesia) every other day for a few weeks to try to scrape it out. I ask the doc to be honest with me. . He says, " Not everyone makes it through this. " A wound vac is added. My family spends Thanksgiving with me in the hospital, and we all have a lesson in being thankful that I am alive. I am discharged in early December with a wound vac, a central line in my jugular, iv meds and home nursing care. In late January, my wound is finally closed surgically. Due to my would being blown so far open, there is not much skin to close. So, my vagina is pulled up super high and my belly button they created is pulled to the left and looks like a penis. I am so weak, it takes 2 hands to pull myself up the stairs. ..My calf muscles are gone. Financially, we are in danger of losing our house and health insurance, bill collectors call constantly, and everyone had already helped as much as they could (I will forever be grateful for all of the help). I finally get off IV antibiotics in February, and, despite not being close to ready, I return to work as an inner city school teacher to save our house and health insurance. I have been unable to take tamoxifen because of the risk of blood clots and my bodies resistance to coumadin. The shots (blood thinners) that I was giving myself became unbearable because they caused huge painful lumps in my abdomen that are still here months later. Despite not having chemo, my hair began falling out a few months ago and continues to do so. I don't even have a third of my hair left. Docs say it is my body's reaction to all of the trauma and multiple surgeries. .. there is nothing I can do. My stomach is half numb, half painful. I can't stand for anything to touch the area above the part of stomach removed. Found 2 lumps in opposite breast (flap) in April, us revealed fat necrosis. The area on my chest muscle is growing. I am supposed to have surgery this summer to fix things and replace mesh from hernia that had to be removed to test for klebsiella. I am too afraid and don't know what to do. Appt with PS June 3rd. I have not been able to take tamoxifen because of all the surgeries and risk of blood clots, so I have been completely unprotected since last May. I finally found an onc that would shut down my ovaries with a shot. My former onc ordered an LD blood test, but I never had a baseline. Results were 353, but high normal is 220. New onc not concerned, but said we will retest in future. My legs/hips hurt when I walk after sitting, and I mix up my words often. My students correct me every day. I am always worried about a recurrence or mets. I am just utterly overwhelmed and often on the verge of tears. I know we don't get do overs in this, but I regret having the diep. I wanted to avoid having a daily reminder, but it caused me to have constant daily reminders. Chronic pain, hair loss, gray hair (can't color it) fatigue, fat necrosis, no protection from cancer (due to blood clot risk), lumps in my abdomen, a completely foreign body, lack of intimacy with my husband. . It's been a year, financial ruin, depression and anxiety. Thank you so much for those who have hung in and read this long winded vent session. My friends and family do not understand on the level you could. They think I should just be grateful to have "beat" cancer and to be alive and move on in my new normal. I am grateful, but my new normal is very hard to accept. I am not half the woman I used to be. F### cancer!
BTW, I DO NOT INTEND TO CHANGE ANYONE'S MIND ABOUT GETTING THE DIEP. THERE ARE SURELY HUNDREDS OF GREAT STORIES FOR EVERY STORY LIKE MINE. MINE IS VERY RARE.
Comments
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Wow, I have been given the go ahead for diep this year...... I have been warned that it is not always straightforward, but this is something else. Your writings actually made me gasp.
Lesley0417, I admire your courage and bravery in telling us this. it serves as a reminder to us all that having such major surgery is far from straightforward for all.
I wish you well and hope for some kind of sustained recovery for you, your husband and family.
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OMG your story had me in tears!!! So scary and disappointing all you wanted to do is have reconstruction and you went through all that. Now that just isn't fair, so so sorry you had to go through that. I hope the best for you and your family and you to continue to recovery.
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Leslye - Thank you for sharing your story. So sorry that you have suffered so much this past year.
Have you discussed with your insurance that your spiraling medical issues started with c diff a hospital acquired infection?
My husband had a 15 hour cystectomy & neo bladder 3 yrs ago and days out of surgery rigors infection and ICU for 3 weeks not sure if he would survive. I was adamant that the hospital was responsible. Insurance and hospital took full responsibility IVs, home nurse care, TPN infusions, and repeatd admissions...hospital was 3 hrs from our home so a drive, and home nurse care meant I gave infusions, pic line care, pumps, irrigation, drains...ugh a nightmare that you and your family have/are living. Yes, my hair started falling out from the stress. Ugh, our new normal
When I was dx with BC, my fisrt reaction was off with the girls go for a DIEP, but the reality of what we had just been through hit...I choose the least invasive option...I did not have the energy for more...my husband has not fully recovered...who would care for me...ugh this beast BC and the choices we must make.
I urge you to go in and discuss c diff with your insurance rep and get some relief from this nightmare if only financially. The toil on body mind soul is beyond measure.
Wishing you healing and strength...hope!
(((Cindy)))
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I am so sorry. That has been more than any one person could endure. I chose not to have DIEP surgery after considerable thought.....I was too afraid of chronic pain developing. Now I am glad I didn't. A lot of your physical pain may decrease and/or disappear after awhile, even a few years, because nerve pain does that. You may will consider medication for depression/anxiety? Some sort of counselling? You are shell shocked and I feel so badly that so much else is happening to you besides the cancer. I live in Canada and we NEVER have to worry about the finances involved in surgery (in some cases the meds though).....so this must be a horrible experience for you and your family. The last thing you need are lectures about being grateful. You need some good, warm hugs and some solid answers as to how to move forward. Bit by bit....try for that....and better days ARE ahead although it may not feel that way now. I wish I could offer you more. I am so sorry. Best wishes sweetie!!!!
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lesley - Oh my dear. It is beyond me how all that gets piled upon a person - one crappy thing after another. What an incredible nightmare. I am so sorry. I hope things start to get easier soon. Bit by bit is good advice. You can only do what you can do. Gentle hug.
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Leslie - As I read through your story my heart just sank for you. I know all too well how things can take a turn for the worse, but I experienced nothing as extreme as you have.
Like you, I ended up in the ICU with a c-diff infection, which occurred after my first chemo infusion. We think that the combination of the chemo (which knocked out my WBCs) and the antibiotics I got the prior week for my port surgery where the culprits. Really a case of the perfect storm. I was in the ICU for 5 days, and also had to have a central line along with heavy antibiotics (vancomycin), which I continued for a month after being released. I gained 28 pounds in 3-days while in the ICU, all of which was fluid, and looked about 8 months pregnant when they released me. I was finally able to get over the c-diff infection, but to this day have an almost paranoia against taking antibiotics (they knock out the good and bad flora in your intestine, thus giving the c-diff full reign). Unlike you, I didn't have any other open wounds I was dealing with so my situation certainly wasn't as extreme as yours, but scary none-the-less. Although I never pursued any type of financial reinbursement from the hospital since I had already exceeded my maximum out of pocket expense for the year, I certainly would have considered it if I were in your situation.
I am so sorry for everything you've been through. Please give yourself time to heal both physically and mentally. You've been through more than anyone should have to endure in a short period of time.
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Lesley, the bravery you have shown by posting your horrid journey blows me away!! To outline so calmly a story that would bring most anybody to their knees is just amazing me. I pray to God that your husband (or anyone else) has ever said, I told you so! As you`ve mentioned, there are a lot of success stories, but the bad ones have to be noted as well. I was fortunate that I had read enough on bco to know the surgery wasn`t for me. For your body to go through 17 HOURS of surgery just boggles my brain!! I have a bum heart (now with a pacemaker) and my cardiologist respected my decision for no recon for that reason alone. I also suffer from Fibromyalgia and knew my body just couldn`t take the trauma and the chance of on-going pain. Have you looked into Lyrica or Neurontin? They can block neuropathic pain, but take a couple of weeks to build up in your system, so they need a chance to work.
I cannot believe what your body has gone through, but you must know how very, very strong you are physically and psychologically by now!! I hope you understand how empowered you are by your experience. But grateful???? Why should you be??? You have been to hell and half-way back (read my tag line) and YOU did it. So who are you to be grateful to? (If it`s to God, that is your personal business) People just do NOT get it.
I have put you firmly in my prayer list and please know the admiration I have for you to tell this story will never end. You are a true warrior, sweetie and you deserve YOUR time to start now!!
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Meant to mention, I am not on Tamoxifen or any other AI. I am 5.5 years out with no safety net. BUT, because I couldn`t risk Tamoxifen adding more aches and pain to my body, it will be the FIRST line of defence if, and or, when I recur or get mets. That is how you would be treated as well. The risk of it now isn`t worth the burden on your body - but later it will be a much gentler `chemo`for us to try before anything else. I have a friend whose lung mets are being treated very successfully with Tamoxifen alone. That gives me hope and I pray it does for you too.
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Dear Lesley, it's heartbreaking to read what you've been through and continue to endure. Our thoughts and best wishes are with you.
To follow up on other members' suggestions, the main Breastcancer.org site includes the section Paying for Your Care that provides information and resources that may help you with at least some of the awful results you've dealt with.
• The Mods
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Lesley
Thank you for sharing your experiences, it is so important for others to see the good and bad. No one should have had to endure what you have since DX. I am the same age as you and I understand living a active fun lifestyle, I am sorry yours has been put on hold. It does affect everyone in the family. I don't think you made any bad decisions I think you were given a bad hand. I agree with Cindy regarding the health insurance, you need to be your own advocate on it and it should be covering what has happened.
I wish you strength and good days ahead. ((HUGS)) to you, your a strong woman and deserve to enjoy life. Prayers to you and your family. You will be in my thoughts please do update us on how you are doing.
XO
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Lesley, I'm so sorry for the horrible year you have had. My heart breaks for you. It seems sometimes we have almost more than we can bear, but just at our darkest moment a little light appears at the end of the tunnel. Keep persevering, don't give up, that light is there. One of our local teachers had her BMX the same day as mine. My reconstruction was textbook. Hers was awful, repeated infections, tissue expander removals, re insertions, more raging infections. After about a year of that, finally she received her permanent implants and hated them. She went through another surgery, tram flap, and was finally happy and finished. During all this she looked like the stay puff marshmallow woman, all the infections had taken a toll on her body. I felt so guilty for having it so easy every time I saw her. ..fast forward to 2 years later when I saw her at my sons high school graduation. she looked wonderful, so much better than I did, slim, perky, younger looking, and had such a healthy glow about her. I wanted to tell you that because I want you to have hope. Hope that what you have become now that you barely recognize is not the real you, and the real you will return. ((Hugs))
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Lesley, I sent you a Private Message.
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