DIEP 2014

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  • Kb33
    Kb33 Member Posts: 88
    edited October 2014

    smd33.   Hope all is ok.   I'm not glad that you had to go through this, but sure explains your pain and inability to clear corner to recovery.  Let us know how it goes

    Question for you all:   Once I can take a bath, can I start swimming?  For got to ask on my weekly call and I am scheduled for a long, long soak in my tub on Monday and would like to follow with an easy swim that evening.   I so missed my baths.  Lol

    Also, for those of you that are treated away from home.... How do you deal with feel questions.  I keep saying to the nurse on the phone my breast feels very hard in certain areas... But she kinda ignores me,   Also with the swollen abd.  It is still huge and hard above scar line.  I would love for someone to touch the areas and confirm they are ok.  But that is hard to do over the phone.  Sigh

    On a good note.  Not quite 4 weeks and just finished a successful week of travel at work.  Tired and my belly was a mess each evening.... Magic pregnancy each day I call it.   But otherwise feel good and eager to hit week 4 restriction removals

  • MartyJ
    MartyJ Member Posts: 1,859
    edited October 2014

    KB33 - at 4 weeks your breasts will still be hard in areas and your tummy will be swollen.  I am so amazed you are working a full day.  The breasts soften over time and you must give your body time to heal - as in months.  The swelly belly is something that will come and go for a year or so.  It is worse early (4 weeks out), but the more you do the more it swells.  I have been told that this is a combo of the trauma of surgery and the lymph paths redeveloping.  I ended up wearing compression when I would be out and about or standing for long periods as it can help a lot with the swelling.  

    Most docs want all incisions healed and scabs gone before bath or swimming so please be sure that the incision lines are fully closed.

    I promise that it is worth the time to avoid the things we want to do in order to heal well and properly.  This surgery is a tortoise race - no rabbits involved!

  • debiann
    debiann Member Posts: 1,200
    edited October 2014

    Came home from the hospital today, feeling much better in my own bed with my cat squished up against me. 

    Lonnie, for me the pain was worse with the hysterectomy, everything is kind of numb with this surgery, making me wonder how much feeling will come back. I was on morphine for the first 12 hours, but I've only taken Tylenol since. Last night I did have a very uncomfortable tightness that I can only describe as it felt like they stiched my belly button to my spine. Some Tylenol and laying flat resolved the problem, but I am still walking like a gorilla 

    The one thing that for me was worse for this surgery was recovery from anesthesia,  it felt like I got hit by a MUCH larger bus, but I'm only 4 1/2 weeks PFC, so that may be why. I needed two units of blood, magnesium,  phosphorus,  and potassium supplements,  but my levels were low/normal going in. I still have drop foot from nerve compression, but I think  its a little better. The drains are bothersome and painful if the compression garment presses on them. They compession garments are itchy, but it feels better with them on than off.

    I think the Murphy's law for surgery must be that when you finally get into a comfortable position you will either have to cough or pee, lol.

  • Teacher64
    Teacher64 Member Posts: 840
    edited October 2014

    Sky - look forwad to hearing about your success.

  • lonnie713
    lonnie713 Member Posts: 236
    edited October 2014

    debiann,

    Wow!!!! So you spent a total of three full nights in the hospital?  What you went thru is exactly what I went thru after the hysto.  2 units of blood...etc. and I was about 4 weeks out from rads.  I see that you also got a mastectomy.  How is your upper body feeling?  My hope is that after having these expanders in for the last year, I'll have very little pain up top. Please continue to provide as much details as you can. I know that everyone reacts differently but it helps to know.  Hang in there.

    How are you managing getting in and out if bed?  My plan is to purchase a recliner. 

  • Tan72
    Tan72 Member Posts: 52
    edited October 2014

    Hi all, 

    I have been reading the posts as time allows. I am 3 weeks out from double mastectomy and DIEP and returned home from San Francisco a couple days ago. My ps said to send her pictures and an update every month or more if I have issues or questions. Since we were in a hotel we didn't have a good recliner, it was recommended to get a wedge pillow along with several extra pillows and I used the wedge and a couple pillows on top and two pillows under my knees and it worked well. Everyone is different, however, throwing this out as an idea. Feeling better each day, noobs are very tender and abdomen has a few spots that are leaking fluid so using dressing and binder and a lot of happy thoughts that it doesn't open more and continues to heal.

    Best of luck to all going into surgery and all who are healing from it.

  • debiann
    debiann Member Posts: 1,200
    edited October 2014

    Lonnie, I was actually 4 nights in the hospital, the first 2 in the ICU because of the frequent doppler checks of rhe breast to make sure they had good blood flow. When I had my hysto I was hospitalized one night and I only took one week off work, but.I was 7 years younger than, and bounced back much faster.

    Not much pain up top, unless the compression bra band slides down and touches the drain tube.OUCH! The new girls are pretty swollen, so they are tender but not its not really painful. My skin is starting to get bothered by the garments too, PS said its my choice to wear them or not.

    During surgery, the blood vessels in righty gave them some trouble, so it took 13 hours, 3 more than expected. They couldn't.get the doppler sounds in that one for the first two days, but the color and temperature were good, so they weren't too worried. To make sure there was blood flow, they pricked it in the center of the flap with a needle. It bled, but I didn't feel it at all, freaky. I was so happy when righty starting "singing" for the doppler on day 3.

    I'm comfortable in bed, its better than the recliner for me. Using lots of pillows to make a supportive nest. Sitting up is easier if I can pull on someone's hand, but I can do it alone. The recliner in the hospital was difficult to get up & down myself, needed someone to help with a little push. My recliner at.home is.easier to open and close, but it doesn't lock into place when reclined, not good for sleeping in. Besides, when the belly gets swollen and tight, laying flatter feels better than being bent. There is one area of a quick, sharp pain on the side when I first sit up, its where they removed some muscle and intalled mesh I think. But getting up and down is much easier than with the hysto.

  • GwennyMD
    GwennyMD Member Posts: 147
    edited October 2014

    Hi ladies.  Been mia for a while.  Decided to take a break from the surgeries.  Had many doctor appts though.  It seems like I cannot get away from them.  Insurance required Cat scan since no scans this year.  Waiting for results.  Finally scheduled next surgery.  Will take out port and get fat grafting to make the girls more symmetrical.  Nips and tattoos will have to wait until next year.

    Sky - My thoughts are with you.  Hope you have a speedy and uneventful recovery.

    Debiann - I know how you feel.  I was only 6 weeks PFC when I had BMX and DIEP.

    Healing thoughts for everyone who is recovering.

    Have a great weekend.

  • debiann
    debiann Member Posts: 1,200
    edited October 2014

    Wow the girls are getting swollen! How long does this last? 

  • lonnie713
    lonnie713 Member Posts: 236
    edited October 2014

    wow is all i can say Debian, hang in there. Thanks so much for all the information that everyone has been providing.

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited October 2014

    Good morning! Hope everyone is hanging in there. Got my diagnostic reports back and the general consensus is the lump is a fat necrosis. :)

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited October 2014

    Also read some of you are having medical issues and/or unexpected procedures/surgeries,  prayers being sent your way.

  • jmb5
    jmb5 Member Posts: 532
    edited October 2014

    Gotta get caught up on the board again. Just wanted to let you know my stage 2b went well yesterday. Scar was lowered, fat grafting and a slight lift on right breast to match it up better. She did lipo on my upper abdomen, inner thighs and flanks/back area. I am going to have a killer bod in about 6 months. Lol. I am super sore in my mid section. Percocet helps a lot. Didn't sleep well from pain and just trying to get in a good position. Needed so sleep propped up like after stage 1 because my tummy is so tight again. PS said to stay bent over when I walk for the next 2 weeks. She said she "pushed the envelope" for how tight she pulled me. My brain keeps telling me not to use my arms, because I couldn't after stage 1. Haha. It's kind of weird and then I realize my arms are just fine. 

    Hope everyone else is doing well. 

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited October 2014

    jmb, glad you are doing well.  They must have pulled your tummy tight if they want you to walk bent over for two weeks.  If it get's hard to do because of your back don't be ashamed to use a cane (I used a hiking pole), or a walker to help your back.  What does he do to raise your foob?  Mine were raised and he sewed them to my rib, and it still really hurts.  Do you have any idea how they are keeping yours up? 

  • jmb5
    jmb5 Member Posts: 532
    edited October 2014

    Georgie, YAY!! So glad to hear the good report. 

    Goldie, not sure if she did anything special to hold it up. I don't have any pain in my breast really. (Pain is where she lowered scar and did lipo.) she made a small incision above the right nipple and somehow pulled that up a little since it didn't quite match the other side. (Radiation on the left is why my boobs don't quite match.) Then she made an incision under the bottom of my breast. Somehow she lifted it up a bit. Shouldn't have much scarring because of where she made the incision. Stitches are covered with steri strips so I don't have to care for them at all. Much easier then the care after nipple reconstruction. 

    Funny story when she was measuring... she had a little tape measure and measured from the middle of my chest to the nipples. Then she measures from the underpart of the breast straight up to the nipple. The tape measure popped out and she laughed and said most of her patients have much bigger breasts than mine and they hold the tape measure in place. Lol. 

    Also forgot to add that I do have one drain in my abdomen. I didn't even care! After having four with stage 1, I figured one would be a piece of cake. 

  • norita19
    norita19 Member Posts: 49
    edited October 2014

    I'm so grateful I found this forum. I've been spending a lot of time reading thru the DIEP 2013 as well as this one. They have really helped me with my planning. I got my Soma PJs and they are beautiful and comfortable but I'm wondering if they are too "spandex-y" to be comfy long term. I'm keeping them and we shall see! I snagged myself a free shower seat from a friend who's having a garage sale.

    There are 2 things worrying me and wondering if anyone can help. When I had my hysterectomy 20 years ago, I had a catheter and a morphine pump. The catheter was very painful to me! I felt like I had more pain from the catheter than from the surgery! Can I assume from my readings that this was not normal? I sure hope so and dread having a repeat of that!

    And the morphine pump....let's just say it was useless. By the time I got into my room after recovery, I was frantic. I told them the machine wasn't working. They checked it and said it was working but I had used all the drug I could get for the next 6 hours! They didn't offer me any alternative.

    So i think these 2 things are the cause of the anxiety I've been having over my planned surgery. Demerol works well for me, I had it after my lumpectomy, is that an option? Or what else should I request for pain? Thanks for any help!

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited October 2014

    Norita, for me the catheter came out just a few hours after surgery.  The morphine pump I didn't use initially probably since I was so post anesthesia I felt no pain.... It did work for me just fine and I switched to Vicodin pretty soon.  We are sure all different though.  Probably the most pain I had for sure was abdominal.

  • MsW2012
    MsW2012 Member Posts: 226
    edited October 2014
    norita, I would make a point to be sure everyone involved in your care is aware of your concerns and preferences, about pain meds and the catheter. Catheters do come in different sizes! Then tell everyone you talk to the day of surgery. With all the right notes in all the right places, you're more likely to get just the right pain meds.
  • MsW2012
    MsW2012 Member Posts: 226
    edited October 2014
    debbiann, I love your sense of humor. Isn't that the truth, about getting into a comfortable position? I am sorry you had to have blood transfusion and are having some complications like with the foot. I hope everything resolves for you quickly. You're pretty close to the six-week point, which is when my doc had told me I could start doing as much exercise as I wanted, using arms and abs etc. Just start slow. It feels so good to be working up to normal activity again.
  • norita19
    norita19 Member Posts: 49
    edited October 2014

    Thank you enjoy and MsW, that's what I was thinking (hoping) about the catheter. I'm a large person, 5'10", but I guess all my parts didn't get the memo! :p

  • debiann
    debiann Member Posts: 1,200
    edited October 2014

    Msw2012, the only alternative to laughing about all this crap is crying, don't want to waste time on that. 

    I just had my surgery Monday, so its only been 5 days. I may have written something different in a post, but I don't even recall writing the first few posts I made after surgery. I was surprised as all heck to read my own posts, lol. 

    Yes, exercise would be wonderful, but I doubt it will top the euphoria of losing these drains. How long did most of you keep them? 

    I'm doing the foot exercises PT showed me, its slowly improving, but was told to be patient, nerves heal slowly. 

    The flaps seem to be doing well, but they are porn star size swollen (I think I remember Teacher using this very accurrate description).How long does this wonderful phenomenon last?

    Anyone using the rub on nipple tats? Any recommendations where to order them? How soon after surgery can you start? The big empty moons I see in the mirror are a little freaky. I think my permenant tats will incorporate nipples and flowers or birds. I would like it to look like I had my natural nipples tataooed rather than I had nipples tatooed on, if that makes any sense. Anyone see any good designs?

     

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    JMB - love the new pic!  How cheerful!

    Debiann - Congrats!  I was thinking about you this week and glad to hear it is going well.  I cautioned my coworkers that when I get back, I will be about twice the size chest that I will end up being in the long run, and for them to be prepared for that 'shock value'.  The reaction was to ask me if it was OK if they set up a pool to pick a "porn name" for my nickname when I return.  I love those people.  Can't wait to see what they come up with!!  :-)  I am still debating nipples/areola tattoos or just tattoos that look like a strapless bathingsuit (breasts only).  I have seen some gorgeous photos on mastectomy-tattoo specific sites but don't know if I have the guts.  Good news is that we have several months to work that out!

    My surgery is this Monday, and my anxiety has developed its own case of anxiety.  Ha.  I pretty much have everything done that I need to do and am calling it quits for tonight.  Tomorrow afternoon I am heading to the hotel and surgery is 6:15 Monday.  No idea why this surgery is so intimidating when BMX wasn't.  Possibly because it is at an unfamiliar hospital a few hours away where BMX was 2 blocks from my house.  It is likely all in my head, but I can't help but thinking that I got off easy with the BMX recovery and this one is going to be 10x worse.  Sometimes, I can be my own best enemy...

    Have a great week everyone.  Continued blessings to those who are in recovery, and I will check in on the flipside!

  • smd3
    smd3 Member Posts: 15
    edited October 2014

    Hi Ladies. Released from NOLA today.   Even with my complication , I was thrilled to be under such great care.  Met Dr. Massey for the first time. AWESOME bed side manner.  My surgical oncologist Lazarus helped Dr. Wise with my surgery too.  She has been a godsend.   and I love that they listen about pain management and give you a say on drug choice. No drains this time! Sitting in hotel.  Can't wait to get home to my little ones.

    As far as catheter.  This time it was put in before I went into OR.   Surprisingly it did not hurt at all. Hope everyone is doing well.  

  • Teacher64
    Teacher64 Member Posts: 840
    edited October 2014

    Glad for good reports. Those going into surgery, know that all will be well

  • sollertia
    sollertia Member Posts: 13
    edited October 2014

    I'm looking forward (or dreading, not sure which) my DIEP on Monday the 13th. Flying off to San Antonio because I wanted a group with a more experience and who would attempt a lymph node transfer.  Doing OK with no vitamins, caffeine, and alcohol, but have come down with a head cold.  My throat is sore and I'm intermittently dripping  or gushing from both eyes and nose.  Of course didn't realize this until too late Friday afternoon to contact PRMA.  

    This could be a reaction to dust as we were inventorying books from the 1700s and 1800s at my aunt's earlier in the week or the chamisa coming into bloom when we returned home. Was told I could take loratadine for the allergies, but still dripping up a storm.  Any words of wisdom?

  • LAstar
    LAstar Member Posts: 1,574
    edited October 2014

    Sollertia, when I lived in NM, I benefited greatly from a having a humidifier in the house.  I use one in my daughter's room when she is congested and it helps her breathe and sleep.  Those books sound really interesting!  Best wishes getting through this congestion.  Hopefully it clears up quickly.

  • debiann
    debiann Member Posts: 1,200
    edited October 2014

    ChrisinPA, Prayers and positive thoughts for you as you get ready for your big day. It will be the longest day in your family's life, mine said the waiting was hell, but the shortest day in yours. All I remember is "I'm going to give you a little something to relax now" followed by what seemed to be in the next breath "Surgery is over, it took 13 hours".

    I can understand the anxiety of going out of town for surgery, but you'll have a team of people who've done this before and they'll be ready to take care of you. Don't hesitate to tell them what you need and let them help.

    The recovery process gets better everyday. The DH said I'm getting good at this, lol. I have everything organized within my reach. I know the most comfortable way to arrange the pillows. I've figured out something that works for these stupid drains. I have a grandma type housedress with the large patch pockets on the sides. I'm wearing it inside out with the drain blubs in the pockets. Also, a handheld mirror is important for checking out whats going on with the drains and incisions. 

    Chris, how long do you plan on recovering at the hotel before heading home? Btw, can't wait to hear your porn star name, lol. Sounds like you work with a fun, supportive group of people! 

  • sky78
    sky78 Member Posts: 24
    edited October 2014

    hi, just wanted to say surgery went well and I'm hanging in there!! No barfing!! Woooohoooooo

  • Tan72
    Tan72 Member Posts: 52
    edited October 2014

    Norita, I am bigger as well, 5'10 and on the heavy side and did ok with the catheter, I had a slight infection after a few days, however, it resolved quickly once removed. I am 3wks post surgery and doing better everyday, hang in there.

    Congrats to all who are out of surgery and best wishes and happy thoughts for all who have an upcoming procedure. 

    On a side question: My onc put me on Femera and I asked if I could start after surgery and he said that would be ok, I am 3 weeks out and hesitant to start, is anyone else on Femera, if so, anyone not have side effects?

  • sollertia
    sollertia Member Posts: 13
    edited October 2014

    We do have humidifiers on both ends of the house and extra ones on the furnaces. When we moved to New Mexico we had an old Steinway that had lived much of its life in coastal California and didn't want it to crack its soundboard, so we generally keep the humidity between 35 -40%, well above the local outside humidity except during our "monsoon" season.  

    Think it is allergies, as am cconsiderably better this morning.  Sore throat is less and no real weeping.  Seeing primary tomorrow for pre-op EKG, so can get his opinion.

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