September 2014 Surgery Sisters

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  • sandra4611
    sandra4611 Member Posts: 2,913
    edited October 2014

    Marie - I've always heard NO ICE! Ice inhibits blood flow which is not what you want when tissue is trying to stay alive and needs all the blood flow it can get. I've also read that because we are numb after surgery, it's possible to get frostbite from ice.

    I agree with Noonrider. Nothing you are experiencing is normal. Hopefully by now you are in the ER with some caring physician taking good care of you.

  • Jumpship
    Jumpship Member Posts: 305
    edited October 2014

    Just curious if this is "normal"....2 weeks post-surgery, met with the surgery resident and he said "we got it!  No chemo" and I said, "umm, HER 2 positive....doesn't that mean chemo?"  Now on a 2-week wait for the hematologist to call.  Does anyone else wait this long to go between surgical and hematology?

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited October 2014

    minivan, I never saw a hematologist, is that the same thing as a medical oncologist?  That's who decided chemo or no chemo for me.  I wouldn't worry overly much about the wait.  They won't start chemo until you are healed from surgery anyway.  

  • Mulligan
    Mulligan Member Posts: 205
    edited October 2014

    Minivan I had to end up getting a 2nd opinion from another MO who I ended up staying with because I didn't have any confidence in my 1st MO with that said I didn't start my chemo until 5 months past my initial diagnosis and they say they usually start treatment within 2 months. Make sure you are comfortable with your MO because they are the one that will be with you through most of your journey.

    Oh gosh, I'm sadden to hear things aren't going so well for some of you. My thoughts and well wishing for speedy recovery for you ladies and if something doesn't feel right, please speak up and tell your Dr. You are your best advocate. Take care ladies!

  • linda505
    linda505 Member Posts: 847
    edited October 2014

    Minivan no chemo for HER2+ is not normal at all.  If you are HER2 then you should be getting at least taxol and herceptin at a minimum.  Do you have a copy of your pathology?   Maybe you are really not her2+    You should be seeing an oncologist and treatment starts as soon as they think you are healed enough from the surgery. I started chemo about 6 weeks after my BMX.

  • hummingbirdlover
    hummingbirdlover Member Posts: 421
    edited October 2014

    I'm so envious of this group!  I am scheduled for BMX with SBN on October 27 and petrified to say the least.  It's been encouraging to read your stories and know that there are so many that have "been there done that" - and that it wasn't as bad as you anticipated!!  I'm wondering how much time you took off of work?  I have lots of sick time built up so am tentatively planning on taking the entire month of November off - returning to work on December 1.  I wish you all of the best in your healing and can't wait to be last month's surgery sister!!  Thank you for your encouraging stories!  ((hugs))

  • Smitty333
    Smitty333 Member Posts: 130
    edited October 2014

    Good luck on your up coming surgery hummingbird. I was so appreciative of all of the advice from these ladies. I would of been lost with out them. I am only 35 and no one in my life can relate to anything I have or am going through so this site is a life saver. There is always someone that has been there, done that. 

    The only tip I have because I know you have probably read all of them so far is to have a back scratcher handy! One of those long wooden ones. My back was constantly itching and there was no way to scratch it!

    Another thing was that I am someone that thinks that less is best when it comes to pain meds. Well that does not work well with this surgery. Keep on top of the pain . 

    It is not a easy surgery but the piece of mind you feel after in my opinion is worth every bit of it. 

  • Flannery
    Flannery Member Posts: 68
    edited October 2014

    hummingbirdlover:

    I had a UMX rather than a BMX, and I appreciated every day of my month off work.

  • EverForward
    EverForward Member Posts: 242
    edited October 2014

    Hummingbird, I had a BMX and went back to work after 3 weeks off. I have a desk job, so it wasn't bad. Except that I still had 2 drainage tubes that I had to keep hidden under baggy sweaters!

  • clmtootie
    clmtootie Member Posts: 63
    edited October 2014

    Hummingbird, good luck in your surgery coming up.  I had a NSBMX and took the full 4 weeks off that my BS recommended.  I was feeling much better by week 3 but I really noticed a big difference by the 4 week mark. I just felt even better, I finally felt more like myself.  Even though I thought I was feeling pretty good by 3 weeks out there was a noticeable difference by the 4th week.  I am now gearing up for my exchange surgery in December.

  • Smitty333
    Smitty333 Member Posts: 130
    edited October 2014

    I have a question for everyone. I had my surgery on the 24 and they put in 150cc during surgery. I have since had one fill and have another next week. The problem is that I have a constant burning pain, mostly in my right side. It is not to bad in the morning but around 3 I can barely handle it. The TE on that side is mishaped compared to the left side as well. I am just wondering if anyone else has this pain. I am scared that it will just get worse with my next two fills. 

  • Ilovecoasters
    Ilovecoasters Member Posts: 199
    edited October 2014

    Smitty 

    I am now at 310ccs and yes the burning continues.  My PS said its to be expected.  Take your muscle relaxers, they will help.  Excellent advice about the back scratcher! I have my husband scratch and rub my back, the itchiness is crazy at times.  

    Hummingbird, 

    I am four weeks out.  My BS said closer to six weeks given my job responsibilities.  I have pretty good movement but am still stiff. Driving hurts.  Thanks to a weekly chemo schedule I will not be returning to work until it's done in 20 weeks.  Yes, I agree with you about this group I'd be lost without them.  

  • lonnie713
    lonnie713 Member Posts: 236
    edited October 2014

    I was out on short term disability from the start of my mastectomy thru my chemo and rads.  I went on long term disability when std ended for about 8 weeks because I needed an oophorectomy and hysterectomy. I am fortunate that my job provides 100% pay while on std.  I got 70% while on ltd.  Again....THANKFUL.  I needed the time. I was sick thru the entire chemo process and could barely move during rads. I'm back at work now working remotely until after I have my exchange in December.  

    My advice is to take the full month off for the bmx if you can.

  • Ilovecoasters
    Ilovecoasters Member Posts: 199
    edited October 2014

    Lonnie, 

    Did you have to empty your expanders during radiation? I seem to be mirroring what your treatment was, almost to the day - just a year later. 

  • lonnie713
    lonnie713 Member Posts: 236
    edited October 2014

    Nope.  My RO was fine with them. Is there a reason why your RO wants them emptied? This is the first Ive ever heard of that. 

  • sandra4611
    sandra4611 Member Posts: 2,913
    edited October 2014

    Whether you have chemo or not depends first and foremost on your diagnosis. If your cancer wasn't invasive or was small and the surgery had big margins (so they "got it all") - and there was no lymph node involvement, you may very well not have chemo.

    Isn't an oncologist a hematologist too? Mine is and she is located in the Oncology/Hemotology Clinic at my hospital.

  • Jumpship
    Jumpship Member Posts: 305
    edited October 2014

    Thanks all.  Yes, it's invasive.  I only have a surgeon.  I've been asking for the Oncologist (which is also a Hematologist) since July.  It's in their time.  However, with HER2 time is of the essence and I feel like I am being left out to dry.  I know that chemo can't be until I have healed (another 2-4 weeks) but the CONVERSATION about if chemo and Herceptin are necessary should be able to happen now.  I feel like every day I go without the referral and the appointment and conversation is another foot in the grave.

  • sandra4611
    sandra4611 Member Posts: 2,913
    edited October 2014

    Oh my. Stomp your foot and pitch a fit, Minivan. That's not right.

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited October 2014

    minivan, where do you live?  I was diagnosed end of Aug and am starting chemo on Friday.  I was looking back at your old posts and you had to wait quite a while just to see a surgeon.  I'm feeling grateful that I live in the Boston area.

  • Ilovecoasters
    Ilovecoasters Member Posts: 199
    edited October 2014

    Lonnie

    He said they don't allow him to radiate the area well. He wants just one side emptied. I see the PS Monday.  This just seems odd.  It's so much to deal with.  

  • enlm20Erica
    enlm20Erica Member Posts: 216
    edited October 2014
  • Flannery
    Flannery Member Posts: 68
    edited October 2014

    minivan:

    Sorry if this is a stupid question, but are you sure that you need a referral to see a medical oncologist? My insurance plan allows me to see any specialist I want without a referral, as long as they are in-network. I don't think you should wait any longer, if only for your peace of mind!

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited October 2014

    Flannery, I am in an HMO so I need referral from my PCP for everything.  But I was able to make appointments first, then go to the PCP to write the referral.  I wonder if minivan lives in the UK  or CA?

  • Jumpship
    Jumpship Member Posts: 305
    edited October 2014

    Yep-California.  It's actually the surgeon that has to make the referral….and I've been asking since July.  Monday I hit the phones and start making some daily calls until this happens!!

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited October 2014

    Geeze minivan, by CA I meant Canada.  One would think that you should get speedy medical care in California!  Is there a Breast Center at your hospital?  If not, you might want to consider switching to one that does.

  • linda505
    linda505 Member Posts: 847
    edited October 2014

    Minivan - I would call your insurance company and make sure that you need a referral for an oncologist.  You have breast cancer -this is a pathology report - they should not have a problem with you making an appointment.  I did get a referral from my BS for my oncologist but it was just done to help  speed things along as she called the day she looked at my pathology and saw that I was HER2+ - even before I saw her.  I know some policies are really strict but you should not have to wait this long just to get an appointment set up.   Do you know the size of your tumor?  Do you have a copy of your pathology?  If you do can you tell us what it says.   If not, I would also call your surgeon and tell them that you will be picking one up.  

  • Jumpship
    Jumpship Member Posts: 305
    edited October 2014

    I've had pathology since June.  The 1cm tumor grew twice.  I had an MRI in August and then the surgery 9/30 so I have medical evidence that it grew.  2.1 cm.  ER/P positive 80%.  HER2 3+ positive.  ki67 is just 10% so they thought it wouldn't grow.  Sentinel node was clean.

    It's bad enough wondering myself about things but then helpful people (like the boss at work)-are you done? Do you have further treatment?  I don't know!

    On a more humorous note, I was a large breasted woman before hand hoping to go with a B- cup.  Has anyone been recovering from surgery and wondered-was my stomach alway this big???? How did that happen?  :)

  • clmtootie
    clmtootie Member Posts: 63
    edited October 2014

    my stomach was swollen for two weeks after surgery. I was told it was very common.

  • linda505
    linda505 Member Posts: 847
    edited October 2014

    Minivan - you need to demand an appointment to be set up on when you call on Monday.  You should at least have an appointment.   Since you are Her2+ most MO's don't even use a Ki67 to determine the need for chemo - in fact since I was HER2+ my insurance would not have even covered it since chemo was called for.  However - don't freak out as they can get chemo started very soon after your first appointment.   I don't really understand what your surgeon is doing in delaying things.  Who is your insurance carrier?

  • Beachlady28
    Beachlady28 Member Posts: 54
    edited October 2014

    Beachlady28: 9/29/14: Right breast  lumpectomy plus sentinel lobe plus another lobe removed right  breast.

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