DIEP 2014

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  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    Thanks Ridley and mefromcc.  It was JBDayton I was thinking about.  Found the reference in her signature and sent her a PM.

    The local PS wanted to do surgery tomorrow (do not know what kind), but since I see the primary PS in Philly on Wednesday, they spoke this afternoon and will defer any decision until after that appt.  The local PS snipped away a bunch of stitches and packed me to the gills with gauze that will need to be removed/replaced daily for 6 weeks - at least until the primary PS sees me the day after tomorrow and makes a decision on what to do.  Couldn't even look while he was doing it.  The mere mental image had me nauseous.  I will start looking for the term "wound vac" and see what I find.  In pain right now and not happy about this new development.  He said my mesh is exposed.  I didn't even know I had mesh.  

    :(

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    oh, mefromcc - I recall hearing about "wound centers" from TV commercials, but don't know about how to find one.  Is that term what one would google to find out?  On Wednesday, I will plan to ask the primary PS about that option.  Thanks again.

  • naiviv
    naiviv Member Posts: 535
    edited October 2014

    Chris,

    Ask about the posibility of Hyperbaric chamber for wound healing. At hospital near me, there is a wound healing center and they have a room that is hyperbaric, not a tank.  You sit/ lay down for a prescribed time daily for a few weeks, it is suppose to be excellent to heal wounds.

    Get better soon

    Vivian

  • MsW2012
    MsW2012 Member Posts: 226
    edited October 2014
    kb33, you are right on. I would add that each of us is unique and no matter our age, our bodies are a part of who we are. I'm 54, and I feel great having the shape still there where a real breast used to be. It's far from perfect and that's my comfort level - not worth more surgery to fine-tune. I am finally physically comfortable after having an uncomfortable implant for two years. Do what makes you feel ok. My PS asked me what I wanted, if she could wave a magic wand, and I said I wanted to look in the mirror and not feel sad. I got my wish.
  • Linda-Ranching-in-the-mTns
    Linda-Ranching-in-the-mTns Member Posts: 319
    edited October 2014

    Howdy all -- I had my DIEP (BMX) in November of 2012 -- and thought I'd post here to let you know that 2 years out, I just got married (June 14th), my new breasts are amazingly "normal" looking and feeling, and gain/lose weight when I do... and I feel great!

    For those of you struggling in the month-or-two following surgery, it does get better.

    Advice:

    The more exercise you get, the better. (Gentle at first -- My favorite is still walking in the woods for a mile or two)

    The more gentle stretching (especially of the node-removed side arm) the better. (and talk to your onc, but don't wait "too long" to begin using that arm normally again, because I resisted (the arm was sore and so much easier to use the "good one" -- but at my age arthritis is ready to set into any joint that you don't use consistently.

    Stay positive: This too, shall pass. :)

    Try to relax and not worry. It helps your recupperation if you aren't constantly stressing... so try some relaxation techniques like when you catch yourself worrying... simply say "stop" and go DO something else. Take a walk around the block, sit in the sun a few minutes and feel the warmth on your skin... open your eyes and look at the trees blowing in the wind... listen to the birds and the rustling of the leaves... stand out under the night sky and lose yourself in the stars... go to a good movie.... read a chapter of a good book... take a nap... take a bubble bath by candle light... pet your dog/cat/kid... try a new hairstyle... paint your nails... 

    Try not to obsess by "venting" (even here) -- because usually the more you talk about your fear the more real it becomes. 

    Look for the silver linings. 

    Believe it or not... the last 3 years of my life, including caretaking my wonderful Dad through his esophageal cancer and then stage 4 brain tumor (including living with him for 6 weeks in Hospice to his eventual Death)... followed 6 months later by my own BC diagnosis and 2 years of surgeries and recoveries... HAVE BEEN THE BEST THREE YEARS OF MY LIFE!

    So, take heart, Girls -- Life is complicated and for every situation you can honestly find the lesson and epiphany in it that catapults you forward to being a better, stronger, and happier human being. Breast cancer has taught me a lot about myself, and helped me define what is important to me, what I love, and gave me the "permission" I needed to drop some of my "responsibilities" (like quit a job that you hated, or learn to say "no" to committees and friends/family who were accustomed to my caring for them over my own needs... ) 

    BC taught me to focus on the healthy and positive aspects of my Life, and spend more time there in those "happy places" -- and to "save worry" for later... which, if you wait long enough, you forget what you were "supposed" to worry about! :)

    There is a country/western song "I Wish You Could Live Like You Were Dying". Well -- the human condition is that we ALL are going to die... and this BC could be just the thing that sets you free to choose your new path to being the NEW you that you always wanted to become!

    Love you all -- I am adding one photo (foobs look pretty good, huh? :) Just to show you how great you, too, can feel in only a year or two... so hang in there!

    Linda

    image

  • mefromcc
    mefromcc Member Posts: 188
    edited October 2014

    wound care centers would be the Google search. You should be seen by a certified wound care specialist (registered nurse or physician). Many medical centers have them now. I hope I won't need one after my diep next year <grin>, but I will be ready.

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

    Linda - thanks for posting.  I remember you as you went through the surgery and challenges.  Your positive attitude is an inspiration to us all.  Congrats on finally marrying that wonderful rancher - he took good care of you though the bad times, now share the good!

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    Naiviv and Mefromcc - thanks for the additional information.  I have never heard of Hyperbaric chambers but just added it to my list of questions for Wednesday.

    Linda - thank you for the uplifting post.  I needed that tonight.  :)

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


    I went back to work today, 1/2 day to start, but all went well. Funny thing, for the last 4 weeks all I said was "I can't wait to get back to work", but now that the time has come, I'm not as happy as I thought I'd be. I think what I really meant to say was "I want to FEEL good enough to go to work, but actually stay at home." Lol.

    I'm starting mederma today, fingers crossed it works!

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

    Chris, thinking of you and hoping your incision heals soon. If there is not a wound care facility in your area, physical therapy centers also deal with wound care.


  • GwennyMD
    GwennyMD Member Posts: 147
    edited October 2014

    Just popping in to say hi.  I should be sleep since I have to report to hospital at 9 am for Stage 3.

    Linda - congratulations on your wedding

    To newbies - Do not take a lot of stuff to hospital, you will not use it.  Do not buy compression garments before you discuss with your PS.  They all of different requirements

    Healing prayers for all who need them.

    Hugs ((()))

  • jmb5
    jmb5 Member Posts: 532
    edited October 2014


    sky78... I did call my PS and left a message. Her PA called me back and left a message that said to massage the area and just keep my appointment that's coming up next week with my BS. I don't feel comfortable massaging it though because it gets sore when I do that. I'd just rather wait and have the BS look at it. I'm pretty positive it's nothing, but want to have it looked at to make sure.

    I'm on my last week of compression after stage 2b. I'm kind of afraid my thighs will get saggy though, so might keep wearing it, especially days when I'm on my feet a lot. I still have a little soreness on the inner thighs and flanks from the lipo. The boobs look great though. Happy

  • dixie60
    dixie60 Member Posts: 32
    edited October 2014

    Linda

    You are such a ray of sunshine.

    Thank you for reminding me to keep my positivity, even in trying times.

    I needed that today.

    Good healing to all of us!!

    dixie

  • Seashore
    Seashore Member Posts: 33
    edited October 2014

    Linda, thanks for your update and you are beautiful!  I have such indentations pretty high up on my chest from my BMX, and long for the days that I can wear even a v-neck t-shirt.

    I was scheduled for DIEP in December and yesterday the hospital called about a surgery scheduling conflict, and actually moved me up to Nov 7th!  OMG, that is soon, but I said yes of course!  So I should be in much better shape to enjoy Christmas holiday.  JMB5, I will pm you with my surgery info.

  • annieb4
    annieb4 Member Posts: 106
    edited October 2014

    Iowagirl.

    How is your phase 2 healing up?

  • mary625
    mary625 Member Posts: 1,056
    edited October 2014

    I just visited a wound center myself today.  It was a department in a local hospital.  All of the local hospitals seemed to have a wound center.  I don't think this type of doctor practices in an office setting.  I suppose they need to be near the hyperbaric chamber, etc. to do their jobs.  

  • norita19
    norita19 Member Posts: 49
    edited October 2014

    I went for my pre-op testing this morning and I'm not sure how I feel about something that was said.  The nurse doing the evaluation told me she had gone for a consult for a tummy tuck and was told it would cost $15,000.00. And then she said.... you guessed it! "You're so lucky you get to have it done and have insurance pay for it!"  I very calmly and nicely explained I was quite sure my stage 3 cancer must have cost me at least that much with all the surgeries, treatments and testing I've had over the last 12 years and I feel very fortunate to have my life right now. I guess I am happy that this procedure is available to me and my insurance will pay for most of it. But lucky, not really.

  • Ridley
    Ridley Member Posts: 634
    edited October 2014


    Norita -- sounds like you responded very calmly -- not sure I could have done the same.  I've heard a similar comment, but not from someone in the medical field -- I would expect them to know better.    I bet most, if not all of us, would take back the tummy fat if we could give back the cancer.

  • edukes1002
    edukes1002 Member Posts: 47
    edited October 2014


    Norita, that's a crap thing to have to hear.  Sorry you had to deal with such ignorance.

  • sky78
    sky78 Member Posts: 24
    edited October 2014

    People say such stupid things. A nurse who deals with cancer patients should know better. I think you said the perfect thing. What was her response?!?!

  • iowagirl1
    iowagirl1 Member Posts: 130
    edited October 2014

    Annieb4.   Thanks for asking.  Called PS office and talked to a nurse. She told me the hardness and swelling are normal after lipo.  I asked if I could email a pic and was reminded that email is not secure. She said I could email it to the NY but it all sounded routine.  My PS is gone for the week.   It's painful but I will continue with pain meds until she returns.  Frustrated.  This nurse is new to me.

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    Norita, I think it is just human nature to seek out the positive aspect of things.  Before my surgery, I joked to coworkers "envy me" and they joked back that they were willing to be fat donors - just say the word and they will be there.  Please don't take it personally - cancer is a topic that makes people uncomfortable, so it is just human nature to look for a positive (although to those of us going through the pain, 'positive' is relative).  :)

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited October 2014

    Mary625, it was interesting to learn this week that the people who specialize in wound care are not your doctors or doctor's office staffs - they are the wound care center specialists and the home health care nurses.  Makes sense once you think about it, wound care is specialized but not to the point of inpatient care.  I find out today if I have to have a wound VAC and asked the home care nurses how that is done (hospital, doc office, etc...).  They smiled and responded, "no, WE do that - doctor's staffs and hospitals aren't trained for placement".  I have never been through or known anyone to have been through after care of this nature (other than physical therapy), so every day brings new information.  Love my home health care team - they are the best at what they do.

  • Moderators
    Moderators Member Posts: 25,912
    edited October 2014

    Hi all!

    Are you willing to share YOUR story of reconstruction? We'd like to feature it in our Acknowledging Our Community Members section on the website!

    If interested, please PM us
    with a few paragraphs about your experience with Reconstruction -- the
    type of reconstruction surgery you chose, how it went, advice you'd give
    to others about choosing (or not choosing) reconstruction, and any
    other information you could provide to help others in their choices.

    If you could also include a photo of yourself or something representative of you, we'll include that with the story too!

    Please
    send to us, the Mods, ASAP as we'd like to finalize this section in the
    next week or so. Thanks so much for contributing -- your story will
    help inspire others!!!

    --Your Mods

  • Janet_M
    Janet_M Member Posts: 1,068
    edited October 2014

    Norita - Your nurses comment was idiotic. I've been told countless times how 'lucky' I was and to have a free boob job and a tummy tuck, but only by well intentioned friends, and never by anyone involved in the medical profession. 

    I was also told that I was 'lucky' to be bald, with no hair to worry about. But again, only by people that didn't know better. Nurses know better. The way you handled it was very gracious, and I admire your calmness. Well done. I'm betting she learned a lesson that day. 

  • jmb5
    jmb5 Member Posts: 532
    edited October 2014

    Janet, I love your tagline. (Is that what it's called?) Some days I feel like I'm hanging on by a thread, but I guess I'm still coping. I'm a substitute teacher at my girls' school. I enjoy middle school and high school the most, but it's been tough to sub this fall. Normally I really enjoy it, but I find my patience is pretty much nonexistent because of all I've been through this year. My DH says don't sub, but the money would pretty much pay for Christmas, so I feel I need to. Plus, it's good to get out of the house and be around people. I would just go shopping every day, but that's probably not how DH would like me to cope. Lol!

  • Ridley
    Ridley Member Posts: 634
    edited October 2014


    Jmb -- I laughed at the shopping -- I became a very proficient on-line shopper during my recovery after surgeries.  I had a little splurge during this most recent one and the boxes are still arriving.  One more box to come I think!!

     

  • MEG2
    MEG2 Member Posts: 114
    edited October 2014

    Linda, thanks for the post and advice!  I'm less than 2 weeks away from my DIEP surgery and hearing your light at the end of the tunnel story is very helpful.  I will definitely keep it in mind during the recovery and healing process.  I visit the gym on a pretty regular basis and not going for 6 weeks will be hard as I know it's one of the things about this journey I have control over (exercise, diet and attitude) and not having that option is a bit scary (like not taking Tamoxifen for a time before/after surgery, yikes!).   

    Norita, so sorry about the ignorant comment from the nurse....ChrisinPA, Janet good advice.  I have yet to hear something insensitive from a healthcare worker, guess I've been fortunate on that front.  All have been really friendly, compassionate and helped me laugh at times when I'd rather be crying but I choose the positive route (I say be Tigger, not Eeyore..).  I've heard all the other stuff from friends and friends of friends as well...like they'd chose BC for the free boob job or free tummy tuck. It's not exactly free, we actually paid a price!  What about the constant reminder that you've had the big C, the fear of recurrence, the SE from meds...I agree with earlier comments; people don't know what to say, finding the positive makes them believe they are helping you, the intent is there but the delivery is bad...sigh.

    That's why I'm here..among "my people" who totally get it and always seem to know the right thing to say.  Hang in there everyone  

  • naiviv
    naiviv Member Posts: 535
    edited October 2014

    Hello all and Congrats to Linda.

    Saw my ps for first post surg appt after fat grafting. Diep breast looks awesome. Lat flap breast got more grafting and is a bit lumpy and more swollen.  I hope it settles well, but PS is thinking it may need one more round and then completion. Ears removed and sides totally flat. He used the abdomen scar to graft so no new scars.  Belly Button is now closed. It is a very shallow indent, but I am happy with it, so we left it alone.

    Take care all,

    Vivian

  • Teacher64
    Teacher64 Member Posts: 840
    edited October 2014

    My breast surgeon was impressed with my breasts today. She hadn't seen me since just after DIEP. Turned out I have a pocket of fluid in the right where I've experienced some throbbing. Just going to watch it.

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