DIEP 2014

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  • MEG2
    MEG2 Member Posts: 114
    edited November 2014

    Wintersocks ~ it sounds like you are making the right choices for you given the circumstances, lots of good advice here about how to manage the situation.

    My surgery is scheduled for November 10, just about 1 week away....I'll let you know how I do on the work front.  Definitely won't be doing anything work related from the hospital and will limit the number of hours I spend for another 2 after that.  

    I hope everyone is healing well and has a peaceful week.   

  • MEG2
    MEG2 Member Posts: 114
    edited November 2014

    Wintersocks ~ it sounds like you are making the right choices for you given the circumstances, lots of good advice here about how to manage the situation.

    My surgery is scheduled for November 10, just about 1 week away....I'll let you know how I do on the work front.  Definitely won't be doing anything work related from the hospital and will limit the number of hours I spend for another 2 after that.  

    I hope everyone is healing well and has a peaceful week.   

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

    Did anyone still have a port after DIEP? I'm 5 weeks post surgery and this area is still tender and bothersome. The port didn't bother me this much when I had it put in! I think its because the area is still swollen, hoping it subsides soon. I need to have the port until June.

  • melissa2013
    melissa2013 Member Posts: 24
    edited November 2014

    It has been awhile since I posted, but I do check in frequently:).  After a much needed break from surgeries this summer, I am doing my Stage 2 Nov 5.   Not really looking forward to another surgery, but really ready to be finished with the reconstruction!

    young mamma... I had my DIEP March 7 and ran my first half marathon October 5.   I started running about 8 weeks post DIEP but really didn't get my stamina back until about 12 weeks post surgery.  My PS wants me to take a three week running break after stage 2, so I will be on a running hiatus for the next few weeks. 

  • iowagirl1
    iowagirl1 Member Posts: 130
    edited November 2014

    JMB5  Thanks for all the hard work you do updating the surgery dates for us.   it must be quite a job and I really appreciate what you do.

    I hope everyone had a relaxing weekend.  Our Iowa weather was beautiful and sunny.

    Good luck to Seashore on your upcoming surgery on Friday.



  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited November 2014

    Hi all, just a quick update.  I have abdominal mesh, so can't use a wound vac as it has to adhere to the skin and my mesh is exposed in the wound.  (Didn't even know my procedure included abdominal mesh).

    No more antibiotics, so that is good (no infection present), but the past week of 2x/day nurses manually packing and unpacking gauze in this wound will continue for 3-6 more weeks.  Foobs are doing great - I just now have to get this abdomen to calm down!

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

    Winter - To the best of my knowledge, nips always go on later. An exception would be a nipple sparing procedure. I waited over a year for mine, by choice - I didn't want any more disruption to my body or schedule. And,  I didn't think it would make such a difference to my overall feeling of wholeness, but I love them. 

    Also - I agree with some of the other ladies. If you are committed to your surgery date - just dive in with both feet and get prepared. Do everything to you can to feel in control and allow yourself to get excited. Start doing squats, cus you'll need your leg power more than you do right now. Throw in some planks, too. Get some loose, inexpensive, button front shirts, and some yoga pants. Make sure you have enough pillows, and rent a shower chair. I don't know how it works in the UK, but I was able to rent one for $25 a month. (never used it though). If anyone offers to help you - say yes. If anyone makes your life more complicated or stressful - get rid of them. 

    And think about how great it will be to feel whole again - you've waited a long time for this

    Don't be afraid to ask for support - here, and everywhere else. I leaned very heavily on these boards pre-surgery and got so much wonderful comfort, advise, and encouragement. 

    jmb - yes, you've done a great job of keeping everyone updated. And, I just realized you have a new avatar and you look gorgeous!

  • jmb5
    jmb5 Member Posts: 532
    edited November 2014

    Thanks, Iowagirl and Janet. :) And yes, Janet, I agree with the nipples. It made a HUGE difference in how I felt about myself when I looked in the mirror. I just felt more normal again. I can't wait to get the tattoos!

    All you girls that are exercising are making me feel lazy. I have basically done nothing all year, and I know I need to get moving again. I was thinking about giving yoga a try since I'm not a huge exercise fan. Thought I might like that better. Anyone do yoga?

  • jmb5
    jmb5 Member Posts: 532
    edited November 2014
  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited November 2014

    I have a yoga tape but (shuffles nervously) have only done it once, it made me sleepy hahahaha.  It is supposed to be so good for you though.

    I finally am planning to join the gym in town, it took me a while to get around to it but I am seriously gaining some blubber and refuse to go back to the obese world..... 

    Agree with Janet and others, the nips made a diff and quite frankly the tats will seal the deal for me.

    Chris, so glad you are getting good care for that dang abdominal incision, you probably had so little fat they had to pull you tighter or something, who knows?  I had such great experience at UPenn I feel bad that you went through this but hopefully it will be all better soon!  

    I too agree jmb thanks for doing the updates, it must be a pretty hairy thing to fit in while you are recovering yourself.

    Hugs to all with upcoming stages 1 and 2 and beyond.  Breast cancer, the gift that keeps on giving.....   So grateful to hear so many who can look back on that year or two and say "it is behind me"--- they encourage us all to get moving on with life and good health.  Love you all.

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

    I'm a big yoga fan. Did Ashtanga for years, but found it tiring during treatment so I started doing Yin, or Hatha. It's really good for opening up all the traffic jams in your body. Especially back bends and hip openers. I've always gone to classes - but recently started doing it at home after finding an online class that I really like. Here's the link.

    yogawithadrienne.com

    My personal favourite is her 'Yoga for the Winter Blues'. It doesn't matter if its not winter, and you're not blue - it's a great 25 minute stretch that opens your heart. 

  • wintersocks
    wintersocks Member Posts: 922
    edited November 2014

    Janet,

    Great advice as always!  I have sent the 17yr old to live with his Dad. He knows why, I have explained it to him many times. I know he is sulking as he has stopped contact. It feel  relieved  and I can now face what I am about to face.  I have a further meeting with the onco-plastic surgeon on the 11th. I may come in with a ton of questions here! before then.  From now till then I have a lot of hospital appointments including my six month check, and L' nurse, and gynae post op check so it's going to be a mentally challenging time again. The anxiety starts the minute I walk into the hospitals.  Thanks all for the support so far. 

    jmb5.  p.s I am not exercising either!      

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

    Good for you, wintersocks!  It will part of your son's growing-up process.  It sounds like you have so much going on right now, but you sound determined to get this done for yourself.  Git er dun, strong lady!

  • MEG2
    MEG2 Member Posts: 114
    edited November 2014

    Checking in...glad to see the posts about Yoga. I've been practicing yoga for about 8 years but had no strength during treatment to do even the tiniest bit.

    I joined the Livestrong program through my local YMCA (which I would highly recommend for any cancer survivor; the program is free and you can join regardless of where you are in your journey, i.e. 8 months out or 8 years.....my class had a 27 year BC survivor) and was really able to regain and rebuild my strength and stamina.  Will be working out and doing yoga right up to the day of my surgery hoping that helps me get through the process and healing much better.   When I asked my PS if I would still be able to do yoga after surgery he said "no guarantees"  so happy to hear that many of you are able to continue.     

    Happy healing to everyone.

  • julieho
    julieho Member Posts: 222
    edited November 2014

    Wow - I scrolled quickly through the latest updates here.  It is amazing to see so many woman I know from other boards here too, Teacher, Wintersocks, welcome.  

    To everyone else, thank you again for sharing so much of your decisions, surgery and recovery with all of us.

    I was scheduled at Beth Israel in Boston for December 8th for a DIEP.  I got a call last week cancelling the surgery for over 6 weeks.  I can't do it in the new time period so was pretty distraught.

    But, as things seem to be in life, maybe it was all for a reason.  I quickly started trying to find places that could possibly put me on the schedule sometime this month or next and found that the three premiere spots that deal exclusively with this surgery are PRMA in San Antonio, Dr Robert Allen in New Orleans, and the Center for Restorative Breast Surgery, also in New Orleans.  We are quickly seeing if I can get on any of their schedules.

    BUT, the biggest news I got was that these three places have 1/2 the surgical time to perform this surgery than where I was scheduled to have it at a renowned hospital in Boston, Beth Israel.  Beth Israel quoted me an approx. 11 hour surgery time, which was very concerning, especially given my bilateral mastectomy with reconstruction with expanders two years ago was 6 hours and I had a tough time recovering from that.

    These three places estimate their surgical time for my bi-lateral removal of implants and DIEP as being between 5 and 6 hours.  A HUGE difference.  I also was told by my breast surgeon that this should be my top priority, is having a shorter surgical time and LOTS and LOTS of experience doing the surgery.

    So, it appears I will have to travel some but I feel much better about going to any of these three spots.  Have any of you done this?  Traveled specifically to any of these three places to have this surgery?  Did you find your surgical time was in fact much shorter?  How was your experience?

    I am so crossing my fingers I can get in somehow in the next eight weeks to one of the three places.  They all look good to me and as long as my insurance covers it, which two have said it does, than the extra cost of plane fare and a hotel for hanging around after the surgery until I am okay to fly seems well worth it.

    But, as always, I care most about women's real experiences - so please share away.

    Take care,

    Julieho

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

    Oh, yes, many of us have been to NOLA or PRMA for this surgery.  You'll find another thread here called NOLA in September where you can read about others' experiences or connect with them.  I just had surgery at Center for Breast Reconstruction, but with Dr. Massey, not one of the doctors in the group there.  It is a great place.  I would not say that my surgery time was cut down to 5-6 hours though.  I was in there from 7:30 a.m. to 4:30 p.m. with nothing to remove--BMX already done and no tissue expanders or implants.  I was told that there was going to be a co-surgeon for Dr. Massey from the group, but maybe that did not occur or only for a short period of time.  I would have liked for my surgery to be shorter, but the care there is phenomenal!  I highly recommend it.  

  • Teacher64
    Teacher64 Member Posts: 840
    edited November 2014

    It's official. Tattoo Day is November 19. I have been told it will be the instructor, two female med assistants learning to do 3D and me. I'm considered the "teaching model." At 4'10", it's my first modeling experience!! I was told I need to be there by 1 o'clock and will be there 4-5 hours! I know it will work out, but there is so much going on now. I saw cardio dr today and have to have a stress test next week. Turned out the only day is the 11th, which was the day I was diagnosed last year. Last November was such a blur leading to December surgery that I just wanted some time to enjoy the end of the journey and plan for the holidays. 

  • youngmama
    youngmama Member Posts: 37
    edited November 2014

    kb33, thanks for sharing.  Wow, walking up to 6 miles after only 3 weeks, that's great.  What's the distance you run now?

    Melissa 2013, congrats on running your first half marathon!  you are giving me hope that I will be able to run a half sometime in 2015.

    jmb5, thanks for adding me and thanks for that great articles.

    I will be having my DIEP surgery in a different city (about a 3 hour drive).  For those of you who had to travel for your surgery, did you need a family member or friend to stay in town with you?  I feel so needy wanting my husband to stay with me but it probably make more sense for him to come back home to care for our 5 and 6 year old kids.  My sister will be caring for them for the day of the surgery and could definitely care for them for a few days.  I'm just trying to figure out if there is a good reason that I would need him close by during my hospital stay.

  • sollertia
    sollertia Member Posts: 13
    edited November 2014

    Julieho,  I'm 23 days off a DIEP in San Antonio.  My surgery, delayed unilateral with lymph node transfer and removal of previous scar tissue, took 5 hours.  I was quoted 10-12 hours back home in Albuquerque.  Dr. Nastala said at my consult in August 4-6 hours.

    We stayed two weeks in San Antonio.  Had a bedroom, living room and kitchen at Homewood Suites, which worked great for us.  Rented a power recliner for me to sleep in from Rent-a-center, as I was sure I would roll if in the bed..  Then my husband could do his morning computing in the bedroom before I woke.  With the 3/4 size refrigerator, we could keep stuff to eat and drink.  There was even a dishwasher, which housekeeping would run each day unless we did it first.   Cooked breakfast each day and light dinner Monday through Thursday, menues changed daily..  Quality varied in terms of interest to us, but we had stocked up on a couple of meals from Trader Joes, so had options.  Hotel staff were always smiling and helpful.  Wanda, our regular housekeeper, figured out I was removing the upper sheet and blanket from one of the beds nightly to use in the recliner, so folded up the bedspread to make it easier for me to remove them for my use.  With the PRMA discount, rate before taxes was under $90 a night, which we thought was quite reasonable. 

    I was lucky enough to have my three drains removed before leaving San Antonio.  You'll have four with two breasts.  I tend to heal fast and stated driving two days ago.  Still a little sore and swollen, but off all pain pills.  To me it was a no brainer to go with a group that had a good track record and lots of experience.  Happy to answer any questions.

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

    Youngmama. I had surgery close to my house. My daughter spent the first day after surgery with me in the hospital and it was very helpful that I didn't need to call the nurse for every little thing. After that I could manange on my own. I'm sure I would have been fine without her there, but emotionally it is nice to see some family. My husband came every day too and helped me walk. I got "drop foot" from surgery. A nerve on my leg was compressed from the boot they put on to prevent blood clots.

    You will need help when you first get home, so you may want to save your resources to help you then.

    Good luck!

  • wintersocks
    wintersocks Member Posts: 922
    edited November 2014

    Yay, yippee

    I have just had a letter from the hospital advising me that my surgery date has been changed  to Mon 15th Dec.  I am so so happy as I can  largely stop fretting about the job situation as much of my recovery time will take place over the Xmas and New year period.   

    What a relief!  

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

    Winter - Yipeeeee! 

    Youngmama - I can think of an excellent reasons why your husband should be close by!  He makes you feel better.

    And, you've got your sister to look after your kids. Sounds like a no-brainer to me.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited November 2014

    Wintersocks...YAY!  Things are working out and looking up!

  • julieho
    julieho Member Posts: 222
    edited November 2014

    Wintersocks - so happy for you.  Things are really looking up.  Can't wait to hear how everything goes.

    Teacher - happy for you to have your final work being done.

    Youngmama - I would advocate for having someone with you during your hospital stay.  If you can arrange childcare for the kids I also think your husband would be the best, but maybe a very close friend or other family member if you think the kids would do much better if he was home with all of them a few of the days.  Thinking of you.

    Sollertia - thank you so much for sharing your experience at San Antonio.  I have been so impressed with them so far.  They have moved quickly on all the paperwork and are reviewing my case today so I am keeping my fingers crossed that I can get on their schedule this late fall.

    It is good to hear there is a good place close by to stay.  We were thinking of renting an AirBNB but it sounds like the Homewood suites was very nice and gives us options to make our own food, which we like.

    I was thinking of bringing my emotional support dog, Zola, she is a 12 lb mix breed that goes everywhere with me.  I have four other dogs but they are too big to travel and of course that wouldn't make sense.  But, Zola I got during chemo and she has flown everywhere with me. My husband is worried that we shouldn't bring her because he wants to stay with me in the hospital and of course she wouldn't be able to.  What are your thoughts on this?  I actually so want her there that I wouldn't mine his not sleeping with me at the hospital the days I am in there so he could go back to the hotel or airbnb and care for her just so I have here with me the second week of recovery.  They told me I had to stay an extra week in the area before heading home.  Would love your thoughts or anyone else's.

    Thanks everyone,

    Julieho

  • Ridley
    Ridley Member Posts: 634
    edited November 2014


    Winter -- that is great news -- it is so nice when things work out that way.

    Julie -- I don't have dogs, so can't comment there, but I didn't have anyone stay with me at night while I was in the hospital, and I really didn't need anyone.   So if you would feel better with your dog there with you, I would think it would be fine for your husband not to spend the nights at the hospital with you. 

  • sollertia
    sollertia Member Posts: 13
    edited November 2014

    Julieho,  I'm sure Zola would be a great comfort to you after you leave the hospital.  You are supposed to walk for five minutes each time you go to the bathroom and 15 minutes thee times a day.  Zola would vey much enjoy those times together with you and it would be an incentive for you to be more active, which speeds the healing process.  

    I don't know about access to visit you at Methodist Hospital or the various hotel requirements fo Zola, as we didn't need to ask about those.  Staybridge suites was right across the steet from Homewood, and seems to be similar arrangement, except for the evening dinner Monday through Thursday at Homewood, which included a salad bar..  There were a couple restaurants in walking distance (some did take-out), plus the large HEB grocery was less than half a mile away.

    My husband preferred to spend the nights at the hotel.  He got more restful sleep than he would have in Methodist hospital.  The intenet access was more reliable for his laptop at the hotel also.  I had no problems with my Nexus tablet in the hospital, but it seems to get better reception.

    You do have a private room (all PRMA patients do) with a huge bathroom that has room for a fold-out cot, so he wouldn't necessarily be woken each time they come in to check  the blood flow and take vitals (every hour the first night, then 2 hours, then three).   Shift change for the nurses is at 7, both morning and evening.  Suggest he get a weekly parking pass which allows unlimited entry and exit to Parking garage 1, so no problems going off to lunch or the grocery store or to Starbucks to obtain the New York Times.  Peter went off to practice his piano lessons at the church we attended the day before surgery.

    Having the extra week in San Antonio did give me the opportunity to just concentrate on resting and healing, walking and doing the breathing exercises.  Having the drains made me feel like staying put.  I was lucky enough to get my drains out before leaving San Antonio, so started doing things again after getting home, though my daughter came to cook and drive for the first week, but needed a nap a day to make sure I didn't overdo it.   Be sure to  drink enough so you aren't exhausted from flying home.  

  • ChrisInPA
    ChrisInPA Member Posts: 38
    edited November 2014

    enjoyevrymoment, my experience at UPenn was nothing less than spectacular.  This wound has been described as "rare, but sometimes the luck of the draw", so I don't draw any connection between the hospital/surgical team and the current issue.  Saw the surgeon in Philly today who is pleased with how things are progressing (given the circumstances), so can't ask for more than that!

    Youngmama, every one of us are different.  My surgery was about 1.5 hours from home.  I knew going in that they were going to check the bloodflow every hour for 3-4 days and to expect little sleep, so i didn't want family there.  That said, "family" in my case is a sister in Connecticut and my elderly mother who lives near me in PA.  Knowing that I was really going to need them days 6-12 after my discharge, it seemed better to have them not make the trip while I was inpatient since I was going to be delirious from lack of sleep anyway.  They came for the surgery then came back when I was discharged.  My overall concern was that it might exhaust them for 2 weeks of this.  That said, 1.5 hours isn't 3, and it would have been hard to justify staying since it is 'close' so I went home for week 2 and followed up with a local PS who worked with the PS surgeon who did the actual procedure.  It is a different situation when you are dealing with a spouse/SO that would be with you regardless and the travel distance you are working with.  You may want to ask your PS's surgical prep nurse about this and see what they find works best for people.  Lonely is NO way to go through a procedure like this - but you may find (like I did) that the time just flies by.  The day they discharged me, it felt like I was only in for 2 days as opposed to 5.  Best wishes to you on your procedure!  

  • jmb5
    jmb5 Member Posts: 532
    edited November 2014

    Had a checkup with my BS and showed her the lump I found. She had me get an ultrasound, and that doctor thinks it's fat necrosis. There was fluid in the mass. She wants me to have another ultrasound in 3 months, which made my heart sink. Maybe I'm being unrealistic, but I was planning to not have any major tests done next year that cost a lot of money. That $4000 deductible sucks and I really didn't want to have to pay that. She said she can't force me, but her recommendation is another ultrasound at some point next year. 

  • melissa2013
    melissa2013 Member Posts: 24
    edited November 2014

    Home from stage 2.    Surgery took about 2.5 hours....fat grafting, nipple reconstruction and fixed the dog ears on my an incision.  Pretty sore and not lovin the binder, but happy to be in the homestretch!

    Thanks for being such a great support system.  This board has been an amazing source of information and reassurance during this long journey.  

  • TinaHoff
    TinaHoff Member Posts: 62
    edited November 2014


    Came home yesterday from my Phase 2 reconstruction.  I'm a little sore, and a little groggy from the pain medication, but relatively speaking, this recovery will be a snap.  I hope I haven't jinxed myself. Smile

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