December 2014 Surgery Sisters

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  • Bippy625
    Bippy625 Member Posts: 890
    edited December 2014

    hugs to all recovering from surgery, and especially Quiggy. I am gettin a bmx next week Quiggy and I know my first shower will also be tear filled. I hate that we have to do this and it is going to be very difficult for me too. they said that a lumpectomy would not work for me, because I have multifocal tumors. Or rather I could try it if I wanted. Also, there is some stuff in the other breast, no biopsies done, but pathology will tell. So off they both go, after alot of thought, because I am just sure there is a nasty surprise in the "healthy" one as well.

    I am nearing completion of my preps, so much good info here. We made christmas dinner plans out with friends, hope I feel like doing it. I bought some pretty camis yesterday and am getting caught up on laundry, etc. my DH will be the caretaker and he is ready. Uh, just want the surgery over now.

    Feel better all, thinking of my surgery sisters!

  • quiggy
    quiggy Member Posts: 315
    edited December 2014

    I'm painful and some swelling under the arm today.  

    Usually find energy in am, discomfort by eve.

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

    Jbdayton, I'm so glad to hear you are alive and kicking. Fingers crossed everything will heal fast - no complications! Keep us posted on your progress.

    Those of you who say you are ok in the morning or even for one day, but the next day is different...this is because you really are doing too much. You know, unless someone defines "too much" you really don't know. Don't do too much means do nothing. Get up to go to the bathroom. Pretend like you are a T-rex dinosaur...you know, short arms. Mentally glue your arm to your side from armpit to elbow. Don't reach for anything you would have to "detach" your arm from your side to do. Get help to take off child proof caps. Anything that causes the least amount of stress to your chest will come back to bite you the next day or that evening. You are not helping yourself by sweeping the floor or wiping a counter. I know. I've had 5 breast surgeries in 14 months and have had to learn some of these lessons the hard way. Your arms should never go above your shoulders for the first week or two or, depending on the type of surgery and how you are healing, until your doc says its safe. If your doc is one of those wacko types who tells you to begin stretching exercises on day one, feel free to disregard that advice. And no, you are NOT going to get a complication called frozen shoulder if you are essentially immobile for a week or two. By focusing all your body's energy, you ARE going to allow the internal sutures to heal, which takes MUCH longer than the ones you can see, and you'll let your body do its best to re-establish nourishing blood flow to all parts of your chest that have been through the assault.

     Memorize this. Just because you can doesn't mean you should. In the year and a half I been a participant on 20 or more threads on BC.org, I've read it hundreds of times. If you do more than your body can handle, you'll pay for it. Things will hurt. The least little thing will wipe you out. At the beginning your drains will increase output. If they've already taken them out, the fluid will build up into a very sore seroma that has to be drained by the doctor, sometimes every week for a month or until it (and YOU) slows down. You have to let your body heal. It's not going to happen in two weeks!!!

    Most women feel they have turned the corner at three weeks. Sometimes four weeks. Those of you who are only days out of surgery are going to hurt yourselves if you don't sit down and let your body heal. (off the soap box now)

  • quiggy
    quiggy Member Posts: 315
    edited December 2014

    You'll be in my thoughts Bippy625.  When is your surgery?

    This all sucks!  Sorry any of us have to be here.  

    I should get my treatment plan tomorrow.  Scared and relieved.  Just want to move this crap forward.

    Sandra461; thanks for the advice.  My doc told me to get around but no lifting.  Had me doing exercises.  I looked up seroma, thinking that's may be what's going on. Dang it!  

  • katcar0001
    katcar0001 Member Posts: 621
    edited December 2014

    I am so sorry, quiggy. I hope it's not a seroma, and I hope you have good painkillers. I am here again as I am always up at this hour to take my antibiotic. This time, however, I am in excruciating pain around the drain sites. I don't see any redness or swelling, but I just cannot get comfortable. I go see the substitute doctor tomorrow (mine is out of town), and I am so afraid they will make me wear this thing another week. I have hardly any drainage now. I want it off. I have tried not whine too much so far, but wah, this hurts.

  • Scottiemom11
    Scottiemom11 Member Posts: 1,298
    edited December 2014

    One week post surgery from skin sparing BMx with tissue expanders; ILC right, LCIS left.

  • miami4ever
    miami4ever Member Posts: 2
    edited December 2014

    Hi everyone, just had surgery December 8, 2014. Bilateral. I'm back at home, thank GOD for my mom, she has been a tremendous help during this entire time. She is a breast cancer survivor, and she give me the encouragement I need along with helping me thru this process and along this journey. I is normal to feel off balance? I see my surgeron next Tuesday for the after surgery pathology and then on to the Oncologist. I am super happy I found this site to get information and share. Sometimes you just need to see it written to diminish the tears.

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

    Katcar, the drain sites certainly do hurt after awhile, don't they? The suture there isn't holding the tubing in, it's just there to make the hole smaller and tighter around the drain. The wound swells around the tube too. Usually there is 8"-10" of tubing inside you with or without a flat shoelace type of thing at the end. It's not because of the tubing that it hurts so much, it's the fact that your skin is unhappy with the suture and everytime you empty the drains or move around much, you pull on the suture a little, making it worse. It's also possible that you can get an infection at the drain site so they like to get them out at 2 weeks, 3 weeks at the most. After that the chances of infection jump higher. The PS will probably take yours out since it's not putting out much. Even conservative docs will remove them if they put out 30cc per day for two days. Often your body is able to handle and reabsorb fluid less than that without developing a seroma.

    My drain tube fell out on its own after my last surgery. The suture had not broken - it was still intact at 2.5 weeks, but the opening was large enough and the tube inside short enough, that it just worked itself out. That was a first. Never had that happen before. Never felt a thing. It was ready to come out anyway.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited December 2014

    My insurance pays for the visiting nurse if needed. My hubby can't stand a paper cut.

    Do people need dressings changed with a BMX? How hard will it be to manage drains and wound care? I'm on my own with this! 1 1/2 days and counting

  • katcar0001
    katcar0001 Member Posts: 621
    edited December 2014

    Hi sandra4611, I thank you for you your clear and thorough description of what is going on with the dratted drain! I had no idea, and I feel a bit better now and will not worry so much. They did not take it out today so I have another 8 days of this :-(, but I think knowing now that it's "normal" will take the edge off (and a little Valium helps). It's the thick one in my chest that hurts the most, although the armpit one is pretty ouchy too. My aunt arrived today from Utah, and she's helping me so so I can rest and not do too much like I was before. I kind of wish mine would fall out too, but that is probably wishful thinking.

    I look forward to hearing how the rest of your reconstruction goes! ~Kat

  • katcar0001
    katcar0001 Member Posts: 621
    edited December 2014

    Hi Chloesmom, My dressings were not removed until my followup appt (should be scheduled for about a week after surgery). I didn't look (wasn't ready yet) but I think they did not put a new one on. They just put the compression bandage back on and that was it. The drain cleaning is pretty easy. If you need a detailed description of that, let me know, and I can mail you something as well as instructions how to wrap your compression bandage. Otherwise, follow Sandra's advice and you are a T-rex with short arms. Do not try to do too much. If hubby can't cook, order in. ~Kat

  • Angiem12
    Angiem12 Member Posts: 13
    edited December 2014

    Hello ladies!


    Surgery is tomorrow at 7:30 am! A bit nervous but I am ready to get this part done! Glad to be have found this forum it's nice we can share information! I will update when I can! Good luck and fast healings to all! God be with us all!

  • stfne
    stfne Member Posts: 70
    edited December 2014

    angiem, good luck tomorrow!

    Thinking of you all!

    I went in for my revision yesterday and was sent home because I had a head cold. The PS was worried that I would end up with pneumonia and or an infection. So disappointed but relieved too. I was worried that with Christmas I would end up over doing it. Now I'm looking at January surgery.


  • quiggy
    quiggy Member Posts: 315
    edited December 2014

    Angiem12;

     I'm sorry you find yourself here but glad you found the forum. You'll be in my thoughts tomorrow.  I wish you a safe surgery and easy recovery.  

     My surgery was a week ago, as you roll into your new normal, try to remember it will get better. 😊





  • quiggy
    quiggy Member Posts: 315
    edited December 2014

    Hi BC sister's;

    Had my post op follow up and pathology review today.  I was so relieved to learn the lymph nodes were negative for cancer.  I'm meeting with onc next week to discuss treatment.  

     Have a seroma, pretty uncomfortable but spirits are a little better.


  • clmtootie
    clmtootie Member Posts: 63
    edited December 2014

    I had my exchange surgery this morning.The pain from this surgery is a little more than NSBMX surgery


  • Scottiemom11
    Scottiemom11 Member Posts: 1,298
    edited December 2014

    I am just learning how to navigate this site. Finally settled on a name and avatar.

    My surgery was on 12/3 BMX (left prof.) with tissue expanders. Although I was duly warned about the pain after, nothing could have prepared me and I had severe nausea from the anesthesia and pain meds. Finally convinced them to change my nausea meds to one that had worked in the past. I lucked out today when I went in for an impromptu check of one side where Drains were pulling on the sutures. PS looked at my detailed notes and took all the drains out. Was not scheduled for that until next Monday.

    My advice, definitely have someone stay overnight with you at hospital, DH was with me. I have never had a good experience with night nurses and this was no exception. My day nurses and recovery were fantastic though. Take a comfy blanket and pillow. I have neck trouble and really wished I'd brought my gel pillow.

    I wish I had read posta about overdoing stuff. I was warned not to do anything, but still tried too much. As others here said, I paid for it the nextday.

    Question: Anyone experience bruising on the side (large patch above hip)? PS thinks it's from heparin shot in my abdomen. Also, when realistically will pain from surgery subside? Have postponed first expansion until 12/22 since it will cause more pain.

    I won't get my final path results until next Tuesday. For now, I'm told the nodes were negative.

    Thanks

    Scottiemom11

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

    Scottie, I had a fill at 3 weeks too and did fine. Of course, it depends on how many cc's they are going to put in. Personally I had no pain with fills - only tightness in the evening and a little aching that went away with Tylenol and a night's sleep. I got huge fills (180 cc's, 240 cc's, 100 cc's, and 60 cc's then up to 680 with no problem. I was going for 800 but the final 60 caused enough pain that I said I was finished at 740. Most people have 30-50 cc fills. Some have stubborn pec muscles that don't like to stretch and fight back with a vengeance. Valium is a muscle relaxer and it helps if you have tight pecs.  Heparin does cause a bruise but not a big one. Maybe the size of a half dollar at most. No more drains! Yay!

    Some people say the BMX isn't very painful. Others disagree. I thought it was a big challenge at first but mostly because I had the same situation as you...sick from the anesthetic. It was difficult to cope. I can't take pain drugs so my whole source of help is Tylenol. No pain pump or anything else. The first couple of days were no fun but once the nausea was under control, I was better. Getting up and down was harder than I thought...too many tubes and things attached. I was alone the first night and it wasn't fun. My daughter stayed the next night and it was 99% easier to make those many "potty breaks."

    Clmtootie, sorry you are having more pain than you thought. Usually the exchange is quite minor compared to the mastectomy. I had a harder time with the exchange too, but we are in the minority.

    Quiggy, ouch, hope your seroma resolves soon. Is the doc going to take out the fluid? I'm sure you are watching for a low grade fever or redness. Seromas can lead to an infection. Glad you got good path results.

    Stfne, well that sux. Disappointed isn't the word, I'm sure. January isn't far but it probably feels that way to you now. So sorry.

    Angie, good luck tomorrow! Be in touch when you feel like it.

    Chloesmom, many of us do not have dressings after surgery or if we do, it's just a bit of fluffy gauze over the incisions for a couple of days. My incisions were closed with surgical glue which fell off on its own after two weeks. Some people have steri-strips, others have sutures. Lots of us wake up in a soft front-close surgery bra. Some are wrapped in ace bandages. Others have tight compression garments. A few have nothing at all. Be sure to ask your doctor what the procedure is in your hospital so you'll be prepared. As you will find, every plastic surgeon and breast surgeon have their own ways of doing things and all say their way is the best. In spite of all the differences, we all turn out fine so really, there is no right or wrong.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited December 2014

    Leave for the hospital in 5 hours. Nancydrew and I both have a big day ahead with our BMXs. Can't wait to be done. Wonder if my boob is glowing in the dark. After the sentinel node injection. My bag is packed. I'm SO ready for this day.

  • stfne
    stfne Member Posts: 70
    edited December 2014

     Pinkninja and Chloesmom, Thinking of you. Hope you can get a little sleep before your big day tomorrow. (((hugs)))

  • quiggy
    quiggy Member Posts: 315
    edited December 2014

    Thanks Sandra.

  • quiggy
    quiggy Member Posts: 315
    edited December 2014

     Hi Pinkninja and Chloesmom,

    I'm thinking of you and sending you wishes for gentle and successful recoveries.

    Also hoping you can get a little sleep or have a restful night before your big day tomorrow. 😊

  • Angiem12
    Angiem12 Member Posts: 13
    edited December 2014

    Hello,


    Surgery went well, when I woke up I was stiff and my throatwas super dry! Bring throat losanges and a travel pillow too for when you sit up. I am feeling much better now, also originally I wasn't pushing my morphine button every time just like once an hour because I didn't want to sleep so much! Yes I'm nutty! Lol! Always nurse said if the pain kicks in, it's harder to catch up to it later so don't be afraid to push the button. Also bring a couple snacks or crackers, so you can have right after! Fruits was awesome the hospital had some. I just didn't like the hospital meal. Ok that's all tips so far. Good luck to you guys!



    Glad to have passed this first step!

    Angie

  • Scottiemom11
    Scottiemom11 Member Posts: 1,298
    edited December 2014

    Thanks for the info Sandra.

    I am determined today to get up and about more. Trying to cut back on pain meds and get moving. Still feel like I've been run over by a Mac truck.

    PS said I have very tight pects. That may explain the pain still and that I will have to go slowly with the fills. Senekot ia finally my friend, so maybe I can move on from vegetable soup today. Yeah!

    Best wishes to all having surgery soon.

    Scottie

  • Angiem12
    Angiem12 Member Posts: 13
    edited December 2014

    hello,

    Question... So my surgery was yesterday I feel fine long as I am laying down in The hospital bed. They took off the catheda and morphine at 8 am today. So when I had to use the restroom I was up but with no painkiller. I was dizzy and nauseous and my whole chest hurt extremewhen I layed back down I was fine. I asked the nurse for pain pills she said only if I'm in pain. I told her I will be if I have toget up. So I guess you have to say your in pain all the time. Otherwise I wont be trying to get up anytime soon.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited December 2014

    In recovery! iV Tylenol to keep the pain from getting to level where I would need medicine. Not anywhere as rough as I expected

    Gentle hugs!

  • knmtwins
    knmtwins Member Posts: 598
    edited December 2014

    I'm still sore, and a little wonky from the drugs, so I apologize for not adding all you new gals. BTW if pain killer and muscle relaxer aren't working, ask for a Valium. That was the secret. Not sure if it helped with the pain, or if I just didn't care, as I would nod off in the middle of a sentence, but either way, I felt better.

    Pathology report "NO RESIDUAL INVASIVE CARCINOMA AFTER PRESURGICAL (NEOADJUVANT) THERAPY." So a complete response and my nodes were clear, so no more chemo and no radiation. As to post surgery, still sore but can do much more daily. Will see PS today, to get more drain out, so I'll be down to only 1 on each side.

    Pain, a girlfriend told me for my c-section you want to be between an 8-10 and you will get pain meds. She also said they are normally PRN (as in YOU must ask for them). So, ask the nurse what drugs are PRN. Chances are, there are drugs there you son't even know about. Keep a chart and set an alarm for when you need them. Stay in front of the pain.

  • knmtwins
    knmtwins Member Posts: 598
    edited December 2014

    Pain, a girlfriend told me for my c-section years ago, you want to be between an 8-10 and you will get pain meds. She also said they are normally PRN (as in YOU must ask for them). So, ask the nurse what drugs are PRN. Chances are, there are drugs there you don't even know about. Keep a chart and set an alarm for when you need them. Stay in front of the pain. In my previous post, you will see valium, I had no clue that was there, and the nurse said he was keeping it in his back pocket in case my pain got worse. I still was well enough on the 'long acting' pain meds from surgery that I didn't need it in the hospital, but OH BOY, I needed it at home those first few days!

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

    Valium is a muscle relaxer and since the chest muscles have just had a major assault, it helps...especially if you get muscles spasms. (I only had them once out of five surgeries but once was enough.) Ask your doctor to prescribe some IV Tylenol on a regular basis so you don't have to ask for it. Getting behind on the pain curve is not a good thing. I can't take anything but Tylenol, but the IV version does the trick in the hospital so I don't need anything else. It knocks the pain down to a manageable level of 5-6. Look at the pharmacy for over the counter Tylenol in 500 mg strength, not the usual 325 mg. It makes all the difference when you get home. If you can get by without taking Norco or Percoset, etc. it means you won't experience the dreaded constipation.

    Yes, getting up out of the hospital bed hurts! I felt a huge rush of hot painful pins and needles when I stood up but it was better by day three. They give you lots of fluids so you have to go to the bathroom pretty often those first couple of days, so you have to get up. You are going to have some pain when you stand and you'll have to stand. It's normal to feel a bit of nausea when your pain level gets high. Again, that's gone in a couple of days so hang in there.

    Twins, congrats on the good path report!

  • pinkninja9560
    pinkninja9560 Member Posts: 238
    edited December 2014

    I had my bmx this Wednesday with reconstruction or just the beginning of it. The ps said my chest muscle was incredibly tight so he was unable to fill the te's with any saline. All the nurses were so kind to me. They gave me so many IV fluids that I had to pee all night. Getting into and out of bed was really hard and hurt so bad. Also the pain meds weren't really working well for me. They gave me delaudid in my iv every 3 hours and Valium every 6. It stillwasn't enough. I was crying because the pain wa so bad so they doubled up on the meds and I finally started feeling better. I only got 2 hour's of sleep and was exhausted. I asked if I could stay in the chair because the thought of having to get out of bed again almost made me cry.

    They also took several lymph nodes. 3 from under my arm and possibly from chest (my hubby couldn't remember what the dr said). Obviously we have to wait for the pathology to come back but my surgeon said the lymph nodes look clear!!! I can't believe how crazy these past 6 months have been and now I'm cancer free!!!!!


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