DIEP 2015
Comments
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Morwenna , you don't think that will work, huh ?? Oh if only...I am so dreading this. I am not second guessing my decision , just dreading it. Will be so happy when January is over. I never liked January anyway, it is to cold and to long and I start getting cabin fever about then.
btw/ I see you are from Canada..I am in ND and we have a Canadian working here and she got us hooked on Crokinole. What a fun game, I had to order it. I am bringing it to Rochester with me..since I will be doing so much sitting might as well have something fun to do.
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Mowenna,
You ask what plans we have for getting ready for our surgeries...My surgery is 7 weeks away, but we are going to be gone 4 weeks in January, so I already have stuff planned. About 10 years ago, I had abdominal surgery twice in a year. I was a widow living alone and was unable to get out of bed unassisted. My neighbor came over and measured the height of my lower butt and raised my bed on blocks that high, (he had knee problems and learned that trick). After the second surgery, I could get in and out on my own. My bed continues to be that high. I can roll in and out without using arms or stomach muscles. It worked for me with the BMX 10 weeks ago. I positioned myself in bed with pillows. I set up one of those pillows with arms and placed two bed pillows against that so I would be sitting almost straight up. I placed a small 16 x 11 inch pillow so it would be in the small of my back. Raising up each arm is a bed pillow that is firmer (labeled for side sleepers). They keep my arms up high enough there's no drag on my shoulders. I also used the little heart -shaped pillows you can get from American Cancer Society. I placed my armpit in the heart notch, and was nicely supported. The last support was to keep me from sliding down in bed, but it also removes strain on your abdominal muscles. I used a soft, squishy throw pillow from the couch for under my thighs to my knees. You want it deep enough so that the pressure from your legs is spread over a wide area (don't pinch behind the knees, can cause blood clots in your calfs). The pillow should be plump enough that your knees are high as your hips. So that is how I make my little nest. I find it very comfortable.
We will be having drains. Drains often leak through the hole in your skin. To make it easier to keep your bedding clean, put water proof covering over your arm rests and along the side of your body. A cheap water proof covering are dog piddle pads . You can find them in the pet section of the store.
Hope someone will find this helpful.
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Ahh great tip re the puppy piddle pads! Thanks!
I was thinking about some waterproofing/stainproofing, for the chair and also for my bed, if I decide to rest there.
I might be able to purloin a few pads from work! (Home care)
Yes I think the norm is up to 6 drains with a bilateral DIEP.
I only had a unilateral Mx, and I had no difficulty propped up slightly in bed half turned to my good side, with my arm resting on a soft pillow, but this time it's bilateral, with the tummy incision to boot!
Annie, I'm peeing my pants, don't think I'm not, but we will get through this! Like you I'm just looking forward to it being DONE!
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Just a final thought Annie, having briefly visited the DIEP 2014 thread, we shall have to remember, especially you and me, but also everybody else, every body is different, so while we can encourage one another, IT'S NOT A COMPETITION!
Each of us may be quite different from the next person in our recovery and experience. xxx
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Thanks for all the good advice ladies. After meeting with Dr. Chang in Baltimore, I decided to go with him for my reconstruction. Overall, both doctors were really pleasant. The next step is meeting with a breast surgeon on Jan 7th - hopefully I can walk away from that appointment with a surgery date! I believe that Dr. Chang tends to be booked up to two months out....so that puts me in March/April. I'll be happy if I can shed 10-15 lbs by then, but I really want to focus on getting these muscles active.
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Hello -
I am new to this forum, but my first reconstruction was 15 years ago. I have scheduled a DIEP flap for April 16th, 2015. My original reconstruction was after a double mastectomy> I have implants. The result has been great, however one implant has ruptured and I have chosen to remove the implants and go with the DIEP. Has anyone had a surgery with your implants being replaced with a diep reconstruction? I have not found much information in my research. Any information would be appreciated. B15
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Welcome to the forum, B15!
If you don't find someone with your situation on this thread, try the DIEP 2014 thread. Of course its been going for a year now, and I'm sure there are ladies who have failed implants replaced by DIEP flaps..... I've added you to the timeline, but whereabouts in the world are you and or where is your surgery taking place, if I may ask?
M
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Good for you SheriCola!
Here's hoping your appointment on the 7th goes well!!
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Hi Ladies, not sure if any of you remember the breast MRI, not a fun procedure, my ears still ringing from yesterday!!! So I explained to the tech (guy) before I go in how I can't raise my right arm, he said no worries, they will try to position me comfortably... After I lay face down on the table, one tech was explaining to the other tech my arm can't raised up, then he whisper (I had earplugs in, but still can hear them) to the other guy that I have no breast in the right side, the other guy then repeated that a few times...at the end, I still had to raise my arm throughout the whole procedure.but I tell you, I don't second guess myself anymore with the decision to remove the left breast, just sick of the humiliation....
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Oh study411, I hear ya!
My shoulder is still painful ever since my MRI! And now I seem to have a sore elbow as well (epicondylitis) on that side.
The tech told me "Lie on the table face down so your breasts line up in the hole " .... "Well, I'll try", I replied, "but I only have one, you know......"
On the 30th I'm having a mammogram to my right breast. Back in June they saw something they wanted me to follow up in 6 months. I didn't think I would bother as I thought I was having my mastectomy and recon Dec 16!.
Well anyway, the breast surgeon insists I have it, even though my MRI in October showed no abnormality. My plan is to go in, engage as little as I can get away with, and leave as quickly ad possible, hoping never to go there again! I hate that place!
And I can't wait to get rid of "Righty". I prefer my flat scar side to my big ugly boob that may be plotting against my life!
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Hi ladies. I had a BMX and DIEP surgery on January 24th, so it's been almost a year. I'm added on your 2015 surgery list because I'm getting tattoos at Vinnie's in April. I was reading through the thread, and thought I'd add my two cents to a couple questions...
study, I couldn't get out of bed on my own for a few weeks. I couldn't use my arms to push myself up or use my abs to sit up. My husband had to help by slowly pulling me up. I slept with tons of pillows to prop me up, under my arms, and under my knees. You just can't lay flat because of the abdominal surgery. I was pulled super tight and it was many weeks before I could lay flat in bed. No side sleeping either. Sleeping was the most frustrating part for me, but like any of this journey, it was worth it. I would do it all over again to get the results I have.
rangerwife, you asked about scars. Of course, the abdominal scar is big, and is always going to be there. I guess the breast scars can be different depending on how the surgeons do it, but I had "crop circles". Both nipples were removed and the surgery was done through those holes. I was left with oval circular scars. I had nipple reconstruction in May and that left me with scars that outlined what was now the areola and nipples. I am hoping that the tattoos will cover those scars, which means there will be no visible scars when this is all over. I had immediate reconstruction though, so this is probably different for those who had to wait for reconstruction.
Morwenna, I didn't buy any equipment before surgery. I already had a built in seat in my shower, which was WONDERFUL. I would definitely recommend getting a shower chair/stool if you don't have one. Showering was tough in the beginning and it was good to sit down since I was so weak. Showering felt great though too, especially the first one after surgery. Remember, you won't be able to raise your arms to shampoo your hair or lift a blowdryer to dry your hair. My dh washed my hair the first time and my niece, who owns a salon, came over and dried and styled it for me. Dh was not the best hair washer though, so after I was about 2-3 weeks post surgery, my niece would take me to her salon twice a week and wash and style my hair. So call your hair dresser if you want a good wash/style.
I didn't buy any special recliners either. I used lots of pillows in bed and on the couch. I spent a month sitting on the chaise lounge part of our sectional couch with pillows to help me get comfortable. I did spend money on some lounge clothes before surgery. I lived in Target pajama pants (drawstring), tank tops and zip up hoodies. These were thinner material hoodies that didn't bunch up under the armpits. That's what I pretty much wore every single day. After awhile, I switched to yoga pants. It was many weeks before I could wear jeans. They just weren't comfortable. It's amazing how much you can dress up black yoga pants. Haha.
Hope that helps a little bit. I know the surgery is scary, but it's amazing how quickly this year has gone by. I can honestly, without a doubt, tell you that it was worth it all. My breasts are very natural looking and no one would ever know, unless I told them. They do feel different, as far as the numbness, but I'm amazed at how much feeling has come back. It's pretty incredible really. I think my surgeons are geniuses. Best wishes to all of you, and if you have questions, feel free to message me, or ask here.
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Hello 2015 Dieppers,
I think I am the last of the 2014 Diep reconstructions. My surgery was 15th Dec. I am happy to answer any questions you might have.I may not be able to answer them!! but will try and I am happy to share my own experience.
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Thanks wintersocks!
I have been following your journey on DIEP 2014 thread
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Updated to add MichelleLg Welcome to the thread, and to 2015 Foobers!
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I am due to have a DIEP in FEB at Univ of Colorado, Aurora. I was pregnant when I found the lump, but not diagnosed until 3 weeks after delivery. Fast Forward 2 1/2 years and I am ready to put humpy dumpy back together. However, I am concerned about limitations after recon and a MX on the other side. After my left MX,i could barely move my left arm. I have a 5 yo and a 2 1/2 yo, and a military hubby who is never avail. Will I be able to drive and give my kids a bath?
I have really been looking forward to surgery. I hope it is worth it.
Love you all ladies.
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jmb5 where did you have your surgery? -
Even though my surgery is not until the end of january, I am already feeling the nerve !!!
just wondering for shower, do I have to buy any special tapes/bandages to protect the incision from water ??? I'll probably going to get a shower chair, what else should I get ?
jmb5: Thanks for sharing your experience, really help me to get a sense of what to expect
Morwenna: thank you for your kindness
you make me feel I am not alone!!!!
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rangerwife, my surgery was at the Cleveland Clinic. I live about an hour from the main campus in Cleveland.
study, I didn't need any special bandages. The stitches were inside, and the incisions were covered with steri strips, which could get wet. The only other thing you need is something to hold the drains. When you're in the shower, there's nothing to pin them to. In the hospital, I had what is called a Q ball for pain relief. It was in a little pouch and the pain meds went directly into my abdomen. I was done with that after 48 hours, and they gave me the pouch to take home and use when I showered. I put my 4 drains into the pouch and hung the pouch around my neck. You can't let the drains just hang there because they would pull and hurt. If you aren't given something like that, you can use a lanyard. (I have one attached to my car keys.) Just put the lanyard around your neck and pin the drains to it. Works great!
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Rangerwife - you will need a strong support system. The first few (3 - 4) weeks are the most challenging. You DH needs to tell his CO what is happening and arrange to be with you as much as his schedule allows (I am an AF wife and daughter). It will be difficult, but can be done. See what support services are available for you On Post - the chaplains should be able to provide direction. You will not be able to lift more than 5 - 10 pounds for up to 8 weeks (depends on the doc). You won't be able to drive until you are off pain meds. There will be drains involved. Usually the breast drains are removed within the first 10 days and then the hip drains take a bit more time (mine were in about 4 weeks). Usually you will be in the hospital for 4 - 5 nights (5 - 6 days). When you are released, you will not be doing much as you need to heal. I really mean give yourself plenty of time to heal and rest. The first phase of this multistep process is to get the flap to fully establish itself with good blood supply.
PLEASE understand that I am not trying to discourage you at all, but to encourage you to get all systems in place. Think military GF - you can do this!!! But, you are going to need help - this is big surgery (more so than the mx) and involves the abdomen.
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I was given a tip for managing drains in the shower after I had my lumpectomy and mastectomy, and that was to tie an old pair of pantyhose around my waist and pin the drains to that.
It worked really well, and kept the drains lower than something around the neck might, although as they are controlled by vacuum rather than gravity I'm not sure how important that is.
Some surgeons don't allow showers until all drains are removed, so you have to follow the house rules for each individual! We were allowed to shower 48 hrs after breast surgery, just told not to soak for too long, nor to direct the spray right onto the incision. (as if you'd want to!!)
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Hey ladies,
I notice that a few of you are asking about showering with drains. After my mastectomy, the nurse gave me this saran wrap type covering (forget the name) that I could put my skin where the drain was inserted. It sticks to your skin, but removes easily. I used it to anchor the drain tube so that it wasn't tugging at my stitch. I would imagine that you could use this over the abdomen incision as well (provided you had enough).
Also DIEP update:
So my first choice doc does not have an opening until May, while my second choice doc has availability starting mid-Feb. Other factors that I have to take into account is that the second phase of surgery will be 3-5 month after and my insurance policy renews Oct 1. I'm just not sure what to do at this point. I liked both doctors, but the consultation with Dr. Chang was more "organic". Can I even use that word lol? We just had a better connection. Any advice would be appreciated.
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SheriCola: You should go with the Dr who has performed a lot of these surgeries, and the one you have a good repoire with. The surgery date should not govern your choice of surgeons. This process is doable but you need a Dr with experience and personality. Best wishes with your choice. Lisa
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SheriCola, I understand the insurance woes. I was diagnosed last fall and had to pay a $3000 deductible. Then my surgery was in January, and I had a $3500 deductible. Tomorrow my new deductible starts over again, but I don't have anymore surgeries planned, just a few doctor visits over the course of the year. If you have the surgery in May, there is a chance you could have your stage 2 before Oct. 1st. Mine was 4 months after the stage 1. I don't know about everyone else, but for me, it was about a full year of surgeries and appointments. It would be pretty tough to get everything done in one 12 month insurance cycle.
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ladies,
Thank you for the info on recovery after a DIEP. We do not have any family that can help. I am just going to have to figure it out.
I am expecting calls from the surgeon's offices after the new year to start setting everything up. I will keep you posted.
Lets go 2015! I am ready for an improved me!!
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JMB5 - thank you for sharing your story and information. It definitely helps! I read through a lot of the 2014 DIEP boards, but good to read more.
I'm scheduled for surgery March 13th, which I just now realized is Friday the 13th!!! Really...??? Like I haven't had some bad luck this past year? Geez...seriously, right after my needle biopsy in June we were driving home and a black cat ran in front of the car. My DH and I looked at each other and said "no way". We got the bad news the next day!
A couple weeks ago, just a few blocks from home, again a black cat runs in front of the car. I stopped on a dime, turned around in a driveway and went a different way home! I could use a little good luck!
Anyhow, thanks for all your stories and information. As you know it truly helps and makes me feel better knowing what to expect. I know every surgery is different, but to have an understanding of what to come drives the fear away.
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WalleGator, you're welcome. I am the world's biggest baby, so you'll probably get around a lot better/faster than I did. I've read some women's posts on the 2014 board, and I felt like they were pushing themselves more than I did. I took advantage of the rest time, and just healed... didn't push it. I'm a substitute teacher and didn't work for four months. I didn't even start exercising again until last month, and I'm almost a year out from stage 1. I wish I would have started sooner though. My PS told me to gain some weight before my stage 2 so I'd have more fat for the fat grafting part. I pretty much ate everything in sight and gained 10 pounds. I really regret it, because now I'm 10 pounds heavier, and it's hard to lose it. My body looks better (Yay for liposuction! Haha!) , but I know I've got an extra 10 pounds I don't need.
I'm sure your Friday the 13th surgery will go great. Just keep turning around when you see those black cats.
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Hi Everyone,
I'm fairly new here, I am scheduled for February 13th ( also Friday the 13th!
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Morwenna, Annieb4: Good luck tomorrow !!! Hope for a fast & painless recovery -
I second those good wishes, Morwenna and Annieb4! The long wait will be over soon and you can focus on healing.
I fly out for my surgery in 10 days and I'm still in a bit of shock! I'm in major nesting mode, cleaning and organizing and trying to get work done. I go to the hospital in an hour for pre-op tests. All of my travel plans are made and everything is arranged for my aunt in Atlanta to take care of my 7-year old while my husband and I travel on to Charleston for surgery. It's been a lot of work arranging this all while dealing with work deadlines and the holidays! Packing will be easy -- I know the 2nd time around how little I really need to bring. My knees are still knocking though. After 2+ years, I'm looking forward to finally dealing with this necrosis and not having to dread this surgery any longer. Thanks for the nervous vent, ladies!
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Sings:"wish me luck as you wave me goodbye! ..."
(I know some say luck shouldn't come into it, but a but of good luck never hurts eh?
Good luck to you too, Annieb4! Thanks gals for the good wishes
nmh35, I have added your date to the timeline. If you wish to add any more detail, please message me.
Well it doesn't seem possible the time is almost here .... it seemed eons away when I was first referred to the ps!
I had blood samples taken for the tumour bank (research purposes) today, then had a CT chest, abdomen and pelvis, all with none of the usual drama over my reluctant veins, so I'm already feeling more confident about tomorrow!
Ok, signing off for now: normal service will be resumed as soon as possible!
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