What happens after you wake up from lumpectomy?

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oceangirl654
oceangirl654 Member Posts: 217

What happens immediately after you wake up from lumpectomy surgery? Does someone help you get dressed or do you do it by yourself? Just wondering what to pack to wear after the surgery, like would a camisole be ok (this is what I put on after the biopsy)... Also do you have to ice your breast for two hours after like after the core biopsy? I will be in the car being driven home for 2.5 hours so I'm wondering what I'll need. Also, the nurse didn't tell me anything but said she would send me info in the mail, but none arrived. Is there anything I'm supposed to know before the surgery? If it weren't for the internet I wouldn't even know I'm not supposed to eat or drink that day! Thanks for your help!

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  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2015

    Hi, Oceangirl - What day this week is your surgery? I'll send good thoughts your way around that time.

    You will definitely want a zip up or button up shirt for after your surgery. You probably won't be able to lift that arm over your head for a few days (due to the lymph node biopsy) so clothing that closes in the front is a really good idea. You will also want to take along a really supportive, comfortable bra. If you have a zip up sports bra that's the best option.

    I've not had my lumpectomy yet but I'm pretty sure they will help you get dressed, show you how to manage any drains you have (unlikely, but possible) and give you post-surgical care instructions.

    I'm sure some other members will chime in here shortly. You may also want to visit the lumpectomy thread (and maybe re-post your questions there). Look on the main site (not the discussion board) for info on surgery and treatment.

    I'm appalled at the way your doctor's office has handled things. There's no excuse for not getting necessary info to patients quickly. If you have a home fax machine you could call and ask that the office fax the info to you or ask them to scan it and email it to you.

    Did you have your pre-op appointment yet? If not, they may be able to enlighten you a bit. You can also call the hospital and ask to speak to a nurse navigator or the patient advocate. (Many hospitals have a breast center with at least one nurse navigator whose job is to answer all of these questions for us. It's a free service and can be a life saver.)

    I hope you get a few more responses quickly!

  • WinningSoFar
    WinningSoFar Member Posts: 951
    edited January 2015

    I would agree about bring shirt that buttons up the front, although I had no trouble pulling on a teashirt after my lumpectomy, but who knows for sure. I'd also bring a nice pillow and blanket to cuddle up in on the way home, water, juice and something to eat if you want it. I had a very easy time of it myself, but each of us reacts differently to surgery.

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited January 2015

    HI there, I had a LX last year. It was pretty uneventful, really. I did use ice on and off for a few days. They bandaged me all the way around my chest and back with an ace bandage and gauze. No drains. They gave me Rx meds, but I don't think I needed them. Just be careful about lifting and don't over-do it. I had my SNB and port placement at that time as well. I had a front closure sports type bra that kept me compressed and probably helped with swelling and pain. I got a small pillow from the breast cancer resource center and used it to go in between my seatbelt and incision, for the port. It was also helpful when I slept, to be under my arm where they did the SNB. You will probably have to sleep on your back or opposite side for a week or so. I had a friend go with me and she helped me with dressing after surgery. Wishing you the best! I'm sure you'll do fine:). Feel free to PM if you like

  • iluv2scrub
    iluv2scrub Member Posts: 28
    edited January 2015

    Hi Oceangirl,

    I can tell you what happened to me. My husband helped me get dressed and yes, a button up shirt (pajama shirt) was what I chose to wear into the hospital. Recommend a small pillow to put under your arm between you and your seatbelt!!! My hospital gave us a stuffed polar bear at my pre op testing called Grace and explained that she was to be used for that purpose, especially for those of us who had lymph node biopsy in addition to lumpectomy!!! So helpful!!!

    Yes, I believe I used an ice pack or soft gel pack following surgery for swelling. I believe the surgeon had me reach up to the ceiling a few times each day following surgery so the arm pit did not get stiff but follow your surgeons post op care instructions. I did not have drains. I had nausea and a migraine headache so threw up on the way home but had a barf bag from the hospital.

    I felt well in a few days and was bored in about four days....wanted to get back to doing things....when is your surgery? I will keep you in my thoughts! Best wishes for a speedy recovery!

    contact me anytime

    Kathy

  • savgigi
    savgigi Member Posts: 376
    edited January 2015

    As others have said, you definitely want a button-front shirt and a bra that is easy to get into. I had a sports bra that zipped up the front. You also want a small pillow to put between the seatbelt and yourself for comfort on the drive home. And have a stool softener at home. Pain meds can be constipating.

    Best of luck!

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited January 2015

    Hey Savigigi

    Long time no see! Sounds like you are doing ok, me too

  • oceangirl654
    oceangirl654 Member Posts: 217
    edited January 2015

    Thanks everyone! I have the pillow, so that's good. I appreciate your advice! I agree, Hopeful, that the doctor's office has not been very helpful! Maybe they are incredibly busy?? Anyway, I'm grateful for you guys!

  • savgigi
    savgigi Member Posts: 376
    edited January 2015

    Hi, Spookie. Great to see you. I am glad you are doing well and hope you had a good holiday.

    Have you heard about Angie?

  • farmerma
    farmerma Member Posts: 83
    edited January 2015

    May I suggest, since you have such a long ride home that you ask for something to prevent nausea. I had a lumpectomy 4 years ago and was nearly throwing up in the car at the end of our 30 minute ride. I can't imagine 2.5 hours in the car! This time around I they gave me anti-nausea drugs with the anesthetic and I had NO problems at all!

    I think you could wait to ice until you got home and only ice for the first day or so, after that it really does not good for the swelling and might actually damage some tissue.

    Best of luck to you!

  • snorkeler
    snorkeler Member Posts: 145
    edited January 2015

    Before my lumpectomy, I was given detailed pre-op instructions, including: washing the night before and the morning of surgery with a cleanser like Betadine or Hibiclens; on the day of surgery I could use shampoo but not conditioner, styling products, makeup, lotions, etc.; no contact lenses; no food but I think I could have clear liquids on the day of surgery; no blood-thinning medications like aspirin or Advil for a week before the surgery (Tylenol was okay).

    After the lumpectomy, I was given graham crackers and apple juice. Someone went to fill my painkiller and stool softener prescriptions for me. There were people there to help me get dressed if necessary, but I managed fine by myself. Like others have already mentioned, a front-opening shirt is important. I did not use ice, because my tumor was right under the areola, and I wasn't supposed to put any pressure on it. (My surgeon even wrote it on the bandage, I guess in case I was too out of it to remember.)

    Like someone else suggested, I would call to find out the specific instructions in your case. Best of luck with everything.

  • RMlulu
    RMlulu Member Posts: 1,989
    edited January 2015

    Oceangirl - breathe, you will do great and you've received great info :)))

    I wore comfy gym clothes with front zips and flip flops. My family was there to help and put soup on as we headed out. Went to the breast center for the wire localization and from there I was in hospital gown headed over to nuclear for the bee sting shots and then up to out patient surgery center where my family was all lined up waiting.

    After the lx&snd, RN asked how I was doing, when I felt ready she offered to help assit dressing, but hubby was there so slipped on my yoga pants, zipped up my hoody, and got my flip flops on and eased into the wheel chair with all my instructions in tow...and headed home. I did not wear a bra...all bandaged up. Have your RX filled at the center while you are in surgery, ask when you may have the 1st pain pill on your drive. Take a nice comfy neck pillow to go with the arm pillow, and a nice warm throw to curl up in the car, have a little snack packed to nibble on, thermos bottle of soup, crackers, and your music to relax to on your way. Be sure and stay on top of the meds the 1st 24-48 hours and take the stool softner. Have a few extra pillows to help not role over on the girl...you will be surprise how good you feel, I only took pain meds the 1st 24 than 1 at bedtime to ensure sleep

    You will :D because you did it! And the haze you've been in will have lifted...and the c is out of there! Make sure you know when and how you will receive results of margins&nodes...I called in after 4 days and final path received at 1 week visit.

    We will all be in your pocket {{{squeeze}}} come join us in the Lumpectomy Lougne! Best Wishes!

    Cindy

  • luvmygoats
    luvmygoats Member Posts: 2,942
    edited January 2015

    I had similar experience to Snorkeler (BTW nice to see you). Bra provided by hospital though it fit pitifully. Was warned I might have a drain which I did not. Incisions closed with super glue. No bandaging. I will suggest if you do have bandages inspect them when you get home. That way if there is any new drainage it will be easy to spot. I had no drainage/bleeding at all. I did not ice but it was Feb and I remember putting a cold hand on there when at home. I think I already had front closing bras from WallyWorld I bought ahead of time. I felt much better smooshed in than jiggly. The one thing I found and still find is I don't like a bra that come up too high under armpit. Still irritates SNB site. Same rule as Snorkeler, no aspirin, Advil, Aleve. If you take routine meds you need doctor instructions about taking them. DH helped me dress I guess. Don't remember but do remember taking myself to the toilet. I only recently asked him if I had anything to drink. Shows you how great the amnesic drugs are. He said I had apple juice. Coulda fooled me. I had to shower with Hibiclens evening, early am b4 going to hospital - beware it stains good washcloths. I knew to wear no makeup, given no hair care instructions. I just shampooed my reg stuff. DH filled pain med on way home, left me (10 min) to get it. Make sure you have something for constipation. I'm an RN and it snuck up on me. Senokot is good, over the counter. You almost sound like you live alone. Move stuff down where you can reach it easily. Phone charger handy. Easy heat 'em up meals. Drink liquids. Will flush anesthesia and help constipation. Ate only a little bit that evening but appetite picked up next couple of days. DH stayed home a couple of days but then we have a goat herd and no way could I do anything with them. I could not pull covers up over me for a couple of days. I remember very little of the ride home - 45 minutes for me. I still wear the button up mens' flannel shirts I bought for surgery

    I personally would be peeved at doc's office for giving you so little instruction. Bug them, it's their job and what your insurance is paying them to do. The term fails me but teaching before something happens is always better than trying to fix it after it happens.

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited January 2015

    I think a lot of hospitals do things differently, so I'd definitely call to find out the details.

    My husband was allowed to "travel" with me to where I had the wire placed and to nuclear medicine where they injected me with the radioactive material to locate the lymph nodes. He was basically with me everywhere except the OR. They put a surgical bra on me in the OR. When I woke up in recovery, my husband was there and he helped me get dressed. I had a loose fitting t shirt that. I had no trouble putting on. They gave me ice packs to take home. For a 2.5 hour drive, you might want to bring a small cooler and ask them for extra ice packs.

    Good luck!

  • tgtg
    tgtg Member Posts: 266
    edited January 2015

    Oceangirl, I agree with Sjacobs that all hospitals do things differently, although hers and mine were very similar, including the company of my husband everywhere except the OR itself, and the surgical bra that they put on me in the OR after surgery. I had to remain in recovery until they saw that my snack stayed down (no problem, I was HUNGRY, having had no food for 14 hours). My husband helped me put the button-down blouse I had worn to the hospital, and I even could run a comb lightly through my hair.

    They gave me an ice pack for the 15-minute ride home, and I immediately replaced it with a gel-filled pack we had used for my swimmer son's shoulders. A bag of frozen peas (or corn) works really well too, molding nicely to your contours--just remember to label the refrozen package as an ice-pack to prevent a return trip to the hospital for food poisoning down the line! I think my discharge orders said to use ice for 24 hours.

    Be sure to take yourself off any blood thinners (Advil, Aleve, aspirin, NSAIDs, etc) a week before surgery. This is critical before surgery and they should tell you this in sufficient time, but just in case they didn't... Best, TG


  • Leah_S
    Leah_S Member Posts: 8,458
    edited January 2015

    Oceangirl, call your doc's office and ask if they are sending you instructions or if they prefer that you rely on the advice of your friends. I suspect the instructions will get to you quickly if you phrase it that way!

    Quite frankly, it's negligent that you haven't been given instructions.

    Leah

  • Nash54
    Nash54 Member Posts: 837
    edited January 2015

    Oceangirl great advice from everyone. My lumpectomy went very smoothly. Just be kind to yourself and rest. Be sure to ice the first 24 hours to prevent swelling. I felt fine the following day. It was a bit uncomfortable trying to find a good sleeping position. Come join the lumpectomy lounge!!! These ladies were a great help before and after my surgery.

    Wishing you the best of luck and a speedy recovery.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2015

    Leah - I LOVE your approach!

  • gemmafromlondon
    gemmafromlondon Member Posts: 138
    edited January 2015

    It is done differently here in the UK with a GA and an overnight stay but my lumpectomy was a piece of cake! No pain there - the axial incision under the arm was painful, but not too bad, although I had later problems. No suggestion of icing or drains - in fact not much information at all except no lifting, reaching up (or other silly activities!) I live alone, got a friend to collect me from hospital but from there on I did just as I fancied. Front fastening bra/shlrt/jersey a help; I had no trouble dressing or showering (put small towel under arm to make sure nothing gets wet in a quick showe). Get well organised in the home if you have time - e.g turn mattress/clean sheets, do all housework, and get in a store of ready meals, then lie back and spoil yourself for a day or two! I hope you will feel as well as I did - I drove to see a friend (very local) four days after the op. The very best of luck and let us know how you got on.

  • Professor50
    Professor50 Member Posts: 220
    edited January 2015

    I wanted to add to the "piece of cake" sentiment. My surgeon told me that for best results I should just plan on wearing a jogging bra 24-7 after the surgery. Also, all the women who were there for lumpectomies that day were dressed the same in the waiting area: yoga pants, sweat shirts and loose sweaters, running bras, and no make up or jewelry. :) We looked like we were on the same team. Anyway, afterward, I had no trouble dressing myself, including sliding into my jogging bra, t-shirt, and sweat shirt. I had a sentinel node biopsy but my arm movement was not impeded. It was weird to have been "under" and then standing up and putting on my clothes but it was awesome to feel really normal and heading home that afternoon.

    BTW when I woke up, I had no idea where the heck I was or why! :) The nurse said, "Your surgery is over" and I said, "it is?" and she said, "The doctor said things went really well" and I looked down the front of my gown to check things out...

  • oceangirl654
    oceangirl654 Member Posts: 217
    edited January 2015

    Thanks so much everyone! Great suggestions! I will write soon. Just resting now. Everything went very very well!!!

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2015
    It's great to hear that all went well, Oceangirl. Take it easy - coddle yourself a bit today. You deserve it.
  • RMlulu
    RMlulu Member Posts: 1,989
    edited January 2015

    Oceangirl - congrats! You did it :). Rest, recover, heal, and watch the arm...wishing you clear margins&nodes :)

    (((Hugs)))

    Cindy

  • Carriek30
    Carriek30 Member Posts: 80
    edited January 2015

    YEah Oceangirl Glad you are resting.

    {{{Hugs}}}

  • oceangirl654
    oceangirl654 Member Posts: 217
    edited January 2015

    Thanks so much! I DID IT! So happy! You guys are the best!

  • Nash54
    Nash54 Member Posts: 837
    edited January 2015

    Well oceangirl654 you can check that one off your list. Happy resting!!!

  • oceangirl654
    oceangirl654 Member Posts: 217
    edited January 2015

    Just found out clean margins and clear lymph nodes. So grateful! The nurse actually made me think they weren't clean and that I couldn't talk to the doctor until next week so it was a huge scare and then a huge relief once I texted him and found out they were clean!

  • Nash54
    Nash54 Member Posts: 837
    edited January 2015

    Great news oceangirl654! So happy for you. I bet you'll sleep good tonight. That is such a relief.

  • oceangirl654
    oceangirl654 Member Posts: 217
    edited January 2015

    Yes huge relief! Thanks!

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2015

    That's great news, oceangirl!! Especially after thinking it was NOT going to be good results, I'm sure you are VERY relieved. What's with your doctor's office, though? They sound like a bunch of sadists.

  • RMlulu
    RMlulu Member Posts: 1,989
    edited January 2015

    Oceangirl - Congrats! Happy Dancing for you :D

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