October 2014 Surgery Sisters
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Hello All, just checking in. It is now 13 days since surgery, surgeon took out half of the staples and last drain was removed Thursday. I drove yesterday without problems, just sore. I did look at my chest, I have a hematoma the size of a quarter that has the potential of creating some problems so worried about that. It looks like some one went crazy with a stable gun. I won't be doing reconstruction so I hope the scares will look better down the road Although for the most part recovery has been on track and predictable. I am still experiencing some pain accost my chest and arms but time hopefuly will take care of that. There has been challenges for all of us, I can't wait to celebrate the victories I know will happen over these challenges. The hardest part is the unpredictability of all this, like a roller coaster ride that goes into a dark tunnel, you don't know what is coming. I guess we all need to buckle up. My positive thoughts and prayers go out to all of you as well as much appreciation for your support.
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No drains, yay! That feels so good. Staples must be a pain. I had dissolvable sutures and surgical glue. Happy to hear your recovery has been smooth. Keep it up.
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HI, Revelle. I'm glad to hear that you are able to drive and have taken a look at your chest. I don't imagine that the staples really help the visual,do they. Bur I hear that they leave a nice, clean look once healed. I certainly help that will be true for you. I'm sorry you're dealing with pain still; it probably seems endless. Hang in there. (((Revelle)))
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Revelle,
Glad to hear you are healing up. I'm on deck again as my exchange is scheduled for 2/6. Looking forward to some improvement in aesthetics and losing the rock like feeling. I had my Zoladex injection last week and other than feeling a little headache for a day, otherwise haven't noticed anything. I won't complain if it continues this way as losing my hormones is on par with losing my breast. We will recheck estrogen level next month at next injection and when its dropped low enough add in AI. In the meantime I am really scrutinizing my diet, looking to eliminate sugar and processed carbs, and for our anniversary--which is today, 5 years--my husband and I purchased an Air Assault exercise bike, which I intend to make use of. In addition to restarting yoga and Pilates. I have to fold in some weights at some point, but I will wait until after I'm healed from exchange. What did Dylan Thomas say, "rage at the dying of the light"?
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Fourminor
I've been eating a low carb(only get carbs from fruits/veggies mostly), no whites (sugar, flour,rice), for about 5 years. I still have an occasional cheat but it will be just a bite or two. I'm still overweight
because of portion size. But I feel good.
I have a stupid disease that effects my heart rate and blood pressure when I stand, so a lot of my exercises are sitting or short bursts when I'm up then lay down for a couple minutes to get everything back to normal then do it again.
My exchange is 2/4 and will have minimal pocket work, but PS needs to release some skin on the sides that scarred to the bone.
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Rev, trust me that Frankenstein look does ease up. I pretty much just have 2 pink lines now and so much of that awful soreness is gone. Do those stretching exercises even though they hurt because they do help. At first it was painful to even wear a tee shirt but I feel so much better. Are you just gonna go flat or will you get prosthetics? I absolutely love mine, they are comfortable and easy to wear and I feel so "normal" when I wear them.
Good luck Four and Horsemom on your exchange. I still am a bit upset that I'm not there with you but apparently direct to implant is not a practice here so I'll be starting at square one. Argh!
The tamoxifen is starting to mess with me a little, been fighting a yeast infection and just as I was going to call my OB I woke up today feeling much better. I'm still so tired of doctors! That's lame I know, but how I feel. I won't complain about the tamoxifen, it is my only fighter and is my friend.
I lost 15 pounds from dx to now and am trying hard to keep it off. That and new boobs are something good that can come out of this. Not that I'm not grateful simply to be alive and well, but I know that YOU all know what I meam. I've been using my stepper and trying to eat better, smaller portions and such. I'm a petite person, like 5 foot 1 and not really overweight but certainly not fit, so I'm trying to change that.
I still check here often to see how you're all doing. You ladies made this crappy adventure so much more bearable, thank you and God bless each of you!
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Just caught up on the past two/three weeks' posts, but I know I've missed a lot more before that.
Tomorrow is my 13-week mark! I recently joined the Flat & Fabulous closed group on Facebook and see lots of ladies there talking about having physical therapy and massaging their incisions from early on. I really need to check back in with my BS about that, because she didn't think I needed PT as my ROM was pretty good (and I'd say now it's probably back to normal). But it sounds like I could benefit from learning about LE prevention, and massaging could help with the tightness and make sure my scar doesn't adhere to my chest wall. That has me a bit annoyed...
But other than that, I'm quite comfortable with my flatness. I did get fitted for prosthetics/breast forms and bras. Wore them once (to make my mother happy) but the bra felt quite uncomfortable. I still have some puffiness over the side of my ribs and wonder if it will go away or if it's a mild lymphedema, and I think I probably didn't have it on the day that I tried the bras. Anyway, haven't worn my foobs since! They also seemed too big--don't know if that was just that I was used to being flat for 2+ months, or if they really are larger than I used to be.
Be well, Ladies! -
Good to hear from you, Lilith! Sounds like you're getting along pretty well, all things considered.
Re: scar massage - My husband had a minor procedure last month and is now massaging his scar daily. It's amazing what a difference that seems to make. I don't think it will be visible in a couple of months at the rate things are going. I find it quite encouraging. Of course, one can't exactly sit around the office massaging one's chest the way he can his scar
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Revelle,
These are the exercises that they give you at Sloan for range of motion for mastectomy without recon:
http://www.mskcc.org/videos/exercises-after-breast...
This is the one for with reconstruction with TE
http://www.mskcc.org/videos/exercises-after-breast...
I basically just put it on and followed it. I was not allowed to raise my arms above my shoulders until about 10 days after surgery when the drains were out.
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Fourminor, thank you for the video link! I was given almost no direction about exercises etc, and I know I could have looked for something online but that doesn't seem like a task that should be left to the patient. (And as I didn't seem to run into any difficulties, I continued on my own.)
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At MSKCC, its like you are getting on a train. Everything is highly organized.
I will say that I followed these exercises pretty well and was encouraged to begin before I left the hospital (albeit not to lift more than 5 lbs). I have recovered my full range of motion.
I have done yoga since my 30's though and I always had more flexibility in my upper body and I think that helped too.
Getting pre-op today. Can't believe this is happening so fast.
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Hey everyone!
Just checking in. Finished my 3rd chemo this past Friday and it has wiped me out. This whole thing is definitely cumulative and it's hard for me to believe that I still have 3 more treatments of TC and 9 more of herceptin. At least I'll finish the 'rough stuff' on the 20th of March and be able to start growing my hair again.
I have also been dealing with lymphedema, which really has me depressed. I really struggled allowing them to do a full AXLD completely because of the risk of LE...and yet I still got it. My BS said that in her 5 years at this location, she only has 4-5 patients with it. Even though I am slender and very physically fit, I cannot seem to escape all the nasty SEs of cancer. Cancer SUCKS!!!
Oh well, I guess I need to look at the positive - the 'fills' of my TEs are going quite well. I'll be ready for the exchange surgery in April and that should be my last surgery! I still have to make a decision on whether to do a full hysterectomy, then do AIs...or do I wait until I am 45 and until then, just do Tamoxifen. Any thoughts?
Glad to read up on how everyone is doing. I pray that everyone continues their healing journey and that we all get to the other bright side of this long tunnel.
Love,
Akitagirl
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Dear Robyn - I'm just heading off for the day but wanted to stop and tell you how sorry I am to hear that you've ended up with LE, despite all the precautions, not fitting the profile, etc. That's really the icing on the cake, isn't it? It seems that breast cancer is the 'gift' that just keeps giving and giving and giving.
I have to say that your experience only underlines my very deep concerns about ALND and validates my insistence on finding another approach. When all of the surgeons insist that ''their patients don't have problems with it'' and "you don't fit the profile" but we can see otherwise for ourselves, it really undermines our trust in what they are telling us.
I'm praying for healing of the LE and for strength for you as you trudge along through your remaining treatments. ((( )))
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Julie - thank you always for your kind thoughts, prayers and encouragement! You are absolutely correct to be concerned, and if I could do it over again, I would have chosen NOT to do the AXLD and trust that since the other initial 3 nodes were negative, the sentinel node did it's job and chemo would get the rest. Stand firm in your decisions...I am so proud of what you are doing and even in the darkest times, please remember that you could be really carving out a new path for future cancer patients - reducing their pain and morbidity and increasing their quality of life (and yours!).
Your friend,
Robyn
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Robyn - I'm sorry you're having a hard time with chemo, it really does suck. But you WILL get through it. Once you get to the Herceptin only it's a piece of cake. I've been doing it every three weeks since August, I've never had a single side effect from it. What are you doing for your lymphedema? I see the lymphedema specialist (therapist?) for the first time tomorrow, I have no idea what to expect.
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So you're having problems with LE as well, SC Mom, or is this more of an educational session? (I really hope it's the latter.) I hope you get a good therapist that you can work well with and nip it in the bud and keep it at bay.
Robyn, thanks for your sweet words. I am very touched.
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I have received some devastating news. My husband is very, very ill and has been given a little over a year to live. He has the highest risk category of Myelodysplastic Syndrome. (My-low-diss-plastic) It's a form of bone marrow cancer. He has had anemia since the spring when he was bitten by a brown recluse spider and his doctor said he had hemolytic anemia. Mike was hospitalized before Christmas because he collapsed in the hospital when I was there for my last surgery. We overlapped as in-patients for one day. His hemoglobin was 6. All the iron he's been taking has just been sitting in storage (ferritin) and is nearing the toxic level. I was angry at his doctor for not diagnosing him correctly but now I know that it wouldn't have mattered if we'd known about it sooner. His particular level is not responsive to treatment anyway. There is one chance, a bone marrow transplant and we have begun the process. Only about 10% of MDS patients qualify for a transplant, so we are grateful.The transplant doc is hoping to get all the ducks in a row within 3 months.
Mike is otherwise healthy with no co-morbidities. He's never had chemo and has only had three blood transfusions (all in the last month.) Those three factors are in his favor. Against him is his age, 67, and the fact that he has lost so much weight - 30 lbs in the past seven months that he is weak and undernourished. We're told only 50-60% of patients survive the transplant process and younger ones do better than older ones. In fact a few years ago they wouldn't do a transplant on anyone over 60.
He has one sister but the docs say a sibling is a match only 20% of the time. Doctors want donors between 18-44 and she's just barely over the age limit of 60. Matches with our children are even less likely but our three grown kids will be tested anyway. So we are looking for the proverbial needle in a haystack and have no time to spare.
Mike gets a port Thursday to help with all the blood draws and transfusions...both of which are going to become more frequent. We saw a nutritionist to help with his diet because he has to avoid iron...and iron is in everything.
Although some people do donate actual bone marrow, about 90% of donors do so via blood donation. They are given a medicine to cause their bone marrow to make LOTS of stem cells and push them out into the blood stream. After four days, they get hooked up to give blood. It goes into a centrifuge which separates the stem cells, and the rest of the blood goes right back into the donor. This is a link to what the donor experiences. https://www.youtube.com/watch?v=lv2LSVgNWjg
In case you are interested, Be The Match.org heads up the national bone marrow donor registry. http://bethematch.org/
Mike is incredibly upbeat. He asked me not to put it on Facebook (of course I never would) because he doesn't think he can deal with sympathy messages, syrupy uplifting posts, suggestions about homeopathic medicine or faith healing. So for now it's known by our friends. Not even my extended family knows yet. I'll be spreading the word as we get closer to the transplant.
I used to think dealing with my moderate brain stem stroke in 2013 was tough, then I got breast cancer six months later. Six surgeries later I thought I'd been through the worst and things were looking up. Now I know that was just preparation for the REALLY tough fight.
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Oh, dear, Sandra. What can one say? I am praying hard for matches and for strength and many more years together for you two.
My thoughts are with you and Mike and your family; I can't imagine the pain. Thank you for sharing with us.
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Hopeful, unfortunately tomorrow's visit isn't for educational purposes. I can't straighten my left arm all the way, it's swollen in the middle on the opposite side of my elbow.
Sandra, I'm at a loss for words. You and your family have already been through so much. I'll be praying for you and Mike and the rest of your family. (((Caroline)))
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Caroline, that sounds bad. I'm so sorry.
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(((Sandra's))) I'm so sorry! I will be praying for you and Mike
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Robyn
I am so sorry to hear this news. I will be praying for you. How bad is it and where do you have it? ...I just went to a Lymphodema Physician who wrote me a script for PT. I figured since no one talked to me except the morning of surgery to sign papers to maybe have alnd if needed, I had no clue and needed to start taking care of things ahead of time. It seems that all the swelling that I have under the arm area towards the back and in the tissue expander area may possibly be lymphodema starting. So I will now be going for PT for a few weeks. All this time the Plastic Surgeon has been saying its just swelling left over, fat tissue left over from the mastectomy...they have not a clue.. Robyn, I hope everything goes well and that its just a manageable case. Prayers are with you and thinking of you!!!
Love Karen
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Thanks Hopeful. I haven't read up on lymphedema so I don't know what's involved. At this point it's just an inconvenience to me; I just finished rads yesterday and was looking forward to a break! I guess I'll know a lot more tomorrow.
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to sandra4611,
I am so sorry to learn about your husband. I looked up some info on line and found two things that could be helpful, just in case:
I see you live in Texas so maybe this could assist you in some way:
1. http://www.mdanderson.org/patient-and-cancer-infor...
Why Choose MD Anderson?
- Internationally known myelodysplastic syndrome program
- More experience with myelodysplastic syndrome than most centers
- Close collaboration with referring physicians
- Innovative myelodysplastic syndrome therapies, including access to new agents and "mini" stem cell transplants
- Clinical trials of new treatments for myelodysplastic syndrome that may not be available elsewhere
- Myelodysplastic syndrome is part of MD Anderson'sMoon Shots Program: an ambitious effort to reduce cancer deaths through the rapid discovery of new treatmen
this looks like an alternative to the traditional bone marrow transplant, it discusses a mini - transplant approach:2. ttp://www.cancer.org/cancer/myelodysplasticsyndrome/over...
Stem cell transplant for myelodysplastic syndrome
A stem cell transplant (SCT) is the only treatment that can cure myelodysplastic syndromes (MDS). In this treatment, the patient gets very strong chemotherapy (chemo) and perhaps radiation to kill cells in the bone marrow. Once the bone marrow cells are destroyed, the patient gets new, healthy, blood-forming stem cells. For patients with MDS, these new stem cells come from a donor – the best donor is a close relative such as a brother or sister. This is called an allogeneic stem cell transplant. If there is no matching family member to be a donor, sometimes a matched, unrelated donor may be used. Using stem cells from an unrelated donor has more risks than using stem cells from a relative.
Wiping out the bone marrow with high doses of chemo can lead to many severe and even life threatening side effects. This can make a regular allogeneic transplant too hard to take for older patients. A special type of transplant, called amini-transplant (or a non-myeloablative allogeneic stem cell transplant) can sometimes be used instead. It differs from the standard approach in that low doses of chemo or radiation are used. It relies on the donor stem cells to kill the patient's cancer cells. The lower doses of chemo make it easier on patients who are older. Side effects, though, are still a major problem with this low-dose method.
Right now allogeneic SCT is the only treatment that can cure some patients with MDS, but not all patients who get a transplant are cured. Also, patients may die from complications of this treatment. Your chance for cure is higher if you are young and your MDS hasn't begun to change into leukemia. Still, doctors recommend waiting until the MDS is in a more advanced stage before thinking about a transplant.
If you would like more detailed information on SCT, please see our document Stem Cell Transplant (Peripheral Blood, Bone Marrow, and Cord Blood Transplants). You can read it on our website or get a copy by calling 1-800-227-2345.
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Sandra, I'm so very sorry to hear your husband's diagnosis. You both have been through the wringer already. You will be in my thoughts and prayers.
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Awe Sandra...so sorry. I'm praying for a speedy match.
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Sandra, I'm so sorry. I will be keeping you and Mike in my prayers that a match is found quickly.
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Holy Hell. I'm up early and cranky because I've been getting sick since yesterday, my son insisted on sleeping in our bed last night, and the dog decided she needed to go out at 4:30 am, and i just sat down with a cup of coffee to wake up and first I'm shocked to hear about Robyn, and then Sandra has such terrible news.
Sandra I just can't believe the string of events you have been through. My mom had a brainstem stroke years ago and survived and was in a rehab hospital for 6 weeks -- although she eventually recovered about 95%, she had residual deficits and it was a devastating time for she and I, who was with her most of the time. That alone was enough for you. Breast cancer, like OK thanks, but 5-6 surgeries? Myelodysplastic syndrome is like--really? Could you just get struck by lightening ten times ? Could you have maybe had a year of mental and emotional peace to regroup?
I'm outraged at the unfairness of life.
Robyn--I'm pissed off about your having LE too. I will always suspect that my current breast cancer was the result of the RT I had for the DCIS in 2008, which I also went to like three MD's questioning why 8mm of DCIS needed so much treatment and here just 6 years later there are studies now that in fact, DCIS was being over treated in some cases. Now I have to deal with therapy for invasive breast cancer. I know that my doctors were following the standard of care and it is an uncommon event (though it concerns me that you cannot find a single study states the rate of new primary in radiated breasts), and it was even standard of care just 6-7 years ago not to give me Tamoxifen either, but what really pisses me off was I didn't listen to my intuition that I should not do it. Every time I doubt my intuition, I pay for it.
Of course there was no way to know the future and at the end of the day we all have to make some decision and its hard to go against the advice of competent and experienced professionals, as well as available medical research and statistics, and the risk of making the wrong call is so high, but man it sucks that cancer treatment is as unforgiving as the disease itself sometimes. From what I know about LE, early therapy can make a huge difference and I pray that it does for you because you also have been through ENOUGH. NOT FAIR.
i wish I could offer more than my own outrage right now. I will stay tuned to hear you out.
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Sandra,
We're so sorry to hear about your husband and all you and him have been through.
We are keeping both you and him in our thoughts and prayers.
Big hugs from us.
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Four, your rant/vent hit the nail on the head, thank you!! That has been the most frustrating part of this crappy journey. You feel like you have no good choices and you have to weigh options where you have no idea what the short and/or long term ramifications are going to be! Remember that old 8 ball toy that you used to shake and an answer would appear in the window "not today, try again, it is definite" well, that's how I feel sometimes. You don't know what you don't know and we are at the mercy of the medical professionals. I can't tell you how many times I said "what would you do if it was YOUR wife/daughter" etc. At the end of the day, you have to follow your own gut or faith or intuition, or whatever it is that drives you and gives you strength and hope that you can find peace in your decisions and then, down the road, God willing it was the "right" decision and you go on to live a long, happy, cancer free life.
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