October 2014 Surgery Sisters
Comments
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Oh Sandra - I am so very sorry. I am so angry and frustrated for you...and heartbroken. I cannot imagine. Please know that I am praying for you, your husband, your family and that you are surrounded with support and that everything lines up as needed. I believe in miracles and I will be believing for a match! God can do all things...that we could never imagine.
Thank you everyone for your support - frustrating indeed to have this left arm swelling. However, with perspective, it should be treatable. I believe that we will get on top of this.
I am thinking of you all and hope we continue to keep in touch and support each other. You are a lifeline for me!
All my best,
Akitagirl (Robyn)
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FourMinor - Yes, EXACTLY.
I start to feel that there are NO good options except that of listening to one's own instincts. Even then, who knows. I just keep coming back to the thought that NO ONE, but NO ONE cares about our own health and well-being as much as we ourselves do. And that includes our MDs, some of whom really have no business dealing with human beings.
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Hello ladies, wow lots of challenges for us
Fourminor thank you for your great support and excersise info, I just got out the rest of staples yesterday, still had about 30. She left 5 in over the hematoma because it needs to heal more and the staples are the only thing holding it togeather, NICE.hummingbird… I am hoping this chest of mine starts looking better, I wanted flat but didn't quite get it, puffy under arms, a little sunk in were the hematoma is. What choice do you have but keep moving forward, and try to deal with what comes our way.
LE, I had it 20 yrs ago after having my armpit cleaned out of 20 lymph nodes. The issue is that they don't think it is an issue (doctors) until it reaches a certain size. Mine became a problem when my wrest was an inch larger as well as upper arm, some days even more. It was a problem from the start with me. I went to PT for messages, working the fluit out of my arm. It worked and had very little problems after that. So the good news is that it can be resolved, therepy is the only way to go.
Sandra sometimes there are no words, so here is my thoughts. A house can stand a lot of shaking and rateling with a good foundation, we can supply you with the foundation with lots of caring thoughts.
I am returning to work on Monday, its been a long 20 days since surgery, with no reconstruction and am wondering how people are going to deal with the big change, people who didn't know you don't having anything to campare with but these people do. I hope they won't be too uncomfortable. With the hematoma can't put any stress on the chest until its healed.
Hang in there ladies!
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Revelle, thanks for your update and insights. I'm betting you'll come out looking flatter with a bit more time under your belt. Do lots of healing this next 5 days or so before returning to work. You're right about BS not thinking LE's a real problem; I can't believe how consistently it's downplayed.
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revup, perhaps because I wasn't very big (barely a B cup), people at work really haven't noticed. I expected a lot of double-takes but got only one (and I have no problem with it--I bet I can't control my reactions very well, either). And it may also depend on how you dress. I tend to wear shirts that have a bit of room in them, not close-fitting, so that could also make a difference. And I wouldn't worry too much about other people feeling uncomfortable--they'll get used to the new you before too long! Rock your flatness--if you project confidence, others are less likely to feel awkward, I think. Enjoy your last days of rest and recovery, and good luck transitioning back to work!
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Sandra, I am so sorry to hear the news of your husband. You two will definitely be in my prayers. You are always so supportive and positive. Akitagirl and Lilith, the LE thing is so scary to me--I hate that it can occur later on down the line, ugh. Has anyone ever gotten a clear answer on using blood pressure cuffs or tourniquets when having blood drawn? When I had mine done recently for the genetic testing, the lab was very skittish about it, and wouldn't use the tourniquet, which in turn caused it to take FOREVER to get the amount of blood they needed. I asked my PS about it as he was the one I saw most recently, and he said they often don't really know the difference between numerous nodes being removed vs. the sentinel node biopsy procedure I had with just 7, so they err on the side of caution. revup--I am so glad to hear your recovery is going well. I applaud your decision and comfort level in going flat. Even though I am going to go the reconstruction route, I can tell you right now I feel really comfortable in my "flatness", which just like you say, isn't really flat, but bumpy and weird. I feel comfortable when I wear those tighter cami-type tops with the shelf built in, as long as they aren't too tight in the armpits. I toss on a scarf and a light sweater/shawl and am good to go. I have a prescription for a prosthesis but not sure if I'm going to fill it or not. Maybe for summer when I can't layer
Fourminor and Horsemom, good luck with your exchanges coming up in February. You must be so excited! Hummingbird lover, awesome on the weight loss and commitment to health! Making ourselves feel better with things we CAN control is so important. I was so happy to get back to running again. I hope everyone else is doing well, and working towards a good 2015. As for me, I had a positive appointment with my PS this week, everything is healing well, and looks like we can move forward with the first surgery on the road to recon (fat grafting) once insurance has approved it. I don't know a lot about it so I am going to research the boards. I think I've read about people having it after implants to fix things, but not sure I've seen much about having it prior to even having TE's put in. I will have 2-3 surgeries for that (probably 3, over the next 9 months)....then the TE's, then exchange. So not sure I'll be "fixed" by the end of 2015 but hopefully well on my way. The irony is the PS is worried about where he will get the fat as I am a small woman (5'2 and 101 lbs) He actually joked with me about "trying to eat a few cookies" and gain some weight. I think chocolate truffles are in my future! I return to work on Monday (I work from home). I had it extended a bit due to my mother's passing. I think I'm ready for some major changes in my life. This cancer stuff really makes you stop and think, doesn't it?? Life is way too short. [[[[hugs to all]]]
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LeeLee - I'm glad you were able to take a bit more time off and give yourself a bit more leeway to deal with the loss of your mother (and likely dealing with all the practicalities) on top of this. It's a big adjustment and can make work seem pretty irrelevant. I'm sure your runs are therapeutic and hope your got an RX for those truffles so you can enjoy the very best.
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Revelle, I've met women who later told me they were very self-conscious about being flat after bx - and I hadn't even noticed. I think we all judge our own appearance much more critically than anyone else does. I also suspect you'll level out as everything shifts and finds its place. Take care, rest up, let us know how we can support you as you head back to work.
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If I had it to do over, I think I would have avoided reconstruction. It's been such a long haul. Of course mine was because of the nasty infection I got in the hospital which did such damage to my body, losing my breasts was no big deal. It took 5 surgeries to fix the damage, get some range of motion back in my left arm, and make my body accept these "foobs" without moving them all around. I'm certainly pleased with the results but it took TOO MUCH to get there. Sometimes I think I have a bit of PTSD due to all the trauma. I seriously think I would have been fine rocking the flat look. (sigh)
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LeeLee, I just thought I would chime in and saythat my surgeon was clearly adamant that I COULD have blood pressure done on my right arm. I had SNB with 3 nodes removed from the right side and he must have told me ten times that I didn't need to worry about that. You and I will be on the recon train together it sounds like. I meet with PS on 2/2 and assume it will be the TE route since I'm not very big either. Good luck as you go back to work, take it easy.
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Hi Hummingbird, all aboard!! Will you be doing fat grafting first too? I needed that because of some blood flow issues during the BMX and the skin is super thin on one side, and relatively thin on the other. The PS is certain it will be needed in order to even consider the TE. Though it will take longer, I'd rather have a more positive outcome in the long run. Even though I am slender, I feel there are plenty of fat sources in my thighs, lol...but geez I was just mortified with this last picture taking session. Ugh, so vulnerable and embarrassing, especially with the PS, the nurse, the DH and a brightly-lit exam room. Looks like we have some similar stats, no chemo for me either. Here's to virtually holding your hand! Thanks for the info on the bp cuff--I remember the onc resident saying the same thing, but then some people in the medical offices get all worried about it.
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I'm not sure if I'll need fat grafting or not yet, ugh...I'm a bit freaked out about TWO surgeries to think about, I don't relish the thought of THREE! I guess I'll know more after this appointment on feb 2. I am getting used to the flatness but I do wear my prosthetics during the day. I think they've actually helped with some of the pain issues I was having, people talk about massaging helping so maybe these foobs are acting as my own personal daily massager ha ha.
I'm here for you! I was going to post to the recon board looking for others who've had BMX with delayed recon so I can see what to expect, recovery time and time away from work etc. I'm sure we'll have those darn drains again, I hated those!
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Hummingbird, oh my gosh, I agree---the idea of repeated surgeries is so BLECH!! From what I understand from my PS, I will likely have 3 fat grafting surgeries (with 3 months in between each one, and I am HOPING that means that #2 is scheduled right after #1, etc so that it literally is just 9 months...no delays in between. Then the TE surgery, and the fills, and then the final exchange...oh yeah, then the nipples, etc. Hey--what was getting the prosthesis like? I keep staring at the prescription but haven't yet picked up the phone to call. I am thinking though that over the summer they would come in handy...my wardrobe is 90% t-shirts, not quite sure I'd be comfortable enough going flat to my son's baseball games...and I live in a hot climate...But hey, if they are a massaging tool, what a bonus!! Oh noooo.....not the drains again..ugh yuck blech. We'll get through this together!!!!
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LeeLee, the prosthetics fitting was awesome! Seriously, the most positive experience for me so far and I really do like them. It's a cute little bra and it's scary how much they look and feel like real boobs. You can't tell the difference except they are smaller than I was before surgery. I really didn't plan on doing it either but a friend of a friend is in that business so she pushed me a little and I'm glad she did. Insurance covered everything and they were so professional and friendly. I was totally comfortable, none of that bright lit big room experience with the audience that you mentioned and we've all been through at some point thesepast few months. My DH wasn't going to PS, should he?
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Oh wow, thanks so much for the encouraging words on the prosthetic fitting, H-bird! Maybe I'll go ahead and get that set up. To be honest, my hubby has gone to all appointments with me, but if there were any that I'd preferred he'd sat out, it was the PS one.(s) I try very hard to get past the awkwardness but yeesh...
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I'll give DH a free pass on this one. He's went to every appointment with me too, even tried to sit through my biopsy...yeah....righ! He almost fainted and had to be escorted back to the waiting room but I appreciated his effort, he's been totally awesome.
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I prefer blood pressure to be taken on my leg, but usually have it done on my wrist on the right side only...the one that has had the least work done. I never get bp taken the traditional way. I've had blood draws and IV's...again on the least affected side only, as well as 5 PICC lines before subsequent surgeries - all on the right. I had 4 nodes taken on each side but my left side has had a lot of reconstruction/repair surgeries so I baby that side. The doc says if I'm going to get LE, it would likely be on the left but it could for some reason happen on the right also. I realize I'm taking a chance, but I've tried blood draws on my feet and it hurts too much and doesn't always work after several sticks.
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I had my skin sparing BMX in September. My PS wouldn't do the DIEP until I healed from the first surgery since I am diabetic. I am scheduled for it February 12, only because my DH and I had our January scheduled with an RV Jamboree and then a Ham fest in the desert and finally a Sewing and Quilt show on our way home. Since I have been in 60-70 degree weather I have been wearing t-shirts. I haven't thought twice about what others might think, although I know most of our Ham radio friends know from my husband what I have had since March. He goes with me to every decision making appointment. I appreciate him backing me up and expect him to ask questions about stuff I don't know about since his first wife died of BC after a 5 year struggle. However, he says it is my body and I have the final say so on what will be done.
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I have to say that I am loving the look of my new foobs. Now...the TEs are VERY firm and feel like I have two tennis balls on my chest. However, in the mirror, I am very pleased and wonder why I didn't do augmentation years ago. ;-)
I have to finish chemo (March 20th), wait 4 weeks and then I can do the exchange! My PS encouraged me by telling me that if the TEs are looking good, then I will be thrilled with the actual implants - he promised they will be 'squishy' and although not 100% anatomically correct, they will look really good. Looking forward to rocking a bikini this summer! Woo Hoo!!!
Gotta look at the bright side, right?
Akitagirl
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Glad to hear the foobs are working out well, Robyn. You deserve a bright spot in all this. I hope having the reward of rocking a bikini brightens the path through these next couple of months! I picture you taping a photo on your computer to help keep you going.
I'll probably be doing radiation this summer, so no snorkeling, no swimsuit, much less a bikini.
I am really bummed about rt in the summer. I'm bummed about it in general. I hate the idea of basically cooking my breast, as well as not knowing just how it will affect MY breast and MY skin, as opposed to the huge range of reactions others experience. (Clearly, I'm in a funk. Hard to justify given what others are going through but there it is.)
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Thanks for the info, Sandra. Oh my--just hearing about IV's in the feet makes me cringe. The PS mentioned that, or the neck, and I was like oh nooooooooooooooo. I had one in my wrist once at the hospital and that creeped me out as well. Oh wow mefromcc, that is tough for your husband. Glad he is so supportive. Good for you to be comfortable in your own skin! Akitagirl--you are always so positive! There's a theme song playing in the back of my head right now about looking on the bright side of life..think it plays in a movie I've seen recently, you are definitely doing that, bravo! I feel the same..always shooting for "glass half full". The "rocking a bikini" comment really cracked me up, as I used that exact phrase this week with my PS (though in the opposite way.) He was searching for fat on my tummy, and I had a previous ER surgery for cecal volvulus 4 years ago with a very interesting resulting scar...I said I hadn't been rocking a bikini for awhile, lol, so please find some fat and carve away!!
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A bikini would be nice! Thanks, Robyn, for posting something positive about your TEs. I have to admit the thought of that WHOLE recon process has me so apprehensive. Like everything else, I just wish I had a crystal ball to tell me what the future holds and what is the best path to take. I'm moving forward with recon because I hope and pray that I'll be happy with the new me but it all comes with baggage.Hopeful, it hadn't even occured to me that you'd be going through all of that in the summer months, I'm sorry, that stinks! Winter sure makes it easier to hole up and hide indoors.
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OK - we have one designated bikini rocker for this summer (that would be you, Robyn). Anyone else want to volunteer to help carry that responsibility? LeeLee, I bet you could handle it.
Blood draws from the neck are just a bit too vampirish for me. And the feet sound horribly painful.
Hummingbird, one of the few upsides to my original treatment plan (including October surgery) would have been going through all of it this winter. At this point I'm sulking about treatment and sulking about having my summer screwed up by this. I spend a lot of time in my garden once the weather allows (usually after late June) and I treasure every, single day of that gardening season. I lost a lot of it last year and my inner two year old is already whining about losing this year's. She's whining about radiation, too, so it's getting pretty unpleasant around here.
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I am really having a difficult time with my tissue expander...and I only have one.. it feels so swollen all the time. Then there are times when it seems to swell a little more.. plus around the side of my arm under the arm pit and towards the back area. I started going to PT for possible lymphodema in the chest and back area.. they can't confirm but say there seems to be some swelling. So still not sure whether this is just left over fat tissue from the surgery..or what it is. I was told to get a compression camisole, that comes up high with fat straps..but can't seem to find one. Anyone have any ideas? Or has anyone experienced what I am. Seems like since I have been going to PT, the swelling and arm seems to be tighter. Not sure is this is a good thing. I also scheduled a consult with RO. If I have to have radiation due to one node positive, I assume this will affect the reconstruction. Have heard you cannot have implants if you have radiation..is this true?
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Thinkingpositive, I'm sorry you're struggling with your TE. There is generally a lot of pain and discomfort that simply comes from the mastectomy that I can only imagine it's compounded with TEs in there, but I wouldn't know for sure. I still have sore spots and pain and I haven't had recon yet. Regarding your question, I have a BC friend who has had BC twice. The first time she had LX and rads, no chemo. The second time she had BMX with immediate implants, chemo but no rads because she's had it before and they wouldn't do it a second time. She didn't get the implants until the second time around with BMX and that was AFTER she had rads with the first cancer.
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ThinkingPositive, I went for my first appt w/ the LE therapist today. She told me to go to Target and get the Sarah Blakely Assets compression tank w/ the wide straps (not the spaghetti straps). They're like 25 bucks.
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Hopeful--I did RT before and the toughest thing about it for me was just the traveling. I would get up and throw myself together, take a cab to Manhattan, be in and out in about an hour, walk to the lexington Avenue Subway and take the subway home, crossing off one appointment off the list as I waited for the train. Then go to work. (I had a 12-8 shift). My boss let me use some sick time so I could have Friday's off and have a shorter week to recoup which helped.
The actual RT part was a little surreal, but the treatments themselves are pretty quick once you get on the table--you're off again in like 5-10 minutes. I did baby my skin a lot. Showered at night, didn't let water pound my skin, put on heaviest moisturizer, nothing but soft cotton bras, used cornstarch for deodorant, and then right after treatment I would also put on another slightly lighter calendula cream. I used Weleda and something called My Girls which I found on the internet. I think its counterintuitive but the lighter your skin is the better it handles the radiation. I had no blistering or breakdowns. In the end, I was red like a sunburn, and it faded back to just a shade more than my winter white butt--more like the skin on my arm.
I did not use the Aquaphor -- didn't like the ingredients list. I was already on natural skin care before this happened to me. Although my radiation oncologist forebode me to use the My Girls Cream since I thnk it had avocado and olive oils in it and she thought this would make me burn (i never applied it or anything in the morning prior to treatment, used it at night), she said my skin handled the radiation better than most.
When I really think about it now, its was the daily slog of going there for actually seven weeks since i had a boost to my lumpectomy site that was the worst.
You will have to be really good with sunscreen and wear crew neck Ts for the summer to protect your skin.
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Thanks, Four Minor. I appreciate the advice.
I will admit that I am having trouble with the probability of long term/permanent changes to a large swathe of the skin on my upper body. My skin in very white up there, no freckles, and the idea of it being darker on that side due to rads is something I mourn. I will have to have a large area of radiation due to the nodal status and the location of the tumor, so that's part of it.
I also don't like the idea of it changing the texture/firmness of my breast itself.
I know that in the larger scheme of things these are petty concerns but I really resent the loss of control over my body as well as the notion that we shouldn't mind all these changes that are inflicted on us.
I don't even have the choice of avoiding radiation with an mx, due to the node.
I'm fighting the whole issue. The fact that I won't be able to wear antiperspirant all summer, that I'll have to fight traffic to the center every, single day, that my energy level may be affected when I most want it are all additional factors that make me want to just say 'Forget it. Let me know when you have something better to offer me. I'll take my chances until then.'
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Hopeful,
It may not be that bad. I am also very fair and was scared due to how easily I burn from the sun. My PS said he was surprised that he would not have known I had RT if someone didn't tell him. In fact it faded my lumpectomy scar too.
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