DIEP 2015
Comments
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Andrea and Morwenna - I had Stage 1 on December 8 and Stage 2 last Friday (February 6). I had a line of "bumps" below the incision - one pretty sharp and a little painful if I'd run my finger over it. I remembered others saying they were stitches so asked my PS about them and asked him to take the two worst ones out. He wasn't really excited about it - said they were just stitches that would dissolve but I said I'd really like him to take them out so he did during Stage 2. I just have two little blobs of superglue now.
I've had an incredibly easy time of it - haven't taken any narco pain meds since the 2nd day after Stage 1 and after Stage 2 just took an 800 mg. motrin for 2 days. I don't think I'm tough or have a really high pain tolerance or whatever - it just didn't hurt. Now, I think my PS did a great job and I'm in decent shape - but I think it's because of lots of prayers and an awesome God Who has been right beside me throughout the BC journey. In any event, I've been back to pretty much my normal volunteer schedule (everything from cleaning kennels at the local dog shelter one day a week to working at a co-op garden to helping in the food pantry and resale shop offices, as well as church committee) since the 2nd week after Stage 1. I took it easy for 3 days after Stage 2. Everybody is different, of course - but don't be too nervous or worked up about it like I was! You'll do just fine!
Spookie, I was just like you - I'd definitely have preferred everything at the same time.....but my PS insisted on a 6 month wait after rads to let the skin heal/change as much as possible. He said that in the long run, I'd be much happier with the results. After reading about the problems some of the other ladies have had, maybe there's something to what he says.... For what it's worth......
Bev
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Bev, thank you for the info. It's reassuring to hear your pain was so manageable. I'm already nervous about the surgery and it's still almost 3 months away! This will be my 4th reconstructive surgery, and I hope it will work for me. Because my veins are so small and deep, my PS does have some concerns, but I wanted to try a DIEP instead of a lat flap. Did your radiated side heal well? I tried implants, but my radsskin keeps getting thinner and thinner, so a flap is my only option now.
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Andrea, I sure hope this is your last surgery - you've been through so much! I guess my rads side healed well....I know before Stage 1 my PS seemed almost surprised that the skin was soft (it just felt normal to me). It got pretty oozy and ugly by the end of rads but by about 2 weeks after they were over, it was healed up. After Stage 1, I had a hard ridge and indentation above the breast, which he said was from rads. That's where he grafted fat in Stage 2 and (like others), I think it looks worse now (a week out of surgery).....but he said it's swollen and about 20% will be reabsorbed. So - we'll see. I'm not sure how many more procedures I want to go through. I'm 57 and there are no bikinis in my future. I'll probably go ahead with nipple and tattoo, though.
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Thanks Bev! You're lucky your rads side stayed soft. Mine has stiffened and gets uncomfortable. I've got my fingers crossed that this, plus stage 2 will be my last surgeries. I'm beginning to feel like a Christmas ham being sliced up so much! I'm not going to do the nipples, as I like being smooth under my clothes for the first time in my life. I may either do 3D tattoos, or perhaps a full tattoo to cover the scars. Or maybe nothing at all. I'm 58, going to be 59 this year, and my bikini days are far behind me!
I didn't realize you were only a week out of stage 2! Was the fat grafting all you had done? How is your stomach scar? Did you have any problems healing?
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Andrea - I had fat grafting from my inner thighs (still a little tender to the touch but i walked 2-1/2 miles 2 days after Stage 2 and have biked 3 times since - PS said no running but biking and walking are fine. I also had right (good/non-cancer) breast lift (whatever it's called). It sure looks strange to me - but it's probably like it looked 30 years ago.....
It's REALLY tender - can't touch it much yet. Everything is healing well. I wore the heavy wrap/binder for a month after Stage 1 and then spanx briefs for another month and don't notice any swelling in my abdomen (which is nice and flat - yay!). I was pretty hunched over (walking with a pillow in front) in the hospital and didn't stretch back to wash my hair for a couple of weeks but slept in my own bed with 2 pillows from the time I came home (4th day after surgery). The worst part was laughing, sneezing or coughing for the couple of weeks after surgery!!!! Stomach scar is there but flat and doesn't really bother me at this point. For the first couple of weeks, I'd roll to the side to sit up from laying flat in bed.
I'm pretty active but don't really exercise....or didn't till I started taking arimidex in june. I started running (first time in 30 years) because I'd heard the more I moved, the less the bone aches and pains would bother me. I was running 2-1/2 miles every other day before surgery and really think it helped me bounce back. You have a while till surgery...not sure how much winter your area is getting these days but if you can get outside a bit, it may help.
Love your quote....have you been to Best Friends? It's on my bucket list......
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Bev, I haven't been to Best Friends, yet. They're in the southern part of our state and we'reup north. I do plan on it someday. I love animals and support rescue!
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Wow saltyjack. You are one active lady, and I am unable to get out of bed unassisted! I found out why today, I ended up having two minitrams because my vessels were too small. I had not seen my PS since the surgery, just a bunch of residents. He came by to discharge me, but my husband asked for me to be in another day because he didn't think he could help me up. So my husband let me down. But he is forgiven. Because of a previous injury, I need a walker to keep my balance while walking .
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I know we're not supposed to compare ourselves, but you make me feel worthless, SaltyJack! My recovery is going well, but you really bounced back fast after both surgeries!
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ladies, I was just trying to encourage Andrea (and others) because I'd heard so many horror stories about how difficult recovery would be. We know everybody is different (found that out going through chemo, right - no way to know what to expect, almost one day to the next?!) I've had a very easy journey but I credit it all to my faith and lots of answered prayers. As one friend said, God doesn't cause cancer, but He sure does use it - I'm stronger in so many ways as a result of everything that's happened.
Bev
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I'm so glad to have you ladies as a support group, I didn't have that when I went through my chemo just my two sisters that had it with me. Not sure how long it will take me to lose 26 lbs but it seems like it is taking forever. We are in a new city now so when the time does come for surgery it will just be me and my husband. A lady I met who had a totally different cancer and procedure said she had a home health aide. Being that it will just be me and the hubby, do any of you think I will need that? He leaves at 6:00 and gets home between 6/7.
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Some ladies seem to have home care nurses visiting to assist with drains etc. I (Calgary, Alberta) was asked if I would need any personal care/home care assistance, but said no as my dh planned to take the week off.
In fact he made me meals etc, but only for the first couple of days did he assist with hair washing and personal care, and even then it was mostly handing me stuff. I was independent with my drains.
I think if you plan things out you could be ok with no help in the day. I couldn't reach the microwave to warm meals etc, and couldn't tolerate being up for more than a couple of minutes at a time due to back pain. I had difficulty getting in/out of bed, and struggled a bit to stand from s chair to start with, due to my bilateral TRAMs.
You might see if having a nurse or HCA is an option. It can be something covered by insurance should you need it, but certainly after a few days at home things do improve!
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Hi Ladies-
I am 2 days post DIEP and it went great. I honestly can't believe how little pain I have had and I was glad to wake up with only 4 drains instead of six. My surgery was about 7 1/2 hours and all looks good. I'm suppose to be discharged tomorrow and I can't wait because the nursing staff has been horrible. One thing I am concerned about, one side seems very soft, but my left side has a lot of hard areas. Is this normal
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fortunately , my nursing staff has been good. I have found I have not need ed as much pain meds as with my lumpectomy! I just can't move because my muscles lock up.
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Maybe there seems to be s commonality of "TRAM-mers" having this muscle spasm thing more than "DIEP-ers"???
I could get out of bed if I was sufficiently propped up with pillows, i.e. fairly upright, but if I had slipped down too far, rolling towards the side and sitting up with minimal use of arms or tummy was VERY awkward, and involved much cussing and groaning!
Now I spring out of bed with hardly a thought, and I can almost lie on my sides! I'm wearing non-stretchy jeans for the first time today, and now the anticoagulants are kicking in, I can walk without getting short of breath. Took an hour's walk yesterday and today, and if I hadn't just come down with my dh's "cold in de doze", I would be feeling pretty good!
Sneezing still hurts!.....
I have a lifetime habit of stifling my sneezes, so now try to have a tissue handy to do big open-mouthed sneezes into! If I can remember, I grab my tummy as well!.
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Actually, the big crisis for this surgery was depression for my 5 pound Chihuahua. I rescued Andy and his brother three years ago. They had been with an elderly lady who had to go live in home. The humane society separated them for adoption, but Andy started wasting away, down to 3.5 pounds. Unfortunately, his brother died of old age two years ago. Andy stopped eating 3 days ago. He will curl up with my DH, but he won't eat or pee and poop for him. When I realized what was going on, I had sister pick him up and take him to her house where Andy would be able to hang out with his Belgium Griffon cousin. They got him to eat some food with her dog, and Andy seems to have perked up. One less thing for me to worry about during my recovery.
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Andy, the cool Chihuahua.
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Well I'm very glad to hear Andy is feeling better!
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Awww….I am glad Andy is feeling better.
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Hi Ladies, I will (hopefully) be joining your group. I've just been diagnosed with a recurrence and met briefly with my BS and PS. Mastectomy is my only choice since I just finished tx 11/2 years ago. I'm still in shock because I had PCR and good margins. I found a thickening/ lump just above the end of my LX scar and yep biopsy shows recurrence. Because I had extensive rads (whole breast, axilla, supraclavicular) I can only go for diep- which I'm thrilled about. On march 9 I go for my education class, and formal apt. With BS and PS, they only stopped in for quick evaluation when I got the news from MO.
I have all sorts of fears and questions. This is so overwhelming. I thought I was done with cancer. When I asked my BS if I could keep my nipple she said no. Being in the state of shock that I was I didn't ask why (but will). Do you know why? My new lump is 6 cm from nipple- the old was 8. Do I need to get any special bras or camis? I've been reading posts and find them helpful, thank you! Is there anything I should ask my BS or PS?
I just wanted to introduce myself to my new group! If there is any advice you can offer, thank you! I hope all who are recovering are doing so with little pain.
Shari
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Your nipples contain alot of your ductal tissue (10%?), so if you have had two episodes so soon together, I can see why your Surgeon is recommending off with the nipples.
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slv58, so sorry about your recurrence. I had a recurrence at the end of 2013 and had a BMX last January. My BS said I could not keep the nipple because of previous radiation. She said if we tried, the nipple would just die. I chose to have both nipples removed to have a matching set, and then did the nipple reconstruction. I'm getting them tattooed in less than 7 weeks. Even without the tattoos, they look pretty normal, and my breasts actually look better than before the DIEP. In regards to your questions about needing any special bras or camis, I didn't buy anything before surgery, other than some extra tank tops. My PS gave me a bra at my first check-up, which was 10 days after surgery. I lived in cotton tank tops and zip up hoodies. (I found the thinner, less bulky material was more comfortable under the armpits.) I also wore drawstring pajama pants. I didn't go bra shopping for probably 8 weeks after DIEP, maybe longer. My best advice right now is to make sure you are comfortable with your surgeons. Get a second opinion if you have any doubts about anything. The first PS I saw said I was too thin for him to do a DIEP. He came off as very arrogant, and I sat at dinner with my husband after the appointment and was in tears. I saw another PS a week later, and she was this beautiful, kind, intelligent Brazilian woman, who told me she could definitely do a DIEP. I ended up with a C cup, so clearly PS #1 didn't know what he was talking about.
Also, ask lots of questions here. Ladies who had already had the surgery shared what to take to the hospital, what clothes to wear afterwards, how to prop yourself up in bed, how to tackle drains in the shower, etc. Things I had no clue about. Ask lots of questions as they come up. You can do this!!
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Did anyone do PT before DIEP surgery to build up your core muscles? Did it help? I am starting today and have 5 weeks until surgery.
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I did do a lot of core body work before surgery. Not sure it helped or not. I was surprised that my abdomen wasn't as sore as I expected and I was able to stand up straight almost immediately following surgery. Although that may have been because I also had a lot of extra skin on my abdomen from three pregnancies with very big babies earlier in life.
Julieho
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Jmb5 thank you for your reply. There is much I have to learn while still coming to terms with a recurrence. I appreciate all advice! Thanks for the several explanations about nipples. I understand now and definitely can't afford leaving any tissue that could invite cells.
Did anyone here sleep in their bed after discharge? The thought of sleeping in a chair seems uncomfortable, but I understand the abdominal strength is probably non existent. I have had two C sections but that was 31 years ago. I will keep trying to educate myself while I wait for further apts. the thought of leaving my aggressive cancer in place while I wait is driving me crazy. More meditation and yoga!
Shari
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slv58, I'm sleeping in a bed. I have 3 pillows behind me to prop me up a bit and pillows under each arm and under my knees. I'm about to lose the knee pillow (3 weeks out of Stage 1). My PS encouraged me to stand as straight as I could from the beginning, but while I'm trying to move off of pain meds I find myself "drawing up" as the day wears on and I'm more comfortable in the evening with support in the bed. Slowly, slowly.
I'm sorry to hear about your recurrence. It's wonderful that you feel thrilled about DIEP! I had both nipples taken in my BMX and my reconstructed nipples are cute! They have no color (which interestingly none of my girlfriends ever seem to notice when we are changing clothes or hot-springing) and are "low-profile" so I've been able to go braless under light shirts. After lugging around post-baby F cups, I enjoy this quite a bit!
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slv58, welcome to the thread, and sorry to hear about your recurrence!
I rented a powered recliner chair, and although I only slept in it a couple of nights, I did rest there during the day as well.
Then I borrowed a V shaped pillow, and I had also bought a couple of cheap little pillows from Walmart, and found I could sleep quite well propped up in bed like that with a pillow or two under my knees.
Some people go straight to that. You kind of have to sleep propped up at first as without overusing your arms and or tummy it is really difficult to move from lying flatter to the sitting position without assistance.
If you want to be added to the timeline above, please just send me a message with the details when you know them.
I have had some complications from surgery, but now I am over the disappointment of that, I am still really pleased I did this, and am hopefully "cancer free" !
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Morwenna I will definitely send you my details when I know them. Will be meeting with both surgeons on march 9, hoping a date for surgery will follow. They have already squeezed me in to have breast MRI and tomorrow I go for lefty mammo ( wasn't due till July). Then I wait.
LAstar, I'm happy you seem to be recovering so well! I'm hoping my old body heals quickly, but chemo the first time around has left me feeling very old! Maybe I just need a perky new boob to make me feel young again!
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Hi Shari where in Ontario do you live, are you doing surgery in Toronto? I am going to be booking my DIEP this summer at TGH with Dr. Anne O'Neill. My breast surgeon was Dr. Nancy Down at North York General. I had double mastectomy in 2009 and it has taken me until now to decide to go forward with this surgery. I will need to be seeing all the advice on here as well from these wonderful women. Take care
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I know I was very organized post op thanks to the advice I got from my fellow BC sisters on this site. I was also knowledgeable enough to give report about what was done. I ended up showing my foobs to nonPS residents who were showing up to"get the tour." I even offered them the Doppler so they could hear the swish of the connections. That way I got extra care just because I was teaching them something new.
My dog, Andy, treated me with much enthusiasm when I got home, but he expected me to feed and walk him immediately. I did and got some nice rest time on the patio glider in 70 degree sunshine.
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Hi Lilyn, I live just south of a Barrie, but have had all my tx at Sunnybrook. My BS suggested Dr. Lipa and although I have only met her for a quick evaluation, I really liked her, she seemed so compassionate to the state I was in having just learned of my recurrence. Because I have had high dose chemo, my mo doesn't think the tumour board will allow any more, so MX is really my only defence. I also had extensive RX and cannot have more- doesn't seemed to have worked on my TN anyway :-(
I know it may sound strange, but I feel that having immediate reconstruction is my way of staying positive and in effect saying 'f#^* you cancer, your not going to disfigure me!'
Do you know when your surgery is? We will both have to learn from these wonderful ladies before us!
Enjoy family day!
Shari
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