BMX w/ direct implants (hopefully) next week. What to expect?

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tara_
tara_ Member Posts: 6

Hi everyone,

Inspired by all the sharing and sisterhood here. Thanks in advance for your help...

Wondering what to expect as I recover from my surgery next week. I'm having a BMX with (hopefully) direct-to-implant reconstruction. (I say hopefully because I had mantle radiation 25 years ago - the PS thinks we can go ahead with direct implants but we have to wait and see.)

Qs for you:

1. How long will I need someone to be with me? Should I ask friends to be with me the 2nd week?

[I have a daughter (almost 8) and a husband who's planning to take 1 week off from work.]

2. What was your pain like? (I know everyone's different, but still...)

3. How long before you could do simple things around the house again?

4. How the HECK did you do with being on your back for 2 straight weeks?????

thanks.

Comments

  • Meadow
    Meadow Member Posts: 2,007
    edited April 2015

    Tara, best wishes to you for a speedy recovery. I will do my best to answer your questions and give you a heads up on some things.

    1. You will be fine the second week. You will need help the first week as you would after any major surgery. My mother in law stayed four days with me after surgery, oh my gosh loved it, love her. She was a big help in changing the dressings around the drains.Plus meal preparation, bathing, just getting a drink, is a challenge the first few days. Pulling open the freezer...thats a no no. Your movements will be limited the first few days but improve daily. The drains are what will give you the most fits....you will have long tubes (I had 3 drains, 2 on my affected side, one on the other). The fluid has to be drained out of the pouches several times a day. You will rejoice when they are out!. I could empty them myself, but it was nice to have help with the bandages.

    2. Pain was not a problem for me, I did take pain meds. Just stay ahead of it. Take the pain meds, not a time to be a suffering hero!

    3. I was up and around, but not really doing anything around the house at all the first week, and much more normal, I mean super light stuff, the second week. Nothing that involves upper body strength for sure. No laundry, no vaccuum, no groceries. Just lifting your arms will be difficult. Your implants will probably be under the chest pectoral muscles, this feels very strange at first, but your implants will settle and it wont feel so odd later. But you will have no strength up top at first, at least I didnt.

    4. Get lots of pillows! Some ladies (me included) found the recliner more comfy than the bed. Do not hesitate to ask for help putting the foot rest down. When in bed I looked like a pampered princess, pillows everywhere! I cannot stress the importance of multiple pillows enough!

    Rest Rest. And check in your handout info when discharged, you will be given a sheet of range of motion exercises to start after a few days, I found this to be very important to do, as you heal the skin and muscles get super tight. Do not start until your doc says to though. The excercises are very simple and keep you stretched out.

    Get a zip hoodie, as you will NOT be putting anything on over your head...a hoodie or light jacket with pockets in it. I wore mine inside out so the pockets were next to my body, and I put my lovely drains in the pockets. Hopefully you will get more tips on managing the drains in clothes, dont get discouraged with them, but they kinda suck.

    Anyone else have tips for her? Keep us posted and hugs to you as you have surgery.


  • farmerjo
    farmerjo Member Posts: 518
    edited April 2015

    Hi Tara - I had bilateral mastectomy's with direct implants. I think a lot depends on your age. You can see my info in my stats below.

    My husband stayed home one week. I spent two nights in the hospital. For me, it was harder than I thought it would be. The pain isn't bad...off narcotics after 18 hours. They put some sort of numbing medication around the implants that lasts for five days. I was just simply wiped-out. I had four drains and you really need someone to help you strip them twice a day. You definitely need help with bathing and dressing for at least a week or two. I think you'll be fine without your husband for week 2. Most woman sleep in a recliner for a few weeks. I bought a wedge off Amazon, stayed in bed, and had my husband sleep in the other room. You will need space! I would wake-up every 2 hours and hubby would help me roll on my 'half side', not quite on your side, and prop a pillow behind your back to keep you there. More importantly, make sure they send you home with Valium...that helps tremendously with the muscle spasms with the added benefit of a decent night's sleep. Also, if you are prone to post-op nausea and vomiting, ask for Emend pre-op. I also bought a shower chair off Amazon as you can't shower until your drains are out (1-2 weeks). Use a hand-held shower and have someone there with you...you will not be able to wash all of you. You will NOT be able to get yourself out of the tub for a few weeks. It was at least two weeks before I was able to do simple thing's around the house. Accept whatever help is offered...meals, etc.. I agree with Meadow about the zip hoodies...cotton ones are best. If zip hoodies are too warm, wear old undershirts and pin the drains to them. The hospital staff should show you how. Buy yourself front-close cotton bras...you will need them. After 2 weeks I wore cotton pull-over sports bras, that I pulled on from the feet up...you can get them (Fruit of the Loom) at Walmart.

    Wishing you the best and check-in with us!


     

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2015

    I did not have direct to implant, had bi-lat mastectomy with expanders.
    1.  I came home from the hospital on Wed. My husband took off Thurs/Fri, went back to work on Mon.  I was fine - had no other assistance during the day.    
    2.  I am not a personal fan of pain meds - I took the prescribed ones for less than a week and then switched to Tylenol, but I have a very high pain threshold.  I was allowed to shower immediately and found more relief from the warm water.  That said, take the meds for as long as you need them, and stay ahead of the pain - don't chase it.  Some get more relief - especially if you have direct to implant - from a combo of pain meds and muscle relaxers, such as Flexiril, Skelaxin, Soma, or Valium.         

    3.   I did easy stuff around the house the following week, just didn't lift anything, or do any push/pull motions.
    4.  I did not sleep in a recliner, but rather in bed with a LOT of pillows - like, a throne of pillows.  I slept for a long time in a partially sitting up position, which was hard as I am a side sleeper.  I found I could sort of sleep on my side, like a 45 degree angle after a few weeks by jamming a squishy feather pillow in the small of my back.

     I used a basket on the bed that held the remotes, phones, tissues, lotion, lip balm, hard candies, pen and paper, etc.  I recommend a drinking cup with a lid and straw.  My husband got lamp extension cords with dimmers - saved reaching over to turn lamps on and off, link below.  When I showered I used a clean shoelace and strung my drains (they have a tab at the top) on like beads, knotted the ends together and wore them around my neck like a necklace.  I pinned my drains to the side seams of tank tops - I got some inexpensive ones that I could step into and pull up.  I wore lightweight zip up track style jackets.  Satin PJs help you slide in and out of bed.  Keep paper plates and utensils on the counter, and drinking glasses, etc., so you don't have to reach up into cabinets, or do dishes.  I recommend getting a handheld shower head - if you are not allowed to get your chest wet you can still use that for below the waist.  You can also use plastic wrap to protect your chest - wrap it around several times to keep things dry.  You can use a plastic garden chair in the shower if you are at all shaky and the hand held shower reaches far enough.  I also sat with my back to the shower head and my husband could wash my hair with the hand held shower.    

     http://www.homedepot.com/p/Lutron-Credenza-300-Watt-Plug-In-Lamp-Dimmer-White-TT-300H-WH/100001525

     

  • Meadow
    Meadow Member Posts: 2,007
    edited April 2015

    Jilly, I agree, the need for space! And SpecialK, I had forgotten about the straws and lids on cups. Eliminates the motion of sitting up to drink....yes

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2015
    meadow - I also knocked the cup off the nightstand more than once,
    lol!  Saves a clean-up on aisle 3.
  • Meadow
    Meadow Member Posts: 2,007
    edited April 2015
  • lovelivelaugh78
    lovelivelaugh78 Member Posts: 10
    edited April 2015

    So glad for this thread! I'm having the same surgery and feel like I have a better idea of what to expect!

  • Meadow
    Meadow Member Posts: 2,007
    edited April 2015

    I am glad it helped some, Love! All my best wishes and prayers for you

  • Meadow
    Meadow Member Posts: 2,007
    edited April 2015

    Tara, hoping you can check in soon and let us know how you are getting along. Hoping healing is going well.

  • tara_
    tara_ Member Posts: 6
    edited April 2015

    Hi friends!

    I'm 10 days out of surgery and just had my followup appointments with the surgeons this morning.

    They true to do direct to implant, but one side didn't look good so I woke up w/tissue expanders. Although I was glad they played it safe, boy was I shocked by my appearance. Had some significant pain after the surgery, and imagine my amazement today when my doc pulled the drain out and much of the strange contours -- and pain! -- disappeared. Grateful for that, and btw although I could see the drains all the way to the middle of each breast mound, I didn't feel it when they were pulled out. (The doc did a fill first, which he said would help.)

    I have started threads 2x here, and each time got the most helpful, kind and amazing advice and support. I haven't been good at interacting in real time, but I want to say a huge, huge thank you.

    We are so lucky to not have to face these challenges alone!

    Love,

    Tara

    Ps - I found a 3/4-sleeve top called "post-op top" on Amazon, which seemed kinda not-my-style & expensive ($70). Have to say, having a shirt made to accommodate the drains made all the difference for me...as did the silky kimono and long nightgown I treated myself to before surgery . It was important for me to feel pretty and cared-for as I recovered at home...just my experience for anyone who's facing surgery soon. xo!

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