April & May 2015 Surgery Sisters

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  • SummerAngel
    SummerAngel Member Posts: 1,006
    edited May 2015

    I've been reading this thread as my surgery date approaches and it's been very comforting to me, thank you to everyone who posts! It makes me feel like I'm not alone.

    I had a pre-surgery appointment with the lymphedema specialist last night, and have a question I forgot to ask her that someone here might know: The standard to avoid lymphedema is to NOT have an IV in the affected side, but for me BOTH sides will be affected. Is it typical to just have an IV in one arm during my hospital stay anyway?

  • lovevt
    lovevt Member Posts: 46
    edited May 2015

    Candygold4 I was thinking about how much walking you were doing post surgery.  I am so impressed! I am definitely going to keep trying to do more each day because I think you are right that it will help ease the tightness.  I was hoping to go back to work at 5 weeks post op! I am keeping an open mind because here I am at 3weeks 2 days and I do not have clearance to do any lifting.  So I will see what the PS says at my next check. 

    My surgery was nipple sparing and the incision was done underneath the breast.  The skin islands were removed 10 days post op so I think I am done with that.  I am not fully symmetrical either and I definitely need fat grafting for the areas not filled out by the flap.  I too am pretty happy with the look already. I think I might have some bumps at the incisions on the thighs but it may be too early to tell. I figure whatever the next phase brings it will be nothing like what we have been through already.

    When did you start driving? I would love to be able to do a few things for myself! When did your PS give you the green light to sit upright ? Mine still wants me to just sit reclined. Once I can sit upright I would think I could drive...


     

  • mysunshine48
    mysunshine48 Member Posts: 1,480
    edited May 2015



    Summer angel -.I need answers too. I had a BMX with lymph node removal on the right. So my first treatment and IV was in my left arm. Now, I have lympthedema in that arm! Why? I have been very careful. I go in for blood work later today and am NOT going to let them do blood pressure on either arm! I think there is a way to take it other ways than that tight cuff. Anyone else get lymphadema? All these side effects - just keep coming.

    Lynn

  • SummerAngel
    SummerAngel Member Posts: 1,006
    edited May 2015

    That is odd, Lynn! I didn't know you could get lymphedema in an arm that didn't have lymph nodes removed! The lymphedema specialist told me to have them take blood pressure on my thigh, which I'm definitely going to do, but I really don't know what to do about the IV when I'm in the hospital.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited May 2015

    ugh- the lymphedema argument rages on.. I got a lecture from an RN when I went to the hospital for my port insertion, months after surgery and SLNB.

    She said in a very snotty voice over and over that it was "old school" thinking to have BP taken and IVs done on the SLN side. It really pissed me off. i didn't need a lecture right before a surgical procedure!

    Obviously, the big advantage to the SLNB is it REDUCES risk for lymphedema, since fewer nodes are removed than in the old days. But there is still risk, and I know and have read of many who get LE with only one node taken. So why take more risk? I will always have BP and IVs done on the non SLN side.

    They (the medical community) also rarely even mention breast and truncal lymphedema. It's like they want to keep it a secret. But it happens with breast surgery also. You can get truncal LE after gallbladder surgery!

    SummerAngel, in your case, it was very smart to make early contact with an LE trained and certified specialist. They have much different outlooks than surgeons, as they see the long term problems. Surgeons are like a one night stand. Hah!

    Getting blood pressure done in an alternative manner (thigh) sounds like a good first strategy. The hospital may have ideas about alternate IV sites. But even though you are having both sides done, you may not get LE on either side. And I truly hope you do not.

    I would call your LE specialist now, though, before surgery, and ask. . It's the only place to get the right answer for you, since she has seen you.

  • SummerAngel
    SummerAngel Member Posts: 1,006
    edited May 2015

    Thanks, Katy, I will ask her directly. Some of the information out there is very confusing!

  • downdog
    downdog Member Posts: 1,432
    edited May 2015

    SummerAngel, a safe precautionary site for your IV is either one of your feet. The veins of the dorsum of the foot or the saphenous vein of the lower leg are suitable alternative sites. Your foot might be more accessible...you will probably have the leg compression machine on your legs throughout surgery and the first few hours of recovery. Definitely check with your LE specialist. It makes no sense to take the precautionary measure of a BP cuff on your thigh and then use your hand/arm for your IV. You will be receiving an antibiotic in your IV, but I would still get your IV in a lower limb. Some hospitals will have you wear arm bands to flag that you are not to receive IVs or blood draws in your upper limbs. Let us know what your specialist advises.

  • downdog
    downdog Member Posts: 1,432
    edited May 2015

    Best wishes to PMR53 and Midgiemoon on your surgeries tomorrow. PMR53, hoping for the most routine and uncomplicated experience and recovery for you, after everything you've dealt with so far.

  • april25
    april25 Member Posts: 772
    edited May 2015

    Sorry, was away for a bit there (relaxing and recovering! and getting a few errands done).

    downdog -- Great info on the blue dye. I was at Cedars-Sinai. I'm not sure what they used on my, but they kept saying that my breast or even my face might turn blue! That would be terrible to be stuck with a partially blue face (they mentioned the chin area!), for ages! Luckily--if anything is slightly blue on me, I don't notice! Of course I'm only a couple of weeks out and still have surgical tape on, so it's not as if I can really tell all the details... and what is bruising and what might be blue dye! But I'm not too worried at this point.

    I am pretty sure they gave me the dye while I was out! I had the wire localization thing first, and got local anesthesia for that. Then got wheeled back to the pre-op area, then went to the OR and that's all I remember! So my only bit of pain was the shots for the wire localization, which was stinging, but fairly brief.

    I have a whole tube of lidocaine from my chemo days. I keep forgetting to use it, though, since you need to put it on about 45min to an hour before... I guess I'm so used to being stuck with needles by now that I just don't remember and just deal.

    ...But I'm happy enough not to have to have worried about getting the blue dye injected when awake!

    ----

    I'm still feeling pretty good after my LX on May 8. Haven't bothered to remove surgical tape... I'll just wait until it gets loose and ready to fall off. Particularly at the SNB site, since my arm definitely rubs against it as it is.

    I finally got a copy of the last bit of my Path yesterday... My HER2 + came in as inconclusive, which is weird. But my MO said it might be because I already had chemo... and it was a bit inconclusive from the biopsy... only positive with a FISH. I'm guessing this won't change my treatment???

    I'm heading for my radiation mapping appointment today. That should be "interesting." I get to check in with all the radiation folk on the board! whee. --But really, it will be good to learn a bit more about the whole thing. I can barely keep up with all the treatments I need to do and learn about--even when they take months! It's just a roller-coaster. But it definitely keeps me distracted and not over-worrying.

    ----

    Continued good luck and wishes to those going in for surgery and those recovering!

  • PMR53
    PMR53 Member Posts: 452
    edited May 2015

    Thank you DownDog! I hope for a routine,painless LX except there are wires involved before surgery. My husband and girlfriend are taking me. My girlfriend is very logical and practical and told me to pack a bag just in case ... Planning on it being outpatient though. Hugs to all in recovery and getting surgery!

    PMR53


  • mjh1
    mjh1 Member Posts: 445
    edited May 2015

    PMR and Midgie - Best wishes for a smooth surgery tomorrrow and uncomplicated healing.  Warm hugs!!

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited May 2015

    Inderf, best wishes for surgery ladies tomorrow and all recovering. Sending mojo.

  • DayLily15
    DayLily15 Member Posts: 144
    edited May 2015

    Best wishes for pmr53 and midgiemoon tomorrow !


  • lovevt
    lovevt Member Posts: 46
    edited May 2015


    All good thoughts going your way for tomorrow pmr53 and midgiemoon !!!

  • mdoc524
    mdoc524 Member Posts: 336
    edited May 2015


    5/28/15 BMX with left side Sentinel Node Dissection & Immediate Reconstruction - Good Luck to all with upcoming surgeries. Glad I found this forum

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited May 2015

    PMR I had my lx on Monday. I plan on heading back to work tomorrow. They did my iv on my right side. I had three wires placed. You get to sit. It's not fun, but tolerable. Just wanted u to know its not so bad. Except for my very large scars and my boob "sloshing" when I walk I am doing ok.

  • Candygold4
    Candygold4 Member Posts: 14
    edited May 2015

    Lovevt, as far as driving, I tried at two weeks - took a spin around the block, and while it felt good to get out, I was very uncomfortable. After about 3.5 weeks, I started doing quick errands. Getting in and out of the car was a little rough, but tolerable… it slowly got better -- now I'm fine; I don't even feel the incisions when I enter and exit the car. My surgeon never gave me any restrictions as far as sitting. I sat at the table to eat as soon as I got out of the hospital, and I remember sitting in a desk chair trying to catch up on bills a week after surgery... I couldn't take it for very long -- loved that recliner! My surgeon lifted all restrictions at 6 weeks. At that point, he encouraged me to start stretching my legs, and he said I could go back to the gym and do anything that felt comfortable. After that, I , really started to see some big improvements, and in the last couple of weeks, I've had huge improvements….I'm able to do squats and lunges; I can crouch down on the floor - pretty much everything….. I'm very pleased! Of course, I'm still not 100%, but I see a light at the end of the tunnel.

    By the way, I think I mentioned that I too had some bumps at the scar line on the thigh, but most of them have resolved. I still have one or two which I will have removed if they don't disappear at Stage 2 surgery in July. Dr. Allen said that is no big deal.

    I think you will start to see some big changes for the better in the next couple of weeks, but especially when your restrictions are lifted.

  • april25
    april25 Member Posts: 772
    edited May 2015

    PMR53 --- I had the wire location thing... I think it's pretty common and just shows the surgeon exactly where everything is. The idea of it was a little freaky, but it's really not bad. They give you local anesthetics and you shouldn't feel a thing after that... and the wires are very fine, bendable things that they carefully wrap down and cover for the brief time before your surgery starts. I didn't bother to pack up anything (although, being prepared isn't a bad thing). I'm sure you'll be awake and ready to go home right after!

    I had the weekend to rest up and then kept resting until my post-op appointment the Wednesday after. I felt OK, really, but just wanted to make sure I healed up quickly. I had no pain (Tho I did take the pain pills because of discomfort/aches now and then for the first 3 days). My incisions were small and covered by surgical tape (still are covered). It was a bigger deal waiting on the Path report, I think!

  • PatRN10
    PatRN10 Member Posts: 332
    edited May 2015

    ditto what April said. The wire thing wasn't bad at all . Better than biopsy. I didn't have injection just tracer and just a little stingy.

    Best wishes ladies!

  • PMR53
    PMR53 Member Posts: 452
    edited May 2015

    thanks April for all the info on wires. Sounds worse than it will be. I plan on watching movies and resting the entire holiday weekend!

    PMR 53

  • MaryAgatha
    MaryAgatha Member Posts: 50
    edited May 2015

    I had my SNB on Wednesday (thank you for all your good wishes!!!). My BS took out three nodes, which she said looked pretty healthy to her visual inspection. I'm supposed to find out the results today. I hate this waiting! The procedure itself went well. The only complaint I have: I woke up from anesthesia with a very sore throat. Later I looked in the mirror and found that I have a cut on my lip and a cut on my uvula. Looks like somebody carelessly shoved a breathing tube down my throat while I was unconscious. Two days later, my throat still hurts a lot and I have a low grade fever. The incision site looks clean though. I called the hospital and they said I probably have a cold. Strange coincidence? I don't know. Today I'm just feeling cranky... and my upper body feels achy and sore. And I'm soooo scared that it might be bad news, that there's cancer in my lymph nodes and I will need chemo. All I can do is pray and wait...

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited May 2015

    MaryAgatha I hear you on the waiting! I had my LX and SNB on Monday. I had trouble with the anesthesia, so I didn't really get to talk to my BS. She was long gone by the time I came to (it took me almost two hours to wake up).  So I don't know how many nodes they took, or if I'll find out soon. I can't believe you'll know in like two days - that's awesome. I'm hoping no chemo and no node involvement for you!

  • AudreyB
    AudreyB Member Posts: 377
    edited May 2015

    Tresjoli2, please call your BS. You have a right to know what was done to your body. Even of pathology is not available, you should at least know how many nodes were removed. My BS calls me just to see how I'm doing. After my lumpectomies I didn't really remember talking to my BS so I called her the next day to just review everything. I like to believe I set a standard of communication with her

  • AudreyB
    AudreyB Member Posts: 377
    edited May 2015

    Is anyone here scheduled to start Arimidex? I'm starting to do some research and don't like what I'm hearing.

  • treelilac
    treelilac Member Posts: 245
    edited May 2015

    Tresjoli2: My BS talked to my family member in the recovery ward so he could relay the information (I was knocked out too).

  • lovevt
    lovevt Member Posts: 46
    edited May 2015

    Thanks again Candygold4.  I think the PS just wants me not to put too much tension on the suture line of the thighs.  He said he scars would heal better if I don't sit upright.  And its not comfortable anyway. I am hoping at my next visit on Tuesday the PS will lift some of the restrictions.

  • MaryAgatha
    MaryAgatha Member Posts: 50
    edited May 2015

    My BS called to tell me the good news that my lymph nodes are clean!!! She made the effort to call me today so that I wouldn't have to wait all weekend. I really love her. She always makes herself available via email too. I feel so fortunate to have her as my BS.

    Tresjoli2, I hope your waiting is over soon too. And I hope it's good news for you as well.

    I also had a hard time with anesthesia. They had a hard time knocking me out and had to drug me pretty heavily so I had a hard time waking up. I didn't see my BS either when I came to. She had talked to my husband and he relayed the information to me. That must be typical. If you didn't have a caregiver who obtained information on your behalf, you should certainly call your BS and find out the details. I agree with AudreyB that you have the right to know.

  • lovevt
    lovevt Member Posts: 46
    edited May 2015


    Great news MaryAgatha!!!!  Enjoy the weekend having that off your mind.

  • mysunshine48
    mysunshine48 Member Posts: 1,480
    edited May 2015

    Audrey, There is a good page on here called Arimidex Users...... I will be on Arimidex when chemo and exchange surgery is over and have been reading that. Evidently, there are different manufacturers and the one most mentioned without a lot of side effects is Arimidex by TEVO.


  • little-k
    little-k Member Posts: 24
    edited May 2015

    That's great news MaryAgatha!

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