July 2015 Surgery Sisters

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  • Bunnybumps
    Bunnybumps Member Posts: 75
    edited June 2015

    Hi, this is my first post, too. I've been lurking around the boards for a while now. My surgery date is scheduled for July 20, but I'm not meeting with the PS until July 1. In my meeting with the BS it sounded as if I'll be having the DIEP, but I'll know more what my options are when I meet the PS.

    A little about me: 44 years old, married, no kids, one cat. No history in the family (not even a distant cousin), IDC left breast, 1.3 cm, ER-/PR+/HER2-, Ki67: 61%, diagnosed 5/28/15. Already a complicated medical history with fibromyalgia, peripheral neuropathy, 6 meningiomas (benign), a couple of autoimmune disorders, and a previous hysterectomy (uterus and cervix) for adenomyosis. I chose a bilateral mastectomy because, as the radiologists have put it, scanning my breasts is like scanning rocks. They're so dense and have so many questionable areas (my breasts, not the radiologists!) that I will probably be in for loads more biopsies in the future. I can't deal with the excruciating wait over and over again. And I don't want more surgeries; I'd rather get it over with in one go.

    I'm trying to prepare as much as I can, but I find some of the suggestions a little confusing, like surgical bras and such, I guess bc I haven't discussed the surgery yet. I did find this great product, though, that I ordered just in case. They're call Pink Pockets and they are reusable/washable adhesive fabric pockets that you can put on the inside of your shirt to hold your drains. I don't like the idea of using safety pins with the neuropathy in my hands (and feet) as well as fibromyalgia, so I think these are a better option.

    I am very lucky to have an amazing and supportive family who are going to look after me, as they have so generously in the past. I'm also starting counseling with a great breast cancer program at a local university. This web site and these boards have also helped tremendously in the last month.

    I want to wish all my July Sisters the best of luck in your upcoming surgeries and I hope you will all post again with your progress!

  • Js5
    Js5 Member Posts: 17
    edited June 2015

    Hi,

    I am 42 years old, married with 3 teenagers. After biopsy, I was diagnosed about 2 weeks ago with DCIS, grade 3, ER+, PR+ in my left breast. I am currently scheduled for surgery on July 1, but I think I am going to move it back a few weeks because I still don't know what I want to do. BS is ready to do lumpectomy but I am not sure that is what I want. I am also considering bilateral mastectomy with flap reconstruction. I did genetic testing this week and hope to have results in a few weeks. I also had an MRI which prompted them to set up an MRI guided biopsy to look at a cloudy area in my right breast next week. I have another consult set up with BS the week after that. I know that everyone's story is different and I have to figure out what is best for me. It really helps to hear about other experiences though.

    At first, my husband was the only one who knew and he has a very stressful job so I don't want to put more pressure on him. He is very supportive and will do whatever I need. I talked to two of my friends who were diagnosed in their 30's and both had bilateral mastectomies with reconstruction. Then I told my mom because I needed to get more genetic information. Other than that, no one knows yet and I think that is the hardest part. I am waiting until finals are over next week to talk to the children. And after that, I can begin to tell my friends and get support from them. However, I am sure this board will probably be my best support as you are all going through similar issues.

    Thanks for listening, J

  • Yeg9525
    Yeg9525 Member Posts: 16
    edited June 2015

    I was not given a grade for my DCIS... I do know that it is ER and PR + ... I am not sure about the HER2 either?


  • sailorgirl15
    sailorgirl15 Member Posts: 114
    edited June 2015

    I am not that well versed but have you made all your surgery decisions without this information? I'm just curious as to the thinking that is driving your decision without these details. Do you have the pathology report? I'd start by getting that from your doctor.

  • jlstacey
    jlstacey Member Posts: 277
    edited June 2015

    I'm having a little pity party right now. I think it's mainly from chemo taste and fatigue. I only have more round left, but this week the chemo taste seems to be the worst it has been since my AC chemo.

    For the others having a BMX, what are you doing to prep for surgery? I've gotten a wedge pillow, and a few pairs of button down pajamas. I'll get a mastectomy camisole too. I'm not sure what else I need to do.

    Jena

  • MizMimi
    MizMimi Member Posts: 98
    edited June 2015

    Hi Jena! I'm sorry your taste is affected so much with the chemo. That really sucks! I hope that goes away soon for you. I hope your energy returns soon, too!

    As for prepping for surgery, I am only doing one thing right now. I have about one month to prepare. I have a bed recliner thingy stored away in the shed.. I have to bring it down and see (I pray!) that rodents or some other bug didn't make it a house in the 10+ years it has been in there. If it's good, I plan on using that in bed to help me sleep upright. I also have a regular recliner I can use.

    Back to what I am currently doing-- skin prep with coconut oil. Since I got my diagnosis a month ago, I started spreading coconut oil all over my chest and underarms, breasts, nipples, upper chest every night to conditon my skin for the incisions. I had been using it on my skin and hair prior to this, but not every day and not all over my chest. I really hope this helps me heal better. Coconut has a lot of good properties to it, such as antifungal and antibacterial, but I'm mostly using it for a deep moisturizer.

    That's it for now. I do need to buy more button down PJ's.

  • EmmyJ
    EmmyJ Member Posts: 16
    edited June 2015

    Jena, You must be so relieved to only have one more round left. I hope you are feeling better!!

    I haven't done much prep at all, but I am going to start tomorrow. I really have to...only 17 days left...eeek!!. I have been focusing so much on all of the paperwork end of it, that I put off getting everything else together. If I never had to deal with insurance companies ever again, I would be ecstatic! I started making my list today though. I definitely need to buy some new pajamas and a few more pillows.I am getting my hair braided before I go in for surgery so I don't have to worry about it for a few days. I have always wanted to be a UFC fighter, so at least I can have that look going for me I have a prescription for 2 camisoles, so I am going to pick them up this week. I think I am more prepared for everything at home, rather than the hospital. I was never even told how long I would be there, so I don't want to go overboard with the packing...like I did when I had my first baby.

    MizMimi, I love your coconut oil idea! I am going to try that out too!


  • EmmyJ
    EmmyJ Member Posts: 16
    edited June 2015

    Minor rant....and one of the reasons I shy away from telling people about my pending surgery:

    I am very aware of the pros and cons, and I am definitely not going under the knife naively. Well, I was asked by an acquaintance why I had been going to so many doctors, and I figured I would just be honest and tell her. Her response? "Oh! So you are one of those CRAZIES that overreacts and jumps to conclusions." I so badly wanted to show her how crazy I can be, but I decided to tell her that if she had witnessed half of the shit I did or experienced half of the anxiety I do, she would understand.

    Moments like this, I wish my mom was still here. I know she would back my decision 100%. Thankfully, the rest of my family is super supportive.....but boy oh boy did I want to give that chick a roundhouse kick to the face!



  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    EmmyJ -- oh my, I can't believe the things people say! It boggles the mind.

    Bunnybumps -- welcome to July surgery sisters and I'm adding your name to the list at the top.

    Js5 -- welcome, and tell us when you decide on the surgery date and I'll add it.

    Jena -- I am starting with coconut oil today thanks to you! Great idea.

  • Skysquirrel
    Skysquirrel Member Posts: 41
    edited June 2015

    Hello, I will join! My surgery is scheduled for July 10. I am having a lumpectomy with sentinel lymph node removal. Sorry I don't know all the abbreviations, this is all very new for me. And from what I am reading, my surgery seems a little puny compared to a lot of yours! I hope I can still join in.

    I am 41, had my baseline mammogram, was called in a week later for additional views and ultrasound and then had a core needle biopsy a couple days later. My primary dr called and coldly told me I had cancer and that he would set me up with a general surgeon. I didn't like that and set out to find someone who specializes in breast surgery. I did, and I love her! My BS spent 2 hours with me explaining everything which I thought was amazing :)

    She seems to think I need to take 3-4 weeks off of work after this surgery, does that seem like a lot of time? I was a little shocked but I really have no idea what to expect. I have been doing a lot of reading to try to cope with all of this. Its crazy, less than a month ago everything was fine. I still can't feel the lump and I feel fine, Its a little unreal.

  • jlstacey
    jlstacey Member Posts: 277
    edited June 2015

    EmmyJ, I'll give that person a roundhouse kick to the head for you! Everybody has to make their own decisions, and I try my best not to judge. I don't "need" a double mastectomy, but I don't want to go through this all again if possible. I could still have a recurrence elsewhere, but it greatly reduces my chance of a new primary breast cancer. In the flip side, I have a friend who has had brain cancer, ovarian cancer and breast cancer three times. She still.has her breasts- she has done lumpectomies. I don't understand her decision, but it is her decision, not mine.

    I am so relieved to have less than three days until my last chemo!

    I'm going to start using coconut oil too! Does it feel really greasy? I cook and bake with it. I have no hair, so o don't have to worry about how to shampoo after surgery!

  • Yeg9525
    Yeg9525 Member Posts: 16
    edited June 2015

    Wow Sailor... Did you even bother to read my earlier post? Maybe this is not the group for me...I thought we were supposed to be here to support eachother. Yes, I DO have my pathology report...it just says intermediate... No grade number. There is nothing that lists the HER2. My decision was based in part on my last battle with a rare high-grade cancer - after 2 major surgeries, 6 months of chemo, and countless scans - I dont want to take the chance by not doing every everything I can to can to reduce my risk of this coming back.

  • Yeg9525
    Yeg9525 Member Posts: 16
    edited June 2015

    Ispy... If I stay in this group, my surgery date is July 27th

  • Yeg9525
    Yeg9525 Member Posts: 16
    edited June 2015

    JLStacy... I bought some PJ's that button down the front... I have some meals already put up in the freezer, I have my Mom and my sister in law coming to help me. I don't have a camisole yet... Not sure where to get one... I guess I'll look online.

    As for the chemo... Once you are finished, things should get better. I have been there...I went through 6 months of chemo for another Cancer. Just eat whatever you can tolerate... It is important to keep your strength up

  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    skysquirrel welcome! and yes, all types of surgeries go in this forum. I have had a lumpectomy and depending on the job, I could have gone back to work in about two weeks. However, I didn't have a lymph node removed. So that is where the extra two weeks probably comes in. You definitely do not want to do too much, and if the doctor says it takes that much time, then take it.

    Yeg9525 I changed the date. I think Sailorgirl15 probably didn't realize that her questions sounded a little demanding. She may have just been curious/concerned. It is hard to get tone of voice in text. However, I understand your reaction: this is the hardest decision I've ever made in my life, and for some reason people feel the need to challenge me on it. But don't disappear on us, this is your thread for your July surgery date!

  • Bunnybumps
    Bunnybumps Member Posts: 75
    edited June 2015

    EmmyJ, I can relate, as I'm sure many here can. I have people who are constantly texting/calling to see if I'm ok, what's going on, why am I doing that, what does it mean, etc., people who will only contact my husband or family (which ok, I get it, but I have breast cancer, not elective mutism). And then I have one or two friends who have made similar comments and don't seem to want to ever speak to me again (nertz to them!). One or two of my coworkers, while expressing concern, even commented along the lines of, "well, you always take so much time off anyway..." Ya know, cause I wanted this.

    Dealing with chronic illness is something I'm used to, but this is a whole other strange, twisty, leaky kettle of fish. I just started a great counseling program at a nearby university to help deal with my brand new feelings. Sometimes when I talk with someone I find myself either comforting them or defending/explaining my decisions. I'm so sorry that woman had the cheek to say something like that, and I can only *try* to feel sorry for her that she has no compassion, comprehension. What an ugly place she must be coming from. I hope you never have to feel you need to explain yourself or your decisions. You only have one life, right? You must live it and make the best decisions for yourself and no one else. Best of luck!!

  • Skysquirrel
    Skysquirrel Member Posts: 41
    edited June 2015

    People are assholes. I am sure I have said some dumb things to people before but damn, have some compassion!

    I think you ladies are very brave and I will be praying for you 😘

    I am having a hard time telling some people because I always feel like I have to comfort them. It's so draining some days and I feel bad about it

  • MizMimi
    MizMimi Member Posts: 98
    edited June 2015

    Hey ladies-- to all of you who are going to join me in my coconut oil idea...use the extra virgin unrefined type and just scoop into your hands to warm it up and rub into your skin. It is just slightly greasy but it soaks up nicely and your boobs will feel soooooooooo soft!!!

  • EmmyJ
    EmmyJ Member Posts: 16
    edited June 2015

    Thank you all for your kind words. This whole "people understand where you're coming from" thing is very new to me haha. It really means a lot.

    Yeg9525....Don't leave! I think Ispy hit the nail on the head with the fact that tone is really hard to decipher through text.....You can ask my husband because we bicker about it all the time :-) I hope you stick around though!!!

    Jena...exactly! We have all made the decision to do what we feel is best. I try to tell myself that I owe no one an explanation, but I still feel the need to defend myself. it gets so tiring though. As for the coconut oil.... I have used it on my hands before, and it was fairly greasy, but I have whipped it with a hand mixer and added essential oils, and it seemed to lessen it...and it smelled great, too.

    I tried to buy some more stuff in order to prepare, but I couldn't find any button down pajamas. I will have to search again tomorrow. I HATE shopping for myself. I am 5'10" and "built like a linebacker" (as my PS pretty much told me), so I have a tough time finding clothes that fit correctly. I think I might just live in a robe for a while.

  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    Emmy I'm 5'10" too! I got the "mastectomy kit" from this place:

    http://www.healincomfort.com/

    And it is very nice. The shirt is satiny and has four pockets on the inside to hang your drains (for the MX girls). Emmy I got the XXL and it is a tad big but who wants tightness, right? I think with the surgical bra and everything it will be perfect. It also comes with a lanyard to clip the drains to when you take a shower. And something else I can't remember. But it was very nice.

    I was planning for my graduation from UC San Diego this past weekend, which meant finals plus out of town guests plus ceremony and then party. BA in Writing, Summa Cum Laude. :) Now I get to plan for PBMX. First I am having a spinal angiogram day after tomorrow. Long story short: I had an MRI to check for the source of back pain, and they incidentally found that the veins in my spinal cord were engorged with blood. Turns out I had an irregular connection between an artery and a vein in spinal cord, acquired who knows when or how, and the artery was forcing high pressure blood flow into the vein. This is very rare and normally only found AFTER the person becomes a paraplegic for life. So the angels were shining down on me: I wouldn't have gotten the MRI if I hadn't had breast cancer -- the orthopedist was worried the cancer might have spread and so ordered an MRI; it hadn't spread, but they found this. I already got a spinal angiogram in February and they put glue in the artery that was bleeding. Wednesday is just a follow up angiogram to make sure the connection (called a fistula) hasn't re-created itself. Long story after all, but just explaining what fun things I'm doing before my PBMX.

    woo hoo!

  • EmmyJ
    EmmyJ Member Posts: 16
    edited June 2015

    Thank you, Ispy! I am definitely going to check that out. Good thing you got that MRI! That's crazy. I hope everything goes well with your follow up. Keep us posted. Also, congratulations!! I have my BA in Tv, Radio, and Film from Newhouse at Syracuse University....where, I focused in writing, as well! I am sure it has been a whirlwind with everything going on, but I hope you get the time to really soak up the fact that you have accomplished something so wonderful. You deserve it!

  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    Thank you Emmy! Look at us tall girls with degrees in writing.....

  • MizMimi
    MizMimi Member Posts: 98
    edited June 2015

    Ladies.. I just posted this in the DCIS forum and I'm going to post it here for your advice, too.. thanks in advance. I am pretty upset at my BS at the moment!!

    My BS just called me to tell me that he just heard that my BRCA was negative and asked if it was true that I had scheduled a surgery for DBL MX (apparently he was out of the country when the PS scheduled it with his office) instead of the original LX/radiation tx we orig. discussed.

    After I confirmed that yes, I indeed was choosing this surgery he said "You understand you only have DCIS?" I said yes. He said "And you want to remove this breast and the healthy breast, too?" I said yes. He says "That is totally CRAZY! You only have DCIS and it's not cancer yet!"

    I then asked him if the cells in my milk duct are malignant, Grade 3 comedo necrosis and he said yes. And I asked him if the cells that are malignant.. are they cancerous cells? "Yes". Well, then it's CANCER.. it just hasn't spread yet, right, I asked. He said "TRUE."

    I said I want to avoid radiation. He asked me if I understood what a major surgery this is going to be and I said that I did. He finally says "Well you're the patient. If you want to avoid radiation, that is your choice. I can't make that choice for you."

    I felt dismissed! I feel like he is not on board with my decision and to call it crazy??? How unprofessional. Plus now he says he has to change my surgery date, too..!!!

    I know I do NOT want radiation. But now I'm wondering if I should consider saving my healthy breast?? I don't want to second guess my decision to remove both breasts and hopefully not have this come up again in my future!!

    Any thoughts ladies??

    FYI-- this BS is one of the top docs at our prestigious university and has been involved in some of the major studies on breast cancer. He's a professor, too.

  • Js5
    Js5 Member Posts: 17
    edited June 2015

    MizMimi,

    Don't second guess yourself. If you made the decision to have a double mastectomy, you should not let your BS convince you otherwise. You need to make the choice that is right for you.

    I am in a similar situation; DCIS in left breast, ER+, PR+, grade 3 and comedo necrosis. I am still waiting on results of genetic testing but I don't think the results are going to affect my decision. I have another biopsy tomorrow on the right breast, but even if that is not cancer, I still think I will do the BMX. I am 42 years old and I don't want to be worrying for the rest of my life.

    I felt like my BS was also pushing toward lumpectomy and radiation. I have a second opinion with another BS this week and then a follow up consult with my original BS next week. Both are women, not sure if that helps but I feel better about it. We will see what they say about my decision.

    I am sorry that your BS said those things to you. You should not have to go through this and have your decision questioned by anyone. It is your life and your decision. Good luck!

    J

  • MizMimi
    MizMimi Member Posts: 98
    edited June 2015

    Thank you for your reply! I'm still reeling from this total upset to my well laid out plan. I would be very interested to hear what your second opinion BS tells you. I may have to consider switching doctors, but he is so good at what he does, yet how can I let him operate on me when he clearly is not in agreement with my choice?

    Maybe I will have to find a female BS, too. This university clinic selected the BS for me and I guess he is one of the top doctors there. They all work together, so switching to another doctor may be awkward...I'm not sure I should care, though.

    Thanks again for your insight.

  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    Mizmimi I know this is really hard. You didn't mention the size of the DCIS -- how big is it? If you are talking about removing a tiny bit of tissue (and seriously -- look at a ruler to see how big it is) it may be worth thinking twice about. A study was done that showed that having a mastectomy does not increase survival rates vs a lumpectomy with radiation. Here is the link to an article about that: http://ww5.komen.org/BreastCancer/DecidingBetweenM...

    Do you have a family history of breast cancer? (you may have mentioned it earlier in the thread). Dense breasts? Is this a recurrence? In other words, are there other risk factors?

    When I had just DCIS, I absolutely chose the conservative route: in fact, I just had a lumpectomy with no radiation. Because my DCIS was very small, 2 mm, I didn't get too much argument about the radiation. And realize that you don't HAVE to have radiation, it is recommended; however, no one will put a gun to your head and make you have radiation.

    Now that I have a recurrence of something that has to come out (probably DCIS but we won't know for sure), coupled with all of my risk factors like family history and dense breasts and Atypical Ductal Hyperplasia (pre-cancer), and SIX breast biopsies, I am opting for a PBMX. But even my bs was like: "Are you suuuuuuuure?" and this was after she brought it up!

    One thing that I think your bs may be dealing with/concerned about, is the "angelina jolie phenomenon": she made it sound so easy, like it was no big deal. I'm not blaming her, she didn't owe anyone an explanation at all, but I've seen posts on this site where women really thought it wasn't going to be that big a deal, and from my research it appears this is a gruesome surgery and a gruesome recovery, with a 50% chance of complications from reconstruction. This is going to be brutal. We can get through it, and things get better, but this is not to be entered into lightly. Your bs knows that, so he is thinking why on earth do you want to go through that when you really really don't have to?

    I struggled so much with my decision I don't want to suggest that you continue to struggle, but if I were you I would take a second look at your breast surgeon's opinion. Perhaps get a second opinion as well from another qualified oncological bs.

    :)

  • EmmyJ
    EmmyJ Member Posts: 16
    edited June 2015

    MizMimi, it's amazing how much somebody's tone or selection of words can change how it affects the other person. "It's just DCIS" minimizes the intense feelings that come with knowing there is something growing inside your body that shouldn't be there. "That's crazy" again makes it seem as though your feelings and decisions are invalid. A simple change of wording would have been much more helpful and professional. At the end of the day, it is your decision. Personally, I haven't even been diagnosed with anything, and I am getting a PBMX. I don't want that little voice in the back of my head that questions every new lump/pain in my breasts. I don't want that anxiety between scans every 6 months. I met with my mother's BS (I couldn't believe he was even still around... he hadn't seen me since I was 5 or 6!) and after a very long discussion of the pros and cons of PBMX, he said, "Well, we could do more extensive genetic testing, but would that put your mind at ease? You need to do what you feel is necessary in order to be able to LIVE your life."

    A second opinion may just be what you need. If a doctor can maintain a bit of compassion along with their opinion on what procedures would be necessary, it may change your mind....or it could solidify your original choice. It is whatever you feel in your heart will help you live your life as worry free as possible.

  • MizMimi
    MizMimi Member Posts: 98
    edited June 2015

    Hi Ispy.

    Thanks for your response. My DCIS is 1.5 cm in left breast. It is grade 3 comedo necrosis. I have had one excisional biopsy. I have very dense breasts. Yes to family history-- mother and grandmother.

    They said if I don't have radiation with the lumpectomy that it has a high chance to recur. If I do radiation, it will set me up for heart issues. I have a family history of heart disease and I have elevated cholesterol and now on blood pressure medication. The radiation raises the risk of increased heart disease, more so than someone without this family history.

    I could consider uni mx but getting the left breast to match my augmented right breast is not possible without changing the right side implant and so both breasts will need surgery regardless.

    And with my family history, I'm worried that I will have to face this again if I just do a lumpectomy.

    I did read that linked story, thank you. I'm sorry you have had a lot of trouble with your breasts. Thank you for your insight. I have a lot of thinking to do

  • I_Spy
    I_Spy Member Posts: 507
    edited June 2015

    Mizmimi -- it sounds like you have done a lot of thinking, and that you are high risk. I'm with you on having the breasts match; plus, with your high risk, why go through it and leave the risk there? My bs sent me reeling when I went in to sign papers and she said "Are you surrre?" and I said: "I thought I was!" We literally debated for 10 minutes (I don't want to take tamoxifen either). Once I supported my position and then said "I thought about this for a week solid," she said "Ok. Let's do it". By the way, she told me a study was done and women are generally happy with their decision -- whatever it is! So women weigh all of the facts and make a decision and then they stick with it and are happy with their decision.

    Also realize that doctors have a lot of patients -- they don't necessarily have every fact of your case and your high riskness floating in their heads. While I was debating with my bs, I forgot to remind her that when we did my lumpectomy there was ADH in the margins; there are no studies on whether this is a "clean" margin, although I can't see how it can be considered clean when it has pre-cancerous cells in the margins. Anyway, my point is that wasn't on the tip of her mind. Maybe go meet with your bs for a consultation and just go over your reasons for your decision and let him be devils' advocate -- it actually helped that my bs did that. And anyway I bet he wouldn't be doing it at all if he truly felt it was "crazy" -- he would refuse to do a surgery that was completely unnecessary.

  • plumster1
    plumster1 Member Posts: 270
    edited June 2015
    Hi all-

    I will be having a Lx July 23rd with IORT ( intraoperative radiation therapy ) also the BS will use the margin probe. I always thought if I was in this position, for me it would be a no brainier, BMx. But it just shows how individualized every person's treatment is. I was diagnosed a week ago with IDC. MRI shows it 8mm grade 1 er/pr + (95%) her2 - and my ki67 <5%. After consulting with 3 BS, it seemed Lx was the way to go. I have not seen much on the boards about the IORT but i like the fact that it is a one time shot during surgery. So a lot of traditional radiation side effects are avoided. Of course feeling nervous, but good about my decision. I hope we all have the best possible outcomes with our individualized treatment plans!

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