OFF now have to pick up DBF from work. Hope everyone has a good night. I'll check on you before I got to bed. Bless you sassy

Solfeo I asked Retsky about you question re delaying recon. He located this article and made this comment

Retsky "There is a paper noting that reconstruction after a long delay from primary
surgery produced a noticeable number of relapses. Definitely left me the
impression that ketorolac should be used in reconstruction and probably any
surgery during the period of risk of relapse."

Isern et al recurrence and reconstruction, BJSurg 2011.pdf

See abstract a few boxes below

Homemom this likely applies to further surgery after the initial tumor removal. I haven't looked at it yet.

stephy not platlet transfusion. I wanted to know what your platlets preop and post op. Yes, yo do need a transfusion. not quite awake yet

This is very important Tell the nurse the blood has to be LEUKOPOOR packed red blood cells. Call her right now. Refuce it if it's no LEUKOPOOR.

It's pretty well the standard of care., but just to be sure.

I'll explain the rest latter.

Rainey did okay, but tired she'll post later.

Solfeo, I'll get it figured out, but at least you have his answer

.

Okay, all the chicks are in the hen house All is right with the world again

Stephy your statement " looking through this thread I now see blood transfusions can cause reoccurance feel like I'm in a no win situation here toradol caused bleeding now I'm having to do more things to my body I didn't realize the study was done on all trip neg cancers as well wonder if it has to do with the fact they don't have ongoing treatment" They're two parts to your statement

1. "transfusions can cause recurrence" What we learned from articles/ study brought to us by either 123 or Falls, is a transfusion of our OWN blood(autologous) can cause a recurrence because of the actual circulating cancer cells are being given back to us in the transfusion of our own blood. Therefore, a contraindication(absolute no no) of an autologous(our own) blood transfusion should be know by every cancer patient. We can't depend, at this point in time, that the wider medical community knows this.

In regard to receiving a blood transfusion from another person. The blood must be treated so that it is Leukopoor. Leuk is the root word for white. The blood is treated so that the white bloods cells are removed. The reason the white blood cells are removed is once in the body they would activate the immune response. The immune response starts the inflammatory chain of events. As cancer patients we know inflammation is our enemy. Inflammation encourages. the growth of cancer cells either dormant, circulating, or in the original tumor bed . Leukopoor blood is generally the standard of care in the USA. If you are reading this from another country, you would need to demand only leukopoor blood be transfused.

Now before I move to the next portion of Stephy's concern, I need all my team mates to tell me if this is clear information. Remember what we write here is being read in many countries.

2." I didn't realize the study was done on all trip neg cancers". Stephy (and all ) this is from the post(page9) Re: Dr Retsky grant application in Nigeria. In Retsky's conclusion of his study, he posited/suggested that the fastest way to prove the theory that Toradol prevents recurrence was to do a study of TNBC patients because they have the shortest time to recurrence. The reason he mentioned Nigeria, is BC is at an advanced level at diagnosis b/c they don't use mammography. Plus, as a population they have a high number of TNBC hormone status patients. Which as a community we know, is the most difficult to treat. The Nigerian Government is interested in preventing recurrence. So, if a study is done on the Nigerian BC TNBC patients it will 1. prove or disprove the theory in a relatively short time as studies go. 2. It will help the Nigerian women that have limited access to cancercare resources. A two for one win.

Again my friends, please, let me know if this is clear.

Cp418 Thank you for jumping in to help in my absence. As you probably have already read, what I've been asking Stephy for are her platelet lab values preop and postop. If her platelet levels were below a certain lab value then a platelet transfusion would be the treatment

Now this brought a buried memory back which is of benefit to us in the BC community. Platelet transfusion can stimulate an immune response. Immune response stimulates an inflammatory response. Inflammation is the enemy of the cancer patient. SO, IF YOU ARE EVER IN NEED OF A PLATLET TRANSFUSION, THE WAY TO LIMIT THE INFLAMMATORY RESPONSE IS TO DEMAND A PLATELET TRANSFUSION FROM A SINGLE DONOR.

If you need a definition further than this statement , please, google it or ask your practitioner to explain. We have so much already here to remember, I don't want to muddy the waters.

Stephy TRUST ME lol this is why you should trust me...............I know my chit... I was a leader in teaching trauma care in the 70's and 80's I helped write the first Prehospital Trauma Life Support (PHTLS) book in 1985. Over 300,000 now are certified in PHTLS worlwide. I trained hundreds of paramedics in the program I ran. Trained residents and nurse. I know this chit.

CP418. You are an absolute asset here. Thank you for joining and I hope you stay forever. LOLwe all have rusty memories, we all have been poisoned with numerous drugs. We all need each other to keep things right.

Stephy, Toradol didn't drop your platelet count. Something else did.

Toradol interferes with platelet aggregation. That means it prevents platelets from clumping together to clot. Toradol does not damage, or prevent new formation.

Something else caused your platelets to drop and possibly interfere with their new formation.

Stephy, I'm getting worn out. I'm getting the feeling you aren't reading my posts.