November 2015 Surgeries Thread?

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  • new__me
    new__me Member Posts: 128
    edited December 2015

    Hi ladies. Just checking in. 11 days post op. Recovery going well. No pain at this point, just minor discomfort handled with Advil. Pleasantly surprised at how comfortable the TEs are. I expected misery lol. PS put in 250cc in both sides at surgery. I saw him today for 2nd follow up. Left breast is healing well. Right breast is not. Skin along incision has turned black. PS opened the oncision and cut away the dead tissue. Restitched and prescribed antibiotics. I have strict orders not to move my right arm too much. Also still have 2 drains. Won't pull them until each one is under 20 for 24 hrs. Currently at 35 each. am to go back thursday morning when he will unwrap it and see if the dead tissue is gone. I am very worried. Things were going so well. What if the tissue continues to die farther and farther out? I have heard about wound necrosis but never dreamed it could happen to me. I have never had healing issues. Have any of you heard about necrosis?

    Diane

  • Mominator
    Mominator Member Posts: 1,575
    edited December 2015

    Welcome Deaconlady!

    We are a lively bunch of ladies with several different diagnoses in this thread. Most of us had surgery in the month of November, and a few ladies had their surgery earlier and dropped by to guide us. (One lady, letsdothis, was scheduled for November and got bumped to December because of a respiratory infection.)

    I hope you find the support you need. We talk a lot about our surgery and recovery here. If you want more info about your situation, there are many other boards as well, such as lumpectomy lounge and DCIS. I'm not saying we can't help you, just that many ladies are active on several boards, so that's an option.

  • Mominator
    Mominator Member Posts: 1,575
    edited December 2015

    new-me/Diane: (((gentle HUGS))) We are in the same boat. I had black patches on top of my aureoles along the stitches on both breasts. It is caused by the lack of blood flow to those areas post surgery.

    My beast and plastic surgeon doctors watched the patches very closely. Part of them both recovered but not all.

    Last week, day 13, my PS made the decision for the debridement, which took place this Monday, day 19 I trust my PS that he got all the dead tissue.

    I'm sure that this is one of the many reasons we all are followed closely week to week.

    There are many other causes of necrosis in wounds (diabetes, infection, etc.), but both you and I were in excellent health before our PBMX and we don't have those risk factors. Our black patches were caused by the trauma of the surgery. I don't expect more patches to develop.

    You can talk with your PS about your concerns and ask if he expects this to be an ongoing problem. It sounds like he's striking a balance between being conservative not to take too much tissue and being careful that he got all the dead tissue.

    Sending you many more (((gentle HUGS)))

    Love,

    Madelyn

  • Natejordlee
    Natejordlee Member Posts: 61
    edited December 2015

    Hello Ladies. It has been awhile since I wrote but I have been following all your posts and happy to see for the most part we are all doing well !! I have had a bit of a rocky road but things are looking up. I am almost 4 weeks post op, my surgeon didn't do drains and I have developed a Seroma that has been drained 5 times ( 400-800 cc's each time) so my radiation is postponed but the good news is that my pathology came back and I have what is considered a complete response to treatment ( I had Chemo before ) and there is no sign of cancer :) Since I have IBC I still need to do radiation but it is the best Christmas present ever. Stay strong ladies and for those entering Chemo , stay strong and advocate for yourselves, it is temporary and you will get through but use the boards to ask questions and vent, lean on people and accept offers to help, there will be ups and downs for sure but in the end you will all kick cancers ass !

  • TikkasMom
    TikkasMom Member Posts: 83
    edited December 2015

    Oncologist appointment done.

    No need for chemotherapy or radiation. Thankful

    Wants me on Armidex. Anyone else on that? Thoughts???

  • marijen
    marijen Member Posts: 3,731
    edited December 2015

    Well...because you asked.....my first thought is you have invasive ductal carcinoma and no chemo or radiation? You might want to get a second opinion on that. It sounds too easy.

  • Thundergal
    Thundergal Member Posts: 12
    edited December 2015
    Hi ladies, I've been off the grid since my DMX last Wednesday and this is the first time I've had the energy to log on and catch up on how the rest of our group is doing. 7 days post surgery and I have swings of feeling really good to feeling a good bit of pain and discomfort. The tightness in my upper chest is the worst because It makes it hard for me to take a deep breath, which leads me to tense up, which increases the anxiety - a vicious circle to which I know you can all relate😫. I am trying hard to not use the Oxycodone as much as I was right after surgery. I find that I can tolerate not using that and that the muscle relaxer is equally, if not more helpful than the pain meds. Last night and today, I skipped three medicine times, and while I felt OK for a few hours, the pain became really bad again late today, so I am back on the pain mess as directed. My husband has been tremendous in taking care of my 4 drains. All are good, according to the home health nurses who have visited this week. One drain, though, is continuing to increase the amount of fluid its collecting. I see the PS tomorrow for first follow-up and I'm hoping he'll remove the 2 that are collecting very little. The drains themselves are such a weird feeling for me. I feel tethered to them. My final pathology came back today. Surgeon took 7 nodes out during surgery and all came back benign-yay! Will do Oconotype testing and see what number results. I am feeling that even if the score comes back low, that I would still advocate for chemotherapy to be as aggressive as possible in preventing or minimizing the likelihood of recurrence. I'm 51 years old and in great health, so if chemo can kill even one rogue cancer cell that may be lurking somewhere in my body, it seems a small thing to do. Thoughts?

    I, too, have so loved reading our thoughts, questions, challenges as we all move through this together. What an incredible group of fierce women we are!
  • Live4them
    Live4them Member Posts: 65
    edited December 2015

    Marijen -- is that for Tikkasmom ? I only ask because I also have IDC and Invasive lobular carcinoma , but clean margins and also clean nodes and since I had a masectomy they told me no radiation. I go to the oncologist on Monday and my BS thinks he probably won't recommend chemo either... What should I ask when I go? I have already decided I want that oncotype DX test done ... But are there at her things I should have them look at before sending me on my way with no chemo or radiation? That is what I'm worried about 😁 I'm. Not sure if you ladies had lumpectomies or mastectomies I guess that would make difference also ... Wish we all had a crystal ball !

  • Live4them
    Live4them Member Posts: 65
    edited December 2015

    Thundergal-- I also hated taking the narcotic pain pills but you have to take something so,it doesn't get out of hand . At 1 week post op I would take my Vicodin ( I don't tolerate Percocet well ) in the morning and late at night for bedtime , through out the day I would take regular extra strength Tylenol 2 of them or Motirin 800 mg .. I varied depending if the pain was tightness ( Motrin ) sharp pains I would take Tylenol.. But don't allow the pain to get to bad , maybe cut the oxcodone in half if you don't want the full amount .. If you're in pain you won't be moving around and stretching as much and I think it'll cause more pain at the end .. Again I'm not a doctor just speaking from my experience .. You'll feel so much better when they start removing your drains . And lucky you for having home health and a fab husband. Hope your feeling better with each passing day

  • Jblmom
    Jblmom Member Posts: 22
    edited December 2015

    tikkasmom...


    I'm still waiting on my oncotype score. I have IDC that was 1.5 cm, no lymph nodes and he is not recommending chemo at this point. I told him that I want to go for it even if I have intermediate scores. He is hesitant because of the many long term effects that chemo can have on bone marrow and the heart. He wants me to take Tamoxifen for 10 years. I'm only 37 and so I think he will switch me to something else once I am menopausal. Either way, I'm still nervous about not having chemo. My hope is that the score will either be so low, that there is no reason to be worried, or high enough to convince him that I need it.


    I'm trying to do exercises too. My surgeon cautioned me about frozen shoulder as well. I find it easier to do some stretches in the shower or right after I take a pain pill. I'm down to just taking one or two in the evenings

  • TikkasMom
    TikkasMom Member Posts: 83
    edited December 2015

    Thanks Marijen, Thundergal, Live4them and Jblmom,

    His reasoning was tumor was small, I had double mastectomy and all 5 lymph nodes removed were clean.

    Still interested in your thoughts.



  • marijen
    marijen Member Posts: 3,731
    edited December 2015

    Hi Tikkasmom and Live5them,

    Tikkasmom - I didn't see that you had double mastectomy. Live4them, I think it's different for mastectomy. I'm still learning and I was just responding to tikkasmom's question. There are others here more informed. Stayed tuned and you'll get your answers. : )

  • cjafarm
    cjafarm Member Posts: 44
    edited December 2015

    Tikkasmom,

    I also had the double mastectomy for a very small cancer. Initially the BS wanted to do lumpectomy and radiation. But after discussing my history with the other breast we mutually decided for the double.

    I also was adament about not wanting radiation.

    Margins and lymph nodes were clean. Will meet tomorrow with MO to discuss hormone inhibitor. I am post menopausal.

    Will let you know what drug he recommends.

  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015
    Well I also got good news today! Earlier this week the genetic assay they did ( MammoPrint - it is similar to OncoType, but specifically for breast cancer and compares the tumor to 170 genes) was not back and my MO was pretty sure it would need chemo. I had three invasive tumors in the breast, several small DCIS tumors and a .2cm encapsulated tumor in the only sentinel lymph node. But the pathology of all three tumors was very similar 99% ER, 97% PR positive HER negative. I was prepared for an ambiguous result, and my MO called tonight and said that the test came back, and there was no abiguity at all --I will not benefit at all from chemo! I do need radiation for the lymph node area and the entire chest wall on the side with cancer, and arimidex to stop anything else from developing. I had a double Masectomy as well. I am celebrating that I can see the light at the end of the tunnel! Thanks to all of you for your prayers and information!

    Tikkasmom, and Live4them, I think you should celebrate that you do not need chemo and it is probably related to having clean lymph nodes and the location of your tumors.
  • Jblmom
    Jblmom Member Posts: 22
    edited December 2015

    great news TallnTerrific

  • Live4them
    Live4them Member Posts: 65
    edited December 2015

    TallnTerrific that is awesome news !! I'm hoping for the same 👏🏻

  • TikkasMom
    TikkasMom Member Posts: 83
    edited December 2015

    Congratulations Talln Terrific, so happy for you.

    Good luck and praying for more good news from others today.

  • katykids
    katykids Member Posts: 132
    edited December 2015

    Follow your doctors orders. However, I have severe limited ROM. I cannot move my arms to 90 degrees in any direction. I was told to wait to do the exercises listed in my discharge papers till 6 weeks post-op. My PT says I do not have frozen shoulder. I don't know if I should see an orthopedic surgeon at this point. But I did find this video last night. That says to start doing some exercises at day 1. And the rest after your 2 week post-op. I figured my directions were different because of my reduction.

    https://www.mskcc.org/cancer-care/patient-educatio...

    I can't change this now. I used to exercise 5 days a week. Weight lifting, pilates, TRX. I miss it. The idea of more surgery is not appealing. If it is, in fact, frozen shoulder, it will unthaw eventually.

  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015
    November ladies,

    Here is today's devotion. To everyone struggling with pain, fear and threats of more surgery or more difficult treatments it should be inspirational. I will add in parentheses how it speaks to me but of course add your own messaging:

    "Do not be surprised by the fiery attacks on your mind (doubt about your doctors, anger-why me?, frustration because you work so hard, defeat- I can't keep doing this or this could even include the terrible attacks we all feel on our bodies). When you struggle to find Me and to live in My Peace, don't let discouragement set in. You are engaged in massive warfare (against cancer) spiritually speaking (against my own doubts and fears that I can do it). The evil one (or even my own doubting Thomas feelings) abhors your closeness to Me, and his demonic underlings (fear, pain, lack of trust) are determined to destroy our intimacy (inner peace and patience). When you find yourself in the thick of battle, call upon my name "Jesus help me!" At that instant, the battle becomes Mine; your role is simply to trust Me as I fight for you.

    My Name, properly used, has unlimited Power to bless and protect. At the end of time, every knee will bow in heaven and on earth, and under the earth, when My Name is proclaimed. People who have used "Jesus" as a shoddy swear word will fall down in terror on that awesome day. But all those who have drawn near Me through trustingly uttering My Name will be filled with inexpressible and glorious Joy. This is your great hope, as you await My return!"

    I personally have not been as close to God prior to this illness. I believe in his love and love his word, but since I have had cancer almost everyday has been marked by some reminder that I am surrounded by love and friendships all around the world and throughout my life that continue to lift me and love me. It has truly been overwhelming. Survivors I know have told me once this is over you will feel almost thankful for how cancer has changed your life. I tell them I feel that way everyday right now. This experience has strengthened my love and friendship with so many people from all over my life that I know this is the hand of God. It has also helped me focus on treating my body more like the temple it should be instead of ignoring my needs for water, fresh fruits and vegetables and regular exercise as simple as they are. I used to be in an inspirational dance troop as a teenager and I find just those simple flowing moves with my arms at a slow pace have helped to losses things up. If you were a dancer they are called " port a bras".

    I hope this helps you all find peace!
  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015

    Katykids
    I think something they would let you do is just focus on good posture until you are ready. Hold your head high and your shoulders back a little and remind your self several times day to relax your shoulders not tense them up. Even the simple head movements -chin down, head back, ear toward your shoulder on each side and looking over your shoulder each side - should be good and will help your relax those muccles. Also I doubt breathing with your diaphragm (inhaling by filling your stomach not your lungs) would be a bad thing. This should help avoid frozen shoulder. I too had a major Reduction but I think your restrictions may have to do with the stitches or any skin/nipple sparing they attempted to do. Good luck.
  • katykids
    katykids Member Posts: 132
    edited December 2015

    Thank you Tall. And I appreciated your devotion too.

  • Jblmom
    Jblmom Member Posts: 22
    edited December 2015

    thank you for the devotion TallNTerrific. It was just what I needed to hear. I'm a believer, an I too, feel that this diagnosis has created personal spiritual growth. Just when I feel afraid, I remember what a close friend said to me, that cancer isn't my measuring stick for life

  • Live4them
    Live4them Member Posts: 65
    edited December 2015

    awesome devotional .. Thank you I need that a lot lately ..

    As for random question of the week . Anybody else always feel like their new skin ( be it with expanders or implants ) always feel like it's on fire or burning . I had nipple sparing and honestly the burning feeling I have all the time is driving me nut so ... I feel like saying my boobs are on fire. But I haven't accepted these blocks as my boobs 😊

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited December 2015

    My office manager was dx’ed with Stage IA IDC in her late 70s. Low Oncotype so no chemo. She had a lumpectomy and is on Femara, but because of her age radiation was contraindicated.

  • marijen
    marijen Member Posts: 3,731
    edited December 2015

    Tallin that was a wonderful devotion, thank you. Just what I needed to hear too

  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015
    I hope today finds you all feeling better and stronger. I am sleeping so long theses day with weird dreams but once up I eat and do my excercises to my bounce back music and am ready to face the day. I hope that happens today. I am going to lunch with one of my co-workers and to see my boss. I want to feel good for that visit. It is nice being able to drive again.

    Live 4 them, I am with you. I am itching like crazy all along the incision under my breasts, but it seems to be caused by the compression bras, which I watch every day. I switched laudnry soap to Woolote, hoping it would be better than Tide, but no real difference. I tried gold bond powder, I tried hydrocortisone and tried removing the bra for a coup,e of hours, the latter worked the best, but then there is an increase of the swelling. I also had itchy rash on my back. Oh well i f you find an answer let me know.

    At home I watch the birds with many feeders, water sources, wood piles for shelter. I now have trouble filling the feeders, the seeds is to heavy, and it makes me tired, not to mention cold in Indiana this time of year. But when my 86 year old dad was here he went right out there to fill my feeders and the birds are so fun to watch. This is certainly one of the gifts we have in this world. And my father's gift of filling my feeders was so appreciated. I know it is a little nerdy, by in our house we have a lot of that going around.

    I will send you the devotional from Sarah Young's book "Jesus Calling" later today. Love and prayers and peace to all of you!
  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2015

    TallnTerrific, I'm happy that your MammaPrint came back low risk! I'm still waiting on Oncotype results. I'm very nervous about it. I wasn't offered the MammaPrint since I wanted to know a specific score, and I was told that Oncotype has more data to support it and it is more widely accepted. I know this is good news for you, but I think you might want to seek a second opinion. Many oncologists automatically recommend chemo when cancer is found in the lymph nodes, since they can serve as an "incubator" for cells to escape into the bloodstream. While I haven't talked about this very publicly on the boards, I have had experience with breast cancer in my brother (yes, brother). When we found out about him, which was March of this year, he was already Stage IV with bone mets. He is also ER positive, and of course chemo will probably be ongoing. Tamoxifen didn't work for him, and the time that he took a break from chemo and used Tamoxifen, the cancer regrew. It's a difficult situation that no one deserves to be in, but having said that, I want to do the most effective treatment possible to prevent me from getting to that point. I need some definitive answer that chemo will or will not help me. Cancer is scary, but hearing many positive stories gives me a lot of hope. I am so thankful to have access to so much support that I wouldn't have otherwise. Best wishes to all of you here.

  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015
    Lovingisliving, thanks for your note. I was worried about being in an in-between mode with an OncoType as well. However, while the MammoPrint does not give you one number it gave me three scores on each of my tumors. The first uses 70 genes and is the MammoPrint score of recurrence. The scale is from a positive 1 to a negative 1. Anything positive is considered low chance of recurrence of 10% or less. Then they run the Blue Print test which uses 80 genes to determine the molecular sub-type to distinguish whether the tumor is Basal-type, Luminal-type or HER2-type. The BluePrint assay determines the RNA levels of 80 genes that best determine the three subtypes. HER2-type is usually triple negative. Luminal-type cancers are determined by 58 genes and are usually hormone positive and will respond to hormone therapy. So if you have less than 10% of recurrence and a luminal-type cancer that further indicates the treatment success of non-chemo treatments you are in a very good place to say that the risks of chemo (damage to heart, liver, weakened immune system etc.) would outweigh the advantages. The final test is the TargetPrint which simply verifies, through gene expression, the positivity/negativity levels of the ER, PR and HER2.

    I don't think any test is certain, but at least I understand what this one measures. I am still nervous that the cancer will return or a new cancer will come, but I also know how chemo can kill people just as well.

    My mother almost died from chemo when all of her mucous membranes were destroyed and she had several blood clots moved into her lungs and heart. She was put immediately on heparin or Coumadin and struggled for several weeks, but she lived. She has liver damage from her chemo but she still lives. No matter it was a very difficult time.

    I have a sister- in law who is being told that she must continue chemo or the CT scans say that she will die from cancer in a very short time. The chemo destroys her quality of life, she is vomiting for days after the treatments, she needs to be hospitalized for transfusions after most chemo treatments because of a reduced red blood cell count and when's he is not in the hospital or committing she only feels like sleeping. This is the fourth round of chemo each including multiple treatments, so I am not saying this will happen to anyone who has chemo, but it is not risk-free.

    I wasn't sure how I would feel once the test came back saying no chemo needed, but I can tell you now I feel terrific. Even with chemo, my mom got cancer again on the other breast 23 years later. Nothing is perfect. That is probably the most important thing, and it really isn't anyone's fault. It just is.

  • TallnTerrific
    TallnTerrific Member Posts: 114
    edited December 2015
    I hope everyone I doing well. It is a busy time of year. Loving is living, I want you to know that your note did encourage me to seek to advice of a expert Oncologist who is a family friend on the other side of the country. He wants to see all of my tests and results to provide his opinion. I hope he is prepared for the big file!

    He also expressed some doubt about the genetic testing, but I will feel better about it all after hearing from him. sorry if I wrote off your concern too quickly. But more important are the devotions for the last two days:

    Dec 5
    "Let My Presence override everything you experience. Like a luminous veil of Light, I hover over you and everything around you. I am training you to stay conscious of Me in each situation you encounter.

    When the patriarch Jacob ran away from his enraged brother, he went to sleep on a stone pillow in a land that seemed desolate (like the time after surgery, while receiving chemo, or while receiving bad news at a Drs. Office). But after dreaming about heaven and angels and promises of My Presence, he awoke and exclaimed: "Surely the Lord is in his place, and I as not aware of it (when I was treated for the torn retina, during the PET SCAN and laparoscopic biopsy, or in recovery after surgery, I didn't think about how God was in those stated places)." His discovery was not only for him but for all who seek Me (this means all of us no matter how hard it gets or how low we feel.) Whenever you feel distant from Me say, "Surely the presence of the Lord is in this place!" Then, ask Me to give you awareness of My Presence. This is a prayer that I delight to answer."

    Dec 6
    "Stay ever so close to Me, and you will not deviate from the path I have prepared for you. This is the most efficient way to stay on track; it is also the most enjoyable way. Men tend to multiply duties in their observance of religion (women reach out with their hearts--I hope that is what it means). This practice enables them to give Me money, time, and work without yielding up to Me what I desire the most--their hearts. Rules can be observed (attending mass, going to church or synagogue each week) mechanically. Once they become habitual, they can be followed with minimal effort and almost no thought. These habit-forming rules provide a false sense of security, lulling the soul into a comatose condition (we should all follow the path of our hearts, and keep Him in our mind, to grow closer to God and not just meeting obligatory rules).

    What I search for in My children is an awakened soul that thrills to the Joy of My Presence! I created mankind to glorify Me and enjoy Me forever. I provide the Joy; your part is to glorify Me by living close to Me."

    I hope today you have time to Enjoy your God!!!

  • Frill
    Frill Member Posts: 311
    edited December 2015

    There's too much to update - none of the surgery predictions came true -, but I wanted to share this with those who would truly understand.

    I go to sit on the couch and screech, "I feel something wet! AH!!!!!"

    My drain had come open and some "stuff" leaked out. I almost ralphed, DBF was right after me. Luckily it was in a fabric pouch next to my skin so nothing got on my clothes, just the pouch.

    Such as in life of BC. I just wanted to share with people who could say EWWWW!!!!!!!!!! and laugh with me.

    Stupid Lucy Lawless AND me, I came in under "get drain out numbers" two days after my appointment, but I have to keep it in till I go back to hospital for next surgery (more to be revealed) next Thursday. Just in time for a brand new drain. Yay!!!!!!

    I can't imagine having four of these at one time. Or seven. Grateful for the small things.

    More later and love to all!

    Frill


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