January 2016 Surgeries

Options
1356732

Comments

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Robbini, Not sure if the question was directed at me, but I'll give your question a go. Crocheting uses the shoulder girdle muscles allot. After the lumpectomy holding the shoulder girdle in a sustained position for long periods is going to be uncomfortable. That can lead to muscle pain and fatigue. The best activity post-op is walking. Alternating with rest and comfort measures.

    Two lumpectomies?

  • robinni
    robinni Member Posts: 6
    edited December 2015

    Sas-schatzi, Thank you for the info on crocheting. It does make sense. I have never posted before so not sure how to post. Just saw this box at the bottom and typed in it. If I understand my BS correctly yes two lumpectomies. One on each breast.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Robinni. Sorry you are here. But it's a great place. What's the bx's say?

  • robinni
    robinni Member Posts: 6
    edited December 2015

    I agree, it is a great place. I don't post much but have read alot and learned alot. I'm sorry bx?

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Ah Hah. BX BIOPSY. Going to send you a list of things I have stored for newbies'

    You have entered a whole new world. Not only do you have to contend with breast cancer. We have a whole new language

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Decided to just post the list here.

    Don't let this list overwhelm you. It's links that are helpful to help you navigate BCO. Just click on each one . Click on Favs. Then hit the back button and keep repeating until they are all in your favs. Look them over as needed.

    Getting organized info, Probably should be a first read. Really helps if you are a newbie

    https://community.breastcancer.org/forum/5/topic/748296?page=1

    stuff to make you smile, they love new posters :)

    https://community.breastcancer.org/forum/102/topic/818346?page=482#idx_14444

    Port thread in case you get a port

    https://community.breastcancer.org/forum/69/topic/721889?page=30#idx_881

    Constipation, a problem at some point

    https://community.breastcancer.org/forum/6/topic/781867?page=21#idx_601

    Tips on chemo related things

    https://community.breastcancer.org/forum/69/topic/706846?page=1

    Another chemo tips thread

    https://community.breastcancer.org/forum/6/topic/817225?page=4#idx_92

    Hot flash forum

    https://community.breastcancer.org/forum/78/topic/770796?page=55#idx_1645

    Flying can be a special issue after lymph node removal. This topic cover care and prevention

    https://community.breastcancer.org/forum/64/topic/811841?page=4#idx_105

    Sex, some very nice candid responses

    https://community.breastcancer.org/forum/150/topic/826426?page=2#idx_56

    PTSD-----common with all this chit(shit)

    https://community.breastcancer.org/forum/102/topic/830233?page=2#idx_31

    scar remedies

    https://community.breastcancer.org/forum/44/topic/756050?page=1

    Wound and incisional care------store in favs, not an active thread

    https://community.breastcancer.org/forum/44/topic/754935?page=4#idx_110

    Funny, irreverent, ranting, angry Great to view a little at a time to amuse yourself.

    https://community.breastcancer.org/forum/31/topic/791195?page=1#idx_25

    This is our most sacred thread. It's a list of our dear ones that have passed.

    https://community.breastcancer.org/forum/8/topic/830526?page=1#idx_24

    Melatonin---great over the counter sleep aid. Naturally produced in the body. Doesn't interact with other meds

    https://community.breastcancer.org/forum/79/topic/824445?page=2#idx_43

    Abbreviations list

    https://community.breastcancer.org/forum/131/topics/773727?page=1#idx_1

    pain and other things

    https://community.breastcancer.org/forum/6/topics/839123?page=1#idx_8


  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Robinni, I'm off to do house stuff I'll check back later with you. sassy

  • robinni
    robinni Member Posts: 6
    edited December 2015

    sas-schatzi, LOL My bx showed IDC in both breast.

  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited December 2015

    Hello, ladies. So glad to have found this thread. I have had one excisional biopsy that was in truth a lumpectomy, and I have been scheduled for a second lumpectomy on January 26, 2016. I have pure DCIS, level one. After much debate, along with an opinion from an outside expert who is a foremost breast surgeon, the medical team has decided that I should have breast reduction surgery that will allow the removal of any errant DCIS cells that might become invasive. It has been determined that radiation is too risky for me due to already severe disability from fibromyalgia. I agree with all of these assessments. Tamoxifen nearly killed me with awful side effects, and AI drugs are off the table at this time

    I am thrilled about having breast reconstruction! I have severe neck and back pain that limit my functionality, and I believe that paring down these size 40DD breasts may reduce or eliminate both my back and neck pain.

    I think my surgeon does breast reconstruction sometimes, but I believe her strongest skill is in breast cancer surgery. How do I ask for a plastic surgeon to be added to the team without insulting this wonderful breast surgeon who is also a great human being?

    I gather the surgeon does the lumpectomy and then the breast reduction surgery immediately after the lumpectomy. Is this correct?

  • grandma3X
    grandma3X Member Posts: 759
    edited December 2015
    DecisionFreak - I asked my BS to recommend a plastic surgeon. I think they expect that a plastic surgeon will do any reconstructive work. I don't think the BS will be offended. I also love my BS and not so much the PS who will do my surgery - wish they could switch specialties since I'll be seeing the PS a lot more frequently - LOL :)

    Sassy - thank you so much for posting the information about Toradol! I'll read through the other postings on that thread and talk to my BS about it. I won't meet with the anesthesiologist until my surgery but it may be a good idea to chat with him by phone.
  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Grandma, Happy it helped, But please, look at the info that Falleaves gathered about blocks and opiods. too. Ergh...lot's of reading. But if it pans out, it's better to be on the right side of the change. Frankly, felt guilty not posting the info to each new surgery group once we gathered enough info.

    The key in evaluation of the info is 1. can it cause harm. 2. If as in the case of Toradol with a preceived risk of bleeding, is that risk a surgical problem or drug problem. As in the case of Stephy's bleed. Unknown if her bleed was related to the drug or surgical field that had a bleeder. Good Luck.

    Robinni. IDC in both breasts and you are getting lumpectomies. Suggest a second opinion at a NCCN center if they are close. Please, go back to my post just prior to your post here. Where are you located? Throw keyword " Map NCCN hospitals". That will pull all the centers in the USA. What did your BS say about the fact that it's IDC in both breasts? When is surgery scheduled?

  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited December 2015

    Does Medicare cover breast reduction surgery after a lumpectomy? I cannot seem to find consistent information online.

  • grandma3X
    grandma3X Member Posts: 759
    edited December 2015

    Bone scan came back clean! The radiologist actually emailed me with the results - he knew I was worried :)

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Robinni and Grandma Did a new pain thread today. I deleted the links in the above list. Been meaning to do this for years. It's not totally done, but mostly.

    https://community.breastcancer.org/forum/6/topics/839123?page=1#idx_8

  • grandma3X
    grandma3X Member Posts: 759
    edited December 2015

    thank you Sassy - that was very helpful.

  • woodstock99
    woodstock99 Member Posts: 338
    edited December 2015

    Thanks for the info on the SNB. I emailed my doctor to ask if i can get the lidocaine mixed in with the tracer.

  • PMR53
    PMR53 Member Posts: 452
    edited December 2015

    I have post surgery camisoles as well as fancy out-on-the-town camisoles with pockets for drains and forms that I am wanting to give to someone in need. I also have a "chicken cutlet"  All are lightly used but clean. None of the charities around me will take them because they are used. Anyone need any of this or know what I can do with it? They were given to me by Lala1. I will send them to you and pass it on!! Just PM me. 

  • grandma3X
    grandma3X Member Posts: 759
    edited December 2015

    great! I would love to take the post-surgical camisole off your hands! Not sure what a "chicken cutlet" is :) PM me for address. Thanks

  • robinni
    robinni Member Posts: 6
    edited December 2015

    Sassy, thank you for all the info. It is great reading. I guess i was still in shock when i first spoke with my BS and didn't quite understand everything. I have IDC in my right breast and Atypical Hyperplasia in the left. She will do a lumpectomy on the right and remove the cells on the left. She said basically a reduction and lift for both. My surgery is scheduled for January 26th. I am currently looking into getting a second opinion. I am in Lakeland, Fl.

  • Unbreakable01
    Unbreakable01 Member Posts: 153
    edited December 2015

    1/11/16 I will have my exchange surgery. I had a hematoma during my mastectomy, I'm hoping for a quick surgery as it's supposed to be.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Robinni Cool, We are neighbors. I'm North of Cocoa. You have Moffitt Cancer Center about an hour or less from you. NCCN center. Sheesh you have many great hospitals. I'm in a wasteland. I have to go to Tampa to feel comfortable with care. Sure hoping some folks step in. Bit concerned about the cosmetic lifting.etc. i.e. what's the focus BC or cosmetics. Perhaps things have changed in a short time. A wonderful gal in your direction that is very knowledgeable about Tampa is SpecialK. I'll Pm her and see if she will check in.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited January 2016
  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited January 2016

    sas, the focus is breast cancer but the plastic surgeon should do an expert job at giving the patient a nice pair of normal looking breasts if she is having reconstructive surgery. That should include a breast lift I believe.

    If you cannot find quality care in your local area, the American Cancer Society can help you find no cost transportation to a major comprehensive cancer care treatment center and with no cost or low cost lodging. I was flown from the rinky dink city where I live in a state fairly close to your state to a big teaching hospital that houses a comprehensive cancer care treatment center that I chose in my state. I stayed in an ACS Hope Lodge free of charge.

    For my surgery, ACS has found me free lodging at an Embassy suites hotel for three nights. I haven't decided on my transportation yet. I flew back and forth to the city where I am receiving treatment on Mercy Flights in small planes owned by volunteer pilots. Flying on a tiny plane is not for the faint of heart and you have to be able to step on the wing and lower yourself down into the cabin. If you are going a long-distance, ACS has a program to help you obtain free transportation on a commercial jet. There are other programs too that may help with transportation related to cancer care and treatment.

  • Gemma12
    Gemma12 Member Posts: 137
    edited January 2016

    January is here. I think I'm first on the list with my surgery being this Tuesday. The closer the date gets, the more anxious I am feeling. I'm afraid of going under for surgery, even though I've had general anesthesia before. I haven't had it since I've had kids (my kids are 12 & 13). It's really bothering me to know, for the first time since becoming a Mom, that I won't be conscious. It is like when the President has surgery, the vice president takes charge. I guess my husband will have to fill that role, but I still don't like it, and I have an irrational, but horrible fear of never waking up. :( I'm also afraid of the pathology report. On one hand, I'm dying to know my status, but on the other I'm petrified of bad news. I'm generally an optimistic person, I can't imagine how hard this would be if I was a "glass 1/2 empty" type. I'm trying to focus on the fact that after Tuesday, that damn tumor will be out of my body.

    Here's to a healthy and happy 2016 for all of us!

    Amy

  • grandma3X
    grandma3X Member Posts: 759
    edited January 2016

    Happy New Year everyone!

    Decision - that's Interesting- had no idea that ACS does that! We live about 2 hours from the university hospital where my surgery will take placement but I always wondered how women would be able to afford the lodging if they had to stay several nights. My nephew was treated at A hospital out of state over the summer (he did not have cancer) and my sister had to stay in a hotel for several weeks until they had space for her at the hospitality house. Even then, there was a pretty hefty charge per night.

    Thinking of all of you and hoping that 2016 brings good health and happiness!

  • BlueHeron
    BlueHeron Member Posts: 154
    edited January 2016

    Gemma, I will be thinking about you! We have similar aged kids, mine are 13 and 10. My surgery is the 14th. I'm having a Lx. But I am thinking about this surgery as diagnostic as well as therapeutic, in that I still may move to Mx, depending on margins, and then on the post op mammogram done a month later.

    I'm more nervous about things like IVs and SNB injections than about general anesthesia. I'm hoping Ativan will get me through this.

    good luck to you, and smooth surgery and healing!

  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited January 2016

    ACS Rocks! I have become a very small time donar after being helped a great deak.

    If there is an ACS Hope Lodge near the treatment facility, a woman and one caregiver companion may stay for an extended length of time. Not everyone needs a caregiver. There is some paperwork to fill out, just a few questions, and the hospital has to confirm dates of treatment. The ACS Lodge where I stayed had a big communal kitchen where people can cook.If not, ACS has hotel partners near many major treatment centers. I am 250 miles from the teaching hospital. It is a four to six hour drive. It is a given that I will go a day ahead of time and return the day after treatment. I enjoyed staying in the ACS Hope Lodge and meeting other cancer patients. The Lodge usually has a shuttle to the treatment facility.

  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited January 2016

    Gemma, I have been through multiple surgeries in the last few years. If you are anxious, don't suffer. Have your doctor prescribe anti-anxiety pills. Leave a message with the answering service if you can't get the doctor and ask fir a return call. After my first surgery, I realized the surgeons office was treating me like a breast with a price tag. I cancelled the second surgery because I had plenty of time to remove the rest off the tumor that the surgeon did not take out the first time. I took my time to come to grips with my treatment options and along my five month delay since my first lumpectomy, I found that surgery is only a part of dealing with cancer. Getting the tumor out is for most people or maybe everyone the first step in a journey. Come join us on the Crazy Town thread where you will find an amazing group of women that will listen, educate, and help and make you laugh. Just do a search to find the Crazy Town thread.

  • grandma3X
    grandma3X Member Posts: 759
    edited January 2016

    so, I have been talking with the surgeon about having a paravertebral block with propofol for surgery. She said it works very well for most patients in blocking pain after surgery and that the propofol reduces nausea. Has any one else looked into this or have experience with paravertebral blocks? Unfortunately the anesthesiologist is not assigned until the day before surgery, so I won't see him until the day of.

    I'm also looking into non-narcotic pain meds to try to avoid some of the side effects. I have a phone call scheduled with the BS this week to discuss this but if anyone has suggestions I'd love to hear about it.

    Thanks! And best wishes to Gemma, Neen, and MKTCA this coming week!

  • DecisionFreak
    DecisionFreak Member Posts: 589
    edited January 2016

    I did not have much post surgical pain. All I took was regular Tylenol. I never filled the prescription for 50 oxycodone pills. And, I have a chronic pain condition - terrible Fibromyalgia. I did not permit any pre-surgical drugs by infusion for anxiety. That is because I did not want to miss anything before I went under or be groggy after surgery. However, the anti anxiety drugs pre-surgery can relax you and that will probably help with the perception of pain.

    Everybody is different, but if you are having a lumpectomy, you may have little pain! Ask your surgeon if he can do a cavity shave to leave a wide margin. If the doctor has to do a re-excision, I have heard that the second surgery can be quite painful. I have a re-excision, but my wound has had five months to heal. I guess I could have pain from breast reduction surgery.

    I took Naltrexone for about 2.5 months to see if it would help with my fibro pain. I probably will not be able to take oral narcotics again safely. There are high dose non-narcotic pain relievers that can be given during surgery. However, the doctors will probably give me a minute amount of morphine and watch my breathing. They prefer morphine.

    If I were you and had the level of concern you have, I would insist on meeting ahead of time with the anesthesiologist. He will have the best answers for you. The last few times I have been in the hospital, I never saw the anesthesiologist despite begging to talk to him on the day of surgery. Since I am in danger now of dying from opioid overdose due to Naltrexone use, the big comprehensive cancer treatment center where I am undergoing cancer treatment has to let me meet with the anesthesiologist! I have an appointment with him the day before my surgery, and you can bet that I will be there. I might need a hysterectomy soon, and if so, I will ask my GYN doctor to refer me to the big teaching hospital. I am tired of being shortchanged.

    Why don't you join us on the Crazy Town thread? It is a wonderful place where you can get fabulous support from the most wonderful group of women you will ever meet. Just go to the bottom of the page, hit the search button, and type in Crazy Town. Introduce yourself. I promise you will get a royal welcome!

Categories