January 2016 Surgeries
Comments
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Wow, CoolgrammieNC and mama26, congrats! I am almost scared that the doctors said I am cancer free and won't need rads. It is great news but weirdly stressful.
My incisions appear to be healing. My right breast is lumpy because the PS moved some tissue to replace what the cancer surgeon removed. The PS says it will take time for the breast tissue to settle.
The PS wanted me to remain well endowed while reducing me from a DD to a generous size C. I am 61, but my doctors say I am a young woman still.I don't feel young today. My fibromyalgia is acting up. I am ambivalent about the breast reduction and lift. I disliked having large, heavy breasts and they have caused serious neck and back pain for abour 13 years. I am definitely stacked now, but I honestly wonder why society has become nearly obsessed with breast conservation surgery I feel obligated to take good care of these breasts. I know it must sound strange.
My brother has lost a third of one foot to a diabetic foot infection, and he encouraged me to get the reduction and lift. He said I would suffer from losing a big part of myself.
I feel overwhelmed by my mother's hospitalization. She is in a special acute care hospital on a huge oxygen machine. She is 85 years old and keeps asking when she will come home. My brother needs serious medical care. The car just broke down. Surgery is over, I am healing, and life after a cancer DX goes on.
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Hi surgery sisters! I am so sorry I feel like I have abandoned you all. After my surgery and PCR I needed a break and dropped off the computer for awhile. And now I am back to work this week. I will try to read an catch up!
I am doing well just had my second fill on my TEs today. A little sore but not bad. I had an appointment with an the RO my MO referred me to and I do not need radiation! My MO thought for sure I would regardless of my PCR because of my age and brca1 status but the RO assured me that those things would not change with radiation and I do not fall into the NCCN guidelines for radiation. Now I can move to reconstruction and I am torn between choosing the flap or easier but not permanent implants!?!? My PS said I am a great candidate for the flap (read I'm a little thick in middle, lol). I just don't know if I want to take the easy way and have implants and be done for now or the longer recovery but not have to do this again in 5 to 10 years...plus when else would I get a tummy tuck paid for?p by insurance?? So much to consider...
Hope everyone is well, sorry for being MIA.
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Hi Friends,
My mom had her lumpectomy on Jan 24th. She has been recovering well. However, the only thing that concerns her the most are the drains. Even almost nearly 4 weeks into the surgery, the drain is still coming around 30-40 ml each day. Is this something we should be concerned about? The doctor advised, they will remove the drain tubes when the drains falls below 15-20 ml. We are hoping she will be off the drain tubes by next week. Just checking to see if this is abnormal.
Thanks,
Sid
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Hi Sid82 - 4 weeks! your poor mom! I think it's unusual to have drains in that long but everyone is different. The problem with taking them out too soon is that she may develop a seroma, which would need to be drained frequently by syringe. I was told to keep my arms above the elbows down as much as possible to let the tissue heal. With a lumpectomy, it's possible that the surgeon left a large space that your mother's body is trying to fill. I had a mastectomy, so maybe one of the other members of this thread who have had a lumpectomy can give some advice. Best wishes to your mom - the drains are a real pain and I hope she gets hers out soon!
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mama26 - I am also suffering from the muscle spasm. It happens at different times...sometimes while I am doing absolutely nothing! Today, I am 3 weeks post MX, so hoping that this too shall pass.
Sid82 - I had my drain removed 1 week post op due to a small infection, and developed a seroma. I only went back after 1 week to have it drained. I didn't feel a thing when it was drained. The second week I went, it was gone. I read that most times, if the drains are removed too soon, and the seroma develops, only one or two drainings are needed. However, others may require multiple drainings. I decided to take my chances...I wanted the drain out!
Best of luck during recovery to all!
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The rash on my breast, which turned out to be cellulitis, is slowly improving after 5 days so far on the antibiotic, but at this slow rate, I'm not sure if it will be completely gone before radiation starts in 9 days.
The mysterious muscle pain (only when I stretch a certain way or press on it) under my shoulder blade/back ribs on my lumpectomy/SNB side has still not disappeared after close to 3 weeks, but it is definitely getting better.
Now I have a second little cancer: skin caner! It's a squamous cell carcinoma, biopsed on February 4, on my heel of all places (not exactly highly exposed to the sun). I've never had that before. So, I have a topical "chemotherapy" cream to apply to it for 6 weeks. It's fluorouracil, which is also one of the various chemotherapy drugs for breast cancer. (Fortunately, I only need to take it topically.)
So, is there any statistical correlation between getting breast cancer and skin cancer? Really, I got both around the same time, since that mole had been apparent for over a year. I merely postponed seeing the dermatologist until after getting my annual mammogram.
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Just popping in to say hi and share that I am 4 days post surgery, and except for a huge hematoma complication the day of discharge detailed on the February thread, I'm doing very well. I weaned myself off pain meds by day 3 and so far today, I haven't even taken Tylenol; I am grateful for little to no pain! Drainage is lessening as well. I did have one positive node, so it's now on to rads for me.
I went to the dermatologist two days before surgery and she burnt off 4 pre-cancerous lesions on my face, one on my leg and one on the back of right hand. What timing I have, and I could have done without those treatments right now, but oh well, it's done. The floor nurse seemed worried that I had shingles on my face. haha
Happy Sunday and best to all.
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Bjsmiller-- I'm glad you are doing well. Odd that both you and Katja are dealing with skin cancer at the same time!
I went for a jog this morning- really felt good! I'm not much of a runner (bad knees) but can do an easy jog.
I'm also delighted that I have lost my taste for alcohol
Before dx I'd would have a (small) glass of wine for dinner almost every night. It probably contributed to my cancer. I stopped drinking completely after surgery with the expectation that I would have a glass of wine or a beer on special occasions. Last night I went to dinner with friends and decided to order a glass of wine. I barely touched it! It just didn't taste as good as I remembered and I did not like the feeling. I decided that was it for me! I don't ever need to drink again. Now just need to find a way to give up bread!
Hope you are all doing well!
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Hi, everybody, I made it a mile walking around the loop in my little village today. My mother is off of the room sized oxygen and back on the small oxygen. I don't think I mentioned this info; please forgive me if I did. She is improving quickly at the acute care hospital and may need rehab when she is good to go. I am learning about chemo for mets. I want to be armed if the MO says there are no chemo alternatives for my Mom!
I appear to be healing well. At least I don't see anything around my incisions that looks worrisome. I need to have the sutures removed and am trying to decide if I want to make an extra trip in early March to have that done. When I took Tamoxifen for three weeks, I had a discharge. Still having discharge, and I don't like it. GYN doctor did a biopsy but didn't get much tissue. I am scheduled to have a transvaginal ultrasound this coming week. I had atypical uterine cells in August 2014, and I had a D&C and polyp removal with a negative path report. I don't want to have any serious medical care in this risky dink town where care is sorely lacking after the exceptional care I got at a major teaching hospital. Don't know what I am going to do if I need another D&C. I am like an old car that needs some repairs to keep running. Oh, well, I am so fortunate in most ways so no complaints.
Hope everyone is healing well or receiving the care needed to move forward.
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Bjsmiller, I'm glad to hear that you are recovering well! You have a terrific attitude and it is contagious
Grandma3X, so great to hear you were jogging!! My knees are too far gone for jogging or any type of high impact, my right knee especially. They carry me up and down mountains, though, as long as I keep it to a walk. I'm also glad to hear you have lost the taste for alcohol. I think it's more of a habit than a taste. My DH got sober in AA and we maintain an alcohol-free house. Besides, not drinking alcohol subtracts many empty calories from one's diet! However, I'll never give up bread
I only eat it in moderation, though.
DF, I'm happy to hear your Mom is doing better! I hope the discharge is nothing serious. None of us need any more problems or stress!! Do you think your mother will want chemo? I'm sure the MO is thinking about extension of life vs quality of life. But I hope there is a treatment answer.
I had my setup for rads last Wednesday, and I will have my first session this Tuesday. Has anyone heard of or used Mepitel film for radiation? My nurse friend in Canada, who is a wound specialist and who also got a Dx of BC last year, sent me a recent study showing that putting this film over the radiated area for the duration of treatment reduces the side effects extremely well! I'll be calling my radiation dept tomorrow to ask them about it.
I've been hiking a couple of times, and last week hiked up to just under 6000 feet. I took my tape measure to look for any LE symptoms, but my arm was fine. Next I want to try snowshoeing at around 7000 feet.
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Katja23 and Bjsmiller: there are about 25 genes that have been associated with hereditary cancers, including 13 associated with Breast cancer.
Of them, the BRCA2 mutation is associated with Breast cancer, Ovarian cancer, Melanoma, Pancreas, and Prostate cancer.
There are two other genes associated with Melanoma,CDKN2A and CDK4, but they do not have breast cancer.
Hope that helps,
Mominator
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Thanks all for the well wishes. Katja, sorry you're also dealing with skin cancer! Hope that topical chemo cream takes care of it. I'm fair-skinned and I think my skin lesions were sun damage as she said they were pre-cancerous, and my genetic testing was also negative, so I'm thankful.
DecisionFreak, so sorry for all your mom is going through! You are so strong to be handling all this and such a great advocate for your mom. It's got to be overwhelming, but so glad to know she is quickly improving at the acute care center. Here's to continued healing!
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moondust & grandma3x........you both amaze me! Jogging and hiking up mountains! I still wake up at night gripping my chest in pain!
I don't crave any alcohol right now, except maybe as an analgesic! Lol but summer time sitting around a campfire will be a different story.
I'm thinking about cutting out bread and pasta.I have this weird thing where I smell something yeast like coming from me. It's on my blankets and clothes. Nobody else can smell it. But I think it's worse when I eat bread. And fresh bread and pasta smells gross to me.
The really odd thing is that before my BMX for about six months I was smelling this awful burning smell. I even went to an ENT and had a CT of my brain because it was so bad. Now that smell is gone and I just smell the yeast!!!
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Grandma3X-glad you are jogging already! I got the clear to start back at Jazzercise this week! Excited to shed some pounds all the chemo steroids kept on my body!
Katja-my MO did say that I needed to be checked annually by a dermatologist as there is a slight elevated risk for skin cancer. I am BRCA1+.
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As excited as I was to become free of restrictions today, I also got my oncotype result. It is 57! I was shocked it was this high. I figured it would be just under 30. I meet with my MO next Wednesday to get my chemo details.
Just taking some time to let myself be upset, then I will get back to my positive, humor finding self. I plan to join some of you in the exercising. I was typically walking at least a mile 5-6 times a week prior to surgery. I miss it and I'm glad I can now work my way back to normal (until chemo). Starting ROM exercises as well. I meet with PT next week too.
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Logang- sending hugs. You will get through this - I have heard a lot of people say it's much easier than what they show in the movies. Be sure to get the cold cap (FDA approved now, so insurance may cover it). I read through another thread that was really interesting and had a lot of good tips - I'll see if I can find it and will post it here.
Edited - here is the thread:
https://community.breastcancer.org/forum/147/topic...
It's very long but includes a lot of detail. Be sure to check with your MO before following any of the regimens described here.
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Thanks grandma! I will check out that link when I have more time later. I'm sure I will be fine with chemo and plan to work through it. Just bummed about needing it. Was hoping to pursue my left mx and recon by May. Leave to breast cancer to change my plans for me!
On a positive note, my husband and I are ditching our boys for a weekend getaway. We leave Friday morning for Gatlinburg, TN and will head home Sunday. We also get to see some old friends on the way home. I also got a nice new used car on Monday.
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Sorry about your high onco score, Logang. But at least you know you'll have done everything you need to do to prevent recurrence. Have a great time in Gaitlinburg!!
I started rads yesterday. So far it is not bad.
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Moondust - Glad your rads are going ok. Are you doing anything special to protect the skin? I had read about some kind of film and also some creams that people use.
Today is my 6 week mark - no more restrictions on lifting, so the physical therapist showed me a few exercises to increase strength. Other than that I have gained nearly full range of motion and will be finished with PT on Friday. Heading to Vail next weekI won't be skiing but plan to do a lot of walking and window shopping, lol. My 2 sisters and our significant others will be there - should be a good time!
Logang - enjoy your weekend in TN! -
Grandma3x, I am using Miaderm, which contains calendula. This was the only salve recommended by the rads dept and they said they've had great results. I asked about the Mepitel film I read about, but they don't use it. My RO did take the time to look up the study about it, though, and said he'd be more convinced if the study was not funded by the company who makes the product.
You may want to take a compression sleeve with you to Vail even if you've had no LE symptoms. The high altitude will challenge your lymph system because the air pressure is much reduced. I am concerned about this because I hike at high altitudes. So far I have hiked up to almost 6000 feet and everything was good. But there is also a difference between hiking and sitting around - the act of hiking will promote good lymph flow while sitting around won't. I want to go up to 7500 feet in a couple of weeks to snowshoe. If all is still good, I'll keep going higher.
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Thanks Moondust! Vail sounds fun grandma!
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wow, Logang, that oncotype is high indeed! I guess the silver lining is that you are not in that awful place of uncertainty and trying to decide. You know you need to hit it hard, and you'll never second guess doing it! Big hugs.
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Thank you BlueHerron. I knew going into this I would do whatever I need to to reduce my risk of recurrence. I am thankful I wasn't in the gray area, but shocked at how high it ended up being.
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Logang-I have already been through chemo, did it first due to my fast growing triple negative IDC. I know it is disappointing but chemo is no where near as bad as your mind makes it out to be. You will get through it. I worked full time except for treatment days and chased my 4 year old around during the whole 5 months! Enjoy the getaway to Gatlinburg, I hear it's a nice place to visit!
Grandma3x-Have fun in Vail! I lived in CO for 5 years and loved it! Would move back there in a minute if it wasn't so far from our family!
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Arghh! My MO was supposed to send out my tissue for Oncotype testing 2 weeks ago. As of yesterday they still have not received it. It's now over 6 weeks since my surgery and I still don't know if I need chemo. Last night I had a dream that my score came back as 28. I'm getting a bit stressed by this. I had asked my BS to send it after my surgery but she said it was up to my MO. Then my appointment was pushed back a week because he was out sick. When they called to reschedule (on Feb 4th) I asked if they could go ahead and send the tissue out so I would not have to wait so long for the results. Here it is almost a month later and they still have not sent it out!
Today I go for my blood work for the next surgery on Mar. 9. I'll also gave my final PT and then head out to Vail for a week. Moondust, thanks for the suggestion to get a compression sleeve! I tried to order one on Amazon but it would not get here in time. I'll ask at the PT's office today to see if they have one - I know a couple of the therapists I have seen are lymphadema experts.
Happy Friday! I hope you are all well.
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So glad my surgeon sent mine out. I had already talked to the MO prior to my surgery about it and agreed that we would reschedule my appt with her if I wanted the test done. Hope you find out what happened to your tissue. I had a phone call from the lab within a week after my surgeon sent it. It took 2 weeks after that call.
Once again, have a great time in Vail! We are headed to TN now.
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Hi, everybody, I guess I won't find out my risk of recurrence through these prognostic tests that many of you have discussed. I know there are some tests now specific to DCIS. I am supposed to meet with an MO at some point to discuss AI drugs, but I have no idea how much tissue is available or if Medicare would cover oncotype testing.
It appears as if those who are still active on this thread are managing to navigate through major challenges quite well. I am very impressed at the courage and resilience shown by so many here.
My incisions appear to be healing. I am slightly afraid to say it all looks pretty good. I still have some sutures around my aereoles and down the cut made from the areola to the bottom of each breast. The doctor allowed me to wait until March 30 to return for another post op, and she did not mention the sutures. These new, smaller boobs are a vast improvement over the awful jugs that caused me so much pain. Gratitude is the word that comes to mind.
I am going to wait another month I think and then have outpatient rehab. My right arm has restricted range of motion, even though no lymph nodes were removed.
I am trying to see what else can be done for my arthritis and fibromyalgia before and during AI drug treatment. I went to a rheumatologist yesterday but we did not hit it off. I arrived at 8:45 a.m. for a 9:45 a.m. appointment but didn't see the doctor until 11:30 a.m. When she came in, she was rushed and rude and did not give me a full clinical exam. She accused me of wanting things my way when I was crumpled up in the office chair in pain.The lab tech did not have a butterfly needle for the vein she found and she tried to jam a too large needle in the small vein without success. As a severely disabled person, I felt that my needs were blatantly disregarded by keeping me waiting for such a long time. I was in such awful pain from arthritis and lower back and foot pain by 12:00 noon that I got up out of the lab chair in disgust with no blood drawn and refused the anti-inflammatory shot offered to me. The doctor had given me an order for an x-ray for back pain but checked the box for cervical (neck) rather than lumbar (lower back) imaging. I tore up the order and threw it in the trash can while walking down the hall. I will avoid needless pain and suffering. This was a minority physician, a Hispanic woman that I genuinely wanted to work with. I suspect she may be a good doctor but I cannot cope with her style. My former rheumatologist was a former NIH fellow and Harvard educated physician in the Washington, D.C. area - a truly fine doctor - and I never went through the ordeal that I experienced yesterday. I am going back to the incredible teaching hospital where I got my cancer treatment to see the MO and consult with another rheumatologist. I am curious if any of you would want to tolerate being a regular patient of the doctor I saw briefly yesterday.
So, I have read everybody's recent posts, and I am cheering all of you on. I am getting tired of being in doctors offices but I have miles to go before I sleep as Robert Frost wrote.
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Grandma3x: so sorry you are tangled up in the waiting game. My 3rd lx failed and I am scheduled for mx March 24. After all this waiting, my BS told me this morning that the RO may want me to have radiation after the mx after all, due to the borderline nature of my dx. This will add another month to my tx. I had a huge seroma and beginning of an infection as well, which she drained and prescribed antibiotics (the PS won't come near me if there is an active infection). My oncotype btw was 27, which the MO still did not feel was high enough for chemo. He feels that the 3% improvement in the recurrence rate would not justify the side effects of the chemo, as well as the fact that chemo is not as effective with ILC (I should qualify that with stage 2 ILC, no positive nodes). He also noted that the Oncotype score is based on tamoxifen tx, and he said the AI was a bigger gun. So I have put my faith in the AI.
What is your next surgery for? I must have missed that post. have a great trip
Sending best wishes and positive thoughts to everyone.
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stellamaris, I was wondering what happened to you. I am so sorry to hear that the third excision did not work out. You fought the good fight and you know that you went the extra mile. You still have treatment ahead of you but it sounds as if you are reaching a place where the road ahead is clearer than before. I am also sending best wishes and positive thoughts to you. I hope you can find some time this weekend to forget about the cancer for a few hours and experience joy and pleasure.
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Stellamaris - I'm so sorry the third excision did not get it all, but good that you won't have to wait long for the MX. If you are a candidate for paravertebral block I would highly recommend it. I think it made a world of difference in my recovery.
I have to have my nipple-aureola complex excised because of positive margins. They will do this with local anesthetic and light.sedation so hoping I won't have to take more than a day off from work.
I've also heard that chemo is not very effective against ILC (low grade, non-pleomorphic types). My MO was reluctant to even order the Oncotype and has already told me that he won't recommend chemo - that AIs are the best therapy for ER+ Her2- ILC.
I went for blood work this morning in prep for the surgery. I also asked for BRCA genetic testing. No history of breast cancer in my family, but my grandmother died at a very young age of "lung cancer". I wonder now if it was breast cancer that had metastasized to her lungs. This was back in the 1940s so maybe they just didn't know. If it was ILC, she may never had found a lump.
I am supposed to start AI therapy on March 15 (waiting for oncotype first). My PCP recommends getting my Vit D and cholesterol checked to have a baseline before starting. I also asked to have Prolia every 6 months to maintain bone density. It's also been shown to reduce the risk of cancer mets diwn the road. Anyone else getting this injection?
On my way to the airport now. Got TSA precheck (woohoo!) and I also have my letter from the PS letting them know that I'm packing metal (magnetic port in my TE) - should be interesting. I'm flying out of Philly and will meet up with my sister in Dallas then on to Vail. My other sister and her husband flew out yesterday. Unfortunately my brother and his wife aren't coming this year. They decided to go to Hawaii instead to help my niece plan for her wedding
Have a great weekend everyone!
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