debunking Lymphedema risk reduction behaviors
My LE therapist emailed this link to me, so I thought I would pass it on here.
http://www.lymphedemablog.com/2016/04/06/debunking-lymphedema-risk-reduction-behaviors-not-so-fast/
Comments
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Wonderful article by Dr. Nudelman
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Brava for your therapist, Glennie! She's on the ball and not afraid to reach out to protect her patients and others at risk.
Be well!
Binney -
Thanks for posting but it still leaves me wondering....should I be concerned about a flight to Italy in a few months? My doctor poo poos all of the risk factors. His theory is if you are going to get it, you are going to get it no matter what you do. Confused....
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Even if it's true...wouldn't you want to delay it?
I mean, on some level I agree, I probably would have gotten LE from something at some point, but why would you not try to avoid it.
That being said, non LE women are often given garments that do more harm than good for prevention.
I see women wearing the sleeve with no glove about to get on a plane for prevention.
Here is the issue, it's hard to get fitted properly, it takes trial and error, and sometimes months, that is a lot for someone who doesn't have le to go through.
If you are going on a long flight, and willing to make sure you have properly fitted garments, and wear them for a while first, then I say go ahead, but that is a lot of ifs. I think the worst thing to do if you don't have LE is get on a plane for hours with the wrong stuff.
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It's a tough choice. I'm going to be flying for the first time since surgery soon, and I still haven't decided whether to wear the compression as prevention or not. I was professionally fitted, but have never worn the sleeve & gauntlet for any length of time because they hurt.
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Thank you so much for sharing. I was thinking that snce I only had 2 sentinel nodes removed I didn't have to worry abot LE. I see now there is the radiation factor as well.
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I had 7 nodes removed. I have done several (very) long haul flights (Australia to Europe) with no sign of lymphedema. I do always make sure I do stretches of my arms above my head at regular intervals. I would worry about wearing tight garments if they were not properly fitted
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SuC, did you go on all those flights without wearing any compression? That is encouraging. I had 6 nodes removed but am considered high risk because A) already have truncal LE,
they radiated the heck out of the remaining nodes, and C) have gained lots of weight (thanks a lot, tamoxifen).
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I gained about 20 lbs and had 29 nodes removed and am showing no real signs of LE. I did wear a sleeve on a plane to Europe last month with no affects at all.. I assume I kept it from progressing to LE. I have a friend who had 6 nodes removed and wears a sleeve every day. She asked me if I have been a sweater, and I did have issues with sweating all my adult life. She thinks that may help somehow.
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Jennie93, if your garments hurt you should go back to the fitter, and get refit.
I would NOT wear garments that hurt on a plane if you have no LE.
for that matter, I would not wear garments that hurt on a plane if you have LE.
I would wear the garments when you exercise to break them in and make sure they fit.
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I can't do that because our insurance changed this year, and none of this stuff is covered any more, and we simply cannot afford it right now.
Mind you if there were good studies showing that "Yes! Wearing compression absolutely will prevent LE caused by flying! Guaranteed!" Well. Yeah. I would do whatever it takes to get it done. But with all the controversy now, some experts insist that even well-fitting garments might do more harm than good, if you don't already have it.............. I think I'll pass.
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It is a very complicated issue, as my therapist indicated some studies show wearing garments when there is no evidence of active lymphedema could precipitate it. I do wear a sleeve for flights. I have also read the length of flight is not the issue, it is the initial takeoff. That can range flight to flight.
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I had 5 nodes removed. At the time of surgery my BMI was in normal range. Within 2 weeks of surgery, I had truncal and arm LE. The idea that infection and obesity are the only risk factors are laughable. Before they start making statements like that, maybe there should be a lot more research done.
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I discussed the study with my PT (an LE specialist and educator as well at PT) and her take was that it would take many more studies for her to feel comfortable advising women to abandon pro-active strategies. Basically, her question was "Why would you risk it?" which is pretty much how I feel.
The scary thing is that the nurses at the infusion center are already saying they've heard it's o.k. to do BPs and IVs on the 'at-risk- side.
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Maybe print a copy of the article and take it to the infusion center?
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I had 16 nodes removed and take precautions as in sleeves on all flights. Surgery was 4 years ago and now I am in radiation. I got a small mosquito bite three weeks ago and while innocent in the beginning it turned into a major infections with me on steroids, antibiotics and cream. Was it related to my situation? I will never know but I still keep a very close watch and take precautions.
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have met several women who got LE years after surgery from things like bee stings. I'm being so careful. No one is using my arm as an experiment for BPs etc. my LE therapist said to do lymph massage when on a flight to keep the lymph moving
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I am going to start travelling on a plane for work now. China, Germany, etc. I only had two lymph nodes removed, and no lymphedema that I know of. How do you know if u need compression, and where do you go to get fitted?
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Good idea, Glennie! I'll do that. They certainly weren't pushing me to use my left arm but were suggesting it would be o.k., so I think so 'continuing education' from a patient might be a very good idea. Thank you!
New-girl - I'm sorry for all the issues you're handling right now. I hope the infection clears up soon and doesn't lead to any LE issues.
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Tresjoli - You could ask your breast surgeon, RO or even your MO for a referral to a LE-trained PT who could then advise you regarding risk and risk-reduction steps you can take while traveling. Just make sure your PT really does know LE!
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