May 2016 Surgeries
Comments
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tsoebbin- I'm two weeks out today from surgery. I had my drains out at 10 days. I'm still having a hard time getting comfortable on my sides, having some pain. A lot will depend on how longs drains stay in.
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sensitivehrt... Thanks! I realized I hadn't asked that question yet and didn't know if it was days or weeks after drains come out.
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Drains seem to vary person to person. Each BS or PS has their own guidelines. My BS said it had to be less than 30cc per drain two days in a row. I've heard some people have them in for 3 weeks. Some docs say it's ok to shower with them in and others say no.
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Today, I met with my surgeon for my followup. Everything is healing wonderfully, and I got my drain out! (Which was awesome!!!) I can now move my arm, wear deodorant (yes!), start some exercises, and do light housework (shhhh... don't tell my Mom).
My pathology came back from the mastectomy, which gave us the complete picture of the cancer. Of the three axillary sentinel lymph nodes removed, all three were negative for malignancy! The cancer was typed as Invasive Mammary Carcinoma of no special type ( ductal, not otherwise specified ). This is slightly different than the original biopsy pathology which typed it as lobular (I am still trying to wrap my brain around the differences, but this is still good news). The tumor size ended up being 3.5 X 2.5 X 2 cm, which is HALF the size of what the MRI showed! The margins were uninvolved and negative, which means they got it all! I have now been given a stage based on the lack of lymph node involvement, clear margins, and tumor size. I am Stage 2a, which is great! I meet with my Oncologist on Thursday to develop a treatment plan. This is when we will decide if I will receive chemo, radiation, hormone therapy, or a combination of treatments.
Please continue to keep me in your thoughts and prayers. We are hopeful I will need the least aggressive treatment, with the most beneficial outcome. I cannot express how happy I was to hear all of this today. While I know I still have a long road ahead, I am confident we caught it in time and reacted aggressively enough to beat this cancer and come out stronger, healthier, happier, and certainly more grateful than I ever could have been before. Thank you all for your kind words, advice, and support. You are all in my prayers every day and night!
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Hello everyone and thanks to Hydranne, raven4mi, tsoebbin, moreshoes, grandma3x and WenchLori for the welcome.
Skdc - about the post-mastectomy cami- I love mine, my surgeon wrote the prescription for two and I got them a few days before surgery. I figured I wouldn't want to venture out to get them afterward. My surgery was May 2nd. I am still wearing them but my drains are out. They just feel good - like protection or help with the expanders.
I love the idea of naming the drains - wish I had thought to do that. My first one came out 10 days after surgery with about 18 cc output per day. The second one came out 14 days after surgery with 11 cc per day. It did not hurt either time and I was expecting it to. The nurse told me to pretend I was blowing out candles on my birthday cake. The first one was on my left - the side with the new cancer. It was easy. The second one was on the right - the side with the recurring cancer and full radiation - when she pulled that one it just kept draining and draining all over the table. It didn't hurt just was weird.
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Lots to catch up on which I'll do later. Posting on my phone from hospital bed. Developed a seroma after Flotsam was removed, so he's back. Pain from seroma was horrible - worse part of entire experience by far. PS met me in ER, took me to surgery to flush and put in Flotsam 2.0, then kept me overnight for IV antibiotics to prevent infection. DH is out of town for work, poor guy, so he's freaking out that he's not here, but 'Team Raven', consisting of an amazing group of friends has jumped in to help with the teenagers. I'll catch up more when I get back home to my PC, assuming later today. I will never complain about Flotsam again - lesson learned.
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Wow raven4mi, you are really having a tough time! I hope you start feeling better soon!
I have some questions for all of you that had surgery. How long did you need pain meds and what kind (prescription or otc)? How long after surgery were you able to drive?
I haven't done to much prepping but my dh is pretty great and my daughter is coming down to stay with me a few days.
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WifeMomTeacher,
Glad to hear your final pathology was a better scenario than anticipated! Good luck as you begin treatment. You are in my prayers.
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WifeMomTeacher - yay for negative lymph nodes, and smaller than expected size! Will your MO send a tissue sample for Oncotype dx testing? I had to argue with mine to send it out. He was sure it would come back with a low number, which it did, but I like having the number anyway.
Raven, what a bummer to have another drain put in! I hope it does its job and that you will be drain free again in no time.
Lorice - when I had my first MX in January, I tapered off the narcotics so that by day 3 I only took it at night. By 1 week postop, I stopped the narcotics and just took Tylenol and ibuprofen. I think this went on for about 4 weeks after surgery. Everyone is different, though, so my advice is to listen to your body. Tylenol and ibuprofen are anti-inflammatory, so may help to prevent recurrence. But each of these come with risks as well (liver damage for Tylenol and bleeding for ibuprofen ).
I think last night was the first time I've been in real pain for either of my MXs. It's mostly my shoulder that is hurting, but when I laid down, I could feel pain around my drains as well. I think it's a combination of factors. Since I'm right handed, I tend to use that arm more than my left. I also was not keeping up with the pain meds. So today I'm going to take my meds on schedule and try to remember to use my left as much as possible instead of my right. -
WifeMomTeacher, so glad about your pathology. You didnt say if you are ER positive or triple negative. Usually with triple negative some chemo is recommended. With ER positive you can have a combination or targeted therapy and chemo if it's needed. Definitely you want the onco testing if you can get it.
Raven4mi, so sorry you have to have flotsam 2.0. Hugs to you
Greykat you are my hero, for real. So organized, I understand with different circumstances you have to be, but you still are my hero.
Grandma3x, sorry about your pain. But your advice on pain meds is awesome. Also to stay ahead of the pain
I had the same questions about showers, and pain meds
Having gone through chemo the discomfort and pain don't give me anxiety but the lack of mobility has me worried. And for how long
I'm like you Lorice, I prepped like a mad woman before chemo started in January and my DH and kids have kept it up. I have a TeamVal and they are coming in today to deep clean. Yay.
skdc, I had that drain question too, my BS said the same thing
Hope all have a good weekend.
Val
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Oh Raven, I am so sorry. Doesn't it just stink to be back in the hospital and have a setback? But you'll get through this. Just think of it this way - those darn little drains liked you so much they just wanted to snuggle back up one more time.
Tsoebbin - I'm nearly two weeks out and I can't sleep any way but on my back or - just barely, with pain, sort of leaning propped up tilted a bit toward my side. The TE just dig in and hurt, and I can feel the stitches pulling too, gravity or whatnot. Also if I cross my arms in front of my chest, it pushes the TE or muscles together a bit and so I feel that pulling. I did discover last night that if I have a front pillow for really snug chest support (on top of the tight sports bra I've graduated to), I can almost lay on my side to sleep, and the pain is low enough to let me at least get an hour or so. But basically still a back sleeper. It's gotten old, I tell you. I used to be a stomach sleeper! not a chance right now.
And to you lovely ladies who flatter and cheer me on - yesterday was my "rock star day" of getting stuff done, and today I am SORE and very tired and totally paying for it. I am wrapped up in a bathrobe, halfway through a book, contemplating going back to sleep, and thinking my new antibiotic is making me nauseous.
I think back to how scared - truly gut-wrenchingly scared - I was of all this, and of the women I met in person who had gone through this horrible process before and told me I could do it and that there was good life waiting on the other side. I am so grateful to them because I can see that they are right, in the end. Even if it hurts today, and tomorrow, and next week, it will get better.
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I have had an expander three different times, not one after another, but rather separated by periods of time. I never slept on my stomach with them at any point and I had the right one for 16 months total. I could sleep on my side but only with pillow support front and back. I did best with sort of a 45 degree angle of side sleeping with a small pillow at my back. The bigger that the expanders are filled the more firm and hard your chest will be, with the skin stretched to the max - not conducive to stomach sleeping.
After BMX I took Vicodin for less than a week, then switched to Tylenol but probably only for a few more days. I have had drains many times - probably for half of my surgeries - but don't keep them long. My first PS allowed showering with drains and I found I got good pain relief and morerelaxed feeling from a hot shower than I did from meds. My current PS doesn't allow showering with drains, or even without them, until post-op. For this surgery I took Vicodin for two days - mainly for the soreness from fat grafting, I had Skelaxin but didn't take it, have taken Tylenol once or twice a day the last two days, have taken nothing today. This is not the norm for most, but I have a very high pain threshold, don't like medication, and have had so much surgery that I have virtually no feeling on my chest. The last two surgeries prior to this one I took no pain meds at all. I do believe it is important to stay ahead of the pain, don't chase it - take these meds for as long as you need them.
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Thank you for the advice, I put on my Amoena camisole today and it does makes me feel a little more secure somehow; feels like a security blanket that zips up :-) Not having the drains jiggle around is also a plus. Staying positive for a good recovery and crossing my fingers that my pathology results come back soon.
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@skdc Aren't those camis great? I loved having the drains securely held - I also had a lariat for pinning them to hang while I showered, and I used it once to go out with in normal clothes when I just had one drain left (I hid the bulk under the bow on a dress!) - but I lived the past two weeks in my Amoena camis just because of the drain holders. Took away my terror of having them snag on something while I was moving about.
When I ended up in the ER and refused to take off my post-surgical binder/drain-holder cami combo; all the drs were like "what's this extra shirt thing you won't take off?" and I had to show Every Single One the drain pockets. They were ALL men, and all like "that's really handy!" Yes. Yes it is.
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Skdc and GreyKat, are the Camis your using from the prescription/hospital or did you buy them yourself?
Thank you SpecialK for the information for sleeping and pain meds.
Anyone have weird dreams before your surgery? I keep having one where my . TEs slide down to my waist. I'm not sure what that's trying to tell me but I wake up in a cold sweat the past 2 nights.
Raven I hope your back home soon!
Wifemomteacher, I'm glad your pathology reports came back better than you expected. That's a relief for you I'm sure
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I can't believe we're already rolling into the last full week of May! I pasted the surgeries coming up this week. I hope I got it all straight! Please chime in if I got your date wrong. I hope everyone has the best possible outcomes. . .
Bfuruseth - May 23rd
allaboutacure - May 23rd
Valstim52 - May 24th
jensgotthis - May 24th
Papillon1 - May 24th
MoreShoes - May 25th
GinaSC - May 25th
Lorice - May 25th
spdr1031 - May 25th
maggierose520 - May 25th
HuskerFan - May 26thSo I never got a cami from surgery but I did get lucky and had ordered these bras from Walmart.com before surgery. They're so, so comfortable and give you a little extra padding in the breast area and just the right amount of compression in my opinion:-)
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A note about the mastectomy camisoles - ask your BS/PS teams how they will bandage and what type of garment, if any, they will dress you in post-operatively. I woke up in a camisole so did not need to purchase one separately
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Thank you SpecialK, I've added the cami question to the top of my list for my next appointments.
Thank you Angtee, I will check the Walmart website for the bras you mentioned.
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Hi all - sorry I've been late in posting. My surgery went long 8 hours vs the 6 expected. I think they had a hard time putting my port in - and that is what is more uncomfortable - the tail rides over my collarbone and the skin is thin and so tender there. My nodes(2) were negative and I am grateful for that news. I was in such a fog for the last few days I didn't think I needed to be near a computer since I'd end up ordering a pony or something ridiculous from Amazon.
Pappilon - I went straight to implants and my incisions are vertical. I finally looked at my full monty today and it wasn't terrible - honestly my port looks the worst of it all. 4 drains - flossie, bossie, minnie and pearl. I loathe them all - they are udders and are all pinned to my garment. I have this kinda bra/garment/half cami thing on and it's very loose providing no compression at all. It seems to serve no purpose but to be hideous but I'm not allowed to take it off or shower until my 1 week appt. The drains aren't putting out much so I'm hoping to lose at least 1 or 4. They come out about 2 inches under each arm pit. The left side has a longer horizontal incision where they did the node excision and it's uncomfortable but not awful. I had pectoral blocks while I was under and I got Lortab 5's and Flexeril for pain. I would say that the pain is manageable and my rib cage actually kind of feels like it was scraped - which I guess is from the alloderm used to hold up my implants. I'm only needing a pain pill at night to help me get comfortable enough to sleep.
As far as sleeping - I sleep in my bed propped up but now i slide down almost flat on my back. Transitioning from laying to sitting is tricky since I have T rex arms - so it's a great ab workout. All in all, glad it's over and my tumor is out. Not quite ready mentally to start chemo but I'll get there. My son had his high school graduation today, I wasn't there and I'm still sad about it. Hate cancer - really do.
Best wishes to you ladies on both sides of the table - I apparently was very chatty in the OR after the versed and my husband said I looked like a character from the Walking Dead when he saw me in recovery - I was very pale and they were asking him if that was my normal color. Nice - guess I need a spray tan. And they also told me that my veins were crappy. I looked at my chart today and there is a PT consult ordered for lymphadema education and PT. Should be super fun. I've washed my hair twice in the kitchen sink and that felt good - glad I cut it shorter which made that process easier. Baby wipes and the premoistened washcloths that were recommended on this site helped me feel not so gross - I recommend them too if you are among those who aren't allowed to shower.
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One of my legs is swollen so I'm spending the evening in the ER waiting for an ultrasound. Ugh
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Oh no grandma3X! I'm so sorry to hear that! You are in my thoughts and prayers all will be well!
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NattyB, I'm glad to hear everything has gone well for you and I pray that your journey continues to go well. 🙏
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Yikes Grandma 3x - hope you can get a quick resolution. Thanks Wenchlori - I hope yours does too:)
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@WenchLori - my camis (2) were prescription and written up by my BS way out at our first appointment where she agreed on the surgery and I agreed on her. Insurance covered most of their cost. The breast binder I woke up in was obviously provided for me among the supplies brought by the PS, including the TEs. I discussed all of this in advance, including when/if I would transition out to sports bras (Walmart!) or what other kind of support my PS likes to use during reconstruction. Ask, ask ask ask ask ask ask. No question is too stupid. If they get an attitude, that's their problem, not yours.
ETA: I am being treated at a specific cancer center, so naturally they had a store in part of it where they happen to sell prescription and non-prescription mastectomy apparel and prothesis, scarves, wigs, etc. Of course. $$$
And I had nightmares for months, so I'd say totally normal.
@Grandma - oh noes! I hope you get better soon. Don't you wish you could just order your body to behave itself like you can a six year old? I know I do.
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Mycamisole was prescribed and I got it at Nordstrom, I love it.
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a question for you ladies regarding the camis/bras......how do you know what size to get? Especially since there will be post surgery swelling,etc.
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I will be asking my Oncologist many many questions, including what do I need to do to get a PET scan. I have random bone (ribs, hips, leg, and feet) and joint pain as well as shortness of breath, which I am hopeful are hormone and allergy related, but I honestly need that peace of mind, whether the lymph nodes taken were clear.
My BS says it's not typically done with my stage, but due to my symptoms and fears, I NEED it, and will be fighting for it. I also will be asking about Onco scoring, as I am Stage 2, newly diagnosed, and ER/PR positive (so from what I've read its typically done for my situation). I have no idea what the future holds, but trying desperately to take it one day at a time.
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Husker Fan - the bra fitting specialists really helped me, I got to try them on prior to surgery. If you are ordering on line I would go with your shirt size. I usually wear a medium shirt but I tried on both small and medium cami's - the medium fit.
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I am almost 3 weeks post surgery - BMX. I do okay and then I get upset or depressed. It leaves after a bit but sometimes it is sad. I am trying to focus on how much I have - abundance rather than loss. Anyone else have moments of struggle emotionally?
Since this is my second time having BC I wanted the onco typing done also - it took me asking several times and I have to call on Monday to see if it was approved by the oncologist. If it isn't I will seek a second opinion, I too want it for peace of mind.
I guess I just get worried since I had regular mammograms and when the cancer was found in the left it was thought to be the only one but on the MRI 2 tumors were found in the right side and only after the mastectomy was the 3rd tumor on the right found and all of them were 3 cm or more... Sometimes I think too much.
Good news is I have more stamina every day - today over 3 hours without a big break -
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Mom4four-I'm two weeks post BMX, and have found myself having "weepy" moments. I think the stress of the past 4 months have finally caught up with me. Hang in there. We are all here for each other.
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