May 2016 Surgeries
Comments
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HI, I'm new to the thread, having another lumpectomy tomorrow. First lumpectomy was 8 months ago, I had 10 rounds rads, then put on hormone receptors. He hasn't deicide on radiations again yet, which I had it thru a Savi the first time. I had mucous cancer a rare type.
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OK, gang. Having a bit of a pity party here tonight. After my emergency OR visit/hospitalization over the week-end I feel exactly like I did right after the mastectomy 5+ weeks ago. It's like all those lovely weeks of healing have been thrown right out the window and I'm starting from scratch. I feel so demoralized. On top of which my DH has been out of town for work for the last 12 days and so I've been struggling with this on my own, with two teenage boys who are only a help once I scream my head off at them (typical!) And tonight I had a friend lined up to drive my 13 y.o. to his tennis lesson and she's backed out with just a couple hours for me to find someone else to take him. I mean, I CAN drive, but it's REALLY uncomfortable so I'm trying to do it as little as possible, and if she can't drive, she can't drive, but some more notice would have been appreciated. All those friends who offer to help aren't ever available at the last minute - nor should I expect them to be - and I have absolutely no family in the area to call. And I can't really be mad because this is the same friend who steppe up BIG TIME over the week-end to jump into take care of my kids, my house, and my yard when I ended up in the hospital.
I'm just so extremely frustrated. Maybe a few tears will help. Or wine. Wine might work also.
*sigh* OK. Finished whining.
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Welcome, nurse88. Sorry you're going through this again, but best wishes for your procedure tomorrow.
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@Raven - Yesterday I spent half the morning sitting in my chair weeping or writing angry notes about stuff I was mad I couldn't do and feeling abandoned and let down with no one who cares enough to take me out to get me out of the house at all for anything, and how all my ER rehospitalization stuff may have torn out some of the original surgical work, and etc.
I totally get the need for a pity party. Yours is valid. It IS demoralizing to be thrown back in recovery. I offer you some of my fudge-dipped shortbread cookies. Or almonds and dried berries. Or both. *hugs* and hang in there.
@Nurse88 Howdy and welcome to the club? What a club to join, right? Chime in whenever you like. There's some great people on this thread.
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Raven and GreyKat - maybe it's the phase of the moon or something, but I also had a major meltdown last night - in front of my DH, which is the first time I've done that since my dx. I just had a bad day yesterday - the antibiotics were giving me diarrhea so I called the PS office and spoke to the nurse, who said she would have someone call in a prescription for something else. After several hours, the pharmacy still had not heard from them, so I called back, this time getting the on- call, after hours resident, who informed me that the antibiotic I was on, Clindamycin, was only given to patients who were allergic to penicillin (which I'm not!) and that diarrhea can be a very serious side effect on this medication and that if it got worse, I needed to go to the OR. When I finally got the new prescription, this time for the same stuff they had me on for my last MX, the pharmacist told me that diarrhea from Clindamycin may persist for several weeks or months after stopping it - ugh.
On top of this, when I called and talked to the nurse earlier in the day, she reminded me of my postop appointment on Fri. I said yes, that I was hoping to have the drains removed, and her reply was "We don't take them both out the same day, we will only pull one"! I told her that both of my drains were pulled the same day last time (same PS, just different nurse!). She said she would have to get permission from my PS to do pull them both. BTW, they are both under20 cc's over a 24 hour period now, and I'm determined not to leave her office Fri. until both are removed!
The nurse also asked if I had removed the dressing over the drains and I told her that I had not - my written postop directions said in capital letters DO NOT REMOVE THE DRESSING OVER THE DRAINS! They would remove them during the first postop. So the nurse told me on the phone that I should remove the dressing every day, and wash the incision and drain sites with soap and water every day, then put a new dressing on. I had not done this for my first MX and since I could not easily do this myself, my DH had to do this. He got flustered, dropped the clean dressing on the floor, and I just started crying. I balled my eyes out for a good half hour.
Anyway, that's my rant. I feel slightly better today, but I'm still ticked about the antibiotics and the not pulling the drain thing.
Nurse88 - welcome to our club. We are here to support you in whatever way we can.
Valstim, jensgotthis and papillon - I hope you are resting well after surgery and on your way to an easy recovery.
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I had a major meltdown yesterday too. The experience with my OBGYN mentioned above, a less than supportive conversation with my sister who likes to ignore our family history of cancer, and a terrible sinus headache.
Today I decided to stop trying to be brave. I just rested. I let my kids pamper me. My husband came home early from work because he realized I needed support. A lovely friend brought over a "mastectomy pillow " that she made for me. I feel better. But I feel tired. The three months of doctors visits and imaging and tests and research have zapped me. I'm exhausted and ready to move on.
My surgery is scheduled for tomorrow at 7:30am. Glad it's early. I'm thinking of all of you ladies who have gone before me and are healing. Thank you for all of your support and updates and understanding. It makes it all a bit less overwhelming when folks talk about it.
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Momof6littles--we'll be thinking about you tomorrow! Best wishes for a smooth procedure. Have you heard of the Breast Next test? They will test you for 17 gene mutations that could contribute to cancer risk.
I too lost it a bit last night!! My tears were triggered by my anemic bank account after working all these months part-time during chemo and my short term disability paperwork apparently was in arrears (not at all my fault). Happy to report that was resolved today.
Drains were supposed to come out today (tomorrow is two weeks since the BMX) but I'm not quite at the 20 cc mark/24 hours. I remembered Raven's advice and accepted that Cagney and Lacey will be "hanging around" till Friday.
Hope everyone is doing OK. Crying felt good. We probably need more of it. Get rid of those stress hormones!
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@Grandma What that resident told you about Clindamycin being only for penicillin allergies was a load of bunk. I've been on it for a week now almost and finish my course tomorrow. They put me on it because it's specific towards skin infections - which is one reason we all get an antibiotic - and the Bactrin I'd been on was part of the whole slew of meds they pulled me from and flushed from my system when I ended up in the ER with neuro/motor breakdown. No, no one knows if the Bactrin was to blame. Too many variables at play.
Microbiology lesson for interested parties: Clindamycin does cause diarrhea because it disrupts the gut flora and allows C. difficile to overpopulate. That bacteria is normally kept in check by the good bacteria we have. It's bad because it produces a toxin and leads to diarrhea that can dehydrate people to death. It does happen. Taking anti-diarrheal meds makes it worse because then the toxins build up. Your body is trying to flush itself. It just has to run its course and that's why they say keep an eye on it and if it becomes severe, you do have to go to the ER. If you keep up your fluid intake and can eat enough, it can be ok. It can last for months because if C. difficile establishes itself really well, it's hard to get rid of, and can keep disrupting your system. Probiotics might help. It can lead to colitis, which of course is its own mess, which is what it sounds like he was warning you about. But it doesn't always end that way.
Clindamycin is also prescribed for severe acne, they told me. So, yay us?
I don't know where you are on that fluid/diarrhea/health spectrum but that's the facts from straight microbiology. Call me weird but gut flora is interesting because it plays such a huge role in our overall health.
I do hope you all feel better. Let's hope the moon changes or something!
Good luck tomorrow @Momof6 & everyone else.
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I must be feeling extra chatty tonight because today ended up being a high energy, high mobility day, and I actually got to walk a mile outside. So forgive the mini microbio lecture y'all. I just get excited about weird stuff.
Like I can watch daily updates between the hospital bill and my insurance company processing claims - they both do it online in systems I can watch. So I can practically see them negotiating over costs. I already have the costs for my surgery and complications and such in bc those billing departments just feed that paper through, you can tell. They've been dickering about the MRI the breast surgeon ordered two months ago and they *finally* settled for less than 1/10 the cost the hospital was billing. They are STILL dickering over the cost of the breast ultrasound ordered 4 months ago that insurance denied for a couple rounds. I am absurdly enjoying watching this process because for a lot of years we paid our insurance premiums and then had nothing left over so couldn't afford to actually go see a doctor for anything at all so we had no medical care in practicality. So now it's nice to feel like we're finally getting something back out of all those years we paid to keep our insurance but scrimped and scratched everywhere else and couldn't ever afford a clinic visit copay.
Weird, I know. Grateful we have insurance. Kinda weirdly fun to watch the two Mega Medical Behemoths go at it: Hospital vs Insurance!
And of course I'm watching online because initially I was "omg how much is this going to cost us?" panic at first, so I couldn't possibly wait for the monthly billing statements when I could check faster online. Now I've gotten hooked!
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GreyKat- I've been watching the claims hospital submitted to insurance as well. Holy cow at the cost. I'll have to try and log on to hospital part tomorrow. Thankfully I've pretty much met my out of pocket maximum for year, and so thankful for insurance!!
Woot woot on a mile walk.
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Raven, Mom of 6 littles, GreyKat - yup it was time for a melt down, sometimes you have to let it out.
Today I got the best news ever - my oncotype came in a week early and they called me it is only 11! I will not need chemo. I was so happy. I guess I figured since I had 4 tumors over 4 cm and in both breasts, I would just have a high score. That means my reconstruction can be done sooner.
I also went to the PS today and got my first fill - 60cc each. It really threw me for a loop. I had no idea it would hurt so bad. I even started crying. The left didn't hurt at all, more like pressure. The right, my radiated side had a bad nerve pain as the needle went in then zowie it hurt. They gave me ibuprofen and Tylenol so that made it much better. I will definitely take some BEFORE I go next week. I may only need 5 fills to reach the maximum that my radiated side can take - so happy and sore. Been on the couch for hours
Yes you can have reconstruction with past radiation, I had full right side radiation in 2007, from the middle of my chest to almost my back. My PS said that diep is the best choice for success on a radiated breast so that is what we are going for. Of course each person is different and I seem to be so fortunate in that my radiated side while looking hideous is not infected.
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Thank you, I hate to be put to sleep I'm more scared this time then the first. I have problems at home too! Not much support from my husband he drinks everyday I live under so much stress at times, but being sick right now and no job there is not much I can do. Thanks to all of you for the welcome,
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hi, am writing from the hospital. All went well, 4 hour of surgery and 2 in recovery. Tried to walk a few hours later but it was too soon and I nearly passed out. The night was ok. Nausea a bigger problem than pain. They gave me drugs for it but coke was the best! The nurse agreed.
I was terrified of being put o sleep but it was ok - just got very sleepy and drifted off. Wasn't nearly as scarey as I feared
Using my arms very difficult. Physio said it will be two months before I can resume normal activities. Arms must be used below head height before then. That's because of the immediate implants.
Getting out of bed v hard so I am trying to sit in chair a lot, though I may go back to bed for another sleep - anaesthetic makes for dizzy tiredness.
Hope everyone else is ok xxx
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Thanks GreyKat! The pharmacist mentioned taking a probiotic, which I did, and the diarrhea has already stopped. Sheesh - talk about making mountains out of molehills! If I don't have something like work to distract me, I always start imagining the worst.
The swelling has pretty much gone down in my leg. I woke up at 4:00am thinking about it and realized that they must have put the blood pressure cuff on that leg during surgery (I had a left MX in January so they would not have used my arm). I have been keeping it elevated and I'm petting it like a kitten (thanks SpecialK
Hugs to the surgery girls today! It's been 1 week for me and I am feeling better every day. I was able to walk on the treadmill yesterday and did 3 miles
Mom4four - great news about your Oncotype score!
Papillon - hopethe nausea has worn off! When will they let you go home from the hospital?
Nurse88 - I'm so sorry you don't have support from your husband. Is there someone else (a friend or relative) that will be able to help after surgery?
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Well, I guess it's some comfort knowing that I'm not the only one who's having meltdowns. My poor teenage boys are scared to death of me at the moment – which, come to think of it, probably isn't such a bad problem to have when it comes right down to it! LOL!
Today's new "joy" is agonizing stabbing pains at the corner of my incision site underneath the right breast. It's looking really red and angry and the pain is seriously bringing me to my knees when it hits, which is often and out of the blue and not seemingly related to movement – it just happened a second ago while I'm sitting in my La-Z-Boy typing away. Temp went up a teensy bit to 101 last night, so maybe it's just the infection trying to rear its ugly head again, or maybe it's an entirely new infection, but I'm beating it back with the abx and copious amounts of Extra Strength Tylenol. F/up with the PS is tomorrow – I'm sitting here debating whether I should try to get in today or just wait until tomorrow. Either way, I'm anxious for him to get a good look at things and tell me what's really going on.
Granda3x, don't you love getting conflicting advice from WITHIN THE SAME OFFICE?? I swear sometimes the medical community just seems to be one big ball of the left hand not knowing what the right hand is doing.
Mom4four – great news on the no chemo! I'm happy for you. Sorry you had such pain on your fill – I had my first fills last week and they were pain free, thank God. Hopefully the next time it won't be so bad for you!
Papillon1 – wow, look at you! Updating from the hospital! Good to hear from you but rest, rest, rest!
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I am new to this blog. I am 5 weeks post-op bilateral mastectomy. My physician placed expanders, the same day the mastectomy was done. I have started experiencing a burning sensation. No redness or swellingand not hot to the touch. Just a bad sunburn type feeling. Is this normal?
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Hi ladies. The operation was this morning at 8am. It lasted 1.5 hour and according to the surgeon it went smoothly. They forgot to give me the one o'clock dosage of morphine, and gave me a paracetamol instead (the Dutch and their paracetamol....they give it for everything). I'm experiencing more discomfort than pain btw. It's now 4pm and I'm starving.
Yesterday I wasn't having a pity party (that will come later, of course), I was taking a video of my breasts! (what the h*ll...yeah, I know)
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well done moreshoes!! We are done
I am sore if I move, but I thinks it's paracetamol here in Switzerland too - they use it for everything...
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Greermomma....has anything changed that might have initiated this? Were your drains removed recently? I wouldn't say anything we experience at this point is "normal". I would definitely be in touch with either your BS or PS.
MoreShoes, glad to hear from you! (Videos! I took pics but no live action. Heh.)
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Well I'm glad I didn't run too many people off with my nattering on.
Hi Papillon! Hang in there. Just hang in there and let the days move by.
I'm now 2.5 weeks out and can say this was the first morning I didn't wake up in absolute agony (recall: no painkillers or muscle relaxants) leading to a morning full of tears and pain. Nights have been short and painful and mornings hard and trying these last 2.5 weeks. I hurt like )*&&^% this morning but finally, finally not to the point of tears.
I've noticed a pattern developing of a high-energy, high-mobility day followed by a horrible painful day and then a tired day and then I rally round again for another feel-good day. Each time the cycle repeats certain things get easier and less painful on the hard days, so at least I know I'm healing. I hate that when I walk I can feel the TE tug and pull - not quite bounce, of course, but I feel each step tug each stitch. And this is with them practically empty and under a tight binding bra. What on earth are they going to feel like once I start getting fills, they get heavier, and I still have to walk around with them yanking on my rib cage? I hurt just thinking about it.
I've got a funeral to go to tomorrow, which of course is its own thing, but on top of all the weepy usual I'm trying to figure out a polite way to dodge any and all well-meaning hugs from unthinking relatives. Because holycownononononono that would hurt. I'm thinking of clutching my purse in front of me (and my chest) at all times as kind of a mental barrier. I hope no one gets in the mood to bear-hug me out of grief, their own or mine. And if they do, I hope I can suppress my yelping in pain.
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Wheeled into surgery at 7:30, out of recovery by 10:30. I hurt, and it's hard not to use my arms. But I'm up in a chair now. They have my chest tightly bound with an ace bandage, and that hurts more than anything right now. But I'm doing ok. Will go home tomorrow.
Hopefully will have final pathology by Friday.
I'm hanging in there. My husband just went down to the cafeteria to get me a coffee and a cookie. That makes everything better. :-
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Hi Momof6!
At least the worst is over now, right? I mean, you're past the dread, past the point of no return, past all the worrying about doing this. Now it's on to recovery and definitely a cookie. I hope it goes smoothly for you.
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I'm all set for my BMX tomorrow. Starting to get pretty nervous about it. My sister is arriving in about an hour so that will help take my mind off of things.
Sending lots of healing wishes to everyone else!
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Lots of luck Huskerfan. Remember to breath.
Momof6, are hou ready to go home tomorrow? They want me to leave tomorrow too, i think i'd like to stay ons more dat. Especially since they plan to get rid of the drains too. I think i'll call them Lucy1 & 2.
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MoreShoes, I was told I could stay another day if I wasn't ready. I'm feeling way better now than 5 hours ago. I do want to get home to my space, but I worry about the kids getting to excited to see me and me wanting to mother. Don't want to hurt myself.
Will they let you stay another day if you need it
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Good luck Huskerfan. I'll be thinking of you. Glad your sister is going to be with you.
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Good luck to you Huskerfan! You can do this.
I hope you all get to stay another day if you need to. I had a "one night then out" standard I ran up against and the morning after surgery (6 hrs surgery, 5+ hrs in recovery room with problems, didn't get to regular room until 10:30pm and all pain meds had worn off) when my BS's right hand dr and her resident showed up to check up on things and such, I was in so much pain and so scared of being sent home like that I started crying and told her I was scared to go home because stuff had gone wrong and etc.. She was open-mouthed speechless for a few seconds before telling me they wouldn't send me home like that (and the resident was quick to scribble out more scripts for drugs I didn't understand I was going to get).
And that's how I ended up with a second much-needed night in the hospital to stabilize before going home on day 3. I wish you ALL an easier time with it, but those young doctors do love The Standard Plan of Treatment.
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In the spirit of TMI, ladies, I've got to say my scabbiest nipple on my worst looking side (hematoma and looks like multiple attempts at making drain sites) - the scab just peeled off tonight, and took some of the surrounding areola skin with it, which I had noticed was sort of getting darker. Not dark. Just I guess the layer came loose, all dead skin. So there's pink skin underneath except the actual nipple which is bleeding and looking...weird. Like part is missing.
And freaky of all freaky on the actual bleeding part itself, I can feel the tiny bit of light skin sensation. Like a tiny island of functional nerve in a sea of numb skin. It might be just a now thing or the whole thing might go south, I have no idea.
My PS can't get back from vacation soon enough. That man hasn't even seen me and I'm 2.5 weeks out of surgery. I've got questions! They didn't tell me parts would peel off! I'm kind of disgusted and yet totally irritated I don't have answers all at once and just eww but is this supposed to happen? Am I going to lose this one? ARGH.
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My BS saw me this morning and said that everything went fine, he did his best for a nice scar and I definitely stay one more night. So I didn't have to twist anyone's arm.
It's a good thing I stay. Quite suddenly the right side hurt so much I wasin tears. They pomped me up with morfine and paracetamol. Imagine being at home, with pain,uncertain and scared.
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MoreShoes, I'm glad things went well and that you get to stay another day. Rest up. It's important to stay ahead of the pain. Especially in the beginning. I can have something every 4 hours. I only needed the morfine in the very beginning. Once the edge was off, Tylanol with Codeiene has been enough. But it has to be on time. One of my nurses yesterday was an hour late and it made a difference.
Hugs to you.
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