May 2016 Surgeries
Comments
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I have another question, how is your partner reacting to all these? My husband had seen the wound at the hospital once but not since then. I understand it's difficult for him, but I don't have the energy to deal with his feelings. Yesterday I cried and we discussed about it. I think he finally understands that I don't have anyone else for emotional support. No mother, no sister, my best friends can't cope with this. Btw, we're married for almost 24 years and he's helping a lot in all the practical things.
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MoreShoes, the nurse practitioner for my surgeon (he is a general surgeon), used to work for a plastic surgeon. She said that moisture (use a lotion) and massage 6x per day would help minimize the scars. The ONLY scar cream that works, if you want to use a scar cream, are the silicone based ones. I know the scars aren't symmetrical, but maybe they will fade.
My husband is understanding and not really bothered by the scars and lack of reconstruction. He knew I would be miserable going through recon. And my surgery was prophylactic, so there isn't treatment to face next. You bring up a good point though. Our husbands sometime can't deal in the way that we need/want them to. You said you finally discussed it and that is so key. Also recognizing that many times men physically do things to help us. In their minds it's helping us emotionally. But it's not always the case.
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Midwest - I think everyone is different and it may just take time for your husband to come to terms with this. My DH has seen the scars on a daily basis and was always the one to strip the drains for me. However, his mother was an invalid from the time he was 12 and he was practically an only child (1 sister much older) so he has had a lot of practice as nurse to ailing women in his life. Because of this, I also do not share a lot of my feelings and emotions about what I am going through because I think he is burdened by them, even if he doesn't show it. Instead, I just come here and let loose
For me, knowledge is power and helps me deal with what's going on (as you can probably see from my posts:), but I also have 2 sisters that I can talk to and a friend who's sister recently died of BC.
Are there other survivors that you can talk to? I have been in touch with a women who is part of a survivors group affiliated with Johns Hopkins, where I had my surgery. She calls or emails about once a month to see how I'm doing. She had cancer so long ago she does not even remember what kind of BC it was. Also, in my area there is a breast cancer coalition that holds events. They just did a 5k walk/run and they are going kayaking in a few weeks. I will probably get involved after I'm fully recovered. I wonder if there is something like that in your area? It would be a way for you to connect with people that understand what you are going through. In any case, feel free to PM me if you want someone talk to. -
I DID discuss symmetry with my PS - multiple times, over multiple visits. I made it clear that asymmetrical results were not acceptable, and that while I didn't expect perfection I expected them to match and be in the appropriate spots on my body. That was immensely important to me.
The immediate post-surgical results (basically flat) were pretty symmetrical (until I lost part of a nipple). It's only now that there's roundness to the TE (fake foobs?) that it's clear they're not aligned on my torso.
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Moreshoes - I am sorry your partner is taking it hard. I don't have much to say - I don't have anyone else for emotional support but my partner either, and when he's fed up or sick of hearing about it he gets snappish and I just have to remember that he didn't sign up for this either. Neither of us did. And we both handle the stress in different ways.
About your daughter - here in the US those of us with genetic factors can still be denied life insurance, but the rest (mortgage access, employment discrimination) is supposed to be covered under the Genetic Non-Discrimination Act (GINA) that was passed a few years back. I hope your country gets something like that together by the time she needs to get tested. I know here some women delay testing for that reason. In fact, that's one thing the genetic counselors told a group of us - buy all the life insurance etc you want and get it in place before you get tested (assuming you have the money, which young folks usually don't). It's a shame that these horrible choices are overlaid with societal and financial penalties for something we literally cannot help and cannot change.
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The staple mystery has been solved (I think): The BS called me back. They are not skin staples used internally as the xray guys reported, but titanium hemaclips, and they are used to clip off all the little blood vessels across the chest and underarms where breast tissue was removed because, she said, they don't trust the cauterization and otherwise the cut vessels can retract into the muscle and bleed and bleed later. They are nonmagnetic and shouldn't cause a problem with MRIs or other tests (except for when the techs mistake them for staples, apparently).
They are, according to her, the industry standard for this procedure, so most of us likely have them. Furthermore, they are a lifetime thing, so I can never be rid of them. She says there's just too many to ever remove them all and they don't remove them even if like in my case they've got to get in there again for exchange surgery. This makes me unhappy.
She said she's also sending a message to the xray drs to clear up their language because actual skin staples used internally here would be totally wrong and unacceptable and they need to not make that mistake again.
I swear, for all the metal bits and fake parts we get, we ought to get superpowers to go along with them.
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Good to know, GreyKat! I had a needle biopsy done years ago and was surprised when I had my next mammogram done when they reported seeing the marker! The BS assured me that she did not put a marker in when she did the biopsy - the mammo tech just didn't know what he was looking at.
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I love how much I learn about this whole process from you May ladies! I'm a fairly passive patient - I don't tend to ask a lot of questions and generally trust my physicians, so I'm intrigued by the questions you ask and the detailed info you get. Keep on sharing!
I'm home from my extended stay at the hospital. Can't help but feel more and more doubtful that I'll successfully fend off this pesky bacterial infection and get to keep my right TE, but I appreciate the efforts by the hospital staff over the past few days. Now I'm on Cipro for 14 days, and I don't think my body's a fan of it, but I'm sticking with it since it appears to be my best option right now for beating the infection. Such an unexpected detour on the road to recovery!
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MyToystory2, I'm praying you have an uneventful recovery from here on! Saying prayers for you!
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Hang in there Toystory! I'm rooting for you!
Just remember that this is how we save a life - our own life. Sometimes that means taking it one cruddy day at a time. Wake up tomorrow and try it again. At least that's what I remind myself. Just hang in there and get lots of rest and take care of yourself.
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MoreShoes, I'm sorry your husband is not there for you emotionally; I hope your talk helped. I think people often forget that the partners are going through this as well, obviously not at the same level we are, but it's tough for them too. My sister had a UMX 18 years ago and my brother-in-law has been great about checking in with my DH on how he's doing through all this. I second grandma3x's suggestion to try to find others locally that you can bond with. There may even be a group that your husband can participate in too - it might be that he doesn't want to burden you with his issues.
myToyStory2, I really hope the abx start to kick in and that you get to keep your TE. I'll be thinking of you!
And the fun just keeps on coming here.......new today! The incision from where they excised my left nipple is leaking as of this morning. All of a sudden; just like that. And I mean leaking......like a faucet that hasn't been turned off completely. I've got it covered with a sanitary napkin right now to absorb the leak; I'm hoping it slows down or I'll be dealing with that every hour or so. And, of course, I have a day full of appointments and commitments outside the house so I get to deal with this while running around today. Oh, goody! One of my appointments this morning is with my MO, whom I haven't seen since just after my dx, but I doubt he'll know or be able to do anything about it - he's very hands-off wrt the surgical stuff. I have an appointment with PS again tomorrow; guess I'll just deal with it until then. *sigh*
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Oh Raven, I'm sorry to hear you are dealing with yet another issue. Sending soft hugs and prayers thatthis is nothing to serious. ((((Raven))))
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So, I just got back from my MO office and I'm a little pissed off, but I'm not sure who to be mad at, them or me. When they recommended the BMX they were concerned with a "possible" area of invasiveness. The MO told me this morning that there was, indeed, a small area of invasiveness. What I'm pissed about is......at nearly eight weeks post-op, don't you think someone should have told me about that by now?? Then again, I didn't take any affirmative action to find out on my own either, but....I just feel like that should have been someone's job to let me know before now. I'm a HUGE proponent of being your own aggressive medical advocate and I guess I'm mostly disappointed in myself that I didn't pursue this sooner. Oh well. I've got enough going on right now I don't need to be so hard on myself on top of it, I suppose.
The good news in all of this is that the size of the invasive tumor was only .3 cm and the biopsy of the one lymph node was benign, so there is no recommendation for chemotherapy or any other adjuvant therapy (I'm HR negative, so no hormone therapy either.) Plus, between that news and the positive gene results, I feel better about my decision to do the BMX overall - I was really starting to second-guess myself with all the crap that's happened.
Guess I need to update my dx info now from DCIS to IDC.
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Oh, and I forgot to mention.....I asked for copies of my path report and they seriously were not going to give them to me. I had to sign a medical release to myself to get MY OWN FUCKING PATHOLOGY report. Maybe that's what I'm more pissed about. The woman at the desk who was arguing with me is a very good reader of body language because I think she could tell that I was about to jump through that little window and make a scene so she relented and printed the reports for me.
Sorry about the language, but I'm in a mood.
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Raven, it is not getting boring anytime soon, isn`t it? Just hope for you it is something minor and maybe the oncologist will have a saying ,if not maybe you should let the other doctor know today. I will be thinking about you!
ToyStory2, glad you are home and may the luck be with you this time without any more detours.
The new thing for me, actually almost a week old, some sunken area above the new breast toward the inner side, under the calvicula, not there before. Asked the PS about it and he said it is about the lack of tissue breast there and to not worry, a fat grafting would fix it( but that was not in the plan). BUT it was not there before, maybe the fills make it prominent now?
Grandma3x, have an easy half day at work, let us know how it went!
Have a good healing day to all.
WenchLori, thank you for stopping by so often, that is very sweet of you and have a peaceful day!
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Raven,
I did have to sign a release of info for myself too from my onco dr. It is just crazy!
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I don't know why, but some doctors are touchy about giving us reports or notes from our own medical file. I request a copy of everything, and if they are reluctant to give it to me, I just go to the medical records department. Yes, I still have to fill out a form, and they will usually charge me 25 cents per page, but it's worth it. You can also ask (and should ask) for a dvd of all your imaging (mammogram, CTs, etc). At my local hospital, they don't charge for this, but they do if they have to print something on paper, go figure....Anyway, you have a right to all of the information that is in your medical records, so don't hesitate to ask. I will usually try to get copies before I even meet with the doctor. It gives me time to process the information and be prepared with questions. The down side is that sometimes the news is not good. I knew I had breast cancer 3 days before the doctor told me.....
Raven - if it's IDC you should also get a HER2 status. It may not change your treatment plan, but would give you information if, God forbid, the cancer comes back.
I'm off to work in a couple of hoursI'll be sitting at my desk, doing things I could just as well do at home, but I think I need to put in an appearance just to keep my students on their toes.
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Thanks, grandma3x, but having to pay for my own medical records is some BS right there. I'm pretty sure that's when the desk person today realized I was about to lose it on her. She said they couldn't give me the report but that I could contact medical records, but I may have to pay for them. I responded with a rather forceful "But they're MY records!" and the look on my face must have been appropriately scary - had my report in hand pretty quickly after that! Ha!
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Raven - that's ridiculous. Just ridiculous. I got my pathology report at my post-op with my BS, but I've been looking at trying to get my operative notes for this whole crushed ulnar nerve problem, and I have to pay a flat fee of about $24 plus an additional $0.55 per page, and of course you've got to sign the release form to order them. The whole thing is annoying in large part because it's so expensive! - and I have no way of knowing how many pages things are until after the fact.
But anyway, sorry you're dealing with leakage! Can I offer you some STAPLES? (haha)
Midwest - I've developed a sunken area on one "breast" too, and the fills don't seem to be affecting it. I don't know what's going to happen because I haven't seen my PS since starting fills, but I do know he'd mentioned fat grafting as the next sort of thing after exchange surgery. Part of it is clearly the missing breast tissue, and I think part of it is the absurd shape of the TE I have, which are stretching all around (up and sideways too) instead of in the normal out/down shape of a normal breast. I think we have to just wait and see. My BS said she's seen breast tissue spread as far up as into women's upper arms and down almost to the abdomen - every woman is different. And maybe once in a while they accidentally scrape out some normal fat while trying to be thorough. So maybe that's what you're seeing?
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Does anyone know why I feel a painful sensation on the outer edges of what used to be my breasts? I'm 6 weeks post-op now and it hurts like crazy under my collar bone, along the breastbone (sternum) and the area at the bottom of my ribs (I'm numb under my arm pits).
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Jacklin, are you talking about hyper-sensitive skin in those areas? There was just a discussion about that up-thread a little bit. Look for a post by SpecialK with recommendations on things to try.
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Greykat, phew about the staples...to be honest I don't really want to know what they've done/put in me. There's a limit to what I can process :-)
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Hang in there Raven! That is such a bummer about the incisions leaking! Sorry you are going through yet another issue!
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Momof6, thank you for the tip about the lotion. For the time being I'm not using anything and I'm not massaging. I'm 2 weeks post op. When do you think I should start? The nurse said to wait but she didn't say for how long.
And you're right about the importance of discussing things. It helps clearing the air.
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Grandma3x, it was I who asked the question about the partners, not Midwest. Thank you very much for all the tips and advice. I do go to a psycholgist, she has helped me a lot through the years. Yoga and mediatation are helping too. I used to be part of a survivors' club but we had drifted apart and after they heard about me this time, they freaked out. I can imagine. I'll get over it and move on, I guess...it's just that I need to cry once in a while. My husband has never been getting the subtle hints, so I have to say clearly to him: hold me NOW.
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Raven, so you did make the right decision. It's really good that you don't need any other treatment. As for the records, I always ask for them so I can quietly read them and process the information. You were right to demand your records. Here they're a little bit reluctant, but they know me by now.
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MoreShoes,
I am two weeks out from my surgery too. I just saw the surgeon yesterday. I have dissolving stitches inside the incision. I also had steristrips (basically tape) across the incision too. Yesterday the steristrips were removed. The incision is closed and healed, no swelling or redness or discoloration, so I was given the ok to start lotion and massage now. You probably want to check with your surgeon first, but we are on about the same timeline.
I usually have to tell my husband, "you need to hold me NOW." He's not particularly good with subtle. In an emotional moment, it really frustrates and angers me. The rest of the time, we both laugh at his lack of understanding the needy hints. It's not that he doesn't care. It's like I'm speaking a foreign language.
You go ahead and let it out on here if you need to. Lots of understanding!
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Regarding husbands and subtlety - many years ago I used to watch the Dr. Phil show (before he became a shill) and he always used to say that with men, you need to put the dots REALLLLLY close together for them to really get it. So true.
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Just wanted to throw this out there on the husband thing - I bought mine a book (hes not a big reader so he laughed initially) called The Breast Cancer Husband. Cheesy title but it has been a source of conversation here and there as he's read a few chapters. There have been things in there that maybe I don't necessarily agree with (like all BC women want their husband to be strong at all times which I personally don't want, maybe some do) but it has given him his own set of resources instead of asking me every detail and has been good for having conversations about steps along the way. He hasn't read the whole thing yet but the reviews on Amazon were great.
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Midwest - My right side w/TE is starting to have a divot as well - just noticed it yesterday. I'm assuming it's just part of the process - everything shifting and settling into place. Hopefully it's an easy fix somewhere down the road.
Raven - How much can one person endure?! Hope your oozing nipple resolved itself...yikes.
Re: supportive husbands - Mine is very uncomfortable with needles/blood/hospitals, so I wasn't sure how he would do with this whole experience. He even had my 12-yr-old on standby to help him with my drains. I have to give him props for being the most AWESOME DH! He has tirelessly run our household, driven our kids to all of their activities and school events, and taken care of me (including my 5-day extended stay at the hospital) so patiently and lovingly. He definitely deserves to treat himself once things get stabilized around here! I feel blessed!
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