June 2016 Surgeries!
Comments
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Xxyzed, have you been in the hospital all this time since your BMX?
I'm hoping to get drains out on Friday, at this point I feel like the main pain I have is from the drain exit sites.
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I'm hoping to get my drains out Friday too. I'm definitely getting one of them out and am hoping the other will be ready at that time too.
My surgeon just called with my pathology results. I was totally expecting a PCR, which I didn't get, but she said that the tumor had shrunk over half, and all my margins were clear. She said that in my left breast (non cancerous side) there showed something (can't remember the term - should have written it down) that usually means a higher risk of developing cancer. So she said the BMX was definitely the right decision. I have an appointment with her next Wednesday, so we can go over all of this, and I can have a better understanding of what it all means.
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Maya15 - yes I've been in hospital since my mastectomy. The surgeon originally said I would be in 4-6 days. It has ended up being 8. He prefers you to go home with only one drain and I've had both sides draining beautifully. I also have two high energy kids and limited support at home so while I was happy to stay in hospital it was a better place to be recovery wise. I'm feeling all good now. I haven't needed any panadol today but I'm still taking the Pregabalin. My underarms are still stiff but movement is OK to 90 degrees. I can't go any higher until the drains come out. I suspect my right side will have full movement and my left side will need lots of physio to get full range of movement back.
Kellychameleon - that is disappointing you didn't get the complete response you were hoping for but its good the chemo was effective on the cancer. Yay for no drains soon. I hope you can share with us what the response means when you find out.
Hugs to all those still in recovery mode or anxious waiting for surgery
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That's great news Kellychameleon! I hope you can be rid of both your drains on Friday.
Keeping my fingers crossed for you Maya!
I had my pre-op this morning. It just made me depressed with all of the what ifs
I was told if one lymph node was taken the others would cover for it but if 2 or 3 are taken (as my BS has written in my surgery consult) than I need to stop doing a lot of things that I love. None of the following for my left arm... blood drawn, blood pressure taken, no bug bites, no sunburn, no being pricked by a thorn and not even a tiny pin prick. Does that sound right to any of you or did I hear everything she said wrong? I live in the woods and clearing our land is my all time favorite thing to do! I do a lot of fishing and I get stuck by fins a lot!
They also mentioned getting a wire put in my left side. Is this done when I get the radiation dye done? I'm sure it's been mentioned before here but I'm brain frazzled right now lol
I've already met my cancer rehabilitation team and I like them a lot. I had my arms measured for future reference. I had all my blood work done and I was sent home with one of the very lovely stylish gowns we get to wear at the hospital. One less change to do from radiology center to the hospital.
Any and all advice would be greatly appreciated :-)
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WenchLori - I have had all the level 1 & 2 lymph nodes of one arm removed. All the things you said were the same as I was told but it doesn't mean you can't do what you love. I was told to keep my hand and arm well moisturised with a thick cream. To minimise bug bites and sunburn I will need to always wear a long sleeved top and for gardening should wear thick gloves. I think fishing would be the same. In the event these precautions don't work and you do get a bite or scratch see a doctor straight away for treatment. Deep breaths - you can do it. I don't know anything about the wire. My lymph nodes were clearly affected so there was no question that they would come out and I would just have to manage the lymphadema risk
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Thank you'd so much xxyzed, I think reading about it online and hearing it in person just threw me for a loop. I took a 3 hour nap and I feel so much better reading it from you. I have my "I can do this!" spirit back! 😀
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Good to hear WenchLori. I've just woke up from my morning nap and the world feels brighter. I just love that you can have friends (we will be soon)on the other side of the world living the same life you are that you can connect with.
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I met with the PS today and have a path forward laid out. I am going to have the DMX and do delayed DIEP reconstruction. This will allow me to continue to lose weight and I will schedule it when I lose about 10% of where I am now.. or a bit more. It will take me a bit longer to make it through the process but holding off until I know more about chemo/rads/treatment will give me time to get strong and healthy before that big surgery. I liked the PS and this path.
I called to get it scheduled but the scheduler was off today so I left her a message. I do not have an actual date but I am getting closer. I feel much better today!
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I got my path results from the surgery today and I'm definitely feeling like a temporary citizen. They took the level 3 nodes as well as the level 2 and 20/20 are positive for cancer. How the ct and bone scan don't show cancer spread is anyone's guess. The floating cancer must just not have settled enough to be showing up. Also ER-/PR-/Her+ so there is some treatment they can use but I'll find out specifics on that next week. Anyway all up it doesn't look real good but not as bad as it could be. One day at a time and all that
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During my pro-op yesterday, I was asked if I'd like to take part in the Indiana Biobank? They just take an extra vile of blood to be sent to Indianapolis at the Indiana University School of Medicine for future research. This research is headed by Dr Anantha Shekhar and will only be used for research. I did take part in this opportunity. Who knows what they may find out about my DNA in the future? I'm not sure if I'll be contacted if anything of great importance is found as I forgot to ask that question while we were discussing the research program. It was definitely a day of information overload to say the least! I'm glad they sent me home with a folder full of important info to go over once the fog clears. My hubby will help me sort it all out so we both know what to expect from this wild and crazy ride
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I'm sorry to hear of your path report xxyzed! My healing thoughts and prayers are with you always! (((((xxyzed))))
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Xxyzed, I'm sorry your path results weren't what you wanted, but it sounds like you have the best attitude about it. One day at a time, get the treatment plan in place, and start fighting. You've already gotten through one of the hardest parts. I know everyone's different, but for me, surgery recovery has been worse than chemo was.
It looks like only one drain will be going tomorrow. I was disappointed when I woke up this morning, and the other one had quite a bit of output. The drains don't really hurt, but they're just so annoying to tote around everywhere. I have a top with pockets that they go in, but I look all bulgy and lumpy. Not attractive. I also finally took a good look in the mirror yesterday, and things are not pretty. Right now the expanders only have air in them, and the camisole they gave me have flattened them to where they look like weird pancakes. Ugh. I'm ready to start getting them filled so they look a little more normal.
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Hi all - it's good to have reports on everyone who has had surgery! Your fortitude and positive energy is amazing. Xxyzed- I am sorry about your path results but it sounds like you have a good medical team who will guide you on a successful treatment plan. tsoebbin-your reconstruction plan sounds like it will be good for you. I know it must be a relief to have a plan in place. Continued good wishes for quick recoveries for all our June surgeries.
I met with my BS on Tues for pre-op consult. My tumor has shrunk about 20% during the 6 mos. on hormone therapy. Although we had hoped for a little more reduction, the smaller size may give her the chance to for skin sparing. Unfortunately the nipple is involved and won't be saved. I am very concerned about a finding on the MRI of a 5mm T2 hyperintense lesion in the mid sternal area. (still not quite sure what that means) Apparently it was observed but not noted in my Dec. MRI. The June MRI notes that their has been no change in the lesion but metastatic disease is a possibility. Now I am not only anxious about the surgery next week but in shock that my cancer may have already progressed.
One bit of humor - on my pre-op visit to the hospital I asked for a tour of the surgery department. They thought I was joking (I wasn't) I explained to them that my only other stay at a hospital was when I gave birth to my sons. We were given a tour of the maternity ward prior to the birth and I wonder why wouldn't that also work for pre-surgery.
Thanks for letting me vent!
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xxyzed - sending positive thoughts your way today. The week between getting a report like that and waiting for a path forward is so very hard, so sorry you're in the wait mode.
We need to come up with a name for that particular period of time. Uggghhhhhh
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Hi everyone,
I'm brand new here. My surgery will be June 30. BMX. I was really surprised when they gave me my date and its 3 weeks away. My anxiety level is soooo high! Im trying to find things to do to keep my mind busy until then. I'm reading lots and lots of posts on this board too. It's really helpful to know I'm not alone. DH is supportive, but it's different for the one not going through it. He's really concerned about the financial side of things and stuff like that. Sometimes he forgets to be concerned about me too. Not intentionally of course!
Anyway, I look forward to getting to know everyone!
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Welcome djm71! I absolutely understand about anxiety. This discussion board has been a lifesaver for me. So much real life information and support. My DH is supportive too but I don't think he really understands my fears and anxiety. It's a such a comfort to be able to talk with others who absolutely totally understand my concerns. Hang in there!
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djm71, I am so sorry that you're here, but finding this site was really helpful to me, especially in the beginning. I don't post a ton but read a lot.
Try to keep yourself occupied and as busy as possible. Do as much as you can to prepare for the surgery - buy some comfort items, stock up on food, etc. It's totally natural to be anxious, depressed, and freaked out in the beginning. It will get better. My course of treatment was different - chemo first, then surgery, but getting things scheduled and having a plan in place helped the mental side of things greatly.
Good luck to you!
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I'm so ANGRY right now! My BS just called to say my surgery has been rescheduled for 7-6-2016!! I asked for another mammogram done to see if my IDC has spread since be diagnosed back in March? Any input here would be so so appreciated. I'm in tears! The excuse was a family emergency and I can't blame my BS for that. So it looks like I'm on to the July Surgery thread
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xxyzed, so so sorry to hear about your pathology report. I definitely know what its like to feel like a temporary citizen, though I do want to offer you some hope, since my diagnosis is similar to yours (grade 3, ER/PR-, HER2+). When I was diagnosed in December, I had 5 tumors and flakes of cancer everywhere else in the breast, and many, many lymph nodes positive on PET scan (I also discovered the scans aren't that sensitive, often they show enlarged nodes but they need to do a biopsy to know it's cancer). My BS threw up his hands and said this was too extensive to operate, he wouldn't be able to get it all, so I got chemo first. My MO assured me chemo was very effective for this type of aggressive cancer and sure enough 6 months later at surgery I had a pcr to chemo -- it wiped out everything. For me chemo was actually the most important treatment because it's systemic so it gets any stray cells lurking anywhere else. I got an aggressive regimen: Adriamycin/Cytoxan followed by Taxol/Herceptin/Perjeta. Herceptin and Perjeta are specifically for HER2 cancers. Here in the US Perjeta is very expensive and only approved for stage 3 and 4, but if they don't offer it where you are, you should definitely ask about getting it because it's very effective.
Lunderwood -- scary about that lesion, hoping it's nothing! Are they offering you a biopsy to rule out a met?
WenchLori -- of course you're angry! That seems like an unacceptably long time to wait. I guess the only other option would be to get a recommendation for another BS who could do it earlier.
I am reluctantly reconciled to the fact that one of my drains won't be coming out tomorrow when I see the PS. It was very prolific overnight and I don't know my PS's cut-off, but either way I don't think it'll make the cut. The other one might well go, but since they both come out at the same place to me there isn't much difference between having one and having two. I agree with Kelly, it's really not pretty when you look in the mirror. My breast with the TE looks completely flat but rock hard, with a large lump in the bottom corner (apparently it's saline), then I have another large long lump under the arm. They say it's one of the drains so I'll wait and see what it looks like when they pull it. I'm going for DIEP reconstruction, so hopefully all this will be removed and replaced with some nice soft tissue of my own anyway.
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Maya, I had one of the other BSs that works with mine call me. To get a referal for another BS and get insurance approval will take longer than waiting until my BS can do the surgery. I like her and I trust her judgement. They will still have to file another insurance referal as the date has changed. I was told according to my path report a couple of weeks shouldn't make any big changes. We'll see. I called to let everyone know the date has have changed, especially for everyone at my Church. Pastor Jeff will make the announcement on Sunday :-(
Also at my pre-op yesterday they mentioned putting a wire in my side? Any idea what it is and why I'd want it? lol
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tsoebbin - I'm glad you are happy with your plan forward. It will give you something to work towards. I'm not so concerned with the report because it makes no difference to the treatment I would be having and the node status results were expected to be in the bad category anyway I just didn't expect all of the nodes including the next level up to be bad and I thought I would have some sort of positive hormone gene that could help out.
KellyChameleon - my surgery has been a breeze. The team know I have it tough and are really looking after me. Also it's my first step so I'm not worn out yet from all the treatment to date. I think the order you do things in makes a huge difference to how hard it feels as well as a whole lot of luck. You're well on the road and must be feeling like an old hand at this cancer business now said no one ever. It just sux.
WenchLori - great name. The study sounds interesting. I can understand how disapointed you must be in your surgery delay. I know these things happen but don't they realise how damaging it is to your mental wellbeing. Support yourself with whatever you've got. Im not sure about the wire. It's normally used to make sure they get the right spot so for a lumpectomy but you're having a mastectomy anyway or a sentinel node biopsy. Maybe it's so hey know which lymph nodes to look at do they don't take any unnecessarily. You'll have to call your team to get clarification.
Djm71 - welcome. I find it helpful to spread myself around between friends for support. It's a big ask to put all your emotional download onto one person. Personally I would try to download on a counsellor and leave your husband for love and cuddles in the middle of the night. None of us know if this is just a small speed bump in a long and fruitful life or a rapid race towards an early finish line. We are in a fragile balance and hugs are always good without the expectations we place on people. When my husband was sick he spent what little energy he had on the kids and his friends and none on me. He said it was because I was strong enough and he didn't have enough energy to go around. It was hurtful and he was wrong. I wasn't strong enough and needed his love as well.
Lunderwood - not long to wait now. It's horrible when the find new things to make you worry that were there all along but they didn't notice. Surely if it was something the chemo would have changed it so by being the same doesn't that make it assumed b9 anyway.
Maya15 - thx for your understanding. I think we're going to become good friends. I don't really understand what the er/pr- thing means other than hormonal therapies aren't effective and it puts us on the lower survival curve lines on the graphs but still not real bad odds. I haven't met my oncologist yet. I'm told she is the one to have around this area, no bullshit and big on trials. I am also crapping myself about any reconstruction which would be a long time away. I'm really hoping I grow to like FrankenChest and can skip the reconstruction phase.
Aahh this is all too hard. My kids missed me terribly while I was in hospital so I went to bed sore after having them knocking all my bits with their enthusiastic love. I'm sad because my kids tell everyone they expect me to die in two years like their dad and granddad. I've told them breast cancer isn't like that but we were told the same for my husband and dad and that's not what happened. I'm going to call the counsellor again and see what they suggest. Life is just so unfair sometimes. I shouldn't be needing to deal with this I should be living a life in ignorant bliss of all things cancer.
I always say my goal each day is to live through it preferably out of bed and dressed. I'm pretty sure I can manage that today.
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thank you so much for your encouragement!
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FrankenChest -- what a perfect term for what I see in the mirror! As I told a friend of mine today, there will be no topless sunbathing at the beach for me this summer.
ER/PR negative means the cancer is not being fed by hormones, so hormone therapy won't work for us. About 20% of cancers are fed by HER2 and they're more aggressive. Until Herceptin and Perjeta came along the prognosis was worst for HER 2 cancers but now with these drugs that's no longer the case and the survival is about the same. At least with the positive nodes you probably won't have to make any hard decisions, they will throw the most aggressive treatment at you and you just have to take it one day at a time knowing it's saving your life.
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What do you mean no topless sunbathing Maya15? That's a sight I'd love to see.
I did actually think the same about having to make decisions. I'm fortunate in my diagnosis in that there are no decisions to be made they're just throwing everything they have in the arsenal at it so there will be no second guessing later on.
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I have a tentative surgery date of June 29 @ 6:00am. I need to stop by the hospital on the 28th at 3:30 to have the dye put in for the lymph node testing. The plastic surgeon also wants to stop by her office to do some marking up on me the day before even though I won't have reconstruction for several months afterwards. Her thought was we can prepare me for DIEP recon if I choose it by what tissue breast surgeon takes / leave behind.
How uncomfortable is the contrast dye injection?
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I am also scheduled for the contrast dye injection the day prior to my surgery. I would welcome any comments on the procedure. I have had multiple biopsies as part of the tracking for the study that I am participating in and contrary to many reports I thought the biopsies were somewhat painful. Wondering if the injections will be painful as well.
Thanks,
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Lunderwood.... so much to learn, isn't there!
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I had the contrast dye injection the day before my BMX. To begin, the nurse gave me a shot of lidocaine in the breast. For me that felt like a bee sting, it was a tad bit uncomfortable but not really painful. Then I had the dye injected in four locations on each breast which I did not feel at all. So it was a veryquick and easy procedure for me; I hope it is for you as well!
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Thanks Huskerfan! Still trying to wrap my head around what to expect each step of the way.
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Yes, thank you so much. tsoebbin you are right there is so much to understand. I've tried to make informed decisions but I still worry I will miss something. It also helps with my anxiety levels to have an idea what's going to happen.
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