May 2016 Surgeries

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  • GreyKat
    GreyKat Member Posts: 225
    edited June 2016

    I am aware of that, SpecialK, but I did not get such a card, nor have they mentioned it, nor have they indicated that I would be getting one at any point.

    And as I mentioned before, obtaining my hospital records is expensive and I refuse to pay that for something I ought to have ready access to as a matter of technicality.

    I don't mean to be rude, but just because it "should have been" and has been done for others does not mean I can force the members of this practice to operate by those rules. Frankly, they didn't even have a signed Informed Consent packet from me to do the surgery until something like 3 weeks *after* the surgery. I had to fight to get information in advance about what to expect because, as I was told, they make it a point not to tell women about complications and such because "it scares them away from having the surgery". Does that give you some idea of what I'm working with?

  • raven4mi
    raven4mi Member Posts: 562
    edited June 2016

    GreyKat, are you locked into that particular practice/hospital/medical facility due to insurance reasons? If so, I'm sorry you're stuck with them. But if not, I would seriously start shopping around for a more patient-oriented practice. They do exist. Even at this stage it's not too late to switch to a different practice. It's never too late to do what you need to do to get the care that you need.

  • GreyKat
    GreyKat Member Posts: 225
    edited June 2016

    Raven - yes, but even so, they are the best in the region.

    I think they are mostly used to scared women coming through like scared sheep, taking orders about what to do next and following instructions with minimal questioning who have big support networks to take over housework and cooking and such so they don't have to worry about food supply and basic needs being met while recovering.

    I'm just not that kind of woman, and I have lots of questions, and I don't have a big supportive family to pick up all the housework and slack, so I've had to do lots of extra planning, which meant presenting a lengthy case about why I needed additional information about this process, and once they were convinced then we sat down and talked.

    But I am still annoyed that I was denied the manufacturer's specs for whatever implants they've used/will use in me. I have a vested interest in figuring out how my fake parts will work, react, and what weaknesses they'll have, and I'm annoyed that I can't obtain that information when I feel it ought to be handed to me along with the surgery information.

    Just telling me no scuba-diving, no unpressurized aircraft, no martial arts and no car accidents (my PS's list of implant no-nos) isn't good enough for me. I want numbers and pressure-per-square-inch measures.

    And seriously, I'm done talking about this. My PS isn't everyone else's PS, and his office isn't everyone else's, and he's still an excellent surgeon in an excellent medical system/cancer center even if he ignored some of the paperwork and visuals that would be really helpful. Frankly, since my surgery we've been focused on my more immediate complications and not so much on the paperwork.

    Telling me over and over that I really ought to have the TE specs (so I can post on Whippetmom's thread or wherever) is not helpful.

    So let's all please move on to something else. Like how Papillon's doing with her fantastic-looking new set?

  • Maya15
    Maya15 Member Posts: 323
    edited June 2016

    Hi everyone, I had my surgery last week and doing pretty well so far. Have a couple of questions for those of you a little ahead of me. The surgery went well except for the fact that I woke up in pain and I had to fight like hell for 36 hours to get a pain med regimen that worked. As I was being discharged I got the wonderful news that the pathology report showed I had a PCR to chemo!

    So fast forward a week, and I have a lot of pain in that arm, not where the surgery was, but in my upper back and arm above the elbow on the surgery side. It's like my skin burns to the touch though can't see anything (for the first few days it was numb, now this). Then at elbow and forearm I have pain like a really bad bruise and I cant extend the arm fully even though at the shoulder I have good range of motion. I don't think it's lymphedema because there's no swelling, and I've heard of cording but I can't feel any cords, lumps etc. I know you guys had some discussion about this, but for me it's not in my chest/arm pit. Does anyone know what it is and if it goesaway?

    Second question, when I was in hospital, I was visited by a nurse who works for the INSURANCE COMPANY. He was friendly enough, but even in my groggy state I knew this guy wasn't there out of the kindness of his heart to look after my well being. I asked him what his role was and he said to ensure I get everything necessary to avoid readmission to hospital. Maybe it was the fact that I was refusing to be discharged after the first night because I was still in a lot of pain. But he said he would call after I left hospital and he's been calling every day though I keep missing his calls unintentionally (hard to get to the phone fast with drains and all). I just wonder why he's calling. I googled it and found out that some insurance companies station their own nurses in the hospitals, they go through your charts and they can veto treatments or extra nights in hospital (luckily my chart had uncontrolled pain written all over it and I had no problem). Has anyone dealt with these insurance nurses and is there anything particular you should tell them or not tell them?

  • Mom4four
    Mom4four Member Posts: 117
    edited June 2016

    Today I got my third fill. I am in so much pain. My PS is 90 minute drive from my home. I had done so well the last two times I took my ibuprofen and Tylenol and off I went. Well I had to pull over on the way home and call for someone to bring the hydrocodone and muscle relaxer and drive me home. Once home it was not better. My fill was at 10 am and I am still in tons of pain. I called the PS and she gave me the OK for taking more medicine but it just is not helping yet. This is actually worse that's the BMX...

  • Maya15
    Maya15 Member Posts: 323
    edited June 2016

    Mom4four sorry to hear that. How much did they fill you and what do they give you for a muscle relaxer? They gave me Valium but it doesn't do anything for me so I'm wondering if there's an alternative I can ask for.

  • grandma3X
    grandma3X Member Posts: 759
    edited June 2016
    GreyKat, I'm sorry you're not getting anywhere with your PS. I know how frustrated you must be with everything that's happened. Can you ask your PCP to request your records? This would get around you having to pay for them (unless your PCP also charges you for a copy!). Anyway, sending ((hugs)).

    Maya, my shoulder blade hurt after my first MX, but not down my arm. And I've never heard of the insurance company sending nurses to check up on patients! That's kind of scary - are they there to protect you, or to spy on the doctors?

    Mom4four - I had that happen for my first fill! Luckily my husband had driven me, and I won't go by myself again (also a 90 minute drive for me). Hope you feel better tomorrow!

    Tomorrow is last day of school for my grandkids (in 2nd and 3rd grades) so we are going out for a celebratory dinner :)
  • myToyStory2
    myToyStory2 Member Posts: 162
    edited June 2016

    Maya - I had a painful upper back on one side, too. It felt like a severe sunburn. The pain also went deep into the back muscle. Unfortunately my breast surgeon and the therapist didn't have any good explanation for it. Then I got one of my drains out on that side and the back pain symptoms lessened significantly. It must have been hitting a nerve or aggravating something. Hopefully you can feel relief soon!

    Mom2Four - Sorry you're feeling so much pain. I'm curious how many cc's they put in to a make it so uncomfortable this time? With my little setback I won't be getting fills for another month or so.....you guys are making me nervous about what's to come!

    Grandma - enjoy your day with the grandkids! Tomorrow is the last day of school here, too. Looking forward to having my kiddos around for the summer!

    GreyKat - ((hugs))

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2016

    greykat - no worries, I know you're frustrated, and I am frustrated for you. My concern, and wish for you to get what you need to make decisions, comes from a place of knowing that you need your exchange surgery to be a one and done deal due to the complications you have experienced so far. I'm sorry that your docs are not being cooperative, forthcoming, and giving you the information they owe you.

  • myToyStory2
    myToyStory2 Member Posts: 162
    edited June 2016

    Special K - How is your recovery going? Hopefully your outcomes are favorable and you won't need too many additional procedures in the future. Thanks for being an active contributor, mentor and advocate for all of us on this board!

  • Mom4four
    Mom4four Member Posts: 117
    edited June 2016

    Maya15 - they gave me Robaxin but it didn't work in the hospital and I told them that, but they sent it home with me. I used ibuprofen after the BMX and that worked for me. When I called to tell them I was in so much pain they sent a script for Robaxin again. They want me to try it, I actually asked for Valium on the phone today because I had heard that it worked for others. She said it has to be a paper scrip... So I am trying what they said till tomorrow. I have difficulty with pain mess and I am throwing up. UGH so over this.

  • Mom4four
    Mom4four Member Posts: 117
    edited June 2016

    toy story - I had a fill only on the right radiated side because it was so much smaller than the left side, she was trying to even them out so that the left doesn't get big...that was fine with me it was 80 cc and felt full but not bad in the office - about 20 minutes into my drive home it hit. She said I can go in and have some taken out but I want to see how I feel in a day. Next time she said we will go back to the 50-60 cc or less.

    I have a special situation because my insurance ends on Sept. 30, so I will have to pay a new deductible and out of pocket starting Oct. 1. I asked if we could avoid this as last time I had cancer it took me 5 years to pay it off.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2016

    mytoystory - I had an allergic reaction to either the pre-op antibiotic, the Dermabond, or the Medipore/Telfa dressings and had to start on Rx antihistamine to control it. I have a long history of issues with both antibiotics and adhesives, but we thought we had come up with a combination that was not causing problems. It took a solid five days to get it under control - healing is inhibited when you have an angry rash covering the incisions. I had bi-lat surgery with a new IMF incision on the left troubled side, and two incisions on the right - an IMF and the nipple removal, which are each about 5 inches. I had a Breast Cancer Index test done in December to provide information about whether to continue on anti-hormonals. This is a two-pronged result, it shows your recurrence risk and your benefit from continuing the drugs - this is a decision making tool being used by some oncologists now that more are leaning in the direction of continuing beyond 5 years to 10 years. Unfortunately, my result was a high risk of recurrence - I was Her2+, strongly ER+, and node positive - so this was not a real surprise, but it also showed low benefit from the anti-hormonal therapy. Since this test was done on my original tumor sample there is a question of whether or not I have received benefit from the 5 years of Femara I have taken so far. I asked for a PET scan as it has been a few years since I have had one and I wanted to have that info as well to make sure there was no undetected cancer, and it needed to be done prior to this surgery so that the imaging would not be compromised by the surgery itself. The PET showed bi-lat issues, so I had to have a number of biopsies done during the surgery, which showed a number of problems - fibrosis, suture granulomas, metaplasia and inflammation - but, thankfully no new cancer. Now that I have a new smaller implant in the right side it is pain free for the first time in a long time, which is a big relief. Also good to know what was causing that discomfort. After I had been on the antihistamine for a few days we received word that an old military spouse friend had passed away from stage IV breast cancer in Maryland, so we flew up for her funeral. My husband carried all the bags etc., but it was stressful and tiring only two weeks after surgery. I am now feeling pretty good just over 3 weeks out, but I have to pace myself. It is looking like I will need some additional fat grafting, especially on the left, but other than a possible 3D tattoo for the now-nippleless right side, I will be done. I will never look good, but after 16 surgeries, and the degree of complications I have experienced, I don't expect to - I am just happy to have two sort of matching sides!

  • grandma3X
    grandma3X Member Posts: 759
    edited June 2016
    Mom4four - I hope you are feeling better today! Have you tried flexeril? I don't think you need a paper script for that one - they can just call it in to the pharmacy.

    SpecialK - I'm glad the biopsy was negative - what a scare! It's surprising that the BCI showed low benefit from Femara if you were so strongly ER+. Do you know what the BCI uses to determine benefit?

    DH has been out of town all week and will be home tonight so I plan to clean the house this morning before heading into work. A good friend is defending his dissertation today. His wife was one of my students and I have not seen them in a while so really looking forward to it.

    Have a great Friday everyone!
  • raven4mi
    raven4mi Member Posts: 562
    edited June 2016

    I did, indeed, make it through the entire day without a nap yesterday – but then was asleep in bed by 9:00 p.m.! Left the teenagers to fend for themselves and get themselves to bed for a night – God knows how long they stayed up on a school night.

    Maya15, I have never heard of insurance company nurses in a hospital setting either. Good God, that's frightening. I may be a cynic, but I can almost certainly guarantee they're not there for YOUR benefit, as you surmised.

    Mom4Four, I'm so sorry you had so much pain after your fill! Good thing you pulled over when you did – how positively frightening.

    Grandma3x, enjoy your day with your grandkids! Sounds like fun. My kids are still in school until Wednesday of next week – so late!

    GreyKat, gentle {{{{hugs}}}}} to you.

    SpecialK, I chuckled at your "two sort of matching sides" comment. I have lowered my expectations so freaking much at this point, that I would be THRILLED with a "two sort of matching sides" result. I hear ya.

    My big plans for the week-end – 1) two week-ends in a row staying out of the ER/OR (it's good to have goals!) and 2) getting my house back in order. Relying on two teenage boys to help clean while their dad has been out of town hasn't been working out so well! Now that I'm feeling better, time to get back on top of things. Fun!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2016

    grandma - BCI is a genetic assay test - as are tests like Oncotype Dx and Mammaprint, and uses specific biomarkers to determine tumor responsiveness to endocrine therapy and molecular assessment of tumor grade and proliferation. Unfortunately, one's degree of ER positivity does not necessarily correspond with, or guarantee, effectiveness of anti-hormonal drugs. Tamoxifen uses a pathway for blocking receptors - also used by many other drugs, CYP2D6, and not all who take it metabolize it well - you can be a poor, intermediate, extensive or ultra-rapid metabolizer, and this is one of the reasons we are all affected differently by a number of commonly used drugs. AI drugs vary in their effectiveness for individual patients as well. This is one of the reasons that people recur while on these drugs, even when faithfully taking them daily, if they worked for every early stage patient none of us would have estrogen driven recurrence. Added to this is the possibility of resistance after taking them for a period of time - the reason they stop working in patients who have become metastatic after a period of time, necessitating a switch in therapies. What is not particularly well understood is which drugs work for who - and for how long, and there have not been very reliable studies to determine that to date.

    raven - yes, management of expectations is pretty key in reconstruction, and particularly for those of us who have experienced complications. You are wise to scale back the idea of what you think you will see - there is always the possibility you will be pleasantly surprised! I am hoping for that for you!

  • WenchLori
    WenchLori Member Posts: 1,558
    edited June 2016

    GreyKat, what a wringer you have been put thru trying to get copies of your records. Crazy to say the least! The hospital and Drs I see are in the Indiana University Health System, I can log on and have access to all of my medical records at any time. Some medical institutions are out for the almighty dollar and that's all they see. Jerks!

    Sending healing vibes and prayers for everyone here that are recovering from your procedures! ((((All))))

  • Valstim52
    Valstim52 Member Posts: 1,324
    edited June 2016

    wow, I get continuous calls from my insurance nurse and I've ignored them. A visit would freak me out.


    Question: I woke up with a swollen knee and pain on the side of it. I will call the dr, but could this be a clot? The pain woke me up

  • HuskerFan
    HuskerFan Member Posts: 85
    edited June 2016

    Raven, I'm with you on the whole nap thing! I'm only two weeks out from my BMX, but I really still need that afternoon nap. My kids finished up school on Wednesday. It was nice that they were still in school at the time of my surgery.....I had a nice quiet house to rest during the day. At least my oldest can drive, he will be my errand boy for a while!

    Hope everyone has a great weekend!

  • raven4mi
    raven4mi Member Posts: 562
    edited June 2016

    Oooh, Valstim52, not sure if it could be a clot or not, but don't mess around with it, for sure. Let us know what the office says. Fingers crossed for you.

    HuskerFan, my oldest is 16 and has absolutely no desire whatsoever to get his driver's license - it's driving me up the wall. I could really use his help right now, especially with his dad traveling so much for work these days. I finally had to put my foot down with him and tell him that "Muber" (i.e., "Mom Uber") is closed for business. He needs to either find rides or walk to where he needs to be. I'm sick of it. And, frankly, I really don't get it! I couldn't WAIT to get my driver's license when I was his age.

  • Valstim52
    Valstim52 Member Posts: 1,324
    edited June 2016

    RavenMI, got it checked out. Not a clot they can see, a pinched nerve. ugh. I'm 2 weeks out and have to have that afternoon nap.

    thanks for the warm thoughts.

  • myToyStory2
    myToyStory2 Member Posts: 162
    edited June 2016

    Just got my pathology report from my recent hospital stay and confirmed my infection was caused by pseudomonas a - probably infected during my mastectomy surgery as it often originates in hospital settings. In searching through the boards, I don't think I've seen anyone successfully keep their TE in for the duration after battling this bacteria - they are generally removed for 3 to 6 months and then TE's are attempted again, with varying rates of success. Wish I would have read some better outcomes!

  • Valstim52
    Valstim52 Member Posts: 1,324
    edited June 2016

    So sorry myToyStory2. Hoping or a good outcome.

  • raven4mi
    raven4mi Member Posts: 562
    edited June 2016

    Valstim52, ugh on the pinched nerve, but thank heaven it wasn't a clot! Just what you need, though - more discomfort.

    myToyStory2, I'm so sorry! Believe me I know how much it sucks to have to deal with this set back. I'm sorry you haven't read about any better outcomes on second attempts after dealing with that bacteria. Mine is so uncommon that I can't even find any information about re-trying the expanders. Fingers crossed that we both have good outcomes once we get the chance to try again. {{Hugs}} to you! (Not sure you're in the mood for this at the moment but I told my husband that at least I officially get to stuff my bra now. I always tell him he has the mind of a 14-year-old boy and he threw that back in my face pretty quickly, lemme tell ya!)

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2016

    mytoystory - BCO member fluffqueen01 also had pseudomonas and was successful with replacement TEs and implants after a period of having the TE out. I'm sure she would not mind a PM from you if you would like info on her experience - tell her I sent you.Sorry this is happening and hoping it can be handled.

  • Valstim52
    Valstim52 Member Posts: 1,324
    edited June 2016

    thanks so much raven4mi. I hate to say it, but I'm glad i didn't qualify for recon yet because I can't imagine the pain you ladies are enduring. In the future I may at a later date, but this has been painful enough. Just saying. You guys are really strong.

  • GreyKat
    GreyKat Member Posts: 225
    edited June 2016

    MyToyStory - so sorry to hear about your infection. That kind of major setback just stinks. *hugs* for you.

    After a week of going round and round with nurses, schedulers, the usual continuing and followup appointments, and insurance, I finally have an OT appointment for next week for my surgery-damaged arm/hand, and an appt. with a genuine ortho dr.

    I have no idea which party is paying for this since my insurance does not cover some aspects of "surgical or medical error" treatment.

    I am exhausted. This on top of the usual recovery, ongoing underarm/chest pain, and the constant nerve pain and mobility problems... I'm wiped out. The pain level is nausea-inducing often, so whomever said that above, I totally understand.

    I'm 4.5+ weeks out from the mast. and I'm starting to really wonder - two years from now is it still going to pull tight on my underarms and lower ribcage/upper abs (like where the mesh is sewn) when I try to stretch out? Down below it's not so much pain and it is just tight - like the mesh has served to sew my pecs to my chestwall using a piece too short, so I can't fully extend. Does that ever improve? I can't imagine that stuff ever stretches or expands any to give me full range on my abdomen. Does that feeling go away when the implants are in and they squish and move more? It's very disheartening to think I'll never be able to move my torso freely again because there's a "tie" in there that's too short.

  • raven4mi
    raven4mi Member Posts: 562
    edited June 2016

    I'm not the same.

    I'll never be the same.

    I'm not myself.

    I am myself.

    I am alive.

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited June 2016

    I just sneak into your group having had my op on 31st May. It's been a pretty tough 10 days since. The drain is still in which is a pain lugging around this bottle of fluid. I'm missing not driving. One positive thing is hubby doing the grocery shopping and he sticks to the list so we can save $'s.

    You have your up days and down days. The waiting for results it the pits especially when the news is always on the worse side.

    I'm looking forward to the next step as although the surgeon was happy with his work there is the mopping up to do. Top shelf all the way he tells me.

    Being in New Zealand im interested in hearing your stories.

    Take care




  • Papillon1
    Papillon1 Member Posts: 308
    edited June 2016

    greykat, I am Sure once you get the implants and not expanders the tightness will go - they won't be sewn down the same will they


    I got carried away and bbqs and drank too much fizz with friends last night - 17 days post op and DH and I were celebrating a house sale. Was lovely being with friends but oh I am tired today!!!! May stay in pjs all day! I still also need those day naps!!!!



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