Seeing a LE therapist Friday. What should I know/ask?

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Anonymous
Anonymous Member Posts: 1,376
edited June 2016 in Lymphedema
Seeing a LE therapist Friday. What should I know/ask?

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  • cowgal
    cowgal Member Posts: 833
    edited May 2016

    My first LE therapist retired several years ago. She taught me manual drainage and also taught my husband how to do that on my back. I had stayed somewhat stable with some flare ups and there was not anyone anywhere close to us so I have not seen anyone about it for about 5 years. Last fall I had a bad fall and broke it with my LE arm. It turned out that I had a partially torn rotator cuff. I never have been able to get my arm down to it's pre-fall size and have found that at a hospital only an hour and a half away that they now have an LE department. So Friday I will go up there and meet with them and see what they suggest. I only wear a sleeve and gauntlet during the day and do nothing at night. I just wondered if there is anything that I should be asking about as far as techniques I should get trained in, equipment I should ask about or anything else in general that has come along in the last 5 years that might make managing my LE more manageable. Thanks!

  • Binney4
    Binney4 Member Posts: 8,609
    edited May 2016

    Hi, cowgal, so glad you'll be reconnecting with lymphedema help. Do you have records of your previous measurements to take with you? That would be helpful in assessing your situation.

    You might want to talk about night garments. Most of us find the Solaris or JoviPak most comfortable. I like Solaris personally, and I always ask for a zipper in the sleeve to make nighttime donning and doffing easier.

    I'm sure others will be along shortly with their suggestions for easier and improved LE management. Please do let us know how it goes!

    Hugs,
    Binney

  • cowgal
    cowgal Member Posts: 833
    edited June 2016

    Thanks Binney. I met with her and my arm is definitely in need of more management than just me at this point. No cording, no fibrosis but definitely has increased from initial diagnosis and where I was the last time I saw a therapist. Anyway, she is going to have me wear a Wear-Ease compression t-shirt to help getting the swelling down in my upper chest, back, lower back and upper arm. I think she must have seen the look of terror in my eyes when she said I needed to wear it during the day. She said if I couldn't tolerate it in the heat, to wear it at night. She also told me she is going to teach me to wrap and when we get the swelling under control she will measure me for a night garment. I can't remember if she said it would be a Solaris or a JoviPak but it is one of the two and she said it will be like having a cast on your arm. She will also measure me for new sleeves when this is all back to manageable. She said a lot has changed since I last saw a therapist. I start seeing her three times a week for two weeks in a little over a week. Again, thanks for the advice. ;)

  • Binney4
    Binney4 Member Posts: 8,609
    edited June 2016

    Cowgal, good for you! Sounds like you're in really good hands.

    Just by way of encouragement, the night garment is like an oven mitt, NOT like a cast. I have a night vest as well, and it's actually quite comfortable. This time of year I keep night garments in a plastic bag in the refrigerator during the day, so they're cool and actually refreshing to put on in the evening. The foam chips that they're filled with hold the cool at least long enough for me to get to sleep.

    Learning to wrap yourself is a steep learning curve (some of us have been known to fling bandages around the room ), but SO worth it! Really glad you'll be gaining this skill--once learned it's not only a sense of accomplishment, but absolutely gives you independence in managing this yourself. Keep us posted, please!
    Binney

  • hugz4u
    hugz4u Member Posts: 2,781
    edited June 2016

    wow cowgal! You have really takin the bull by the horns (pun intended) and jumped in to manage your LE. That's great because now you can control it instead of the other way around. That said you might have some bumps along the way but if you give us your dilemmas we can help you. Our LE master binney is such a great resource and although I'm not on the boards as much as I use to be ill hop in before I go on holidays to check up on you if you indeed do post.

    I'm told wear ease is a fantastic product. Spendy but at least your not paying for a garbage product like I have done so many timesbefore. I should just bite the bullet and buy one.

  • cowgal
    cowgal Member Posts: 833
    edited June 2016

    Thanks ladies. I just completed my first week. What a week it has been. Besides leaving the house by 6 to make it for my appointments at 8, going to work for half days and feeding my horses, wheat harvest started so I need to hurry home and make supper to take out to the field. I am very thankful but very tired! The temperature has been over 100 most of the week. When I met with the therapist yesterday she told me again that after we finished the six sessions then she would measure and order the night garment and new day garments as well. I asked how long it would take to get the garments and she said 2-3 weeks. The light went off in my head and I said ,"so until they come in I will be wrapped 24/7?". She said yes to which I thought that will work out to being wrapped for over a month!

    I would love to hear which night garment you all like and why as this is new ground for me. Binney, I like that your Solaris has a zipper. I will have to see if JoviPak has one as well since I think that is what she normally prescribes but thought if there was a reason to make her do a different one then I needed to let her know. I am in the process of taking so weight off that I am hopefully going to continue and she did say that the night garments can be sent in to have them altered as I lose weight.

  • hugz4u
    hugz4u Member Posts: 2,781
    edited June 2016

    imageJust checking in whilst on holiday. My LE therapist is my fitter to and is pro Jovi because she likes the way the lines are sewn in the direction lymph flows. The developer of Jovi has lymphedema herself and has created a good design.

    Solaris products look really soft and look easier to put on. I love the zipper idea and when I suggested it my fitter look dumbfounded at me. Never heard of it but she was new at fitting so I didn't push for it. Jovi is stiffer but my Jovi jacket with sleeve is thinner and quite streamlined. Ugh it's like buying a car, so many variables. Actually my old car cost less than my jovipak.i guess that's why I'm not driving a fancy pancy vehicle.

    Let us know how it's going. Wrapping sucks but it sounds like your doing what your suppose to do and that spells success.

    Here is a pic of my holiday destination. So beautiful it will make you forget you have LE...we'll maybe for a minute


  • kareenie
    kareenie Member Posts: 339
    edited June 2016

    That looks like Butchart Gardens on Vancouver Island BC?

  • hugz4u
    hugz4u Member Posts: 2,781
    edited June 2016

    Yes it is. What a nice place and to think it was a cement quarry at one time. After our visit we stayed at upisland area then whistler. Beautiful time. Lots of hiking.great news, my arm hasn't flared here at 4000 feet😉 But my trunk and breast felt a bit fuller. Once I got walking it tamed it down.

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