September 2016 Surgeries
I'm scheduled for Sept 9 unilateral with either direct to implant or latissmus reconstruction, and am trying to accomplish everything I can think of to prepare myself and my family. I've read through so much on this website- there are so many wonderful tips, and I am so grateful to the women who have put so much love into their posts. I installed a hand shower today in our shower so I can control the water. I bought alcohol pads, shower lanyards, and small kitchen garbage bags for the drains. I bought button down pj's and am borrowing a recliner from my MIL. I have medical gloves for drain emptying and miralax is on my shopping list to combat the lovely side effect of the narcotics. I have even ordered the Relax the Back store wedge system as a friend said it helped her to be able to be in her bed after her mastectomy (and hopefully my DH will be able to use it later for his bad back). I'm writing love notes to my kids and am drawing up the carpool schedules for my parents to follow when they come to help. All this and yet I know there is so much I don't know that I don't know....
What tips have you heard to do? Shall we do this together?
Comments
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I'm having September surgery also, thanks for starting the thread. I'm having a bilateral MX. Meeting with another plastic surgeon tomorrow, reconstruction plans are up in the air as there is concern over my radiation from 2012. You arnt sure which recon either? Its a huge decision.
Those are good tips, how are the "small kitchen garbage bags for the drains" used?
I've had 2 lumpectomies and a lyph node surgery, not nearly as complex as the MX but a few similarities as far as prep.
Drains: this time I made (or you can buy} a fabric drain holder with velcro that goes around the belly area. The last one I had pinned on my shirt, I felt like it was always jiggling around. I like the ideas of the drains snug in a holder this time. Got a lanyard also not sure how that will work.
Yes button up pjs and also button up shirts which I have a hard time finding. Plan easy pull on pants to come home from the hospital in, I remember the nurse helping me put my jeans on last time and it was not easy. And she wasnt there at home to help me take them off!
I think so much of it is just preparing and organizing your normal life. Its rather mind boggling but there are some great lists on here of what to do before hand. Best wishes to you, I'll be thinking of you on the 9th..
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hi Jean Q- the small garbage bags are for all the used gloves & alcohol wipes, etc that will be used for drain emptying- I was told there will be lots of garbage and some of it bloody so better put discreetly and directly into a bag. Just a tip from a friend who recently went through MX.
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Hi 4girlsmom and Jean, I'm having lumpectomy (quadrectomy) and ALND on 9/14--just finally got my date. I've done 5 months of chemo and I am ready to get on with the rest of treatment (rads and anastrozole to follow lx). Really looking forward to having my life back. I met with PS who will reduce the good breast to "match"--must be 6 months post-rads so I think the early summer because it's easier to take time off then. (I teach.) When I asked what I could expect he said, "You'll look fine in clothes." Um, OK. I met with a physical therapist for lymphadema prevention/management and had measurements taken of my arms so we'll know if something is changing. I am so over all of this!
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Just got the call that my bilateral mastectomy has been scheduled for Sept 6, Tuesday. Not having any reconstruction.
I will be so happy to have this surgery behind me. At this point, they 'think' I won't need radiation but I have learned to take this one step at a time.
I'm glad I have the long weekend to get ready and that there are so many good tips on this site. I've been very calm while waiting but now I am just a bundle of nerves.
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Will be thinking of you ladies having surgery next week. I second the ongoing thought from all of you that getting this behind us is going to be fantastic. I've heard so many say the thought of MX is often much worse than the experience. Lets hope for that! A pain in the ass for sure but hopefully bearable.
I am leaning toward no immediate reconstruction ... 90% sure today. Will sleep on it over the weekend. I think healing from the MX will help my radiated breast have a better chance of good healing.
4girls - I'm looking at the lat flap too, will hope to hear how it all goes for you after the 9th
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My surgery date is 9/19 for a bilateral nipple sparing mastectomy with implant reconstruction.
My cancer is in my left breast. Due to an underlying genetic tissue disorder that affects the heart and lungs, I am having mastectomy so I won't have to have radiation.
I had open heart surgery 16 years ago and haven't had a major surgery since. I'm praying the recovery from this will be easier.
Best of luck to all.
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Welcome to you Irony, We are glad that you reached out to our community and we hope to see you around the boards. Let us know if there is anything we can do to help you to navigate here. The Mods
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I am scheduled for surgery to check for lymph node involvement on Wednesday, September 7th. Since I've already had a "prophylactic" bilateral mastectomy, my BS is going to "try" injecting a tracer for a sentinel node biopsy. We've only spoken briefly over the phone since the tumor board made the recommendation. I'm not sure what happens if nothing shows up as being the "sentinel node." I have a pre-op visit on Tuesday. I guess I'll ask some questions then. I am more anxious about this surgery than either the lumpectomy (intraductal papilloma) in June, or the mastectomy in July.
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Hi Minmom24. I didn't realize they could go back after a mastectomy to try to find a sentiinel node. Did they try to find it before your mastectomy? Or is this for the prophylactic breast? (Or perhaps they were both removed prophylactically?) I will be sending you prayers and hugs on the 7th. While I was calm and kept my head down researching what to do all summer I am finding this "week of" surgery to be so nervewracking. I guess that is why my BC survivor friends have told me to be prepared to take the anti anxiety medicine the PS prescribes before the surgery even occurs.
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Irony you have been through so much! Hopefully this recovery will be much easier than your heart surgery. So sorry you are having to go through so much again.
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Hi reflect- that is so interesting that you met with the lymphadema therapist even before your surgery. I wonder if I should try to do that this week before mine. It makes sense that a pre-surgery measurement would be useful!
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I am having lumpectomies on Wednesday morning. My diagnosis was in July, but the surgery was delayed because my tonsils lit up on a scan, and my doctors insisted I have a tonsillectomy first. Thankfully, I don't have breast cancer in my tonsils. I anticipate relief that the tumor and DCIS will have been removed, as well as having some more information so my treatment plan can take shape. Just in the past few days, I've been considering whether the stress and risks of radiation, as opposed to the stress and risks of BMX, are such a good idea. I may do the BMX after all, after talking to my BS and the other doctors. But right now, I'm just glad the apparent, known cancer is coming out.
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Thanks so much 4girlsmom! I was lulled into a false sense of security thinking I could only have one crappy thing at a time. Lol Best of luck with your upcoming surgery.
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@4girlsmom Where did you get your lanyard? What does the clip at the end look like?
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Hi 4girlsmom, I read somewhere on this site that seeing a lymphedema specialist before surgery was recommended. If they take measurements before surgery it will be clear if something is happening in your arm, instead of guessing/eyeballing it, or comparing to the other arm (mine are not the same size, I suppose most people are not the same exactly either). I will see the PT 10 days post surgery. Ask your MO or PCP for a referral and find a PT who is certified in lymphedema therapy.
Best of luck with your surgery everyone going in this week! I'll be right behind you on 9/14.
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Hello, September friends! I'm having a second surgery on September 8 because the frozen slide from the sentinal lymph node biopsy in August was negative but the final pathology was positive, so now I'm heading in for a full axillary dissection. I'm most freaked out about the drain, and I don't know why. I can work from home, so I don't have to worry too much about grown-up clothing while the drain is in, but I worry about it catching on things and getting yanked out or about its leaking all over the place. I have been avoiding reading about them, which is very unlike me.
Good luck with all your surgeries. I will be thinkikng of you!
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AnotherMichelle-
Welcome to BCO! We hope you find the support and encouragement you need at you gear up for your surgery. Drains are very common, and many of our members have had them (we noticed the topic you started, and one member has already answered there with her experiences!). We hope all goes well with your surgery, and that the drain doesn't cause you any problems. We'll be thinking of you, please keep us posted!
The Mods
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Thanks for the tip, reflect! I am seeing a lymphadema specialist today based on your advice. Appreciate it so much!
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4girlsmom, I am so glad you are getting in before surgery! My PT just returned from a conference with a new device (L-Dex) that measures your arms through electrical signals (not invasive or painful at all) and he took measurements. My readings are normal now, so we'll know right away if swelling begins. I really want to stay on top of it.
Good luck this week!
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Hello 4girlsmom, I was skeptical about finding sentinel nodes after mastectomy, too. What my breast surgeon told me was that in a prophylactic nipple sparing mastectomy, there is a small amount of breast tissue left behind the skin in the breast. She said that she had done it before and was successful, but also went into the surgery with a Plan B. She injected both the nuclear tracer and the dye near my nipple after I was asleep. She found two sentinel nodes and removed them. The frozen sections were negative during the surgery. I should get a full pathology report in the next week. BTW, I also saw an occupational therapist yesterday for a pre-op assessment in regards to risk of lymphedema. She took measurements and started some education about the risk.
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Hi All! I'm having a UMX and bilateral latissimus dorsi reconstruction with TEs on September 19. Last August, I had a UMX and ALND.
The drains are inconvenient. I used an extra lanyard from work to hold the drains in the shower. Otherwise, I pinned them to my shirt or bra. They weren't messy to empty. One of mine tugged a bit when I moved, but a bit of extra tape near where it entered my skin fixed it. They're about the size of a medium lemon, flattened. Because I couldn't hide the drains effectively under my work clothes, I worked from home until the last drain was removed at 13 days. I did go to my kid's games and a couple of social things with them because my casual wardrobe is a bit more forgiving. I think I used an Ace bandage once or twice to bind them to my torso when I was leaving the house.
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Hi September ladies... I had the lumpectomy and sentinal node biopsy on Sept. 2.. was supposed to see the dr. yesterday for a followup, saw the nurse practioner instead, dr. was in surgery all day, but the told me they never got the pathology reports, and all she could do was check my stitches and start getting referrals for the oncology drs.... now i can't reach anyone, don't know anything and am in limbo.. makes me wonder why i had the surgery..
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Hello all, I am starting to get very anxious about the next couple of weeks. I'm not so worried about surgery, but I'm realizing that the pathology report is really really important, and I am scared there are going to be lots of + nodes. I know I have 2 from needle biopsy, more than 3 or 4 would bump me to stage III and that really scares me. Five months of chemo and Mammo and MRI did not show any changes to 2 swollen nodes or the size of my 2 tumors. In fact, it looked like there was another one--a "satellite". Need to manage my anxiety from now until path report. Time to get some Ativan.
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4girls - thinking about you, best wishes for smooth sailing tomorrow.
IHG - Well you had the surgery to get that out of there! Hopefully you can reach someone tomorrow, perhaps the Monday holiday was the hold up on your results.
Hang in there Reflect, yes Ativan if needed!
Michelle, hope all went well today. You'll get used to the drains, not like them but get used to them!
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I am scheduled for bilateral MX on Sept 30. I have just finished 16 weeks of chemo. Before chemo, the surgeon had planned axillary node removal, but noow he plans for the sentinel node instead.
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IHG and reflect, I found the waiting for results to be the hardest! I hope that you get the results soon, and that they are good news.
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I had a lumpectomy on Wednesday, the 7th, and came home the next day. I'm very pleased with how relatively easy it was, I've had minimal pain -- I haven't even taken a tylenol since waking up in recovery. My surgeon came to me there and told me the nodes were clear. I understand that's not a guarantee that nothing has migrated elsewhere in my body, but it does seem hopeful. I will see her next Friday to talk about what happens next, and in the meantime, I'm giving myself (as best I can) a vacation from this.
I am getting much better about blowing off the incredible things people say. A friend who visited while I was in the hospital said, 'You'll almost certainly get 5 years. It'll probably come back in about 15 years, but that's about what your life expectancy would be, anyway.' I said, Great, maybe I can start a ticker for the big countdown. Eventually, I hope to reach that nirvana of really not taking anything personally.
Best wishes to all of you who have just had or are about to have surgery.
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Oakmoss, great news about clear nodes! I'm glad your recovery has been easy for you. I'm having my lumpectomy and ALND on the 14th in Boston. They do it outpatient, so I've got a hotel for the night before and the night after surgery, I'm a 2+ hours from Boston so I wanted to stay close just in case. My mom (retired RN) is staying with me while my husband stays with our 15 yo daughter.
I've already done chemo and will do rads after surgery too. And hormone therapy of course! What--I got the Value Meal plus dessert? lol
Right now my daughter is sick with vomiting and fever and my husband is taking care of her so I won't get it and lose my surgery date. I want to take care of her! I want my normal life back! Or at least, whatever the new normal will be.
IHG, any news? I hope you have met with an medical oncologist by now and have a plan in place. The MO will be your main doc. It's important to like and trust him/her. You can get second opinions and change docs if you want to.
AnotherMichelle, how are you doing?
4girlsmom, how are you recovering?
Wishing you all the best and anxious to get my done.
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Oakmoss, that was a pretty insensitive comment that your friend made! Did she mean it to be encouraging? Concerning the lumpectomy, I also found it to be pretty easy as far as pain goes. I had been having increasing pain from an intraductal papilloma that was growing behind my left nipple. Surgery not only removed the cause of my pain, but numbness covered my incision area. I am thankful for the papilloma because it is what started this ball rolling. I could have had a much larger invasive lobular carcinoma when they found it had it not been for that papilloma.
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Reflect and Minmom, hello and thank you for your responses. Yes, that friend has a tart way with her. Heaven knows what she was thinking. I'm getting used to the fact that people (some of them) say all sorts of odd things. The majority have been wonderful. My two oldest friends are unfortunately on the other side of the country, but they have called regularly, and been loving, understanding listeners.
Reflect, getting a hotel near the hospital was smart. And congrats on being done with chemo. I was kept overnight because I have a serious chronic illness and my surgeon wanted to make sure I was okay. I'm lucky to be less than a half hour away from an excellent breast cancer care center. Since getting diagnosed in July, I've discovered that several of the women I know in my area have either been treated there themselves, or a friend or family member has been. I did know that breast cancer is common, but I've still been taken aback by how many women I know who have been affected.
It must be frustrating not to be able to take care of your daughter. I just wish you as uncomplicated a recovery as I've had so far. I do realize the more difficult treatments lie ahead, that it's probably impossible to guess how hard that may be. It is hard for me to strike the right balance between researching, and not overwhelming myself. I guess that will sort itself out in time, too.
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