May 2016 Surgeries
Comments
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grandma - so happy for you! Glad you docs got on this quickly and could get you some answers!
Home from surgery - sore, but glad to have this behind me now. My PS was reasonably happy with the outcome and Iam now de-ported!
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Good to hear, SpecialK! I'm glad your surgery was a success and wishing you many "surgery-free" years ahead
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grandma - thanks, I hope so too.
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Glad things went well, SpecialK. I second Grandma's sentiments - here's to many healthy years to come!
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Happy healthy recovery SpecialK!
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Thanks guys
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Great news, Special K! Hope it's a speedy and complication-free recovery! It must feel so great to be on the home stretch!
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SpecialK hope you are feeling ok, and on to healing. Sending hugs your way
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Oh what a relief Grandma!!! I'm so glad.
Special K, enjoy your port-free body. Hopefully you'll never need it again.
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Ladies, I'd like to ask you something. I had a DMX, no recon. On the one side there's a dent in the skin. It appeared quite suddenly last week. Is there anything I can do about it? I've been reading that it's becasue there's no fat there. But why did it happen now? I hope you have some words of wisdom. Thank you.
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SpecialK - So glad to hear your surgery went well & PS is pleased. Happy healing & congrats on being de-ported!!
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SpecialK, so glad to hear from you! I've been thinking of you and wishing you luck, just did not have time to post. Here is hoping for a smooth recovery and happy results.
Grandma, we can all breathe again. Such a relief must have been for you and your family.
Raven, how was the escape room adventure? I have also a soon to be 14 year old son, in search of some new birthday places. How is your recovery? Do you still have the drain?
Have a good Friday everyone.
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Midwest, the Escape Room thing was fun - but chaotic! There were 10 of us in our group - 6 kids and 4 adults - and as soon as we got in the room all the kids scattered in different directions and things got really loud and crazy. We weren't able to solve the mystery in an hour but that was mostly because we didn't all work together and some of the clues were REALLY obscure. For example, one of the clues led us to a black light flashlight. OK, obviously that means we need to find a secret message, which we did - found a picture that had the name "Maria" on it twice. Ultimately, we were supposed to then use that name on our phone keypads to get the numbers that correspond to the letters "m-a-r-i-a" to use as a combination on a lock - except that there was no clue hinting that we needed to take that step with the phones! Not exactly sure how we were supposed to make that leap, but if I ever do another one (and my husband and kids would like to, so that we can work together as a team) then I'll be on the lookout for that kind of stuff. Bottom line - it was fun and I'd recommend it, but pick one of the easier rooms!
Recovery is going well - slow, but sure. The pain in my abdomen from the donor site for the grafting is now manageable as long as I keep wearing the spanx/girdles. I went to bed without one the other night because I was just sick of having something tight on me and was very sore again the next morning, so learned that lesson the hard way. I asked the PS how long I had to wear it and he kind of just shrugged his shoulders. Helpful! I guess when I get to the point where I'm not sore anymore when I take it off then I'll be able to stop wearing it; best I can figure! He did remove the drain on Monday and I have one more follow-up appointment scheduled with him again next Monday to make sure there's no further build-up of fluids (and so far, so good) then it's just another waiting game to see if the grafting "takes" and schedule the TE replacement surgery. Thanks for asking!
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Raven: I can't believe the guy doesn't have an idea how long you'll have to wear compression. Hasn't he done this a few times before? *argh* I guess you'll know when the pain is reduced enough or there's no swelling anymore. Hope that's soon!
Moreshoes: I don't have any idea why a dent would appear this late other than maybe there was some sort of long-term swelling you just hadn't realized was swelling that finally went away - feel free to ignore that idea - but it sounds like something that a PS could flatten out with fat grafting. I forget where on this site but I remember reading about a really skinny woman who decided to "go flat" and was planning fat grafting to smooth out the visible bumps/dents of her now-visible ribcage. I'd see a doctor, either way, for something that sudden of a change.
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There is a lot of variety on wearing compression garments - some PS do not use them at all, my first PS was adamant that it be worn for 8 weeks 24/7, except for while in the shower. I just had fat grafting as part of yesterday's surgery and received no instructions on wearing compression. I will do it anyway because I feel it does provide benefit.
Thanks all for the well wishes - I am feeling hungover from the anesthesia, but not too uncomfortable otherwise. I am pretty heavily bandaged so can't tell how things look, but I will be satisfied regardless. the PS indicated that she was happy and that there was improvement, so that is all I can ask for at this point.
moreshoes - I wonder if you had a little seroma that resolved and caused a dent. I would definitely ask about having a small fat graft to fill it in.
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This has nothing to do with anything but my own care, but I wanted to share that my PT just won some award (with money!) because he's that good. I want to go back and hug the OT guy even more now, because I knew he cared and wouldn't hand me to anyone but whom he thought was the best but I didn't realize they were tracking that sort of thing!
In fact, my OT guy *still* drops by to check on me now and then when I'm there. I love these guys. I can't describe how it feels after all this stupidity and mishandling of my treatment to actually have involved medical personnel who so clearly and obviously *truly* care about not just treatment and progress, but patients as 3-D humans deserving of dignity. I see how the crew there interacts with other patients and they're a good bunch.
I know a few doctors who could take a few notes about how it's not such an evil to be a little personally involved with patients they're treating repeatedly/long-term... *snark*
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GreyKat, that's awesome about both your PT and OT! My best friend is an OT and that sounds exactly like something she would do - it takes a very special person to be in that profession, someone who really puts the patients first, and it sounds like you've really lucked out. And IT'S ABOUT DAMN TIME!!! You deserve it!
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Aw Raven, thanks, yeah, it IS nice. I bet your friend is a fantastic person and a lot of fun just to hang out with if she's anything like the people I've met. They're all so good-humored and they're not faking it! The ones I've talked to openly crow about loving their job, even with the difficulties and billing stresses and occasional problem patient. One says they're in the business of small, daily miracles, and that's a sweet way of looking at it.
I detailed to the PT that the end goal of all this is not simply to have me pain-free and functional again for grocery shopping and a desk job, like the "average patient", but to be strong enough and healed enough to withstand essentially the same process that injured me this first time.
My PT told me today he intends to have "A Talk" with the PS when the time comes, that he wants me sent back to PT after exchange surgery within a week, for re-evaluation, and there will be none of this sitting around telling me I can't have appropriate treatment for 5 months and refusing to order tests while the damage slowly and predictably cascades into a giant mess.
I really wish him luck with that. Actually, I wish i could hear that phone call, both sides. But man, it feels good to have someone willing to advocate for my care. *exhausted*
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greykat - totally agree about going back to PT after exchange. When I exchanged the first time I had been treated for lymphedema already and was done with the program. My gyn NP (who had also had a BMX) insisted I return to PT after surgery, and wrote that prescription herself before I even went to exchange. It allows some control over backsliding and maintains the progress to date
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SpecialK - I can totally understand why you'd want to go right back after lymphedema treatment. I think it sounds like a good choice and it would make me feel a tiny bit better knowing I've got someone in my corner waiting for me, just in case. But this will be months away, minimum.
I realized yesterday that this PT/nerve stuff is long-term enough that I may actually run into a ticking clock: had the TEs in 6 months now and less than 18 month to go. My PS said 24 months, max, is his limit on leaving in TEs, but I'm hoping it won't take that long.
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greykat - I had expanders placed initially in Nov of 2010, but did not exchange until Feb 2012, so it was a long duration for me as well. My right expander had been in place that whole time - 16 months, but the left had been removed a few months after initial placement. It was out for the seven months I had chemo, then it was replaced. My fills were low and slow. The PT for lymphedema started after the left expander was replaced and being filled, so almost a year in, and continued for about six months. I went back to PT (the same one I saw for LE) after exchange, twice a week for about two months. I hope your post-surgical issues can reach enough resolution so that you can move forward, and that you can exchange within the 24 month window. I hope you can have continued PT afterward, I think it would be helpful for you. I can definitely sympathize with how long this process is taking for you, and how frustrating and painful it has been.
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GreyKat, I can understand why a PS would put a "time limit" on the expanders, but really it's quite arbitrary. I asked my PS if I should worry about having mine in for any lengthy period of time as it looks like it's going to go well over a year for the left one and he said no, not really. He had one patient come to him whose original PS passed away(!) in the middle of her reconstruction and she just never "got around" to finding another PS and had expanders for something like 3-4 years! I'd say that would be the least of your/his concerns and getting you healthy for the exchange should be everyone's topmost priority.
I'm looking forward to the "chat" your PT has with your PS! Would love to be a fly on the wall for that one.
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GreyKat - Very cool news about your PT. He seemed to gain your trust most easily of those on your medical team, and it sounds as if it was well-deserved! It's great that you're setting goals together....and you seem to be on the same page! I really hope you're in position to exchange to your implants well before you hit that 24-mo mark. Cheering for you!
Grandma - Any updates after your roller coaster week? How's the healing going? Again - so very, very, very glad you got that benign result!
Special K - Happy healing!! Have you been able to take a peek at your results? Are you satisfied with how the port scar turned out? And I can't remember - did you end up with same-sized implants...or was that not one of the goals of this surgery? Hope everything is going swimmingly!
MoreShoes - If the new dent is troublesome, definitely schedule an appt with your PS. I'm sure you could get your questions answered quickly once they get a good look at you.
Raven - We have an Escape Room here, too. It was VERY popular as an adult Halloween activity - I had several friends schedule parties there around the holiday. Sounds like a fun time! So glad you got the troublesome drain out! Do you have a date in mind for your TE replacement yet? Fingers crossed that the FG procedure was a total success!
Hope things are going well, Valstim and Midwest!
No real updates from me. 6-month follow-up appt with my BS on Friday (which I anticipate will be uneventful), then I see my PS the following week. Steri-strips still haven't come off on their own so I haven't seen my exchange scars yet, but I was told I can finally remove them in the middle of next week. Looking forward to seeing the final result! Swelling has pretty much gone down so I have a better sense of what the shape of the implants are going to be. I'm satisfied! Rightie is still trying to ride a little higher, but I'll wait to see what PS says next week before I panic about it. They told me to keep rocking the surgical bra until my next appt. Lucky me!
Have a great night everyone!
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mytoystory - I am totally bandaged, so have not seen much beyond the fat graft in the cleavage. My post-op is Mon so I will see how things look then. None of what I had done (port out, left nip off, lipo on lateral aspect bi-lat, and fat grafting) involved the implants or a swap, just in and around them. These current implants are the ones put in last May, when I joined this thread
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Cheers to good results on Monday, Special K! Glad you already had the implants checked off your list!
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SpecialK - Best wishes for your post-op mtg. with PS tomorrow. Hoping the unveiling will be an excellent outcome at the (almost) end of a long journey!
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MyToyStory2 - thanks for checking up on everyone! I'm doing well, slowly recovering from the emotional toll of last week's biopsy and "other" events. I went for a long walk with my sister and father through Longwood Gardens yesterday and it really helped to get out for a while. My incisions are healing well. I have a solid lump of scar tissue at the end of one suture line on the left side. I remember having something similar after my MX, which eventually went away. I hope this will do the same. I'm glad that you are healing well. I also have one side that is lower (my problematic left side) so I'm wearing an ace bandage around the bottom to support it. I never got a surgical bra after any of my surgeries and my PS just says to wear a sports bra. I asked about an underwire to provide more support for the sagging side, but she thinks that it may cut into my skin and I won't feel it because I'm all numb. I don't really buy that (has that ever really happened?) so I may wait a few weeks to be completely healed and go to Nordstroms to be fitted for an underwire.
GreyKat - that's such great news about your PT! It's nice to have a health care provider that is both concerned about his patients and also very good at his job!
Raven and SpecialK - hope you are both healing well.
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grandma - just came back from my post-op. Wanted to pass along two things. I also have one side that sits lower than the other and at this surgery my PS lipo-ed the IMF in attempt to force a crease and make the IMF sharper. She also wants me back in an underwire as soon as I can tolerate it without soreness. I second the Nordstrom fitting, and ask for bras that have extra padding at the underwire - they will find them for you. Also, don't fret about no surgical bra - they are not very substantial, I feel a Genie bra offers more controlled support - the only difference being a surgical bra has Velcro in the front so can be easily be put on an unconscious patient, lol!
mytoystory and MrsB88 - I appreciate the good thoughts! I always condition my expectations on the fact that I have had more surgery than most - not for aesthetics, but due to skin healing, so my frame of reference for "good" or "acceptable" is different from many who post on BCO. At this point I am thrilled just to have two implants, and happy to have them look reasonably like each other. That said, removing the left nipple and a rather substantial fold of skin above it, and having both lipo and fat grafting in and around both sides has yielded a result that right now looks as good as I could have anticipated. I am beat up for sure - I have about a dozen bandaged lipo/FG spots that had stitches removed this morning, and two longer incisions for the nipple removal and port removal, but things are ok!
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SpecialK - glad to hear you're moving towards the end goal after everything!
Grandma - I second the sports bras. Once my BS/PS let me out of the binder (2 wks) it was tight sports bras for compression for capsule formation and to reduce swelling, and that's all they wanted. I got front-close ones because there was no way I was pulling one over my head.
Also, what, do we all have left sides that are lower? What is this? They can't fix that? I was told that was fixable with stitching to reinforce things (dermis, our natural tissue, whatever) internally.
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greykat - thanks! The lower left side in my case has to do with a larger implant there needed for size symmetry, and less support from allograft material due to the excessive number of repair surgeries on that side. At this point I am OK with it because it is not apparent if I have a bra on. Usually a lack of evenness can be handled at exchange employing the methods you mentioned.
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