TERRIFIED of getting my port taken out - how bad is it?

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  • Tinyfrog
    Tinyfrog Member Posts: 91
    edited January 2017

    I think I just found the answer to my question. I didn't know this, as I had my blood drawn from my cancer side last week.

    https://www.oncolink.org/frequently-asked-questions/cancers/breast/blood-pressures-iv-s-and-fingersticks-after-mastectomy

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2017

    Tinyfrog - Oh oh, you're out there consulting Dr. Google again.... There is always a risk of lymphedema with any blood draws or pressure readings it you've had even sentinal node biopsies. Take a look at this very informative site that some of the BCO ladies helped write.

    http://www.stepup-speakout.org/

    I say hooray for your HER2+ reading. Herceptin is a snap and we're lucky it's available

    As for ports - I arranged to have my port placed by my BS. No interventional rads for me!!! Hope you can arrange that when it comes time to remove. I had all my blood drawn by the infusion center nurses through the port. They attached the "dangles" & cleared the lines before I went to the other departments to have CT w/contrast or MRI w/contract, etc. Then I went back to infusion for them to flush again & 'detach' me. You may have seen me write this before, but I LOVED my port. I was so grateful that docs & nurses never had to stick my arms (SNB on left and ALND on the right, so both are compromised). Now when I have blood drawn & have a huge hassle finding someone who knows how & will draw it from my foot. Same deal with two surgeries. They had to call the head nurse to start the lines in my foot because even the anesthetist couldn't do it. I do have truncal & breast lymphedema so the port was a major blessing.

    And lastly for showering - get some Glad Pres N'Seal. You can wrap it around your whole chest area and nothing will get wet. No need worry about just keeping your back to the water.

  • Pinkwashmenot
    Pinkwashmenot Member Posts: 13
    edited January 2017

    I decided - after talking with my surgeon- not to take it out. No need to. Just have if flushed every month or so if you want to keep it good for using it. If not just forget about it - it won't go anywhere. My surgeon said just forget about it.

  • Goincrzy8
    Goincrzy8 Member Posts: 387
    edited January 2017

    I had my port installed last nite by the surgeon who did my LMX. He is an awesome surgeon, not one ounce of pain from LMX. He also knew I had never been put under or had any hospital or surgeries since my baby girl was borne 32 years ago.

    Since I cant use my left arm for any pokes, etc I am concerned about them blowing the one good vein in my right. RIghtfully so, they drew blood last nite before surgery and a hematoma, plus they put the iv in the arm instead of hand so another bruise.

    They did twilight sleep, felt nothing. I do have a small pain in shoulder nothing major, I have taken 2 Tyelnol after I got home last nite before sleep and took 2 this morning at 6 am to just keep any pain away.

    Told to not shower for 72 hours, grrrrrrrrrrrrr and because I really need my right arm to wash my hair, dont think that will happen today.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2017

    GoingCrazy - if you live alone, or can't con a spouse or kid to wash your hair in the kitchen sink, by all means treat yourself to a wash & dry at a beauty salon. It can't be too expensive if you're having nothing else done.

    Edited to say - A soon as I could stand alone, I was able to take shower by wrapping my chest in Glad Press 'N Seal. I learned the trick from folks who have knee surgery or a broken arm. Once I wrapped drains & all. Truly, nothing gets wet.


  • Goincrzy8
    Goincrzy8 Member Posts: 387
    edited January 2017

    I do live alone, hopefully tomorrow I can wash hair. Need to see if I Press and seal.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2017

    GoingCrazy - I guess you could do it one handed if it's short enough. I did mine that way in the kitchen sink once since I have a detachable sprayer faucet.

  • Kicks
    Kicks Member Posts: 4,131
    edited January 2017

    Tinyfrog - not using your surgery side arm (or both if BMX) for BPs, blood draws, or vaccinations has to do with the possibility of the procedures encouraging the development of LE (LymphEdema) post surgery.

    Even if nodes were not removed, any surgery (or traumatic injury) can have an effect on the lymphatic flow, possibly resulting in LE.

  • VLH
    VLH Member Posts: 1,258
    edited January 2017

    My first port was implanted by a surgeon at a hospital. It was problematic from the 2nd week, a CT scan showed it retracted 3 cm from its original location and there was a clearly visible loop over the port. My MO referred me to that surgeon because she'd never had a problem with his ports in the past ten years. Lucky me to be the exception!

    I had it removed and a new port put in at an interventional radiology facility yesterday. I was awake throughout both procedure, but there was only minimal discomfort. I am, of course, very sore today, but what I would expect in terms of pain and bruising. I'll find out Tuesday whether the new port works properly.

    PLEASE pitch a fit if anyone tries to stick your surgical arm! The ER nurse ignored me when I said that arm was a Lymphedema risk and inserted an IV line. I'm now paying the price daily for her overriding my objection.

    Lyn

  • Tinyfrog
    Tinyfrog Member Posts: 91
    edited January 2017

    Hi MinusTwo and Kicks - Thank you so much for the information. My BS said not to go on sites like these because you may only hear horror stories, but I've learned so much through this site that they haven't told me, for instance not using your surgery side arm - no one told me that.

    Goincrzy8 and MinusTwo - It's amazing to hear about drawing blood from your foot. I read some articles on pubmed comparing cost/benefit of doing port placement by interventional radiology (40%), and surgery (60%). From what I learned, the quality was about equal, IR was slightly better in the study group because of the familiarity of the equipment to place it better, but IR was lower in patient care because of less clinical training, and that's perhaps where I was also failed. I met with my BS surgeon twice before my surgeries, and because of my fibromyalgia, she made a deliberate notation to give me additional painkillers/neuropathic medication to compensate, and it went really well. I had no contact with IR prior, so they made no adjustments to treatment. It was like a conveyor belt procedure. I was brought into the operating room and treated like a dead body. The two people were taping me to the table, putting a mask on my face, and covered my entire body and face with paper sheets, so that only my neck, shoulder was exposed - all the while talking over me about their weekend plans. And then I was just lying there under a heap of stuff all covered up waiting for the doctor. The only time someone said something to me, was to yell at me for scratching my nose, while waiting. I came so close during the time I was waiting on the operating table to calling it off.

    The nurse, who administered the so-called sedation was this really sweet old lady, and I think she did her best. But the difference is in IR , she's just a nurse, and can't give me anything stronger. The operating room has a nurse anesthesist, who can sedate you further if needed.

  • Tinyfrog
    Tinyfrog Member Posts: 91
    edited January 2017

    VLH - Thank you for sharing. So sorry for your experience, I hope the second port works out well. I read on another thread that a woman had a clot in her port that was backed up for months, and no one recognized the symptoms. All of these situations are rare, but it does happen - and I'm so happy to hear that they found out what was wrong with yours. I've had a lot of rare circumstances in my case, and I've been talked about often at the tumor board meetings. I think the doctors quote too often about statistics and seem to gamble a little too much, without thinking that they may just have that rare case - where there's a problem with what everyone keeps calling an easy, routine procedure.

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