Caring for yourself after bilateral mastecomy
I am having surgery on Sept 1. I chose a double mastectomy due to my age, high Ki-67 (75%) and I just don't want to worry and I didn't want 6 weeks of radiation. My tumor was 2.5 on left side grade 2 score 7/6. There was a question pf pleomorphic lobular carcinoma in some small cells in the original needle biopsy. I am 67, widow and live alone. I had chemo before surgery that ended July 26th. the tumor no longer shows up on ultra sound and haven't felt it in about 3 months. Taxol was not my friend. My legs and feet still hurt and still swell. My surgeon has not told me much except it will probably be a over night hospital stay and I should need help for about a week. I am tape sensitive so that is a concern. I lose skin from tape on my chest so I don't know what to expect as far a bandages goes. I see people talking about wearing bras after surgery. Why? What will I be able to do at home and what won't I be able to do. I have a Yorkie I have to care for so is bending over a problem? Will I need blood for the surgery? Will I need any type of dressing supplies? Any suggestions to make the second week without help easier would be appreciated.
Thanks
Comments
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I'm not sure if you are having recon or not. My experience is with mx w TE placement. As I understand bmx with no recon has an easier recovery than a bmx with recon. I spent one night in the hospital. I read and read these boards, and I joined the surgery group for the month I was having surgery. Because of this site I knew what to expect. For me the thought of surgery was worse than the actuality of it. My pain was well controlled thanks to a dissolving pain ball. I was on Tylenol only by day three. I was able to walk my dogs around the block on day two with the leash around my waist. I rested when I needed it but generally I was able to care for myself by the 3rd or fourth day. I had to have help washing my hair. My daughter was in nursing school and she helped me with the dressings. I could handle the drains by myself. I have tape allergies too, and within a week I had a raging tape rash. I ended up putting the dressings on with no tape, the ointment made the dressings "stick" , then I took a mans white tee and slit in up the middle and put it on on top of the dressings. I wore a compression garment for four weeks so I put that on top of the tee. I had even become sensitive to the elastic in the compression garment so the cotton next to my skin was ahhhhh.
Best of luck with the surgery. Take care.
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It definitely makes a difference whether you're having reconstruction or not.
Women who have NOT (I did not, so I"m one of them) had reconstruction often wear bras after surgery for compression. I think there's also something that's hard to put into words - a feeling of being kind of naked and exposed without one and without breasts. I wore one for a while - kids' sports bra - until I was well-healed. Different surgeons do very different things with the dressings and bandages. I did not have ANY tape stuck to my skin - everytyhing was held down with a massive ACE bandage. Only your surgeon can tell you what he/she uses for dressings and to hold them down.
Your big restriction will be lifting your arms above horizontal and how much you can lift. Surgeons also differ in how long they restrict this. Expect on average a few weeks. You also should not drive while still on pain medicine, or still having a lot of pain. I was quite tired after surgery (and had not had chemo beforehand).
Blood transfusion would be a rare event, and the result of a complication.
About bending over - I just don't remember. Common sense says you might make yourself dizzy or unsteady if you're still feeling really whacked by surgery, but I don't specifically remember having problems with it.
Have some pillows to put in front of your chest so your Yorkie can get up on you without you being afraid you'll get a claw or snout in a bad spot.
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I have yet to wear a bra. After surgery, I was in a binder for a couple of weeks, but that was it.
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My surgeon used surgical glue only - no bandages or adhesives. I did have Tegaderm dressings over the drain sites - it's the clear dressing they put over IV sites and normally not a problem even for those with sensitivities.
I was uncomfortable with bending over, but I had reconstruction and felt like stuff was pulling or falling even with a bra. A binder may be a good option for you.
No blood transfusions are typically necessary.
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I had a bilateral with expandersJuly 21. I was in surgery for 6 hours, no transfusion, and went home two days later. I was in a lot of pain the second day when they stopped the pump. I also have fibromyalgia so I'm sure that has something to do with it. I am 67 and very active. I'm still on pain meds and muscle relaxer as the muscles tend to spasm or contract in response to surgical trauma. I'm betting if I Didn't have expanders in things would be less painful. My surgeon has stressed not to lift anything heavier than my shoes. Now my care has transferred to my plastic surgeon and he wants me to start doing the exercises in the handbook they give you with pain as the guideline. If it hurts, back off. When it comes to muscles, if you push them too hard they will push back so listen to your body. I have two dogs, one cat and two horses. Other than lying on my lap, no one has been picked up yet and the horses are off limits until I am steadier on my feet. They want to snuggle too. I think you will need some help the first 10 days if for no other reason than to remind yourself that you just had major surgery and aren't superwoman. I haven't worn a bra since except a sports bra. Plastic surgeon suggested it for compression. I hated it because it rubs on the incision sites. Two drains are two to go. Really looking forward to that day. It's the little things
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Thanks for your replies. I am not have reconstruction. Chemo still has me feeling really tired and still have fluid in my legs and feet with some feet pain. My sister will stay with me for about 6 days then she has to go back home and to work. Did you feel ok sleeping in bed or was a recliner your choice?
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I tried the recliner but using the lever hurt. I ended up in bed with pillows galore. You can order a wedge pillow on Amazon or buy one at Bed Bath and Beyond. I always make sure that I have pillows to prop up my arms.so they are level the rest of my body. It's more comfortable. Since it's impossible for me to sleep on my side, Ijust make sure I have plenty of cushion for back sleeping. You just have to try what works for you.
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I went to Walmart and bought a bunch of the cheapest pillows - maybe 6 of them. Piled them, and my real pillows, all around me and made kind of a throne on my bed. Definitely cheaper than a recliner, and very modifiable.
Good luck with this.
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So you can see what your limitations might be.. get something and tie your arms to your side at the elbow, this will show you what the first week could look like. I had TE's with mine and my biggest issue came from the cancer side where the lymph nodes were removed and I only had 7 removed. I still can't raise either arm completely straight up and my surgery was July 14th.
Best wishes for a speedy recovery.
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Go ahead and change out batteries in overhead smoke/CO alarms. If their batteries should fail over the next few months, that could be a big problem. Head it off by installing fresh batteries now.
You will be on strong pain medicine. Have that medicine supplied in an easy-to-open container. Get your other pills put into easy-to-open containers or dispensers. Eat something -- have at least a little something on your stomach -- and also go to the bathroom before you take the pain medicine. Once you take the pain medicine, you need to stay down and still for at least the next hour following your dosing.
Cotton balls and rubbing alcohol (try to get it with a flip-top cap) will be very helpful in your maintenance of your drains. They would also make it easy to keep clean the areas around your wounds or wound dressings. Keep those areas covered -- under clean clothing -- except when you are doing drain maintenance or cleaning the areas around your wounds or wound dressings.
You must not fall! You will be at more than the usual risk of falling because of the pain medicine. Your present lower extremity issues also may increase that risk. Your arm use will be severely limited already, and your chest will be seriously injured already. You must not fall! Please have your Doctor order the Hospital to supply you with a walker to take home with you. You want an ordinary walker (not a rollator) having a pair of wheels at its front/leading feet. That would be the safest, easiest, best appliance for your situation. The hospital personnel should make any necessary adjustments to its height for you. Then you must use it whenever you are to be up and about!
Best wishes for a smooth great recovery.
(((Hugs)))
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My sister had this surgery on Wednesday, bending over does cause pain so your sister will need to care for the yorkie but you may be ok by day 7 as her pain isn't extreme. Tylenol has been sufficient for pain. Tip about buying button down shirts were helpful and the reason they need to be oversized is to have room for the drains underneath. If you have a belt from a terry cloth robe that is useful to put over you neck and pin the drains to while in the shower or instead of pinning them to your shirt. Also using a long piece of ribbon for the same purpose. No blood transfusions. She is in the recliner during the day, sleeping in a bed but not great. She is able to do her drains herself, has needed some help pinning and unpinning them to change and shower but overall is pretty self sufficient.
My sympathy on the taxol, it was not her friend either but she is finally feeling better. Best wishes on your surgery and recovery
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PS-Forgot to mention she did buy a bra with pockets for the drains but is not wearing it as she was more comfortable without it. As for tape she had clear plastic tape all along the incision but they took that off the second day. Right now she does have the square plastic tape over the dressings where the drains come out but that is it.
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I had LMX, was in hospital overnite. I had no pain, just bandages and drains. The drains are the hardest part. I had surgery on Friday, on Saturday I was up in the chair all day until he released me. My daughter came for a week, but I was fine. She emptied my drains, fixed food etc. I slept in recliner for a while because I am a left sided sleeper and I couldnt sleep in my bed. I did a lot of walking around my house to get my energy up. After my stitches were out.. My daughter bought me a genie bra, and I used a knitted knocker so I wasnt lopsided.
Check with your doctor on your limitations, mine said live life as usual. I had no issues with arm movement or raising my arms. My biggest issue: no shower and I could wash my own hair on the 3rd day
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I had BMX, no reconstruction and it was no big deal, compared to chemo. You may not have pain or need pain killers at all after you leave the hospital. I didn't. DO the exercises. My BS had me doing them the very next day. It was hard the first day but worth the effort to quickly regain full range of motion. My biggest problem was dealing with the compression bandage, which I could not wait to ditch, along with the drains. You should have no trouble caring for your little dog. He will be a comfort for you. Oh, after the bandages came off, I just wore a cotton camisole for a few weeks.
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Hello georgia67, best wishes to you! I've read the good suggestions you've already gotten. I hope your surgery will go well.
I am 68 and had a mastectomy ( right side) without recon August 1st.
Tape sensitive: for me the tegaderm tape applied after my biopsy hurt when it was removed, so I asked for something for sensitive skin for my i.v.
Bra: I bought a cami with a zip front and pockets for drains. I was not given a surgical bra at the hospital so I wore the cami home.
Yorkie: I don't have a dog, but my cat is a comfort. He seems to know I can't sit on the floor and brush him as I used to.
Sleep: I sleep on the hide-a-bed in the living room. I piled up pillows on my right side so I can't turn right in my sleep. I'm positioned so that I can turn left (good side) to get out of bed.
Bend over: I read a tip to practice squats. I practiced squats all the month of July so I wouldn't have to bend forward. Occasionally I have trouble with vertigo.
Supplies: the nurse gave us paper tape to take home. We bought a box of surgical dressing to cover the drain site.
Arm exercises: the nurse said to start exercises after the drain is removed.
Will your sister be with you when you are discharged from the hospital? The nurse went over a lot of instructions about the drains, etc. with me and gave me handouts to take home. But it was overwhelming and I needed my husband's help to sort it all out at home.
Good luck!
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Hi I had a BMX with immediate DIEP flap recon. Pillows are key just like everyone else said lots and lots of them bought them cheap at JC Penney's. Maybe freeze a couple of meals beforehand. I asked the nurses for the mastectomy bras otherwise I don't think I would have been offered them. I kept on asking a few nurses and ended up with 5 all together. They have velcro opening fronts and rings to hang your drains from. I also sewed a couple of pockets into my bathrobe from an old t shirt to put my drains into after showers. A shower chair and walker were invaluable to me. I did need help for showering the first two weeks. Don't forget about dry shampoo and sensitive baby wipes. you may be able to get away without tape my mastectomy bras kept all guaze and compression pads in place without tape, but I did have recon. My underwear keeps my abdominal pads in place.
Also a little bit of exercise dr. approved of course a little walking may make surgery easier.
If you are from America Don't be afraid to ask for help from meals on wheels, American Cancer Society. You will be amazed at the help you can receive. Do you belong to any religious affiliations, maybe someone can volunteer to walk your doggy. So lucky to have him he will keep your spirits up! This is the time to ask for help I am sure you have been helping people all your life. Now it is your turn. Good Luck with surgery!
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Also, ask your nurses on release day for a go home bag of dressings etc. Mine filled up a huge bag to take home with me.
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