July 2017 Surgery

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  • TWills
    TWills Member Posts: 679
    edited August 2017

    No worries, I can't even remember if I posted on this thread lol. Couldn't replace it, I think they usually leave it out for a few months so the infection can clear up but I can't have mine put back because of rads so now I'm back to the ole one year after rads timeframe. Yay:/

  • 53nancy
    53nancy Member Posts: 497
    edited August 2017

    Shelabela, I am curious; what does over expand for radiation and TE mean; it is scary sounding. I hope things have been going well for you. Just thinking of you with everything crossed.


  • kae_md99
    kae_md99 Member Posts: 621
    edited August 2017

    i dont remember any restrictions either re: shaving, depdorant.my expanders are soooo uncomfortable. Twill,how does it feel that have the expander out if you dont mindmy asking?....

  • 53nancy
    53nancy Member Posts: 497
    edited August 2017

    Well, this morning I got a call that my sentinel node biopsy is scheduled for September 13th; I am so hoping they find nothing, because from what I understand, if the pathology comes back with cancer in the SN, then it will mean a fourth biopsy to go into the axillary nodes. I healed extremely well after the excision biopsy, so am hoping the next one will heal too. I was wondering, does anyone have suggestions on how I can prepare for what's ahead, i.e., radiation and/or chemo. What things can I buy, i.e., I've seen some comments on Biotene, using baby soap, and I wonder what other ladies have used to help themselvesthrough that time of the process. I have made big changes to my diet; fruit/veggie smoothies using flax/chia seeds, lots of raw veggies, no breads, NO sugar, though there may be hidden ones. No cereal except for oatmeal. Almond milk. The hardest thing is to work in good sources of protein. My sugars are great and this will become my way of life for future. Would appreciate everyone's suggestions. Also, since part of my radiation therapy will be in cold weather, would it be safe to use an electric blanket?

  • TWills
    TWills Member Posts: 679
    edited August 2017

    kae_md99, the surgery itself was very easy and quick, I'm always very sick after but because it was so quick I wasn't. Not sure what you're asking but I feel flat I suppose. My expanders were very comfortable so it's not like I have relief or anything like that. It sucks, I was devastated to loose it and tried very hard to keep it:/ Back to the awkward very uncomfortable prosthetics and bras. I kept my other expander so hoping that help somewhat, although I know that will be a whole new challenge. Onward and upward.

  • 53nancy
    53nancy Member Posts: 497
    edited August 2017

    TWills, kae_md99. I had what the surgeon called a breast "reconstruction" during my excisional biopsy in that they removed a really big area I think the reconstruction was just letting the seroma fill in the empty space. The breast looks more normal now, but still "not normal" in some ways. Still a lot of pain, but I understand that is normal. I've always said, I would have a mastectomy if necessary, but now I am conflicted. It gives no guarantee that cancer won't come back. My tumor was very small, but because of breast density, microcalcifications will always be a concern, I suppose. Just one day at a time, step by step is my motto right now. I am sorry things didn't work out the way your hoped; I see from your details that you had SLN and AxN removal at the same time? I am under the impression my surgeon plans to do only SLN, which could possibly mean a fourth biopsy.


  • shelabela
    shelabela Member Posts: 584
    edited August 2017

    nancy,

    I had the sentinel node biopsy done at the time of my mastectomy so I am not much help there. sorry! As for Over Expansion before radiation they will fill my expander 100 CC bigger then I want to be at the end of this hell to take into account for skin shrinkage. it is not to painful unless they fill to fast or to much. I have had weekly fills since week 2 when they took the air out and put saline in.

    Shel

    And now to make things just a barrel of fun I now have Shingles! REALLY??? WTH. is next. These hurt almost as bad as the surgery I had. I am telling you ladies this year can not go fast enough.....

  • Kimberbir
    Kimberbir Member Posts: 65
    edited August 2017

    I had an infection on the right side they had to remove the te they usually wait 3 months to replace. Having chemo they have to wait 3 months from last chemo. If that wasn't enough having trouble with the left side they haven't told me exactly yet but the TE does not hold the saline since I had an echo. So tomorrow I hope to find out what is going on with it. I am 6 weeks out since last surgery and have really good range of motion.

  • TWills
    TWills Member Posts: 679
    edited August 2017

    53Nancy, mine were tested and ultimately removed during my BMX back in December. After testing during the surgery 1st node was found to have a trace amount so they removed 14 or so more during the same surgery which were clear. Pretty sure that's common.

    Shelabela, wow, that's a new one! Shingles! Really! My lord what we go through. It's just too much sometimes. I sure hope you have a mild case, even at that I know it can me rough. Good luck and lots of healing thought sent your way.

  • shelabela
    shelabela Member Posts: 584
    edited August 2017

    What does having an Echo have to with holding Saline? Now I am worried I will have an Echo in another month. I have one every 3 months.


  • toughcookie_21
    toughcookie_21 Member Posts: 185
    edited August 2017

    omg, shelabela. I'm so sorry about the shingles. I know how rough things have been for you and shingles are so painful. My husband had them a couple of years ago and he was in agony.

    twills, I'm so sorry you had to have the expander removed. I know you were hoping they could salvage it. It seems like treatment is never ending, doesn't it?

    Kae, it stinks that you're still in so much pain. My pain had improved, but the te's are still very uncomfortable and I'll be stuck with them for at least 5 months

    I am doing much better since the infection. After I got out of the hospital, I was on 2 oral antibiotics. I finished the levoquin on Saturday and still have 5 days of the doxycycline left. I saw the ps today and had my second fill - he had suspended fills for the past 3 weeks due to the infection. I'm still very flat and I think the tissue expanders are so uncomfortable. I'll get one more fill next week and then stop for chemo. So I'll have these flat, hard kidney bean shaped rocks for 5 months before he resume filling and then the exchange.

    I had my chemo port put in on Friday and I,start chemo next Friday. I'm terrified but will get through it. I haven't gone back to work yet because the infection set things back. I plan to try to go back after my first chemo depending on how I feel. Did you ladies who had chemo before surgery work during chemo?

  • toughcookie_21
    toughcookie_21 Member Posts: 185
    edited August 2017

    kimberbir, I'm sorry I forgot that you had to have a te removed too. Like I said, it seems like treatment is never ending. Is the left one leaking?

    Nancy, I also had my snb done at the time of mastectomy. Originally, I was supposed to have a lumpectomy and then snb would have been done later I believe.

  • Kimberbir
    Kimberbir Member Posts: 65
    edited August 2017

    toughcookie- are you starting your chemo tomorrow? If so good luck, you can do this I made it through my first one and will be having my #2 on friday. Let me know how it goes we are the BRCA2 girls here stay in touch!!

  • kae_md99
    kae_md99 Member Posts: 621
    edited August 2017

    oh shel! i am so soryy for the shingles!!!' toughcookie, you made me laugh. i am stuck with this hard rocks aka expanders for2 more months!!! are yours over or under the muscle? iagree with you ladies, when will all of these end?????

  • kae_md99
    kae_md99 Member Posts: 621
    edited August 2017

    also, i am due for an echo? i have saline in my expanders also. does that mean i cant have one

  • 53nancy
    53nancy Member Posts: 497
    edited August 2017

    Oh, no, Shel. I am so sorry you have another complication. It just doesn't seem fair that women have to go through so much, especially those who are younger and have families. I hope the shingles will prove to be a mild case; I know there have been a lot of cases in our area this past winter and spring, and they haven't been easy for the people suffering from them.

    TWills, thanks for sharing about your SN removal. I have done so much reading that leads me to believe that for some people, things are done in a different order. My needle core biopsy and the pathology report both said probably B9, but recommended the excisional. That one was really rough; I was under a local and felt pinches and tweaks all the way through, and heard things like more freezing, more sedation. It seems they ended up taking out so much more, and I am not sure how just letting the seroma fill in the empty spot is considered breast reconstruction. The surgeon said they got the whole cancer, and I am not sure if that included both the IDC and High-Grade Comedo Type DCIS. I do hope they took that as well. I would consider saying, just do a mastectomy, but not sure it is worth it, if they got the cancer, but at the same time know that many people have cancer return within a few months or years. And I still don't know my if ER/PR are postive or negative. Her2/neu is negative.

    Good luck with everything, both of you, and Shel, am praying your shingles will disappear quickly. Are they treating it?


  • Kimberbir
    Kimberbir Member Posts: 65
    edited August 2017

    kae_md99 Please everyone do not think that your echo is gonna hurt your expanders, I just said that after I had an echo my TE kinda started to look funny. I went to ps and was told I have fluid around my TE that she took out she put a very small amount of saline in my expander I go in tomorrow so she can have another look and hopefully tell me whats going on. These TE suck enough without them being flat too. I will make sure I let everyone know what I find out.

  • kae_md99
    kae_md99 Member Posts: 621
    edited August 2017

    Kimber,

    thanks for letting us know. keep us posted!!

  • RedJo40
    RedJo40 Member Posts: 21
    edited August 2017

    Shel, Sorry to hear about shingles. I hope you have help

    Don't know about you ladies but I'm ready for 2017 to be over.

    It's been two weeks since my emergency surgery for the infection. Monday the drain came out and he took the stitches out and a small filling. Tuesday was my last antibiotic that I put in through my port. Today followed up with infectious disease doctor. Gave me oral antibiotic for 7 days. I noticed another red spot and hoping it's just an irritation and not another infection. Going to see PS to make sure. I don't want to start all over for a third time. Wondering if the flap procedure would have been better.

    Has anyone been able to sleep on their side? I've been using deodorant and shaving occasionally.

    Stay strong ladies. We can do this!

  • toughcookie_21
    toughcookie_21 Member Posts: 185
    edited August 2017

    oh I forgot to add before that I've been shaving and using natural deodorant made from coconut oil and essential oils. I didn't ask, I just went ahead and did it when it felt right, maybe 2.5 weeks after surgery. The hairs were so itchy and I couldn't stand not to shave any longer. I just stay away from the snb incision and now no hair grows on it anyway. I guess I won't have to worry about shaving after next week

  • kae_md99
    kae_md99 Member Posts: 621
    edited August 2017

    Redjo,

    i cant sleep on my side. very very uncomfortable with the expanders... how about you ladies

  • Gigilala
    Gigilala Member Posts: 148
    edited August 2017

    I'm ready for 2017 to be over too

    I have my 3rd surgery Friday the doctor told may be he will put a final implant it depend on my skin if not I will have TE

    Thanks God I can sleep on my side

  • 53nancy
    53nancy Member Posts: 497
    edited August 2017

    shelabela, I think I read somewhere in this forum that you are to have radiation simulation tomorrow; just wanted to wish you all the best and that it goes well. Will be thinking of you.

  • RedJo40
    RedJo40 Member Posts: 21
    edited August 2017

    Well, the second TE is infected. Going in tomorrow to have it removed. On two different oral antibiotics. Iwill have to wait six months before deciding what to do. Lots of options. I may look into a flap procedure. PS can't use my abdomen because of earlier radiation. All I know is I can't use this cotton insert for six months it doesn't move like the other breast. For those who had a UMX any good recommendations for a filler. So frustrated!

  • Kimberbir
    Kimberbir Member Posts: 65
    edited August 2017

    Just got back from meeting with my PS about my flat TE, did not like their answer, "gee I'm not sure what going on there, so sorry, we will check it out in 6 months when you are done with chemo" what do you say to that gee thanks. So I get to have a flat chunk of plastic poking in my chest for 6 months. They do not believe it was damaged by the echo I had. On a brighter note I got to meet Shelabela who also had an appointment hoping hers went so much better than mine.

  • shelabela
    shelabela Member Posts: 584
    edited August 2017

    My appointments went good. PS did my overexpansion and it feels ok.

    I did delay simulation for a week. I just did not feel like my incision was healed the best. So It will be 2 weeks before I start.

    Kimber, and i did meet. Yay. Sorry to hear she didn't get any answers. Darn them.

  • FelineMum
    FelineMum Member Posts: 141
    edited September 2017

    It's been awhile since I posted on this thread. I had a BMX on July 28th. Of 3 nodes removed, 1 was positive. I also have lymphatic channel involvement and no complete pathologic response. As a TN, that's devastating. But I've started on Xeloda (a chemo pill), my TEs are being expanded as planned and after that, I'll have 33 rads sessions over 6 1/2 weeks.

    I feel lucky that post-op hasn't been too bad. One drain stayed in for a month, and I couldn't even take a shower by myself with the dang thing in b/c of how much it limited using that side. I started doing exercises right away to help with nerve pain caused by a different drain (when in, it kept resting on a nerve). As it turns out, that drain wasn't even working right, so I've had fluids manually aspirated twice. My PS said he rarely puts drains back in. But I'm almost at full ROM now.

    I just started PT for back probs, but will be getting exercises for preventing lymphedema and helping with rads-related skin stiffness.

    I did neoadjuvant chemo. My best advice for SE:

    1) Mouth sores: Request a script for "Magic Mouthwash." It's a compounded rinse that really, really helps. Most insurance doesn't cover it, but where I am it runs about $25/bottle. It does need to be made by a compounding pharmacy.

    2) Nausea: Have prescriptions for anti-nausea meds filled & ready. If it hits you, it will hit hard. If you maybe might be feeling some nausea - take a pill.

    3) Hair loss: If you're in the US, the American Cancer Society provides free wigs. Call'em and see where your local wig bank is and who to call for an appointment. Getting your wig trimmed and styled to fit you makes it 100 times more flattering and real looking. I was told that most people are bald within three weeks of their first infusion. In the middle of week two, I had my head shaved after small clumps of hair started falling out. I cut it short before chemo started (from below my shoulders to chin length). For me, this was easier and therapeutic.
    For tying scarves, try fabric hair bands (pony tail holders) instead of knots or over knots to better secure them. I liked putting a wide fabric head band around the edge of a scarf. It helped keep it in place and I'd add accessories like small broaches or even earrings to the head band.


  • MCOlivia
    MCOlivia Member Posts: 27
    edited September 2017

    I have not posted for a while too. I live in Houston. Too much going in with stress of hurricane, kids out of school for 1 more week, on top of my condition.

    FelineMum, My last drain was removed after a month too. What a relief it was. I'm having issues on my incision. My right MX scar is not healing. PS had to do more stitches 2 weeks ago, and now with the last drain out, the pad over the incision is always soaked with what looks like the liquid I used to have in the drain!!! PS is not worried but I am. Did any one of you experience this?


  • FelineMum
    FelineMum Member Posts: 141
    edited September 2017

    Hi MCOlivia,

    I hope you and your family are okay. I didn't have any leakage on my incision, but my PS's nurse seemed surprised I had no leakage anywhere, not even when my drains were removed. She said spurts of fluid then are common. Instead, my fluid built up inside, causing painful bulges near my right MX incision. The PS basically inserts a suction tube and manipulates it inside me to get out as much fluid as possible. My nurse said that as my TEs get larger, it should push the remaining fluid to where it can be reabsorbed by my body.

    That worried me! And afterward I'd bleed through the bandages they put on, on my way home. But both PS and the nurse weren't worried and said everyone's different. I swear, if cancer had a slogan, it'd be "Your mileage may vary."

    I ask lots of questions. I even tell people upfront that I ask questions and if they're not okay with it, to tell me because we're not a good fit. If you're worried, keep asking. At least, that's what I'd do. YMMV

  • toughcookie_21
    toughcookie_21 Member Posts: 185
    edited September 2017

    mcolivia, I hope your home and family are safe from the flooding!

    Does anyone else have bulges where the drains went into their body? I can actually feel the path the drains went in on my sides, it feels like a thick noodle under my skin. My drains were removed over a month ago and the ps said it will eventually go away

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