Chemo Port-O-Caths: Did you get one? What was is like?

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buttercup1
buttercup1 Member Posts: 24

I'm scheduled to have a Port-O-Cath placed in my chest in a few weeks for chemo. I don't know why, but the thought of having one placed in me makes me feel sick. Furthermore, the thought of nurses poking into one under my skin makes me feel nauseated. Not sure why, because I know out of all of the chemo, surgeries and everything else we must endure, the port-o-cath is a tiny trivial thing. I think I am also worried about infection. Anyone have experience with one?

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Comments

  • ClareCo
    ClareCo Member Posts: 66
    edited April 2018

    Hi buttercup1 - sorry to hear you are going through this. I have no experience yet, but wanted you to know you are not alone. I saw 3 MOs (my Oncotype put me in intermediate risk zone and it's a hard decision - hence 3 opinions) and the one I like the best unfortunately works at a hospital that gives everyone a port. So even though I only have 4 chemo treatments, I'll probably be getting my port this week or next week at the latest. I'd also be glad to hear from anyone who has one. Is it a problem in the shower? The onco told me she had a patient scuba dive with a port in-- that it's not a problem, so I'm trying to focus on that. Looks like I might get mine sooner than you get yours, so I'll be sure to post back and let you know what the experience is like.

    Sending you good energy; I'm guessing like so much of this experience, the waiting and the not knowing are tougher than when things finally happen.

  • OCDAmy
    OCDAmy Member Posts: 873
    edited April 2018

    I had a port and am glad I did. it made chemo much easier. Just put the numbing cream they give you on an hour before it is accessed and you won't even feel it. The port hurt quite a bit for a few days after it was placed but honestly after that I hardly knew it was there.

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited April 2018

    buttercup, I kind of felt the same way before I got one. But, it really isn't that bad. I had my lumpectomy and port placed at the same time, which most people don't do. It is kind of an annoyance at first, to get used to it, but in a week or two, you will forget it's even there. It is nice to have when they are doing your chemo infusion; it really is a lot easier than trying to poke around for a good vein...for safety, ease of infusion, time saving. The nurses will give you a numbing spray or solution if you want one before they poke you, but it's so fast, you are over it in a split second. No worse than a vaccination....probably easier. They will flush the port periodically so it is cleaned out. I never had any problems at all with mine. Your fear is probably much worse than reality. Best wishes. You can do it!:)

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited April 2018

    Ivehad my port for almost 6 years. I don’t want it out.

    If you are having A/C, the port can save your veins. It’s much easier to start chemo with one in, one stick and done. Nobody poking around in your arm or leg to get started.

    What if you needed a pacemaker implanted? You can have it removed after chemo a pacemaker you can’t.

  • Djt
    Djt Member Posts: 264
    edited April 2018

    I also will be getting a 4 round of CHEMO over 9 weeks. My Dr. Said specifically an IV. A PORT was not mentioned. Does the port have do do with the state your veins are in or current health? If veins are accessible and it's do able can the port be avoided?

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited April 2018

    The port makes the IV drip easier. It can be done without the port. Unless you are known to be a hard stick or have bad veins, it’s just easier on you.

  • ClareCo
    ClareCo Member Posts: 66
    edited April 2018

    I was told that unless you have inaccessible veins, you can do four time chemo without a port, so I would not worry if I were you. The nurses will request that you get a port if they have trouble with your veins. I imagine you would know -- from giving blood or getting bloodwork in the past, if "finding a vein" is difficult on you. Stay strong; we've got this!!


  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited April 2018

    l love my port! Mine never bothered me at all and was placed in the little hollow between shoulder and chest so it is not visible. Please note that not all places provide EMLA, numbing cream mentioned above as it’s pricey, but almost all offer a short acting numbing spray. Port-a-cath is a brand name, the general name is just port. It provides a quick, easy and painless way to access your vein and if it’s a power port can be used for blood draws as well (ask about that). Best wishes.

  • ksusan
    ksusan Member Posts: 4,505
    edited April 2018

    My port was uncomfortable, but still much better than trying to find my veins. I'd do it again in a second if I had to.

  • stephaniebc
    stephaniebc Member Posts: 53
    edited April 2018

    i started my treatment in paris where they do not give you a choice: everyone gets the port. my impressions: it felt awful for about 48 hours and then my body adjusted and i completely forgot about it. infusions are much much less unpleasant through the port than via IV (i've done both) and nurses seem to prefer it (in this country as well). as for aesthetics, mine was placed very close to the armpit so it would be hidden under bra straps and bathing suits straps but i don't think it's a typical placement in the US -- the new york surgeon who removed it seemed puzzled by its location as well as the location of the incision (in the fold of the armpit).

    i had to go to the ER because of an episode of severe neutropenia after my last AC infusion and all the ER doctors kept saying how great it was to be able to use the port for antibiotics and such.

    it seems they make things easier for everyone involved.

  • Runrcrb
    Runrcrb Member Posts: 577
    edited April 2018

    I had a portacath and was never bothered by it. mine was a power port and made chemo days easy. Ask for an Rx for the numbing cream and apply before you go to the clinic for chemo. A small piece of plastic wrap stuck on top will keep it off your clothes. My nurses did blood draws from it as well as the chemo. If you can, try not to worry about it. I am glad I had it. My surgeon removed it about 6 weeks after my last chemo. Removal was in the OR because it is a mainline access but anesthesia was local. I went to work, had radiation and then went to outpatient surgery. Drove myself home.

    My husband had one for 18 months- never had a problem with it.

  • Janetanned
    Janetanned Member Posts: 532
    edited April 2018

    I was given the option to get a port. Since I had heard how difficult AC could be on your veins, I decided to ask the experts before ruling it out. My MO took me over to the chemo suite to talk to the chemo nurses. The nurses on duty took a look at my arms and each recommended the port. They felt that with my veins and the chemo plan, I would most likely do much better with the port. I never regretted my decision. The port was used for some blood draws too. I found that it was nice to have access to both arms during chemo. I felt better able to move around and change position while connected to the IV. Also, I was hospitalized twice during chemo due to fevers and the ER nurses loved using the port for antibiotics. My MO suggested keeping the port for a year after chemo just in case. I had it removed under local anesthesia after a year.

  • hapa
    hapa Member Posts: 920
    edited April 2018

    I hate my port and wish I hadn"t gotten one. It sticks out horribly (I'm skinny) and I can't wear hardly any of my shirts without it being visible. I also think the surgeon did a crappy job sewing up the incision and there's a pucker on one side. At first I thought it was the catheter but I traced out the cath (which is also visible) and that's not it.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited April 2018

    Definitely discuss the location of the port. Mine is in much the same spot as stephaniebc. I have a Bard Power Port Petite, so it is quite small, as I am as well. It is not terribly common and I do, occasionally, have an infusion nurse remark on it. I also have only one incision. Best wishes.

  • IntegraGirl
    IntegraGirl Member Posts: 147
    edited April 2018

    I had 8 rounds without a port. I walked out from what was going to be my port placement procedure because the nurses were horrible and the surgeon gave me no confidence. I have no regrets and frankly happy not to have to deal with yet another procedure to have it removed

  • buttercup1
    buttercup1 Member Posts: 24
    edited April 2018

    Thanks everyone for the replies! I feel a bit better about getting a port now, although it looks like experiences vary a lot depending on the situation and quality of care. I think they want a port because my chemo will be at least 6 months. I have excellent veins, but I think they are doing it to preserve them, and I might need HER2 meds after chemo, so if those meds are given via IV, I'm thinking they'll just keep the port for those meds.

    I'm still learning, but I think they treat HER2+, grade 3 cancers in younger women more aggressively because the cancer is more likely to come back (?), so that is why I'm doing 6 months of chemo (1 session every 3 weeks for 6 months), but I am not sure!. I haven't officially had an official appointment with the medical oncologist yet, only what they called a "tumor board" where all of the doctors and pathologists come together to create a plan, then they all meet with you individually to introduce themselves, say what their role is, and tell you their plan. They also have a second opinion surgeon in the board meeting to giver their opinion. Not sure other hospitals do this type of "meeting" centered plan for cancer. I know I'm definitely developing quite a huge question list to ask the oncologist after discovering this website!

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited April 2018

    My hospital does the tumor board, quite a few do it. I didn’t know what that meant, I just was on auto pilot, lol.

    You can do it!! Take someone with you to those appts, for an extra set of ears. There will be a lot discussed and it’s almost impossible to remember all of it.

  • VVV
    VVV Member Posts: 72
    edited October 2018

    If you're HER2+ they're going to recommend some sort of chemo + herceptin and possibly perjeta. Herceptin is ~18 infusions total so your port will get a lot of use. My scar is hideous and I hate where they placed it (it always shows in the clothing i wear. wtf guys) but I don't regret getting it. I had it placed a few days after my first chemo session and didn't have any issues with healing. It's much more pleasant to go through infusion using a port than it was the time I didn't have it. Also, people always have issues finding my veins so happy to not have to deal with that stress!

  • cgesq
    cgesq Member Posts: 319
    edited April 2018

    Buttercup1, I had a port and I'm thrilled I got it. I too was her2+ so I wound up getting 36 infusions over the course of a year. The port was invaluable and saved my veins!

    Mine was placed under my bra strap area on the left side of my chest and was not visible. It bothered me for the first few days and then I didn't even realize it was there. I kept mine for about a year after I finished chemo, just in case! Ask for a power port..this way you can get blood drawn from the port as well.

    Lastly, ask for a prescription for the emla (lidocaine) creme and put it on about an hour before your port needs to be accessed. As somebody above mentioned, put saran wrap over the lidocaine after you apply it so it doesn't stain your clothing.

    If you are still anxious about the port, or for your upcoming treatments, ask for a prescription for xanax. It helps take the edge off and will make the next few months much more tolerable.

    Best of luck!!

  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited April 2018

    I'm HER2 + and they never really discussed any option besides the port. I agree that it hurt more than I thought it would for the first two days and then was just a little uncomfortable in certain positions for a while. My surgeon checked for the placement with my bra on so it never rubbed or anything.

    I'm glad I had it. It worked great through a whole year of treatments. I'm keeping it for a while - security or something, I guess.

    Bard Power Port bonus - no need for Heparin and it only has to be flushed every three months instead of six weeks!


  • Meg101
    Meg101 Member Posts: 175
    edited April 2018

    Hi Everybody - Just jumping in here to let you know I didn't have a surgically implanted port when I went through AC/Taxotere a few months ago. My 71-year-old veins held up fine with all the blood draws and shots in the same arm. As for chemo, before each infusion the nurse inserted a small needle into a vein near the crease of my elbow. The needle had a small disposable port attached to it. At the end of each infusion, they simply threw away the small needle & port. It didn't leave any marks or bruises or cause any pain. I didn't have to apply Lidocaine, or do any flushing, or worry about getting an infection because it was tossed after each infusion. I wonder why all hospitals and/or cancer centers don't use disposable ports? It seems to me it would cut back on costs and liability, in addition to saving patients from annoying discomfort.

    All of you seem to have a great positive attitude, and you are forging ahead in this fight against cancer. I admire your strength and courage. Meg

  • Meg101
    Meg101 Member Posts: 175
    edited April 2018

    Hi Everybody - Just jumping in here to let you know I didn't have a surgically implanted port when I went through AC/Taxotere a few months ago, and my 71-year-old veins held up fine with all the blood draws and shots in the same arm. As for chemo, before each infusion the nurse inserted a small needle into a vein near the crease of my elbow. The needle had a small disposable port attached to it. At the end of each infusion, they simply threw away the needle & port. It didn't leave any marks or bruises or cause any pain. I didn't have to apply Lidocaine, or do any flushing, or worry about getting an infection because the port was tossed after each infusion. I wonder why all hospitals and/or cancer centers aren't using disposable ports? It seems to me it would cut back on costs and liability, in addition to saving patients from annoying discomfort.

    All of you seem to have a great positive attitude, and you are forging ahead in this fight against cancer. I admire your strength and courage. Meg

  • lovepugs77
    lovepugs77 Member Posts: 296
    edited April 2018

    I have a port, and am glad I do. I’ve always been squeamish about blood draws and needles...I passed out once when I watched a nurse do a TB skin test on my arm. For some reason, I am completely okay with having my port accessed. I use EMLA cream an hour before it will be accessed, and most of the time I don’t feel a thing. I only get it flushed every six weeks, and most of the time I forget it is there

  • lifeb4me
    lifeb4me Member Posts: 39
    edited April 2018

    I was Her2 positive and didn’t get a choice. I had to get the port and so hated it every second. I did not know at the time you can lobby to have it implanted in a non visible area and that it could be done eith a vertical incision that could be hidden under the bra. I only found this out from a post here from a doctor that explained it. Unfortunately it was too late for me. I have a hideous scar that can be seen very easily. I’ve had to change many blouses and dtess s from my wardrobe. I also have a nick/depression/hole, kind of like a dimple on my collR bone that there’s no hiding.

    Although my port didn’t actively hurt after the first week or so, it bothered me all the time and depending on the position I tried to sleep in, it hurt.

    I had it removed , by a plastic surgeon to try and make the scar better, a couple of weeks after my last chemo. Most port scars I’ve seen are horrible and deep/depressed and I wanted to try to avoid it. I’ve had some fat grafting but I’m still not entirely happy with it.

    If I knew then what I know now I would have refused it or made sure it was hidden.

    Good luck.

  • Beatmon
    Beatmon Member Posts: 1,562
    edited April 2018

    I’ve had mine almost 4 years. Love, love it. It was placed by Interventional radiology. I won’t say it was pain free going in, but I asked for more Lidocaine and got it. Then just felt tugging. Minimal pain for a few days....you have had a surgery so it’s going to hurt some.

  • LeesaD
    LeesaD Member Posts: 383
    edited April 2018

    I'll share the good bad and ugly of my port. I had port put in May 1, 2017 for four rounds of TC. No issues and worked wonderfully. Finished chemo July 2017 and my MO wanted to keep in for a year so we were going to have it removed this July. Have been getting it flushed and used for blood draws when onco did them every four weeks. Last port flush/ blood draw was Feb 23, 2018. A few weeks after this I started feeling flu-ish. High fevers, aches pains. My PCP put me on Tamiflu and I saw him and although my rapid flu test negative he still treated me as flu. After five days of severe shaking , fevers and zero improvement I knew something was wrong and port area started to be sore and I noticed a small lump at end of port. Ended up in ER March 25 and was admitted within five mins with port infection, severe sepsis and two DVT blood clots. My jugular vein where my port was threaded through was completely blocked by DVT and I had another clot further down my neck caused by the infection. My port was removed and was so infected that my wound could not be closed. I spent 9 days in hospital receiving antibiotics and blood thinners. I had to have a picc line put in as after I was released from hospital I have to receive iv antibiotics at home 3 x a day for six weeks. I am in the middle of this nightmare now and have four weeks left of the at home antibiotics and 65 days left of daily blood thinner shots in my stomach. My infectious disease doctors advised the bacteria (MSSA) was introduced at the port flush (which is being addressed with my cancer center). The sepsis was so bad they are concerned about heart valve damage.

    So my port was fine until it wasn't and it almost killed me. If I had any idea this was even possible I would've had it taken out the second I was done with chemo. With all I've been through the past year, cancer dx, multiple surgeries, chemo radiation etc...I've never been or felt sicker than I have been with this. It was needless and pointless. A month and a half ago I would've posted like everyone else and said no issues with port, all great ....but not the case anymore.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited April 2018

    Leesa,

    I am so sorry that you had that experience and hope you continue to recover . While not common, port infections can happen and that is a known possibility (infection rates with PICC lines are higher than with ports).

    In the spirit of full disclosure, I had the ultimate rare port complication happen; a collapsed lung. it's a long story but suffice to say not a pretty one. Still, it is so rare that I would never recommend against a port. Anytime you insert a foreign object in your body there is some risk, no matter how small. But I don't want my story to cause women worry or decide not to get ports. I just fell into the unlucky 1% who have this complication.If you're looking for a medical procedure with 0% risk, it's unlikely you'll find any. The vast majority have ports inserted, used and removed without complications.

  • Sallyomally
    Sallyomally Member Posts: 7
    edited April 2018

    Had my port placement done about four weeks ago. I was awake throughout the procedure and did not feel a thing. The actual thing took a bit longer than expected because there was a slight issue with the cath "curling" as they said, but once it was in place I barely noticed it. Had my first flush done yesterday and was told it is working perfectly. Good luck! It's a simple procedure and goes surprisingly fast.

  • LeesaD
    LeesaD Member Posts: 383
    edited April 2018
    Exbrnxgrl- I am sorry about your complication as well. Yes my oncologist told me he hadn't had a port infection in 8 yrs in his practice so they are rare. As I said my port worked wonderfully during chemo and especially with only having one arm to work with due to 18 nodes removed on right side that arm is off limits. Even in hospital, I had four iv's fail over the 9 days due to all the blood draws and constant iv's. I was scared to death to get the picc line put in and all the doctors knew it as a central line got me in this mess in the first place. They said I had no choice as I have to be on the iv antibiotics at home for the full six weeks. I have nurses come every other day to clean line and check it and also pack my open wound. My fear of further infection is almost obsessive due to the port infection.

    I just wanted to share my story for full disclosure as well and I would never tell anyone not to get a port as mine was great until it wasn't. In hindsight I just wish I would've had it removed when chemo was finished instead of keeping it in.
  • buttercup1
    buttercup1 Member Posts: 24
    edited April 2018

    Wow, LeesaD, I am so sorry that happened; that is terrible! I hope you recover soon.

    From what I'm reading, it seems like all of the HER2+ people like myself get infusions for a very long period of time. I think I might be using my port for at least a year for both chemo and then later for the HER2 medications. I met with a cancer center nurse today, and she showed me the port they will use. Its the Bard Power Port, which from what everyone is saying, is good. It was much smaller than what I thought it'd be. They said that is the only port they use (unless there is a medical reason to use another type) because its small, less invasive, and the staff are then all very used to caring for one type of port, so they're good at it.

    Thanks everyone for your input, I feel like I can rationalize things much better when I know more about them, and I feel the port is the best option to prevent vein damage from over a year's worth of IVs and blood draws.

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