October 2018 Surgery Support Group

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  • Kanona7795
    Kanona7795 Member Posts: 54
    edited October 2018

    I’m scheduled to have a bilateral mastectomy with lymph nodes removal on Oct 17th. I finished chemo on Sept 5th and was hoping that I would be able to do mastectomy and reconstruction all at the same time. Unfortunately my BS says radiation is not off the table so I will have TE placed during surgery. I have had implants for 10 years so my PS is hoping to fill the TE a good bit. I’m crossing my fingers that pathology will come back clear and I can go forward with reconstruction. I have decided to have the DIEP Flap instead of implants. Have any of you ladies decided on reconstruction and what type

  • Sadlynew2018
    Sadlynew2018 Member Posts: 222
    edited October 2018

    hi kanona! I’m in MS as well. Small world. I had implants as well (pre diagnosis) and my PS was able to fill it a good bit because of the size of the pocket. I did not do the DIEP but have heard great things about it. I, too, was thinking of doing something different than implants. I almost wish there weren’t so many options. Ugh.
  • GAWarrior
    GAWarrior Member Posts: 398
    edited October 2018

    Thanks, sillyoldrabbit. It's completely astounding that a patient wouldn't be told their diagnosis. Your poor grandpa! i am definitely happy to be part of the treatment decisions and to know what I'm facing.

    Good luck with your surgery tomorrow! I'll be thinking about you and sending good thoughts.

  • Dani444
    Dani444 Member Posts: 522
    edited October 2018

    Sillyoldrabbit- Best of luck with your surgery tomorrow. I will be praying for you, and sending good vibes your way.

  • Anx789
    Anx789 Member Posts: 168
    edited October 2018

    Sillyoldrabbit - good luck on your surgery tomorrow. Sending angels your way. I will have my surgery on 10/16. I am leaning towards bilateral mx but not so sure...my family shows string cancer history- 5 of my father's sibling have/had cancer including my dad.

    I have lost 13 lbs since my diagnosis last month when I felt a lump on my breast. I can't sleep good , keep waking up at 3am and couldn't go back to sleep...Ambien doesn't work 🙁

    I I feel my lump is bigger than what imaging is showing..anybody has this feeling? US shows 2 lumps but during biopsy they can only find one 😟.

    I'm about to see an Oncologist and I'm really confused. No treatment plan in place yet,hoping this site will give some insights or advice on treatment plan. Any advice or input will be from you guys will be appreciated

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    Welcome Kanona7795, Sadlynew2018, and Anxiouslady!

    Kanona7795, can you tell us about the I-SPY2 trial? Which chemo drugs were you given? In what ways has your treatment differed from the current standard?

    Anxiouslady, love the screen name! It seems like most people find the various waiting times the worst part of the whole miserable experience. I take a minuscule amount of Valium (1.25 mg) when I've missed too much sleep and it's time to play catch up. Gently knocks me out in about 15 minutes. I'll be taking some tonight for sure. If the stuff wasn't so awfully addictive, I'd live on it. I'm very careful with it, though. My doctor prescribed 20 5 mg pills back in March, and I still have most of the bottle. Other people have mentioned getting different results from each type of imaging. I was given 3 different sizes for mine (mammo, US, and MRI), and then my MO came up with a fourth size using a tape measure!

    Thank you, thank you, GAWarrior, Dani444, and Anxiouslady for the good wishes and prayers! Fortunately, I've got a pretty long to-do list today to keep my mind off things. I'm actually dreading the planting of the radioactive seed more than the surgery itself because it may require a couple of mammograms, and I'm one of those women who find them about a 10 on the pain scale. I'll be pleading for an US instead, but the doctor who "plants" the seed will decide which procedure will be more accurate.

    Everyone, to help us keep track of who's getting what when, I've added a calendar to my original post (up at the top).

    Kista, looks like you're up next. Hugs!

  • Lindsay_Gibson
    Lindsay_Gibson Member Posts: 1
    edited October 2018

    I am sorry to hear this. I just completed BMX plus reconstruction Friday. It is totally scary going into this whole deal but so nice to be on the other side. You are gonna rock it. Take whatever your doc recs o prevent opioid induced constipation and have a good support system and lots of pillows. Peace and lovt

  • Kanona7795
    Kanona7795 Member Posts: 54
    edited October 2018

    sillyoldrabbit good luck tomorrow on your surgery. I pray for peace and healing for you.

    The I-Spy 2 trial was adding Primbrose (Keytruda) to my neoadjuvant Chemotherapy treatment. There were a bunch of test I had to do to qualify for the trial and I’m so blessed I did. Keytruda is a drug that has worked wonders for lung cancer patients. I had 12 weekly rounds of taxol and 8 rounds of Keytruda every 3 weeks. My tumor shrank from 2cm to .09cm in the 6 months of treatment. I had never heard of neoadjuvant chemo before my diagnosis. As soon as I was diagnosed it was lumpectomy, rads, Chemo which totally scared me. I decided to get a second opinion at UAB and I believe it was the best decision for me and my health.

  • kista
    kista Member Posts: 25
    edited October 2018

    Yes, I guess I am up next. 😬 I woke up at 2am and realized my lock said October 2nd. Then couldn’t stop thinking about all the things I wanted to get done first and how quickly it’s all happening.

    I haven’t actually even told that many people. Mainly family and a couple close friends. It’s so hard to hear, “You’re so lucky it’s early!” I don’t feel lucky. Yes it’s goid that I found it when I did; however the only reason I found it is due to my sisters unfortunate diagnosis exactly 3 months to the day.

    I also don’t want people comparing our cancers, etc. it’s nice to go pick my kiddos up from school and not have the, “If you need anything let me know” talk. Instead it’s birthday parties and what the kids said or did.

    Sorry for the rant. Just having a moment. Lo

  • Kanona7795
    Kanona7795 Member Posts: 54
    edited October 2018

    Kista,

    Please don’t ever apologize for your rant. I was in the place you are 7 months ago and felt the exact same way. It was and still is hard to hear people say “Oh at least they caught it early” or “my sister had it and she did this”. I just slap on a smile and say thank you. Once it got out at the kids school I had people speaking to me that just the week before would pass me in the hall and say nothing. Once I got over my anger about how my life was changing it was easier to accept the comments and prayers. I love my community and thru it all they have truly helped me and my family.

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    My Lumpectomy Day

    I managed to get at least a few hours of sleep last night, thanks to my good friend Valium. First thing in the morning, I took the third antibiotic shower (and gosh, those antibiotic soaps are harsh!). Then I distracted myself with a multitude of Words with Friends games while DH drove me to the hospital complex.

    First up was the procedure to "plant" the radioactive seed, which turned out to be one of weirdest procedures ever. I assume every imaging center has its own methods, but it turned out that there was NO choice in mine. Mammogram or bust, pardon the pun. However, the good news is that it was done with a special mammogram table with almost no compression. I had to lay face down on this huge table with the unfortunate breast hanging down through a hole. The plates were adjusted just enough to inhibit movement, and was completely painless. After the technician took 3 images, the radiologist came in and sat UNDER the table to work. Every now and then he'd talk to me from under there, while the technician kindly massaged my back. I had to work to keep myself from laughing because the instructions were to remain completely motionless. Anyway, he used a local anesthetic and then planted the seed with a syringe. It wasn't pain-free, but nothing to cry about. I'd rate it a 1-2 on the 10 point pain scale. Finally, they did another mammogram on the familiar squoosh-em-til-you-faint machine to be sure placement was accurate. But mercifully, again, only the barest bit of compression, so it was fine.

    Next, the main event. We drove over to the surgical center from the imaging center. Did the usual fashion upgrade and hoped I wouldn't need the bathroom because there was no way to completely close the thing in the back. The pre-op nurse attached electrode pads to my back to monitor my pulse, took my blood pressure, attached an oximeter to my finger to monitor oxygen saturation, placed compression devices (don't know medical name) on my calves to prevent clots, and started the IV. After a visit from my surgeon and the anesthesiologist, the surgery nurse came in and gave me what must have been a whopping dose of Versed through the IV. I've never had that before and didn't know what to expect. Immediately my ears started buzzing and I felt lightheaded. I asked my DH to call the nurse and report it, but she said that was perfectly normal. And that was the last I recall before waking up in the recovery room where they offered me water. I asked for seconds. I don't remember much after that other than that I was wheeled out and we drove home. I missed most of the ride since I was fast asleep. Got home, and yep, spent about 4 hours zonked out (snoring, so says DH) on the couch.

    They gave me pain and anti-nausea meds through the IV during surgery, but I still felt a bit queasy for a while. Nothing major, though. Then the pain meds wore off, giving me the opportunity to play Rate That Pain sans meds. I'd give it about a 5. My doctor didn't prescribe any further pain meds other than Advil or Tylenol. Taking an Advil dropped the pain rating to about a 3-4, and it only hurts when I raise my arm higher than 90 degrees or try to lie on my left side. As far as packaging goes, my entire chest is wrapped in a rather tight compression bandage which is supposed to stay on until tomorrow. I'm supposed to ice the area several times a day for the next few weeks.

    Now for the good news. The sentinel node proved to be clear! There just seems to be one small incision in my armpit. My range of motion is pretty good, considering. I assume it will improve once the swelling goes down and things start to heal.

    Just so thankful this bit is behind me (at least I HOPE it is). Now comes the dreaded waiting for pathology report business. They let me look at the mammogram images, and dang, I could still see that piece of misery. I asked my surgeon what it meant before the surgery, and she told me to stop overthinking things. Hahaha. I said that doctors need to overthink things, and she rolled her eyes. Funny gal. Guess she didn't want to set off a panic attack at that point in time. According to Dr. Google, scar tissue can be confused with tumor tissue on a mammogram just as on an US. So... ugh, I don't do suspense well.

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    Welcome Lindsay_Gibson, reports from veterans are very much appreciated here.

    Kanona7795, it's wonderful that the trial regimen worked so well to shrink your tumor. I've read that Keytruda has minimal side effects. Did you find that to be so? Has to beat AC!

    kista, I agree with Kanona7795. If you can't safely vent on this forum, where can you? Well, OK, screaming alone in the car can work, too. I'm sure many of this bunch will be praying for you, holding you in the light, thinking good thoughts, sending virtual hugs, etc., etc.

  • Dani444
    Dani444 Member Posts: 522
    edited October 2018

    Sillyoldrabbit- Such good news on your lymph nodes! Also great to hear you had minimal pain and were able to rest. I will be praying for clear margins on your pathology report. Waiting is just plain sucky during all this.

    Kista- Good luck on your surgery day tomorrow, You will also be in my prayers, I will pray for the hands of those caring for you tomorrow, that you will have little pain, and also for your family. I feel like this is the perfect place to vent and I understand how peoples well meaning comments can just get exhausting. Along with hearing "well at least you will have new perky boobs" from people I barely know I also got the "caught it early" comments too. I just feel like there is no way to convey how this journey feels to someone who has not experienced it. Sending you virtual hugs and all the good vibes.


  • GAWarrior
    GAWarrior Member Posts: 398
    edited October 2018

    Sillyoldrabbit, glad to hear your surgery went well (thanks for the details of what happened) and that the sentinel node was clear. I hope you're recovering okay todsy. Waiting for the path report will probably be the hardest part, at least for me it will be. Thanks for the surgery calendar - brilliant!

    Kista, feel free to vent. I know i had no idea what people were going through until i was diagnosed, so I probably said similar things to others who were fighting this. It's hard because people want to be supportive, but don't know what to say. Wishing you good luck for your surgery tomorrow and a quick and easy recovery

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    Kista, you'll be in my thoughts tomorrow. I know it's really hard on the nerves, and I wish you as much peace as you can summon and that all your doctors and nurses are as kind and supportive as mine were. Please do let us know how it goes.

  • Dani444
    Dani444 Member Posts: 522
    edited October 2018
  • Kanona7795
    Kanona7795 Member Posts: 54
    edited October 2018

    Thank you Dani444 for sharing that letter!1 I really enjoyed reading it and it actually helped to calm my nerves. Surgery is in less then 2 weeks and all I can do it look at pictures, read stories from women that have gone thru this.

    Krista - I hope your surgery went well and you get a great report. I can't wait to hear your story.

    Sillyoldrabbit - Thank you for sharing your story on surgery and all that comes after.

  • llupp
    llupp Member Posts: 31
    edited October 2018

    Oct 24 llupp DMX

  • llupp
    llupp Member Posts: 31
    edited October 2018

    Oct 24 llupp DMX

  • kista
    kista Member Posts: 25
    edited October 2018

    BethM29 is up next!

    It’s 4am, the morning after. Im still in the hospital and the nurse just came to check on me. Surgery went well and I’m doing ok.

    I’ll try to post a full detailed events of the happened yesterday laster on.

    I may or may not need surgery again due to bleeding. My left drain (cancer side) has been draining a lot but the right side has been bleeding out of the drain site and not much into the drain. Midnight they called both my Surgeon and Plastic Surgeon up thinking I was bleeding internally.

    They spent awhile here deciding what to do. Eventually they decided to wrap me right and decide in the morning.

    The pain is ok. I’ve mostlh been having Tylenol or just a bit stronger. But being wrapped up helps with that now.At Leas I get to Get Some Clevage

    Blood from Tube Site


  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    {{{Kista}}}, I sure hope it turned out that you didn't need more surgery and am glad the pain isn't too awful. The compression wrap does wonders. Thank you for posting. You're the brave BMX pioneer in the October group, and hopefully it's helpful for those following you to have a better idea of what to expect. Wishing you peace and a speedy recovery!

    Fellow "lumpies," just wanted to report that it's the third day after surgery now, and there's still some swelling and discomfort, but not enough to warrant even an Advil.


  • GAWarrior
    GAWarrior Member Posts: 398
    edited October 2018

    Kista, hang in there! I'm glad the nurses were on it and called the surgeons. Hoping things have resolved or been figured out and that you don't need additional surgery. It's good that your pain level isn't too bad. Big hugs to you!

    Sillyoldrabbit, I'm happy that you're doing so well. Hugs to you, too!

  • llupp
    llupp Member Posts: 31
    edited October 2018

    Silly Rabbit

    I am schedule for a double masectomy in Oct 24 I am triple negative and very scared and anxious. I have just finish 16 weeks of chemo 4 of AC and 12 Of Taxol on Oct. 1. I feel wiped out. I am trying real hard to build myself up before surgery but nothing taste good.

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    Welcome, illup! Mine is also triple negative, left side, and I had a very similar chemo regimen. I started getting my energy back in the third week after the last treatment. You've just barely finished, so feeling wiped out sounds about right at this point. Anxiety seems to be part of package, too, unfortunately. When I was first diagnosed, anxiety caused my blood pressure and pulse to soar to dangerous levels. My PCP kindly prescribed diazepam (Valium) to be taken as needed. I don't know how I would have gotten through those first few days without it. Posting/reading this forum has been very helpful, too. There are so many knowledgeable and supportive women here, and it helps diminish the feeling of being in it alone. You will get through this. One. Breath. At. A. Time.

  • kista
    kista Member Posts: 25
    edited October 2018

    After Bilateral MastectomyBefore Bilateral MastectomyThursday was my surgery day. Here’s what happened:

    Didn’t sleep much so I was glad they asked me to check in at 6:30 am. I washed with their special soap Wednesday night, then again Thursday morning as they’d requested. We live maybe 5 miles from the hospital so left home around 6:15 and got there with plenty of time.

    Checked in and was assigned a number for my family to watch the progress updates of my surgery on the screens all day. Signed my hubby up to get text notifications as well; which he greatly appreciated.

    The usual check in progress with weight, temp, blood pressure & heart rate. Then went off to the prep room. Was then issued my beautiful backless blue “dress” booties and hair net. Having had my birth control removed they had me pee in a cup for a pregnancy test (that would be awful timing). Thankfully it was negative; as I’d assumed it would. Condoms don’t really scream romance. 🙄

    Played 20 questions with the nurse for awhile and hung out with my sister and husband waiting. The lady came up from Neuclear Medicine to inject the burning fluid into my breast at 4 locations around my nipple. She said many complain how bad it stings but it was a small burning sensation and was over rather quickly.

    Eventually my Plastic Surgeon came in and drew all over me with Sharpie. Next my Surgeon came in to have a quick look. Finally the Anesthesiologist came in and we discussed a reaction my mom had long ago to a gas so decided he’d use an IV anesthetic.

    Eventually they came in to get me and it was showtime. Up until that point aside from a few tears in the shower earlier in the morning I’d stayed strong and no tears. As soon as my sister went to hug me she was crying and sent me into a full on cry. Which then made my hubby start as I told him goodbye and they wheeled the bed down the hallway away from my family.

    We wound the hallways and made it to the OR. I’d never been in an OR before and it was a bit intimidating, especially without having my glasses on. They had me slide from the bed onto the operating table (it seemed so small). I was having a normal conversation with the techs then next thing I knew I herd a bunch of voices around me.

    I asked what was happening and a voice replied I was in recovery and everything went well. I asked the status of my nodes and she said they seemed clear. I asked if my family knew and she said they did. I then asked if I could see my boobs, and she said I could. I looked down and was surprised to see them of a very similar size they were before surgery!

    I went in and out of conciseness for awhile. But perked up when I herd them say they could tell my family I’d be on the way up to my room soon. I opened my eyes again to see my husband, sister and a survivor friend sitting in my room staring at me. They hugged me and said it’s about time!

    Apparently the surgery had lasted around 6 or 7 hours. In that time my husband kept getting updates but was so worried for me. Thankfully my sister and mom was there with him.

    I have the chest expanders in place and gotta say they look so weird. I know they aren’t permanent and they’ll change but right now I’m very lumpy and bumpy. It’s such a strange feeling to not be able to feel my chest!

    I had an issue late Thursday night where I was gushing blood uncontrollably out of my side where the drain is located. They called the surgeons in at 11:30 pm and they wrapped me up tight for the night to try and get it to clot. Unfortunately as soon as they removed the bandage in the morning it started right back up again. They were planning to take me back into surgery again to get it to stop but my nurse tried a dressing while waiting for the docs again & somehow she got it to stop.

    They made me stay an extra night to be sure it was under control and not an internal bleed. This morning they took the dressing off and she wrapped it thinking it’d last until my appointment Thursday morning. Unfortunately it was soaked through by the time we got home and it’s now a nussence my husband has to deal with, checking my dressing and redoing it as needed.

    The pain has been tolerable. I do have a high pain tolerance though. They also gave me a prescription for a pill called Narco that I’ve been taking 1 every 4 hours. Sleep is weird. 1 minute I’m wide awake, the next I can’t keep my eyes open.

    I’m a lot less self sufficient then I thought I’d be. I hate having people do things for me so it’s been a challenge. But I know it’s what’s best.

    I hadn’t seen any detailed stories so was hoping maybe this could give some insight into what to expect


  • Proud_Patriot
    Proud_Patriot Member Posts: 27
    edited October 2018

    GAWarrior-Thank you so much for the informaton about MR images. The surgeon told me that pathology always gets the last laugh. She did say that if the US showed it got smaller and the MRI showed nothing that there probably was a good response. I had the US after 5 of 6 TCHP treatments for ER+/PR-/HER+ cancer (IDC).


    sillyoldrabbit-My surgery is scheduled for Oct 9.

  • GAWarrior
    GAWarrior Member Posts: 398
    edited October 2018

    Kista, you look great! Thanks for the detailed report. My surgery (BMX) is coming up so it's good to have an idea of what to expect. I'm sorry your DH is having to deal with the blood, though. I do think the surgeon should know you're bleeding like that, especially if it's soaking through the dressing... Good luck with your healing!

    Sillyoldrabbit, how are you doing?

    Ilupp, I'm triple negative, too. I had the same chemo treatment and finished on Sept. 5. I had no energy for the first two weeks, but am feeling much better now (4 weeks PFC). I'm even back to running a couple of times a week. I have been taking iron supplements and drinking whey protein drinks and they helped a lot with my energy. I was really anemic while on Taxol (the MO kept pushing me to get a blood transfusion). I took the iron and protein instead of the transfusion (and am still taking it). It made a big difference within just a week. Big hugs to you!

    Proud_Patriot, glad to help. Thanks for passing on what your surgeon said. Mine told me the MRI looked excellent, but the pathology has the last word. I also can't feel the tumor anymore, so I'm pretty sure I got a very positive response to chemo, but I'm still crossing my fingers. Good luck with your surgery on Wed - sending big hugs and good wishes for a speedy recovery.

  • sillyoldrabbit
    sillyoldrabbit Member Posts: 124
    edited October 2018

    Kista, if that's what a mastectomy looks like, I'm starting to wish I'd been offered one! For some reason, I was expecting to see a mangled, mutilated mess. My little lumpectomy actually is a bit like that. That bleeding does seem concerning, though. Hope it's tapering off by now. Yay for clear nodes!

    Proud_Patriot, I've added your surgery date to the calendar. You're next up. How are you feeling going into this?

    BethM29, how are you doing?

    GAWarrior, I'm doing well (apart from worrying about the pathology report, Xeloda, rads, hair, and um.. trivial things like survival). Thanks for asking. Grateful this waited to happen until my kids were all grown and on their own.

    Wishing clear nodes and margins and uneventful surgeries for us all!

  • Dani444
    Dani444 Member Posts: 522
    edited October 2018

    Kista- sorry if I am asking an obvious question, but the top photo is the after the surgery photo correct? Is there no problem lifting your arm up? Thank you for sharing all the details, it really helps. I hope you are healing well and getting rest. I know I will have a hard time depending on anyone after the surgery too.

  • kista
    kista Member Posts: 25
    edited October 2018

    I made another post, unfortunately it seems to have disappeared. 🤷🏼♀️

    Yes, the pics posted backwards. Top photo is after Bilateral Mastectomy with expanders. Bottom was pre-surgery.

    My sentinalnodes were clear so they never took any from my armpit. Lifting isn’t comfortable, but it’s not extremely painful.

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