Trouble finding the balance

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JennieKeaton
JennieKeaton Member Posts: 80

Hi All -

I'm 2 1/2 weeks post op with a double mastectomy, lat flap on left side, and tissue expanders on both sides. I was extremely active before surgery - kickboxing, very active outdoor job, gardening, etc. and have been struggling with my physical restrictions since surgery. I finally decided to listen to my body, and yesterday I slept more than I had been, but it was what I felt.

Today, I'm struggling. I had a hard night. I was restless, couldn't get comfortable, my legs ached. I was awake a lot more than I wanted to be. This morning, my legs ache and are restless. I can't stop yawning.

Normally, I would handle this by getting active. Going for a walk, getting out into the garden, going to the gym, etc. Obviously, none of that is an option, except maybe going for a walk.

As I continue to heal and try to find the balance between activity and rest, how do you do it? How do you know that you're not overdoing it, but also know that you are doing enough? I think the more I lay around, the more I will want to. But that's just going to get me restless.

But I can't say get more active and you'll be more active - I'll overdo it.

UGGGGG. This is hard!

Jennie

Comments

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited November 2018

    Jennie, I had a similar situation post-ovarian cancer surgery. I told my nurse navigator that I felt very weak and needed to be doing something about it. She told me to get out there and just walk. Walk as much as I could. Also that it took about six months to recover from a major surgery. I realize this isn't exactly your situation, but it is SOMETHING to be doing without hurting yourself

  • JennieKeaton
    JennieKeaton Member Posts: 80
    edited November 2018

    Thanks MelissaDallas!

    I tried to drive for the first time a minute ago, and while I can physically do it, everything immediately tightened up and I only wanted to go around the block. I'm trying to get my mom to go back home next weekend, but that means I'll be completely alone. I do have friends who will help, but I need Mom to feel comfortable leaving. I've got a long way to go!

    I'm going to try to start working with the six month goal rather than the 4-6 weeks one I was working with.

    Baby steps.......

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited November 2018

    I understand. My mom was thinking I would stay with then for several months post-surgery. I was thinking "like hell." I froze a lot of cooking/food pre-surgery. I am lucky, in that I live a couple of blocks from grocery, so I can wal, if necessary. Main issue was that I couldn't crive for weeks. I managed. The lifting restictions required creative thinking

  • CaliKelly
    CaliKelly Member Posts: 474
    edited November 2018

    Hi, ladies! Boy , I know what you are going through! Although I had one sided mastectomy and ,later lat flap . My Drs had to really explain to me exactly what and why the restrictions.Im a former fitness trainer and used to working out vigorously every day. The forced inactivity was the WORST! I finally negotiated with them, I could go to the gym, but no upper body work. And no elevated heart rate. So I would get on an exercise bike, recumbent bike the easiest to get on and off. Bike gently for 30 min or so, slowing down if I broke a sweat. Do some leg machines on baby weights. Apparently the forceful pumping of blood from a real workout could put strain on all the internal healing. But after 6 weeks the Docs gave in and said i could do more and more. Did they give you range of motion stretches to do yet? Do them religiously, but dont stretch to painfulness! Gradually do more and more, but unfortunately takes a while. I thought once all the external incisions looked healed, I could do my weights full on but there's a lot of internal stitchery to heal. Multiple layers . So take it easy but do walk or exercise bike.So hard to be inactive, I know!!

  • GreenHarbor
    GreenHarbor Member Posts: 265
    edited November 2018

    Jennie, I will echo what others have said... try walking. I know it's much lower intensity that what you're used to. You will get back to what you're used to, but you need to heal. The fact that you're so fit will help your recovery. Check with your surgeon at your first post op appointment about do's and don'ts. My surgeon's one piece of advice was “if it hurts, don't do it". I had a much smaller surgery than you did, however (lumpectomy and sentinel node biopsy). So... walk! Try listening to music, an audiobook or a podcast. Once you can drive, you can walk at a shopping mall if there is bad weather where you are. One week after my surgery, I met friends for lunch at a mall near my house. It was late August and we were having a heat wave, so I decided to get there early and walk a couple of laps of the mall inside first. At one point I was following an elderly woman. She had a pronounced hunch in her back, was wearing orthopedic shoes and compression stockings, was using one of those walkers with a built in seat AND she was on oxygen. If she could do it, I could too! So try some gentle walking, even just 15 or 20 minutes. Be mindful of how you feel after. Gradually increase your speed and distance. Good luck - check back and let us know how you do.

  • Lifeartist2
    Lifeartist2 Member Posts: 1
    edited November 2018

    Oh it is good to hear some fellow souls are struggling with the same things. Not that is good that we are struggling, but there is not a step-by-step manual to move thru recovery, but at least we have each other. I had my double mastectomy one month ago. Unfortunately am still dealing with drains, which seems to restrict my movement, because I accidentally pull on the drains and that hurts! I feel like I was less fatigued and had a more optimistic feeling right after the surgery. I am frustrated that I cannot concentrate better. I try to walk 2 miles a day. In addition, I am on exemestane (Aromasin) and I think that is creating an undertow of nausea, as well as contributing to the fatigue. Oh yes, and I have had an infection. Too much going on at the same time to sort it out. I know listening to my body is important, but I don't like what it is telling me! I know from previous experience that you have to try to do things to find the edge of your capability, but I don't even feel like I have the energy for that!!! On some level I know this too will pass, but I also know it may take a few months. I guess I have to also remember I had two surgeries in July for lumpectomies and a sentinel node removal. I guess it has been a triple whammy! On the one hand I don't like to complain, but I am so glad this forum is available!

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

    My hospital offered yoga classes specifically for their BC patients. Maybe yours does too?

  • JennieKeaton
    JennieKeaton Member Posts: 80
    edited November 2018

    @CaliKelly -

    Today was a pretty good day, except my back. I tried to drive, and my back immediately tightened up. Even with muscle relaxer, it stayed tight.

    I realized that I feel 80% good everywhere except my back, which is 40-50%. I know you said you were a fitness trainer, so I think you may be able to help answer something for me. I don't know why it might help, but I'm a "need to understand" person, so it might.

    In terms of my lat flap, the pain is under the incision a good bit. It's lower in my mid/lower back and towards the side a bit. I'm not sure what is causing the pain, and what is actively happening for the pain/healing. What are my muscled doing? Why do uninvolved muscles hurt? They feel "knotted up" - what will need to happen to get them to release? What is the physical process of healing? What should I expect in the next few weeks for healing?

    What is the mechanism for helping/healing? Pain killers? Muscle relaxers? Heat? Ice? Rest? Other?

    Anyone else, feel free to jump in!

    Jennie

  • CaliKelly
    CaliKelly Member Posts: 474
    edited November 2018

    Hi kiddo, just read your post elsewhere. Remember you had a big muscle, latissimus dorsai, relocated! All your other back muscles have to take over that job. The lat muscle does a lot. Add in the way the surgeon has to pull the skin together and sew it up. Everything in your back is affected, tightened. Don't put heat without asking the Dr., Ice might make it feel even tighter. When you're in bed, prop your arms up along side you and try putting pillows under your knees, that will help lower back. Need lots of pillows!

  • CaliKelly
    CaliKelly Member Posts: 474
    edited November 2018

    Btw, I had the same pain lower down under my incision towards the side. Still get that now, even . My Drs said no heat til healed as in increases blood flow. You are healing in multiple layers, inside, where layers of skin and muscle or fascia were moved around and sewn together. I wanted to really start in working out when it appeared to me that the incisions were healed. My surgeon said that only represented 20 % of healing. You know it's also possible that because you had major trauma to your chest, that you hold yourself in protective posture, caving chest and shoulders forward due to pain, that is understandable but might als add to back pain. Look online at the size and shape of the lat muscle and you can see, it'll take awhile for your body/ back to adjust. I'd say in 2 more weeks you will notice a big difference. Try a little, minor chest opening type stretch, on pillows, elbows bent

  • JennieKeaton
    JennieKeaton Member Posts: 80
    edited November 2018

    Thanks CaliKelly -

    I appreciate all of your support and encouragement. I think I'm getting a little depressed, and going to seek someone to see for that. I'm starting to sleep too much during the day, and not well at night. Couple that with how I feel emotionally, and I think it could really help!

    Jennie

  • Snickersmom
    Snickersmom Member Posts: 926
    edited November 2018

    I'll jump in even though I didn't have reconstruction. I had BMX last year and then scar revision surgery 9 months ago. I didn't bounce back as quickly as I thought I would either. My oncologist and surgeon both reminded me that not only was it major trauma to my body, but also that it takes quite a while for the anesthesia to completely wear off. They both said do my exercises to loosen up the cording and tightness, walk as much as I could, and most importantly listen to my body. I felt like a real slug after a week but my husband insisted that I at least lay down and rest for a while in the afternoon. I do think that helped. Even now, I sometimes feel the need to lay down around 1 pm.

    You have just started to recover. Give yourself time! You will get back your energy but for now, listen to your body.

  • Runrcrb
    Runrcrb Member Posts: 577
    edited November 2018

    jeannie I'll chime in although I didn’t have muscles moved around with my reconstruction (unlessyou count putting the pec back where it belongs). You just had MAJOR surgery. Our bodies have a lot of healing to do. I echo the walking. Don’t try to get the heart rate up, just try to get fresh air in the face and lungs- it will help your sleep and your mental health. I took frequent short walks- a walk around the block every couple of hours helped keep me moving and awake. I did nap early post surgery but usually only once a day.

    Seeing a counselor is a good idea. My husband passed away shortly before my DIEP surgery and I ended up seeing a counselor who specializes in grief. I tell you this because alot of what we discussed i could also apply to my post cancer self. As a super fit and active woman, you have experienced a loss of your prior self. You might find talking about that will help you adjust to the new you.

    Good luck


  • CaliKelly
    CaliKelly Member Posts: 474
    edited November 2018

    Jennie, natural to feel depressed because it SEEMS RIGHT NOW like you will never be back to your former active self, but YOU WILL!! That's my message to you, you didn't lose your former self, you are experiencing a temporary setback, stress,- temporary! Pain also causing depression. Make simple challenges for yourself, I put the a piece of tape on the wall and tried to reach past it, kept moving the tape, kept reaching it. Can't explain the ridiculous triumph I felt just reaching past my last one.Keep trying to open your chest with stretches, you dont want your body to get used to a "caved in" chest. It'll be painful in a good way to get that opened up again.When you're propped up in bed put 2 pillows on wither side and try to extend your arms in a "T", elbows bent at first. Hold it for a few seconds, rest ,repeat. Feel a SLIGHTLY painful stretch, dontvpush it. Echoing walking outdoors, help stave off that depression that wants to overtake you! Message me anytime for pep talks, been there!

  • JennieKeaton
    JennieKeaton Member Posts: 80
    edited November 2018

    Update for today -

    Overall, today has been a good day. I took a bath for the first time (I dislike showering). My mom was beyond not supportive, but once she realized I had doctor approval and I was going to do it, she was there in case needed. Not needed. It took a lot out of me, but I did it.

    Then, we went to the grocery store for the first time. I was weak and tired, and I used one of the "mobility carts". But I did it. Even talked to a guy who could tell I was struggling and said three years ago he had open heart surgery and had to do the same thing. But gave me a pep talk, and I did it.

    I've only had Advil for pain all day. The pain is there, and it's bothersome, but I dare to believe that it's better than yesterday. Maybe.

    Now for the not so good (but good in it as well). I think I'm depressed. I am nauseous, dry heaving, not interested in food. It doesn't sound good, look good, taste good (and I usually REALLY like food). Don't know what is causing this, but it's been there several days.

    I have had some difficulty sleeping the last three nights. I wake up at 3:00 and have fitful, restless sleep the rest of the night.

    There is also some pain/feeling of bruising under my "breasts" - basically where the expanders meet the chest. Haven't really felt that before. I have air expanders - supposed to be doing 30 cc a day, doing 10 cc every other day. So don't know why it would all of a sudden hurt today.

    Having said that, I'm seeing an oncology social worker tomorrow at 2:00. If I'm depressed, we will treat it just like we are treating the physical symptoms.

    A friend of mine who is much smarter than I am has a great idea for my need to control. She and another friend are coming over later this week, and we are going to calendar my needs. Grocery shopping, laundry, trash being taken out, doctors appointments, etc. I m not yet ready to drive, but I'm OK with that. I WILL BE. When my body is ready. Until then, I will take advantage of the offers of my friends, and I will take day by day.

    The big decision this week is whether to send my mom home this weekend, or keep her here two more weeks. I start chemo on the 27th, so there is something to be said for just keeping her here until December 1. BUT, I also want/need some normalcy as soon as I can get it. I'm afraid I'm using her as a crutch, BUT I'm afraid if she leaves I'll just lay on the sofa all day OR that I will overdo. We will make the decision on Wednesday.

    Either way, I'm calling today a win.

  • CaliKelly
    CaliKelly Member Posts: 474
    edited November 2018

    Oh Jennie, I'm calling today a win for you too! I know it feels like baby steps, it's so frustrating but you're doing really well. Are you still taking any of the post surgical meds? Not the pain stuff, but antibiotics or I forget all the crap they had me taking, had a chart it was so complicated. Because they nauseated me. I lost weight every time I had surgery, anesthesia made me really sick for days, and lingering nausea from all the other stuff, even the stool softener. The pain meds made me sick too. Had to keep crackers by the bed,and water with a little lemon. As far as chemo went, I got by with just hubby 's help. Didn't want anyone around.i had 3 wk cycles 1st week of eac cycle, maybe 4 days feeling like shit then couple of days feeling like when you're getting over the flu, weak, fast heartbeat with little exertion. Take it easy those days, then surprisingly you'll feel pretty good, normal, til the next round. Day of chemo, boring long day getting infusion, takes hours, bring music, or books, my husband took me then left, I wanted to be alone , went to breakfast after, no nausea 1st couple days. Then went home- slept!!! It's a tiring day. So may not need mom, i didnt. But you had double mastectomy! I had unilateral. I had chemo before surgery, so thats different too. Gets better every day right now! Small victories!

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