Port placement

Options
Love83
Love83 Member Posts: 111
edited November 2018 in Not Diagnosed But Worried

Good evening ladies hope all enjoyed your holiday. Tomorrow I'm getting port placed and yes I'm scared had another biopsy of lymph node above clavicle yesterday. Any suggestions or things to remember about port. Can I use any numbing spray or creame.

Comments

  • Vslush
    Vslush Member Posts: 183
    edited November 2018

    Hi Love83,

    I had my port placed in summer of 2017, and it's become my very best friend. You will find it's so much better than arm sticks or pic lines. And yes, the best part is you can ask your Dr for Emla cream. You put it on about 45 mins before they are going to access it, and won't feel a thing!

    It does seem kind of strange at first, but by the first month or so I didn't even notice it til it was being accessed. Mine is on the right side, so occasionally the seatbelt can irritate if I'm the passenger in the car.

    Good luck with the placement, and the upcoming treatments. Hoping your recent biopsy shows nothing new.


    Vickki

  • Love83
    Love83 Member Posts: 111
    edited November 2018

    Was the placement painful, and what about after? Did you do okay with chemo. I'm also going to be receiving AC +T.

  • Love83
    Love83 Member Posts: 111
    edited November 2018

    Sorry, meant to say Thanks as well😀

  • SierraPineapple
    SierraPineapple Member Posts: 47
    edited November 2018

    I had mine placed on a Monday and it was being accessed that Wednesday a few days later!. The placement was a breeze and I went home not feeling much different. The cream helps a lot especially when the port is new. I learned that I need to place my cream on 2 hours before it will be accessed for full numbness, but if you forget one day you can always ask for the shot of Lidocaine. It stings when they do it.

    For the cream you can either cover it with plastic wrap or I ask for extra of those big sticker they put over the port while it's accessed, cut them in half and put it over the cream. I also have sensitive skin and ask them to put cotton stuff (my brain isn't working for what this is called) under the sticker so it's easier to remove and doesn't irritate my skin so much.

    Good luck with your chemo...I had AC and it was rough. You don't want to have to worry about finding veins and such on top of getting through chemo

    Edited to say: I didn’t expect the second incision on my neck or that you could see the tube of the port. For anyone who doesn’t know what it is they probably wouldn’t notice as it looks kind of like a large vein. My incisions healed nice and you can’t see the neck on hardly at all

  • Love83
    Love83 Member Posts: 111
    edited November 2018

    Thanks for the information Sierra, But when you say rough about chemotherapy, can you give me more insight. I understand it's different for everyone and was any lymph nodes involved?

  • SierraPineapple
    SierraPineapple Member Posts: 47
    edited November 2018

    Sure :) I think there is also a forum specifically for chemo, but I don't mind posting my experience. It might be good to check though for a more well rounded source of info & experiences.

    I did just AC chemo coming off of a PARP inhibitor trial that made my blood counts very low. Because of that I anticipated the AC would be crappy. I got nauseous, constipated (Miralax worked better than any prescription btw), extremely fatigued, little bit of neuropathy, hair loss, loss of taste, dry skin, no sexual drive, food hurt to digest (meat and veggies typically...baked potatoes were amazing though) and just generally feeling like doody. It got worse each infusion and I developed a routine. First week post would be bad and I gradually felt better before the next infusion. I was on a dose dense plan so I went every other week. When I started losing hair I thought I would wait till I absolutely had to shave my head, but once I did I wish i had done it sooner. Hair added more maintenance than I had energy for, plus you get tired of waking up with fallen out hair all over you and your house. Just my thoughts on that though. AC didn't end up doing much for me as far as the cancer went though. At least I know I threw the book at it and have done everything I could. I was surprised to feel very emotional when I was done. Like you are running through a forest on fire and once you are clear you turn around and see what you really went through. And you can get through it even if it's just moment by moment

    I hope your experience goes much smoother! You are very right in that everyone is different.

    Edit: forgot to mention the heartburn! Pepcid helps and Zofran for the nausea. Don’t wait for nausea to get bad before taking meds. I’m not a person who runs to medicine and waits till I feel like I really need it. Not on AC chemo. Don’t feel bad taking medicine as soon as you feel those little nausea waves is how I treated myself

  • Vslush
    Vslush Member Posts: 183
    edited November 2018

    Port was uncomfortable for a few days, but not painful. Just kind of a tight feeling for me, and I was constantly "aware" of it til I got used to it.

    I also had A/C + T. Dose dense (every other week). The AC is harder on the stomach. I had continual nausea (no vomiting) days 2 thru 5 after infusion. The good thing is, there are lots of options with meds, so please let your Oncologist know so they can get it under control. I had to eat small but often (about every 2 hours). That seemed to quell the nausea for a while. Please know ..that is just my experience. Others have reported no stomach issues. Drink plenty of water or Gatorade/Powerade to flush it out and stay hydrated. You will also be given premeds before infusion. Usually antacid, steroid, nausea...etc. These work really well to get through the first couple days, and you usually feel pretty good and active from the steroid. By week two, you're starting to feel pretty decent . Watch for mouth sores, and your nose may become "crusty". I used magic mouthwash for the sores (need script from Onco), and even dipped a qtip in it and put it on nose sores. Worked great!


    Taxol is great in that nausea is usually not an issue. It does however create aches and pains in the back, limbs and joints. Sometimes quite severe. You will probably be told to take Claritin the day after T infusion, and to take it for about 5 days or so. It really helps with the joint pain. Staying active, like walking or riding a bike helps better than laying around. A lot of us do yoga to stay limber and abate the pain. Again .. hydrate! Also on Taxol, I lost my sense of taste on the evening of day 2, and it didn't come back til about day 4 or 5. I found drinking with a straw to the back of my mouth (bypassing taste buds) was better during that time. Watch for neuropathy. Tell your Onco if you start feeling tingling, burning or numbness in feet or hands. If it gets too bad, they usually lower or stop the doses to keep it from becoming permanent.

    Your hair will start to come out sometime between days 7 and 14. Most choose to shave it off at that point, as it gets pretty messy in the shower/ on pillowcases. This is a personal choice. My lashes and brows did not come out until treatment ended, but started coming in immediately. I was only without them about 3 weeks.

    Sleep seems to be a problem as well. The combination of steroids and innate stress can keep us up for hours. You may be given Lorazapam (Ativan) for this. It also helps w nausea.

    This is weird, but I'll put it out there. A lot of us found that if we were "cleaned out" the day of any chemo, we felt better afterward. Chemo messed with the digestive tract, so starting from 'scratch" helped.

    Please know, this advice is based on how it went for me. Everyone's experience is different. The key is always to communicate any symptoms to your care team so they can provide relief.

    Good luck to you. Take a deep breath, and know it's generally worse in your imagination than what it turns out to be. There's always someone on here to answer questions or help you through a rough moment. Also, feel free to PM if I can help.

    Vickki









  • Love83
    Love83 Member Posts: 111
    edited November 2018

    Sierra, thank again 😀. I hate being in pain and still want to have a little energy to do things around the house. When you say it didn't work did you try another med? And how long did it take to figure out it wasn't working for you?

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

    I had my port placed under sedation in the OR at a hospital with a general surgeon. It didn't take very long to do, but apparently I needed more medication than they were planning so it took a while before I was released. I was kind of groggy that evening and a little sore. The surgeon gave me a prescription for Tylenol #3 and I took it occasionally for the first two days.

    My incision was only one line, about an inch or so long and covered with steristrips, gauze, and a transparent dressing. I had to leave the dressing on for two days. I think that added to any discomfort I felt. It was much better once that was off!

    It takes a while to get comfortable with it. Mine sticks out quite a bit, but you can't really see the catheter part. My surgeon marked my chest while I was wearing a bra so the bra never rubbed on it. I was lucky to get a Bard Power Port with a Groshong catheter so it only has to be flushed every 90 days and needs no Heparin.

    The infusion nurses would use the freezing spray before accessing it. That usually works really well. One time it didn't - not sure if it was the nurse or what. After that, I requested Emla cream and would put a big glob of it on about an hour before my appt. I've since had it flushed once with no numbing anything and it wasn't horrible.

    Good luck tomorrow. I'd advise checking out a thread for starting chemo in November or December for others in the same place.

  • nanette7fl
    nanette7fl Member Posts: 469
    edited November 2018

    Hi Sierra,

    Hoping your port placement went well.

    I had mine put in last Friday, yes the day after Thanksgiving. My surgeon placed it right below my right collar bone and I have 2 incisions. The one for the port and a small incision in my neck. Because I'm allergic to certain adhesives my surgeon applied Durabond skin glue. (Itold my husband and my daughter after surgery I felt like the bride of Frankenstein because of how the glue makes everything look.)The sites are uncomfortable especially when I want to go to sleep. THAT has been an interesting ordeal in itself. I guess I always took my pillows for granted and have had to get rather creative about finding that 'perfect' spot to put my head and neck as I sleep semi on my right side and belly. I am now learning to be a side sleeper lol I did find a small rectangular pillow that is cloud soft from when my MIL was in hospice. I place that on my neck between surgical scars? and it does help cushion my neck from feeling like I'm crushing my neck against the port.

    I also learned that vacuuming the house now falls under 'heavy duty' and I'm going to have to get my daughter or one of the grandkids to do that for me as it wore me out some but mostly made me really uncomfortable when I wanted to go to sleep.

    As it was mentioned the whole mess is a little annoying and I do feel some pulling if I turn my head 'just' so. But it's part of the adventure so far for me so I'm just chalking this one up to a new learning experience.

    Anyhow I do hope you are well and that your chemo goes well. Sending you (((hugs))) for your journey. ( I start my chemo Dec 4th and am really nervous about it.)

  • Love83
    Love83 Member Posts: 111
    edited November 2018

    I now have my port was nervous as heck. But they gave me some good drugs. When I woke up "I said are we going to put me asleep" he replied " we are finished" I was amazed but must say I woke up stiff and feel moderate pain using Ibuprofen and and oxi to help with the discomfort. But other wise not to bad. If you don't mind me asking how old are you and what is your diagnoses? What chemotherapy will you he doing and for how long? Me I'm 35 was diagnosed with invasive ductal carcinoma, grade 3, stage 2 will have to do AC+T. Four rounds of AC, so once every two weeks. And then have to do T (taxol) for 12 weeks, once a week.

  • SierraPineapple
    SierraPineapple Member Posts: 47
    edited November 2018

    Glad it went smoothly! When I had mine placed it was the first day the new hospital was open and that made me so nervous. I was 28 then with stage 3, grade 3 triple negative IDC. I did AC after finishing a clinical trial. It’s pretty standard to some combo of AC or TC chemo. AC was hard, but you can do it just like you got through the port surgery just keep swimming

  • MLAnne
    MLAnne Member Posts: 83
    edited November 2018

    My port placement is scheduled for December 19th. They said I should be able to return to 'normal' actinities the next day. Did everyone else find that to be true?

  • Love83
    Love83 Member Posts: 111
    edited November 2018

    I had mine placed yesterday and I will say I'm a little sore I am using Ibuprofen and oxi to help. But I'm taking it before the pain is bad and I wouldn't go back to work the next day. But will say the placement of it, I had mine done under sedation and they gave me good drugs by time I woke up it was over. Was sore when I woke up. But not to bad.

  • christina0001
    christina0001 Member Posts: 1,491
    edited November 2018

    MLAnne I've had ports placed twice and truly it was a breeze. In the grand scheme of things, it was cake really. I don't recall being unable to do things afterwards. Maybe mild soreness for a bit.

    Having said that, I hated having the port. It didn't hurt but I was always aware of it being there. But, it served an important purpose during treatment. Good luck!

Categories