April 2019 Surgery Support Group

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  • Motheroftwo36
    Motheroftwo36 Member Posts: 116
    edited May 2019

    didn’t mean to delete my prior post. Oh well

  • MountainMia
    MountainMia Member Posts: 1,307
    edited May 2019

    Thanks, Mof2. I'm back from my doc appt already with a prescription for physical therapy. My hospital is a big teaching/research hospital and students of varying ranks are included in the process all the time. This morning I had a young doctor in his residency come in first to meet with me. I told him that the surgery went well and recovery, too, but that the cording has developed and is painful and limiting. He was COMPLETELY blank. Did not know what I was talking about, had never heard of it before.

    It was sort of funny and sort of horrible at the same time. But that's why he is a resident and not a surgeon yet.

    So this afternoon I'll have a PT appt and try to get this rehab show on the road. The real doctor BS said my cording is worse than she usually sees, and she wanted me to get on it right away to start to get some relief.

  • hodgepodge
    hodgepodge Member Posts: 92
    edited May 2019

    MountainMia - hope PT helps with the cording! It sounds miserable. :(

    I am finally DRAIN FREE! So glad to have them gone. I hope you are as lucky soon MotherofTwo36!

    So, I finally got up the courage to look at myself... yes it's been two weeks since surgery but it took me a while to build the courage. I went from a size F to totally flat. Pretty shocking in clothes, really shocking without. On the side that they took lymp nodes there is a huge dent in a long line from under my armpit in toward what used to be the nipple. It looks so strange. The non-cancer mastectomy side doesn't look like that, just flat. Wondering if that's the norm? I'm guessing it is because when they took out the drains the nurses said everything looked normal. I just wasn't expecting that. Otherwise it doesn't look as scary as I expected.

    This is all such a roller coaster of emotions! Sending thoughts of peace and healing to all of you!

  • Motheroftwo36
    Motheroftwo36 Member Posts: 116
    edited May 2019

    hodgepodge

    Congrats on drain free! I looked at myself the next day! I couldn’t imagine waiting that long! BUT my tissue expander size isn’t that much different than my original size so it wasnt is dramatic. Shape and no nipples Ian different and scars are hideous but I’m happy overall I guess. Very emotional i

  • FrenchPorsche
    FrenchPorsche Member Posts: 75
    edited May 2019

    Hi MountainMia. I hope the PT went well and your cording has eased a bit. When I went last Friday I had a lot of gentle massage under, and along the inside, of my arm. It hurt like fire at the time but it totally transformed my mobility and comfort afterwards. Have they given you a bunch of arm/shoulder exercises to do? I’ve been doing some since the day after my surgery and she gave me a new set to add on on Friday (the new ones are running my hands up a wall so a good stretch upwards) I think they do help.

  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    Saw my BS this morning for and ultrasound of the possible hematoma. It was a hematoma and she drained some old blood. This spot has been the most painful since surgery glad someone finally listened to me and took a look. She also found 2 seroma's one each side on the outsides of the breast almost to the under arm. She drained 50cc's from each side. Even though she gave me 4 local shots for pain it only helped during the draining shortly after the pain was not comfortable from all the needles. Four local shots and four drain needles. She then wrapped me and now I feel the pain is even worse that before draining everything. The BS stated that the seroma on my right side might need to be drained a few more times before it is resolved since I don't have an expander on that side any more. She said have the fills actually helps the seromas. I have a call in for a consult for PT just waiting for approval to get an appointment.

    MountainMia hope you PT went well today.

    Motheroftwo36 I know what you mean about over doing it, I think I over did it this weekend as well though it didn't hit me until I left the doctors office this morning.

    hodgepodge I also have a long line from my lymph node removal. The actually were able to go through the same scar I had for my first lymph node removal. Though mine is still swollen so there is no dent.

  • hodgepodge
    hodgepodge Member Posts: 92
    edited May 2019

    rrshannon - that sounds so scary! :( Hope it resolves quickly.

    motheroftwo36 - drains out yet??? Hope so!

    Good news on my side. Had my appointment with MO yesterday and he said since the cancer was so small (4mm) and the margins were so large that no chemotherapy will be needed. I am thrilled about this because no one wants chemo, but have to admit it makes me nervous because it's already come back once... I'm ready to do whatever it takes to not be here again! But so relieved to have great margins and the lymph node be clear. The MO plans to start me on Tamoxifen in Sept. because he said the hot flashes would be brutal in the summer. Is anyone else delaying the start of Tamox?

    So, since no Oncotype being done only one more test to wait on. I'm having a precautionary bone scan next week to make sure the ache I've had in my hip is nothing to worry about.


  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    hodgepodge Good news on the No Chemo! I think we all get nervous about the cancer coming back. I was shocked to get an ER+ cancer 4 years after a total hysterectomy and only have 1 ovary for the 15 years before that. I am starting Letrozole, I was hoping for a delayed start with all my issues but my MO wants me to start now. But so far they have yet to send in the prescription to be filled. I had my bone scan last week which was good. The meds I am on for my adrenals are also not good for the bones so hoping to get off those soon but they are slowing decreasing the dose so it will take a while. MO is also doing Zometa infusions every 6 months to help build up the bones. I never had hot flashes after my hysterectomy so it will be interesting to see how my body responds to the Letrozole.

  • rush1187
    rush1187 Member Posts: 10
    edited May 2019

    Hello Everyone,

    I am going to be having surgery on August 12, 2019. It's a ways off, but gives me time to prepare. I have read through some of the posts, and will read more over the next while. It definitely helps to hear other women's experiences. In Sept 2018 I felt a lump on my left breast, which turned out to be a cyst, but led them to find the DCIS on the right side. I opted for lumpectomy, Nov 22, in 2 spots on my right breast and that was followed up by radiation. The pathology from that surgery showed a very tiny spot of invasive cancer, which led to an MRI. The MRI showed an area of concern on the left breast and led to a biopsy. The biopsy showed invasive lobular carcinoma on the left, so I went back for lumpectomy, and lymph node removal, Feb 14. I also had genetics testing done. The pathology from the second surgery showed that I am at a very high risk for reoccurrence and possible development of other types of breast cancer. The genetics testing came back negative for any mutations. I have decided to have double mastectomy and reconstruction at the same time using my own tissue. I feel very fortunate that I have not had to have chemo, and I am on Tamoxifen for at least 5 years. I would be interested to chat with anyone who has done this surgery and know your experience. Thoughts and prayers are with each and everyone of you as you go through your surgeries and recovery.

  • ipenelope
    ipenelope Member Posts: 301
    edited May 2019

    hodgepodge- Yay no chemo!!! Very happy for you!! I haven't heard when I'll start the anti- hormone but I'm hoping my MO will be nice and push it back as summers with the humidity here are bad enough and I'm already sick of the hot flashes!!

    Rush1187- sorry you've had to deal with all the issues you've dealt with!! I've done the bilateral mastectomy with immediate reconstruction but I didn't use my own tissue so can't give you any insight into that. I hope the next few months go quickly for you so you can get on the road to this being a thing of the past!!

    I hope everyone else is doing good and hanging in there!!

    ~💗 Katie

  • rush1187
    rush1187 Member Posts: 10
    edited May 2019

    ipenelope

    Thank you so much. I am sure that everyone feels as I do, that waiting is one of the hardest parts. Definitely looking forward to putting this all behind me. I hope your recovery is going well after your surgery.

    hodgepodge

    So glad no chemo for you either. It was such a relief to me. I have already been on Tamoxifen since beginning of Feb, frequency of hot flashes hasn't been too bad for me, but when they hit....PHEW! If there is no harm in holding off until summer is past, I would say it is a good option. One note with taking the tamoxifen, I took it the first couple of days in the morning, and did not feel great during the day. I started taking it before bed, and that has been much better for me.

  • ipenelope
    ipenelope Member Posts: 301
    edited May 2019

    thank you rush, my surgery was actually in November 18 with 2nd surgery coming up in June... again the wait is terrible I want things done so I can live again!!

  • FrenchPorsche
    FrenchPorsche Member Posts: 75
    edited May 2019

    hello brave ladies. I need to quickly get something off my ‘chest’. Things seem to be going so well with my recovery but I saw my surgeon today and she’s concerned about the swelling and bruising I’ve developed since the drain was taken out. She told me to wear a compression bra - I have a post mastectomy sports bra which I’ve worn a bit, but not much since it’s been very tight and unacross my back. I haven’t been told to wear this before and did see one of the other breast surgeons last week. I wish they would have said - maybe it would have helped earlier on! I’m going back in on Friday to see if it has got any better She doesn’t want to drain it due to the risk of infection.

    Then I asked about whether I’ll still be able to go on our family holiday in two weeks on Friday, which we had booked before my diagnosis. She said ‘we’ll see’. The holiday was supposed to be a nice gentle end to my recuperation before I go back to work full time. I’m so worried that I won’t be able to go. My kids will be devastated.

    Anyway, I know some of you are dealing with much bigger things at the moment, so apologies for the rant.

    Gentle healing hugs to all...

  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    FrenchPorsche Rant on... get it out. I am there with you, so wish I could have planned a summer vacation but the additional surgeries is not looking good for any plans. Hope you get to keep your plans. For the swelling I feel like the wrap they put on me yesterday after draining some areas has helped. My BS did but me on antibiotics after she drained 4 areas. Maybe you can ask your surgeon to drain the areas and put you on an antibiotic just in case. Good Luck!

  • rush1187
    rush1187 Member Posts: 10
    edited May 2019

    FrenchPorsche

    I really hope that you get to go on your family vacation. Everyone in the family goes through so much dealing with this everyday. It would be wonderful to just have that relaxing time to relax and focus on something else. My husband, son and I are hoping to go away for a week in July before my surgery in August. Good Luck, I hope it works out.

  • Pommom1809
    Pommom1809 Member Posts: 176
    edited May 2019

    Sawmy surgeon today, got a clean bill of health, no cancer they got it all. I, also will not need radiation. Doctor said I was free to do anything I want as long as it doesn’t hurt! Got the drains out today also. That wS not pleasant, but didn’t last long.

  • Motheroftwo36
    Motheroftwo36 Member Posts: 116
    edited May 2019

    so yesterday I spoke with oncologist. He said though my pathology report shows no invasion found and my lymph nodes are clinically negative, one lymph node found still had isolated tumor cells. Which means there is some sort of invasive component but they just can’t find it. He recommended everything up to chemo. He said he wants to be aggressive due to my age. He said chemo was optional though but at minimum some monthly shot and estrogen blocker pill. I have been in a daze of confusion! Seems rather extreme, even without the chemo.

    I’m seeking a second opinion at the cancer center of America. Hoping to feel good about my decision whatever that may be.

    Still have my drains but PS said he will take them out next week regardless due to increased risk of infection. The fluid is starting to be in the high 30s finally. Sleeping at night has been the worst.

  • rush1187
    rush1187 Member Posts: 10
    edited May 2019

    motheroftwo36

    I am so sorry for everything you have had to go through. The road has been a long hard one for you. I know it is hard, but try to keep your head above the water. I will keep you in my thoughts and prayers.


  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    Motheroftwo36 glad you are getting a second opinion I hope that you get some more information to help you make the decision that is best for you.



  • hodgepodge
    hodgepodge Member Posts: 92
    edited May 2019

    FrenchPorche - Has the swelling gotten better with the compression bra? I really hope you get to go on your vacation!

    PomMom - Great news on your pathology!!!

    iPenelope - agree that waiting is so hard.

    Now my rant/question... Right after surgery while still in the hospital I had one area, my sternum, that hurt leaps and bounds more than the rest. The nurse noticed that the drain had shifted over that way and you could see the tip of it poking up almost like a third nipple (although the other two are gone LOL). And when she touched it I nearly died. When the PS came in the morning he manipulated it under the skin and pushed it back in toward my breast and it felt much better. Now, that spot is really the only thing that is still really hurting. It doesn't seem to be getting better at all, maybe worse. I noticed this morning that part of my breast looks really dented in and is killing me. Of course this is the side that had radiation 13 years ago so I'm worried that the skin/muscle just isn't going to let the expander stay. Should I call the PS? My appointment is on Tuesday. Right now I'm questioning my decision to do reconstruction. The only other person I know who has been through bilateral didn't do reconstruction and raves about how easy recovery was. :(

  • hodgepodge
    hodgepodge Member Posts: 92
    edited May 2019

    FrenchPorche - Has the swelling gotten better with the compression bra? I really hope you get to go on your vacation!

    PomMom - Great news on your pathology!!!

    iPenelope - agree that waiting is so hard.

    Now my rant/question... Right after surgery while still in the hospital I had one area, my sternum, that hurt leaps and bounds more than the rest. The nurse noticed that the drain had shifted over that way and you could see the tip of it poking up almost like a third nipple (although the other two are gone LOL). And when she touched it I nearly died. When the PS came in the morning he manipulated it under the skin and pushed it back in toward my breast and it felt much better. Now, that spot is really the only thing that is still really hurting. It doesn't seem to be getting better at all, maybe worse. I noticed this morning that part of my breast looks really dented in and is killing me. Of course this is the side that had radiation 13 years ago so I'm worried that the skin/muscle just isn't going to let the expander stay. Should I call the PS? My appointment is on Tuesday. Right now I'm questioning my decision to do reconstruction. The only other person I know who has been through bilateral didn't do reconstruction and raves about how easy recovery was. :(

  • FrenchPorsche
    FrenchPorsche Member Posts: 75
    edited May 2019

    thanks for the encouraging messages. I saw my surgeon this morning and she confirmed a seroma and a hematoma but she said it doesn’t look like it’s getting worse so going to continue with the compression and see her in a week. I’m glad I don’t need to have it drained at this point but not enjoying the compression. I do know it will ease off in time though so holding on to that.

    Motheroftwo- I think a second opinion is a good idea. I hope you can be seen very soon.

    Hodgepodge- I think you should see your surgeon ASAP if you’re in pain. Either they can do something about it, or give you reassurance that it will be fine. I have a few areas that are dented and my surgeon pointed out that one is where I had a biopsy so it is scar tissue. It’s hard to know how the foob will look at this point as it is all still so swollen.

    Hope everyone else is doing ok. Sending healing vibes and happy weekend thoughts. X

  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    hodgepodge - I had one spot that hurt more than anywhere else and that ended up being a hematoma. If the pain doesn't get better I would try and get in sooner maybe they can help. Since I had to have the expander taken out on my radiated side when the went in to fix my bleed I don't have any advice about the expander on the radiated side. I hope yours starts to feel better and heals.

    FrenchPorsche - glad the compression bra is helping it not get worse but I know what you mean about compression bra. I was wrapped with a compression bra over it and now I am alternating the two since they both bug me.

    I had another 50cc removed from each side today and my left side which has the expander they took out the original 100cc of air and filled it with 250cc of saline. Today has been the best day of the week as far as pain and discomfort so I am hoping I am on the up swing. The expander was killing me with the compression as the edge was poking me terribly. Next week I go back again, they think filling the expander will help the left side but since there is no expander on the right they feel they will have to drain it every week until we go back in to add the expander on the right.

    Hope everyone has a nice weekend.


  • Motheroftwo36
    Motheroftwo36 Member Posts: 116
    edited May 2019

    anyone have the tissue expanders filled yet? I have my first appointment to fill them on Monday morning with 150cc, which is also the day I’m supposed to go back to work. Don’t know if I should take that day off too.


  • ipenelope
    ipenelope Member Posts: 301
    edited May 2019

    I'm not in your group but I've had mine filled a few times and you should be totally good to work after the fill. You might want to take some Tylenol after as your chest will feel tight. Good luck!!

  • Motheroftwo36
    Motheroftwo36 Member Posts: 116
    edited May 2019
  • rrshannon
    rrshannon Member Posts: 117
    edited May 2019

    Motheroftwo36 I had my left side filled Friday, I took some advil before and felt fine after. They look the 100cc of air out and put in 250cc of saline. They also drained my seroma's on each side at same time. Was much easier than 4 days before when I only had the seroma's drained.


  • FrenchPorsche
    FrenchPorsche Member Posts: 75
    edited May 2019

    I have good news! Saw my surgeon today and she is happy with the progress over the past week. Still a way to go on the swelling and I still have steri strips covering the wound but she won't be replacing them when they fall off. The best news is she said I can go on our holiday next Friday. I'm not allowed in the swimming pool but will be able to sit on the edge with my feet in. A small compromise in my view. Soooo happy about this!!

    Hope everyone else is also getting better and gets positive news soon too. Xx

  • MountainMia
    MountainMia Member Posts: 1,307
    edited May 2019

    Yes, very good news, FrenchPorsche! Enjoy your holiday!

    Tomorrow is one month since my surgery. The wounds (lumpectomy and sentinal node incision) have healed well. I'm able to massage the scar tissue on my breast now and break that up a bit, so it is softening. I had a very large lump of gunk (not fluid and drainable) under the node incision, the size of an extra-large egg. It's nearly gone now. HURRAY for that! The cording in my arm is even thicker, but some physical therapy is helping to increase my range of motion more comfortably. Overall, I'd say I'm in pretty good shape.

    Today is my chemo v1.1. I tried last week on Friday and they had to stop the process. I reacted to the taxotere not once but twice. So trying again today for my first full infusion.

    I looked at my pathology report again this morning (when I was up in the middle of the night.) I can understand better why my MO was rather wishy-washy about whether I should do chemo. My cancer is technically low stage I, based on tumor size and no lymph node involvement. That's a big part of how the "staging" is determined. But it doesn't take into account that it was growing aggressively as high grade, both in the DCIS and the IDC, or that I'm triple negative, or that I have dense breasts, and my tumor wasn't at all visible on the mammogram. How many other surprises could be waiting there, that they also couldn't see? After I chewed through that once more I know I'm real comfortable with this decision to go ahead with the chemo treatments.

    Wishing you all good recovery and on to the next thing!

  • hodgepodge
    hodgepodge Member Posts: 92
    edited May 2019

    FrenchPorche- I'm so happy you get to go on your holiday!!!

    Motheroftwo I got my first fill (only 50 per side) and I felt mostly good afterward. A little achey. Kind of like getting braces tightened, except for my boobs.

    rrshannon - how are your seromas? Is the pain better?

    Update... the spot that was causing me a lot of pain, according to the plastic surgeon, is where the expander edge is pressing on a nerve. He hopes that with fills it will get better. I got my first fill and boy does it look wonky! I look like a popped can of biscuits with dents here and puffs there. :( I need to go find some new clothes. I was an F cup before so my shirts look absolutely ridiculous. And who knew I had a Buddha belly hiding under my boobs! Getting used to my new body one day at a time.

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