Pleural effusion question

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AnnieLNZ
AnnieLNZ Member Posts: 23

Hi there

I had an IPC (Pleural Catheter) put in almost three weeks ago and have been having it drained every 2-3 days. From draining at least a litre each time, the volume started to reduce & the last two drainage attempts produced less than 50mls. Yay! However today I drained a litre - it was slow going and took around 45 minutes before it stopped.

My question is has anyone else with a pleural effusion had this - the fluid reduce, stop and then start again?

My CBC bloods are good, and my tumour markers are trending down. And I've had no trouble with breathlessness.

I'm due to see respiratory specialist on Monday but just thought I'd check and see if a fluctuation in fluid has happened to others.

Thanks

Annie

Comments

  • Sportymom
    Sportymom Member Posts: 77
    edited October 2019

    Hi AnnieLNZ

    I have been in the hospital for two days now and have been having my pleural effusion drained. I am told to be prepared to hear the worst that I have progressed. I came in with extreme breathlessness. I wanted to let you know that you are not alone

  • AnnieLNZ
    AnnieLNZ Member Posts: 23
    edited October 2019

    Hi Sportymom

    Ugh pleural effusions are no fun - not that any of this is fun. The breathlessness is the worst - espcially if you're used to zooming about. In my case the breathlessness was the first sign I had that something was wrong. I had been twelve years cancer free so it was devastating to find it not only in my pleural sapce and lungs, but scans showed tumours in my liver and bones. But I look at it as without the pleural effusion I would not have found out about the tmours elsewhere.

    Pleural effusions from what I understand can be managed - starting in February mine was drained every 2-3 weeks as an outpatient via thoracentesis, while I started hormone treatment. In April I had an IPC inserted and had bi-weekly drains until May when the volume of fluid had reduced. I then had the talc inserted and continued with regular drains until August which is when the fluid had pretty much dried up and the pleural space had sealed itself. It's now October and aside from the scar the IPC is a distant memory :) And with the IPC and the regular drainage my breathing was SO much easier.

    I hope that helps somewhat - like this whole journey there are ups and downs and there were days when I had huge downs (especially if my fluid levels went up). As an example I had a CXR prior to the IPC removal which showed there was a miniscule amount of fluid, but I became so worried and paranoid after the removal that my doctor gave me another CXR five days after removal - this showed there was even less than a miniscule amount of fluid! So if you're worried ask questions, but most importantly remember be kind to yourself, allow yourself to be sad, angry, and the whole raft of emotions. Remember that you are not alone - we are all here for you. xx

  • Sportymom
    Sportymom Member Posts: 77
    edited October 2019

    Thanks AnnieLNZ. I finally was discharged today from the hospital and my final chest x-ray showed all the fluid gone but there is a shadow in my upper lung. This whole thing has been tearing my family and I apart emotionally. My MO with whom I met this afternoon is stumped. Never in his 28 years of practicing has he seen a case where the pleural effusion is on the opposite lung to the breast cancer and full (I lost almost four litres of blood), plus now a shadow on my upper lung less than three months from my original CT-scan which was clear (they are not sure if it is inflammation, mets, infection, or trauma), plus I was on the most aggressive chemo FEC. We now have to do another CT-scan as the last was covered up on Wednesday with my pleural effusion and wait for the cytology results. It is a horrible time. I have also ripped my intercostal muscles on the same side many times in the last few months which is compounding everything.

    I live in Canada and will have a nurse com in 3 x week to remove the fluid from my portable catheter. I think you said you had the same thing. Thanks so much for reaching out. This is all so overwhelming. Hugs.

  • QT314
    QT314 Member Posts: 29
    edited October 2019

    Hi Sportmom. I too developed a pleural effusion on the opposite side of the cancer. This drained 3L of blood stained fluid. I am on Xeloda and as my tumour marker was decreasing have stayed on it as post drainage showed clear lung fields on X-ray. I have been back exercising and remain free of fluid and symptoms several months later so dont give up hope. There is a separate topic on pleural effusions which are not uncommon manifestations in our situation.

  • AnnieLNZ
    AnnieLNZ Member Posts: 23
    edited October 2019

    Oh sportymom! I'm pleased your home from hospital! Yes I had the nurse come in or I went to the clinic in town (I live in New Zealand). Once you get into the swing of it it gets easier and the relief in the breathlessness is awesome.

    When were you first diagnosed - was it June or March this year, and was this your first diagnosis?

    This whole shebang is such a horrific emotional experience - especially in the early days, and when waiting for results. I honestly don't think there is anything worse than the waiting for results.

    What I try to tell myself is I have a chronic disease - I know that my goal of getting to 90 (I turn 49 next week) is now unlikely, but it is possible to continue for many years. Having said that it's the unknown that's hard, but I'm working (rightly or wrongly) on the basis that I'm currently able to do all my normal activities and get on with my life as much as possible. There were times (pleural fluid - ugh!) where I couldn't do that, and there will no doubt be times ahead where I am again limited by my health. Two things that helped cement this line of thinking were losing a friend in a car accident earlier this year, and thinking of my aunts partner who has a chronic kidney condition and has a very limited ability to many things.

    Having said all that I am not always so positive and despair at the cards I have been dealt.

    Do you have access to counselling for you and/or your family? Sometimes having someone to talk to about your emotions who is not directly involved is a good way to vent and sort things out.

    Feel free to reach out if you need. xx

  • Sportymom
    Sportymom Member Posts: 77
    edited October 2019

    Thanks QT314 for your story. It helps to know that others have survived this.

    AnnieLNZ my first diagnosis was June 7 initially with my surgery being July 4. So this is horrific for sure. If this is nets it means that the FEC was not effective at all. I hope there are other options out there for me

  • Sportymom
    Sportymom Member Posts: 77
    edited October 2019

    I received the worst news today. I have been diagnosed with a metastatic pleural effusion that occurred while I was on FEC treatment so am officially Stage IV. I am absolutely devastated. I have a 12 year old and 8 year old sone whom I won't get to see grow up and a fantastic husband that I will leave behind. How do I deal with the depression and grief so I can enjoy what time I have left? I am terrified. I do t know where to turn.

    You ladies on these boards are wonderful to each other. I am hoping for some of your strength and wisdom. I feel so sad and despondent even though I have had a full life filled with blessings. I need help to see any joy in this

  • AnnieLNZ
    AnnieLNZ Member Posts: 23
    edited October 2019

    Oh Sportymom I'm so sorry to welcome you to the Stage IV crew. What you are going through right now is so hard and uncertain, and trying to see the light amongst the dark must feel almost impossible. Please know that it does get easier - several women on this board told me this in February and I could not see how it would. But here I am in October and everything feels different. Give yourself and your family time to come to terms with this new reality.

    The community on these boards has been so helpful for me - here's a short thread with some advice I received when I was struggling: https://community.breastcancer.org/forum/8/topics/...

    As much as you are able get a great medical team around you, get a second or third opinion if you want (remember you are the one in charge here). And on that note my motto is don't let your cancer define who you are. You are so much more than the cancer.

    Reach out for help and support whenever you need it - these boards have been great. Find people who are supportive and positive - everyone reacts and copes differently so try and surround yourself with those people who lift you up rather than drag you down.

    Sending you a massive hug all the way from New Zealand xx

  • Sportymom
    Sportymom Member Posts: 77
    edited October 2019

    Hi Annie,

    You have been a light in my darkest hours. Thanks you for being here for me. I am still in the initial shock and horror of it all. Last night I felt better sitting beside my kids while they had their video game time and then reading with my youngest. The days are actually the hardest as my kids are on school and I am off of work. My husband is now working from home and is hugely supportive but I have trouble staying awake where I have to come to terms with reality.

    Please stay in touch if that is not too much to ask. I need rays of hope like you in my life. I’m sending you a big hug of thanks from Canada. Thanks

  • AnnieLNZ
    AnnieLNZ Member Posts: 23
    edited October 2019

    Hi Sportmom

    Know that I'm here if you need :) It's the hardest thing facing a cancer diagnosis when you have young children, and too much spare time when your mind can wander and go to dark places is absolutely tough. In the early days when I was anticipating the absolute worst I was sent this quote "What do you know, and what do you just believe?" which helped me bring my mind and thoughts back on track.

    Try and notice the times where you feel better, or find simple joy in things - you will find as time goes on they will increase and the darkness will lessen.

    Keep in touch - you can PM me if it's easier - and let me know how you are doing.

    xx

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