Port questions

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Karen2019
Karen2019 Member Posts: 98

I am having a chemo port put in next Monday, but have not yet decided exactly when to start my TC treatments. (I am trying to figure out how to work them around travel for Christmas.) I would like to hear everyone's experiences with how long the area hurts after the insertion procedure (hours? days? forever?) and how hard it is to sleep on your side or on your stomach with it. I have just last week been allowed to sleep normally (on my stomach) after my surgery, and I really, really, really hope the port doesn't make sleeping impossible again.

Also, do you get a choice of which side the port goes in? My right side is my cancer side, but my left side is the side I carry my purse on and I honestly am so used to having it on my left side (after 52 years) that I get all discombobulated when I have to carry it on the right!

Comments

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited October 2019

    My port has been in 7 years. I don’t remember any pain after inserting it. It was placed on the non cancer side then, but ca came back there. I used to carry my purse on left side too. Gave it up when I realized all the useless stuff, rarely used , stuff made my back and shoulders hurt. Just carry a clutch big enough for phone now. No problems sleeping on either side.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited October 2019

    Karen - there is a recent thread that discusses lots of port questions but I can't find it just now.

    I loved my port. Kept it for 5 years for infusions, blood draws, contrast for CTs, etc. I had the port installed one day and they left the "dangles" (connections) so I could start chemo the next day. Or they can seal it off. I don't remember any long term pain - certainly not more than a week. There was never any problem sleeping on my side or my stomach - although I had pretty much transitioned off my stomach by then due to all the other surgeries.

    It's normal to put the port on the side that does not have cancer. I too carry my purse on that side & never had any problems after the first week. However like Spookie's Mom, cancer did convince me to ditch big purses. Why was I still carrying all that stuff? Enough to nurse the entire city in case of a nuclear attack!!! I now use just a small/medium cross body bag.

    Be sure to draw the outline of your bra strap w/magic marker so it won't go right under that strap and rub. Also talk to your doc about placement that is low enough not to show with scoop necks.

  • Cowgirl13
    Cowgirl13 Member Posts: 1,936
    edited October 2019

    My experience with getting my port put in was very atypical. I felt like I had been kicked by a horse for a week. My body just over reacted to having this procedure. I think it was in for a week before my first chemo which did hurt, momentarily. But please don't think your experience will be like mine. What I would say is that if you can, err on the side of caution and give yourself a little extra time.

  • Karen2019
    Karen2019 Member Posts: 98
    edited October 2019

    Cowgirl, so sorry for your bad experience! I definitely think I will be cautious and give myself extra time.

    Spookiesmom and Minustwo, thank you for the reassurance. And you are right about the purse issue - I have been carrying a much lighter purse since my surgery and have learned that I was carrying around an awful lot of crap all these years for no reason

  • Karen2019
    Karen2019 Member Posts: 98
    edited November 2019

    My port was implanted today, surprisingly on the right side. They told me they always do it on the right, regardless of whether the patient's cancer was on the right as well. They stated that this was because putting it on the right gives a "straight shot" into the carotid artery the want it in, where the left side does not.

    It is pretty sore right now so I'm pretty sure I won't be able to sleep comfortably in my normal side/stomach position tonight, but they told me that should improve in a week or so. We'll see...

  • Wildplaces
    Wildplaces Member Posts: 864
    edited November 2019

    Karen,

    This experience relates to Australia but I dont think it will be much different.

    It is a 40-60 minutes procedure that can be done under local anaesthesia with light sedation or general anaesthesia. You will be given antibiotics at the time of insertion. Most surgeons will go to your right side because of venous anatomy but sometimes after reviewing your films and your torso they may chose the left.

    Mine was painful for about 5 days - but I am very flat upper torso - of average size just no fat on my chest so there was a bit of skin stretching for a pocket to house the port chamber. The chamber is small - lets say 3 by 3 cm approx.

    Should be able to sleep on your tummy - just put a pillow on that side for a swimmer's position. It will probably not be comfortable if you want to sleep port side down on your side.

    You can get a local anaesthetic cream to pop on your port 30-45 minutes prior to it being accessed so you dont feel that for chemo - its a lignocaine based mix. Here it is called Emla.

    Car seat belts and bag on the port side are annoying for a while.

    Wishing you well,

    🙂🐣

  • Karen2019
    Karen2019 Member Posts: 98
    edited November 2019

    My port placement went fine generally, though somehow I hadn't realized that it would actually involve two incisions - one under the collarbone for the port and one in the lower neck for the catheter into the vein. It was implanted on my righ side, where the nurse said they always put it, regardless of your cancer side, due to the venous anatomy. The two incisions are still fairly painful, especially with movement. I have been able to sleep ok, though, thanks to the Percocet they gave me. I am definitely glad my chemo doesn't start for another two weeks, though, so I will have a chance to fully heal defore then

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited November 2019

    Karen - proving again - all docs are different !!! I had my port on the left side because the cancer was on the right. I also had only one incision more than 2 inches below my collar bone & not much bigger than an inch. After the port was placed, I started chemo the next day. Hope your pain doesn't last too long.

  • msphil
    msphil Member Posts: 1,536
    edited November 2019

    hello my port was put on right side surgery on left was just little sore couple days but slept pretty well good luck. msphil idc stage2 0/3 nodes 3mo chemo before and after Lmast then got married was planning wedding at diagnosis. Then 7wks rads and 5yrs on Tamoxifen. Praise God for Inspiration I had Hope Positive thinking this year am 25yr Survivor.

  • Bejeweled
    Bejeweled Member Posts: 49
    edited November 2019

    Karen,

    I had my port put in (right side) on 10/7. It was a bit sore, kind of radiating back through my right shoulder for about 10 days. The first week or so, sleeping on my right side was uncomfortable, but it did go away. Like some one else said, seatbelts on the passenger side rubbed it in an annoying way for a couple weeks, but that's it. I had my lumpectomy and reconstruction on 10/28, and it was completely healed and comfortable for all sleeping positions well before that surgery. Now of course I am uncomfortable all over again, but not from the port.

  • Karen2019
    Karen2019 Member Posts: 98
    edited November 2019

    Bejeweled - my port and vein incisions are slowly getting less sore, but just in the past two days have gotten very itchy, along with the area between them where I can feel the catheter under my skin. I think it's primarily a reaction to having the Saran Wrap type bandages on for five days, but it's driving me crazy. I also feel like both of my shoulders are tight and sore since the implantation, which is weird. I'm glad I have a PT appointment on Tuesday so I can have my therapist help with that. I hope your post-surgical pain lessens soon. It's amazing how many types of pain and levels of discomfort this damn disease puts us through at once.

  • Dixie02
    Dixie02 Member Posts: 85
    edited November 2019

    Photo not mine. Found on rleepenn's wordpress blog.

    image

    I just got mine on Wednesday. The actual port feels fine, the incision is a tiny bit sore still, but not bad at all. The first night I slept on my back. The second night I rolled over in my sleep. I have a spot on my neck, and the catheter tube going down (like in the picture that I found on a blog site) that tube is stitched to the muscle, and that was painful. But, perhaps there's different types of ports because most photos online don't have that. It's fine now, other than a feeling of having a stiff neck, and when I wake up and move out of bed it hurts from being in one position all night. But, it's on the mend, and improves everyday.

    I'm the type of person who barely drinks alchohol so recovering from anesthesia probably took me longer than average. It was my first experience with surgery as well. I was done, and home, by 1pm and slept most of the day, and the next. A headache was what bothered me most, and I'm borderline anemic so I think my body just needed the rest.

    It's on the opposite side of my tumor, and I wear a crossbody handbag, and that wasn't much of an issue.

    I know it's scary, and you've had a lot of information to process already. It helps me to know that I'm finally starting the treatment process. One member said that she considers it her port of entry for thousands of little chemo warriors to rush in and attack. That imagery helped me.

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