continued Tissue expander pain!!

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  • katesf
    katesf Member Posts: 139
    edited September 2007

    Hi Ladies: Just catching up on this site. It really helps all of us to know we're not losing our minds. Our pain and discomfort is real but it sounds like it will come to an end when we get the exchange surgery, thank goodness. Traci, I don't know, but I think the reason I have the cleavage is because my ps started with 200cc in each expander the day of surgery immed.following bil.mastec. but who knows?? I noticed the size increase after Monday's first fill and I'm still feeling very tight and sore. Just got to keep thinking about the final outcome. Margaret, I just wanted to mention something about your taking time off from work. I've been off for six wks. and am planning on "trying" to return in two weeks. Very hard to imagine working all day. My nurse suggested calling EAP, the Employee Action Program who counsel people about issues like ours. I met with a counselor yesterday and again tomorrow just to discuss my concerns and anxiety about returning due to my stressful job and dealing with the discomfort etc. Don't know what state you live in, but I'll give you their number if you want to check it out. 800-383-1908. Jean, I know I was so scared before my surgery when I read some of these sites as well. Some of the women seem to get through this with less trouble than others. Ultimately, the main thing is we get rid of the cancer!! Having a strong support system sure helps in the whole process too and not pushing yourself while you're healing. My heart goes out to you because I know where you are now and it is scary. I just keep reminding myself how far I've come since May with the biopsies, then the surgeries in July and now 6 wks post op. This whole experience hasn't been fun, but my DCIS cancer is gone now and I have faith in my ps that the outcome will be good and all of this will have been worth it. I know I made the right decision for myself. I'm sure you will too. Hang in there...Take care.... Thank goodness for this website. Katie   

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2007

    Jean, please don't be scared of recon. I have not had that much pain with my surgery and recon. I only took the prescription pain medicine when I knew that the PS was taking out the drains or sutures, as well as when I was too active right after surgery and did not rest properly. When he did a 100cc fill on me 3 weeks after surgery he asked if I needed any more pain meds. He normally did my fills slower (60cc at a time) but thought he would try more. I did have some discomfort after the 100 and asked to go back to 60. I left the hospital June 4 with a prescription for 30 oxycodone and I still have 6 or 7 pills left. I took one the other night because I worked too much on a yard sale and my back was sore.

    Sheila

  • Marlee
    Marlee Member Posts: 17
    edited September 2007

    I am post surgery 6 weeks as well.  My tissue expander is now 'softening' and isn't as hard as a rock.   The fluid injections will make it sore (stretching the skin) but I had pain killers to help me - and I needed them.  Sleeping was also difficult.  I only had to have two injections - I started 2 weeks after my surgery so I probably had more pain than you will since you are now at 6 weeks.  Good luck.

  • Urbie
    Urbie Member Posts: 154
    edited September 2007

    Jean - all of us have had differerent experiences with both the surgery and the expansion.  I took my share of pain meds the two following weeks after my bi-lateral, but I know people who just took tylenol.  I had my first fill of my expanders this past Monday (100cc) and had really no pain at all.  My chest was a little sore during the night sleeping, but not anything bad at all.  And after three weeks of a very flat chest, I will take a little discomfort to see some small mounds starting to appear!  It sounds so silly, but I can't wait to feel good in my clothes again.  And then the question remains....  how long will I feel that I have to wear a shirt while making love with my husband!  It is me, not him.  Does anyone else feel this way or am I just crazy?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2007

    Tina & Traci



    Thanks for the pep talk. I am having a mastectomy, reconstrcution AND having my pacemaker moved all in one surgery. I know if I put off the reconstrcution, I will not want more surgery. I have had over a dozen all really and enough is enough.



    I have had a terrible time with my chemo, but I will need to have more chemo following the surgery. I worry about the fulls being down at the same time as my chemo. I will be vomiting and not in a postion to be able to lean over.



    I have also read, I will need a lounge chair because I will not be able to sleep in a normal bed. Gee, and I even have to worry about my dogs jumping on me. (Tiny poodles).



    Jean

  • bmoran413
    bmoran413 Member Posts: 8
    edited September 2007

    Jean,

       A recliner is a must!  I've been out of it few over a week but after this 2nd fill I might use it again. 

       I haven't heard this question posted.  After my 2nd fill, my prosthetic is too big to wear so I'm back to being uneven.  My next fill is next week so I'm not going to get a new every week.  I've been wearing "busy" shirts so it's not too noticeable but I feel it is.  Any suggestions?

  • moogie
    moogie Member Posts: 499
    edited September 2007

    Margaret:

    Have you tired gabapentin? It is not a pain med, but helps nerve pain.

    Moogie

  • Traci-----TripNeg
    Traci-----TripNeg Member Posts: 2,298
    edited September 2007

    Hey Ladies!

    Tina, it took me awhile to figure out OTOH but I did!!!

    Guess what!??? I found the cure! I went to my GP today. She is so cool. She is my age and I really like her alot. I went to her with my lump and teared up when she felt it. Anyway.........

    She was running late today. I waited 45 minutes. When she walked into the room I just started crying. I was so uncomfortable with the expanders. We talked and she prescribed Lidoderm patches!

    I went and got them immediately. I cut them so I could place them wear the pain was ..... everywhere but my scars..... and it was about 15 minutes when I started feeling relieved. Two hours later....and I just feel a little tight. I am stretching without wincing and can't wait to call her tomorrow to tell her what a wonderful doctor she is!!!

    Lidoderm patches ladies!!!!!!!!

    Woo Hoo!!

    dpbrown, what the heck is a VS Ipexx line?

    katesf, can you scroll up and see my question about cleavage? Does anyone else have cleavage?

    I hope everyone is doing o.k.

    Hugs, Traci

  • Traci-----TripNeg
    Traci-----TripNeg Member Posts: 2,298
    edited September 2007

    Wow...we must have all been posting at the same time. lol...

    Dang Jean, you are really going thru some stuff. You go girl. Why are you vomiting? They gave me Emend and I only got sick twice throughout my entire chemo treatment. Granted....I felt like thowing up 100 times but only really got sick twice.

    bmoran, Get some pillow filler or, the things you stuff in bras, or some tissue, or the like, and with some soft medical tape (which I'm sure we all have) form the other breast to match. Presto. My little sister used to do that with hers. She wore spaghetti straps with that! Hope it helps/works for you.

    : ) Traci

  • Dnicoletto
    Dnicoletto Member Posts: 76
    edited September 2007

    Jean, Tina is right. Not everyone has that kind of pain with expanders and not everyone gets sick with chemo. I just had an expander fill yesterday and am taking it easy with some Ibuprofen today. It is worth being uncomfortable to me to get as "normal looking" as possible after all this.

    Count on having an uncomfortable day or two after each fill and you should be just fine! My doc always says that he doesn't give martyr points so ask for pain meds if you need them. And I do!

    For what it's worth....

    ~Dorie

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2007

    My doc said it is important that you be comfortable and if I needed additional pain meds he would prescribe them for me. I didn't though, I used tylenol most of the time.

    Sheila

  • dpbrown523
    dpbrown523 Member Posts: 40
    edited September 2007

    Traci,

    The VS Ipex is the Victoria's Secret bra that my surgeon told me to get.  I was really frustrated trying on bras because none of them really fit me.  The Ipex fits perfectly!  Looks really good and I do have cleavage.  Problem is, my mastectomy scars and drain tube scars are still sensitive so I go braless 99% of the time for comfort. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2007

    Question for all of you:



    Forgive a stupid question, but are the expanders completely empty after surgery or does the PS put a lttle something in them during surgery. I am wondering if I will have a big bumpy lumsp on my chest following surgery - empty bags - or do they streach with each fill?





    Traci



    I also had the Amend for the last 2 tx. but my new onc added somethingto my IV, a long lasting antinausia med. It was suppose to last for 6 days! I also had 3 or four other meds just for the nausia. I rarely vomited, but spent weeks, "on the verge" Oddly the only drug that seemed to work well was Compazine. Maybe I shouldn't say that, becasue without the others I may have been hanging over the toliet all the time.



    I had a pacemaker implanted shortly before I developed the BC, the reason was to prevent abnormally bad alergic reactions....my heart stopped. After this chemo I saw my PM Dr and she said my PM had gone off over 165 times in the last 80 days (since I saw her last.) I must be alergic to the Taxotrere and it was stopping my heart.



  • Sociologist
    Sociologist Member Posts: 237
    edited September 2007

    I'm learning there's no such thing as a stupid question (I've asked them all!). My PS put 100cc's in the expander to come home with. Due to the swelling though it was barely noticable. I'm at 520cc's now and look lopsided (don't care though, much better that than cancer). The expander is much higher than my other breast  because it hasn't settled down yet. Looking at it naked is funny because the expander side kinda starts at my collarbone and stops just where it'll eventually settle.

    I did decide to do a reduced work schedule and than goodness the college is supportive. I'm only having to go to school 2 days a week and teach from home the rest of the week. This will be much easier on me for sure. Katie, thanks for the tip on the EAP (by the way, I live in a suburb of New Orleans LA). I did go back to work way too soon...4 weeks after surgery and boy was it difficult! My students and the college have been great about all of this.  I was just concerned that they'd tell me no and hire someone else to do the job I love.

    Moogie, I've never heard of gabapentin...where do I find it? I'll try anything to help alleviate all of these symptoms.

    Urbie, I wore a shirt the first few times. I didn't even want to see my frankenstein-like scars and I wasn't comfortable with hubby seeing them either. He actually asked me to remove my shirt if I was comfortable and I figured what the hell...we've been married 32 years and he's seen everything else and been through everything with me so why not. I'm still a bit self conscious with being naked but it is getting better. I especially like to look at myself on the day after I have the fill. It's weird when they do it because you can actually see the size increase before your eyes (kinda like blowing up a balloon!).

    You ladies are great. Yall have a good night.

    Margaret

  • Melanie53
    Melanie53 Member Posts: 59
    edited September 2007

    I had so much pain with my tissue expanders. One of them was up near my collarbone, and the muscle felt like it was being ripped apart. On the other side I felt like my rib was broken. It was miserable, but the memory of the pain is fading since my exchange four weeks ago. It really will feel so much better after the exchange. It was immediate relief for me.

    I'm sorry about the pain that you're having. My doctor would not prescribe muscle relaxers, and when things got really uncomfortable, I took 0.25 mg. of Xanax, which helped me quite a bit. Most of the time I took Advil after the fills and on the following day.

    I hope that you feel better soon!!!!!!

  • Sociologist
    Sociologist Member Posts: 237
    edited September 2007

    Melanie, I'm so glad I'm not the only one with a "boob" near my neck! It's really funny though especially when I wear a scoop necked tee shirt because you can see I've got quite a boob going on there! I'm so glad to hear the exchange brings an end to this stuff. I'm going for mine December 17th and I can't wait.  Did you have any issues after the swap? How does it feel in your chest or do you even notice it? I feel the softball in my chest now every time I move. I don't know how you did it with both sides being sore...my hat's off to you on that one. I feel like a ninny most of the time whining about my piddling stuff whe I see so many others going through much worse things than I. I guess it's all relative though...each one of us has had a unique experience that's brought us together for support and for that, I'm so thankful. Take care.

    Margaret 

  • Urbie
    Urbie Member Posts: 154
    edited September 2007

    Good morning ladies!  I know that this is probably not the place to post this information, but this seems to be the thread that I check everyday so I feel like I am kind of getting to know you all....  I finally received my Oncotype score and it came back at 15.  I was so happy that Chemo may not be in my future!  My surgeon said that he didn't think that my Ocologist (haven't met him yet) will have me do Chemo with this score - benefit and risk pretty equal.  I meet the Onc a week from today, but I finally feel like this whole experience can now become something that will shape the rest of my life, instead of something that I am in the middle of.  Sounds strange...  I am so eager to continue on with the tissue expansion and to look forward to the exchange ~ maybe the week of Christmas :o)    And, I am now able to sleep with no pain relief and no sleeping pills.  Good days ahead - next fill in four days!  Thanks for listening. 

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2007

    Jean, the only stupid question is the one not asked. My PS uses AlloDerm to create a pocket to cover the bottom and outside of the expander and by using that he can put some saline in at the time of surgery. He initally told me he would try to get 100cc in but after surgery he said he got 200cc in. I think that he underestimates prior to surgery so you won't be dissapointed if he cannot get the original amount in he said.

    My expanders were uneven at first, but as the fills progressed, they evened out. My PS also said that they would be even after the exchange. I also was uncomfortable with my husband seeing my scars but he said I have to live with you on weekends (he is trucker), I will see it sooner or later. I let him see it after the first week.

    I agree that it is unusual to see it the day of expansion, like a balloon blowing up. My husband also said he liked coming home on weekends after a fill to see how big I had gotten.

    I go back the 27 to the PS and talk about exchange.

    Sheila

  • theresa
    theresa Member Posts: 3
    edited September 2007

    Hi Ladies,

    Thank you for your comments.  I feel better now since I have read them. I had a bilateral mastectomy on Aug 30.  I am actually getting filled for the first time today.  Right now I feel like the expanders are cutting into my rib cage.  At night when I sleep I actually used foam that I placed in my bra which has help a great deal. I try not to take any prescription meds becasue I do not want to get addicted to them.  I also have to have chemo although, it did not start yet.  I do have a very positive attitude and think that each day I am blessed that the cancer was found. Thanks for the support.  

    Theresa   

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2007

    Taking a pain pill occasionally will not get you dependent. Last fall I had a lumpectomy for precancer and was given a presc for 20 vicotin, I still have 10 of those left. I had a prescription for 30 oxycodone when I left the hospital June 3. I still have 3 or 4 left. I took them when I needed them, usually when I had overdone and was hurting. My PS even asked if I needed a refill in July when he did a larger fill on me than before and I told him that I still had about 6 left. You will only get dependent on them if you let them become dependent. If you need them, use them.

    Sheila

  • katesf
    katesf Member Posts: 139
    edited September 2007

    Great news, Urbie! I'm so happy for you. I'm also glad you're feeling and sleeping better. I'm also hoping for my exchange in December. I just want to get these expanders out and move on. I get my second injec.next Friday. I might try 50cc next time instead of 100cc. ouch....I'm at 300cc in each now and my ps is planning on going until 550cc. I'm going to ask if we can stop at 450cc because I'm not looking for anything more than a b cup. After 6 wks. I'm still having a lot of discomfort which advil doesn't really help. I've written down some of what these other ladies have mentioned, like the Lidoderm patches and Gabapentin to discuss w/my primary M.D. 

    Anyway, congratulations on your news. Your great attitude is an inspiration to me. One day at a time, right! Have a great weekend too.

    Take care, Katie

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2007

    Shiela



    Isn't AlloDerm experimental and not coverd by insurance? If so, was it terribly expensive?



    I have developed a lot of pain on my left side, breast, under my arm, (Possibly the nodes) and I cannot rest my left arm against my body without experiencing pain. I really fear my pre-op chemo was a failure.



    I switch onc after TX 2, and my new onc said surgery should have been perform frist, then followed with chemo, TAC not TC. Having chemo first was just wasting valuable time. I think it was a failure and the tumors continue to grow. By the way, my first onc, never informed me that my PET/CT (done prior to starting chemo), showed more growths!



    Thanks for your help, I am so very frightened.

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited September 2007

    The insurance says that it is not approved for Breast reconstruction and my PS said that he has used it on over 30 patients and my insurance was the worst as far as paying. I have BCBS and they finally paid the part of the surgeons bill for doing the reconstruction but denied the part of his bill for using the AlloDerm. He told me that if they paid the first part he would write off the second part. The first part was about 5500 and the second part was about 2800. I just found out this week that they paid part of it after fighting over it since July 1. Sherry (livefortoday) had the onestep alloderm recon where they put the final implant in with a larger alloderm pocket. You might want to see how she got the insurance to pay for her alloderm.

    I was lucky in that I had DCIS and do not have to take chemo or rads.

    Keep your chin up, it is normal to be frightened when faced with cancer.

    Sheila

  • mtc1971
    mtc1971 Member Posts: 15
    edited September 2007
    I could not deal with the pain I was having so I had my expanders removed when the ps went back in to do some scab clean up.  I felt 100 % better after so have decided not to do any recon.  My onc said that the surgeons need to "fix" my chest as they left me at a "first stage recon" The surgeon didn't like that so he sent me to another onc for a second opion & she agreed withe the first onc.  I see my surgeon on the 21st to see if the are going to "fix" me.  The onc said I would have too many problems down the road since I am also diabetic.  I haven't slept in a bed for more than 2 hours since my bi-lat in May.  My recliner is my new best friend.Laughing
  • katesf
    katesf Member Posts: 139
    edited September 2007

    Hi Mtc:

    I'm just curious how long you had the expanders in after your surgery before removing them? It's actually crossed my mind to remove them sooner than later. I'd sure appreciate your input.

    Thanks so much and take care.

    Katie 

  • mtc1971
    mtc1971 Member Posts: 15
    edited September 2007
    I had them in for 2 - 3 weeks.  My incision was not healing together so they when back in to a redo.  I decided then I was in too much pain to do the recon & had them remove the expanders.  I decided that since I was flat when I came into this world, I can go out flat Wink
  • katesf
    katesf Member Posts: 139
    edited September 2007

    Thank you for that information. I'm going to discuss this before he gives me another saline fill next Friday. I'd be satisfied with the current size I am right now if it's an option. I really, really hope my ps say's it is. I'd still have to wait over a month to get the exchange done.

    I really appreciate your input. Thanks again. :) Katie

  • bmoran413
    bmoran413 Member Posts: 8
    edited September 2007

    Ive had two fills already but even before the first one I was really wondering if it's worth it.   I have rib pain along with a terribly painful spot near where the drainage tube was.  Today my pt looked at it and thought it looked funky.  My ps "poo pooed" it last week.

    I am starting to really stress about the thought of going through another operation - what I've read, the exchange sounds encouraging but i also will get a reduction on the other side.  what can I expect from that?

  • dpbrown523
    dpbrown523 Member Posts: 40
    edited September 2007

    I think it was totally worth it!  I had the tissue expanders in for 9 months and it was uncomfortable, but now that I have silicone implants they are much more comfortable and really are perfect except for the scars that are still pink.  That will go away eventually.  I am going to have the 3D tattoos done because now they just are not completely finished.

  • Traci-----TripNeg
    Traci-----TripNeg Member Posts: 2,298
    edited September 2007

    Lidocaine patches ladies......I'm telling you, they work.

    Cool I was ready to give up.....now, I'm all better. Oh yea...hydrocodone too. : }

    Traci

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