continued Tissue expander pain!!

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  • denise1956
    denise1956 Member Posts: 59
    edited June 2008

    Sharon all i can say is holly smokes, you can survive anything!!!

    Truly Wonder Woman!!!!

  • denise1956
    denise1956 Member Posts: 59
    edited June 2008

    Pam , sometimes if you are taking codeine you can really become constipated I did it was miserable. My PS told me take one teaspoon of Castor oil ( I know its sounds so awful) and swallow it with Orange juice once a day. It worked and regulated me.

  • heatherof5
    heatherof5 Member Posts: 39
    edited June 2008

    i was considering after several surgeries, family history, dr appt and meds that prophylactic mastectomy that my dr recommended sounds kind of scary.  would you ladies take one over the other.  would you continue with all of the uncertainty of when cancer may hit you or take the pain of the prophylactic surgery?  I thought who better to ask than you brave women that are going through it or have gone through it.

    thanks for your time and comments they really help in this process.

    heather 

  • kes
    kes Member Posts: 559
    edited June 2008

    Heather,

    I had a bilateral mastectomy with tissue expanders and implant exchange. The exchange was just done 1 week ago. My "good" breast was the one that I had to have a mastectomy done. My "bad" one was the one that I was being checked yearly for. The best decision for me was to go bilateral, because I knew that I could not leave that breast on in good conscience. In the path report from the good side I had atypical lobular hyperplasia, so I would possibly have been dealing with something in that breast down the road. For me it was a good choice. You will do what is right for you.

    Kerry

  • tmac
    tmac Member Posts: 236
    edited June 2008

    Heather,

    At my first BS consultation, the doc. told me to consider your breasts one organ.  That made sense to me, and stuck w/me thru the decision making process.  She also talked a lot @ QOL, for the rest of my life.  I, too, went w/bm bc I wanted to limit my risk of recurrence as much as possible.  I'm 40 w/ two small children. 

    Denise, do you happen to know how much your alloderm cost, if you don't mind me asking.  Just received an itemized hosp. bill for my bm w/tissue expanders (I requested it), and the cost of my alloderm was $31,000!  Sounds VERY high to me.  I've been searching and searching and cannot find anything to give me an idea of patient cost for alloderm.  The hospital  & my ins. co. were NO help.  The hospital is reviewing the bill, and the ins. co. has already paid their portion.     

    My PS and clinical nurse were out yesterday, so I'll call again.  Obviously, this amount greatly impacts my financial responsibility to the hospital, plus if a mistake, this is why people pay so much for health ins.!

    Good luck, 

    Teresa    

  • sneakypie
    sneakypie Member Posts: 45
    edited June 2008

    tmac: Don't know if it helps, but my itemized bill called out a code 6750012572 "Graft Dermamatrix 4x" for a cost of $8,148.63. It sounds like it could have been the Alloderm (used to form the sling for one of the expanders).

  • JanCM
    JanCM Member Posts: 62
    edited June 2008

    teresa,

    my alloderm was also around $8000+

    -Janelle

  • denise1956
    denise1956 Member Posts: 59
    edited June 2008

    Teresa,

    Haven't received anything from the insurance company yet. I don't know if it will be itemized. I will try and find out. That sounds awfully high. Mine was just a small area under my arm.  

  • michele4mom
    michele4mom Member Posts: 12
    edited June 2008

    Hi Ladies-

    Been away from the thread for awhile but I wanted to poke my head in and say hello. I was reading the latest postings and wanted to say congrats to all of the ladies who have recently completed their exchange. Way to go!

    To the ladies who are now struggling through the discomfort of the expanders HANG IN THERE. I will tell you that I helplessly watched my mother writhe in pain for 7-8 weeks. Shortly thereafter things did start to improve. She didn't think she was going to be able to take the discomfort from the expanders but thanks to encouragement from the MOST amazing ladies EVER (on this thread), she will have her exchange on wednesday (6/18). Yes, there is a light at the end of this very long tunnel. Jani, Kerry, Sharon, Hanna, Suave, Ruby and everyone else who helped us get to this point....we're almost there! Thank you, thank you, thank you. I swear we couldn't have done it without you.

    Much Love,

    Michele and Donna (mom)



  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited June 2008

    Hi Michele, Glad to know that Mom is doing better!!!  Tell her we are THRILLED for her and wishing her the VERY best!!

  • JanCM
    JanCM Member Posts: 62
    edited June 2008

    Michelle,

    I am new to this thread but I followed you and your mom's story.  I am so glad things are better!  I am getting my exchange on 6/23 and cannot wait.  And thank heavens for the ladies on this site.  I started reading this thread a few weeks after my bilat in April and this is what helped me through the struggle.  Again, "bras" off to all of you wonderful ladies!

    -Janelle 

  • Faithmo
    Faithmo Member Posts: 11
    edited June 2008

    Heather....I too based my decision for a prophylactic bi-lat on braca and strong family history.  For me, it was the right decision.  I just couldn't envision looking over my shoulder and just waiting for a positive diagnosis.  I had my mastectomy with expanders done in February.  I have to be honest, the expanders have been a bit challenging.  I had my hysterectomy on May 4th and quite honestly, that was a breeze compared to the mastectomy.  Thank goodness for this thread and the strength of the company of these women.  It has really helped! 

    I have my exchange surgery scheduled for June 30th and I can't wait!    I'm not planning on having any other esthetic surgery done to my foobs.  I'm over it and very happy to have come this far.  Good luck to you in making your decision.  I just wanted you to know that I have not looked back, despite the pain of expanders with any regret.  I'll be thinking about you!

    Faith

  • HKitty71
    HKitty71 Member Posts: 141
    edited June 2008

    I had my last drain out on Friday and while it was still putting out about 60cc's the PS said it should come out since it had been in for 3 weeks. They also were going to put in a 100cc fill but it started feeling quite full at 75cc's.

    The question I have is now the bottom part of the breast has fluid build up in it and is quite strange when I touch it. I had an unpleasant experience with the lumpectomy developing a seroma and bursting the incision open so of course I am quite paranoid about that happening with the incision from the mastectomy and expander installation. I am wearing a sports bra per the recommendation of the PS and his nurse but well still concerned.

    It does not hurt too badly due to the swelling other than my shoulder bothering me, which it did after the intitial surgery.

  • kes
    kes Member Posts: 559
    edited June 2008

    Hi Ladies,

    Teresa,

    That is interesting that your PS said to consider your breasts one organ. My PS told me that whatever was happening to one breast either biologically or genetically was eventually going to attack the other breast. THAT was IT for me. What do you mean when you say,"@ QOL". I missed that.

    Michell and Donna,

    Congrats on the upcoming exchange surgery. You will feel so SOFT. Tuesday is THE day for the final unveiling. I tell ya, it was ladies here that helped ME get through this, Jani, Hanna, Teri,Sharon, Sauve, Ruby. Hope I didn't forget anyone. I would never have been able to get through this without this thread and these amazing women.

    Janelle and Faith,

    Lots of exchanges in June. Best of Luck to you. You will be amazed with the softness. I can't believe that this is happening so soon. Seems like I lost 1/2 of the year to expando H*LL and now it is JUNE!!

    Kitty,

    If the seroma is getting too big, give the PS a call and have her look at it. PS may want to drain it with a needle. They like to get the drains out as they are a route for infection to get in. I had to go weekly and have mine drained for the first 4 weeks. They can be persistant, but mine resolved on it's own.

    Take Care Ladies,

    Kerry

  • bellazmama
    bellazmama Member Posts: 1
    edited June 2008

    YellHi all!

    I'm new here.

    Bilateral on May 23rd w/expanders.  No fills yet and two drain tubes still in.  My ribs are hurting really bad on the left side below/under the expander, and I feel a more pointed pressure straight back from the expander on the right side when I lie down.  I'm trying to keep my pain meds to just at night, but it's tough.  I'm scheduled to start chemo once the drains come ut and they can put my port in.

    Sarah 

  • Faithmo
    Faithmo Member Posts: 11
    edited June 2008

    Sarah,

    I had similar symptoms with pain below my expanders.  My ports are also located below my foobs and consistently felt pain on one side. I also had the pain from the expander back to my shoulder blade.  It became (and still is) difficult to sleep.  I have found it most helpful to prop myself up on 3 or 4 pillows.  Sleeping on either side is not an option for me.  I know what you mean about trying to minimize the meds, and relied on them in the evening.  I was pretty consistent about using ibuprofin throughout the day.  You might want to try that.

    I hope your nights get better for you.

    Faith

  • suave
    suave Member Posts: 189
    edited June 2008

    Michelle, thanks for the update. I am so glad your mom is better. Let us know how the exchange works out.

  • tmac
    tmac Member Posts: 236
    edited June 2008

    Kerry,

    QOL is quality of life.  I missed it the first time I read it in a post, too!  QOL was huge in my decision making process.

    Teresa

  • Christianne
    Christianne Member Posts: 76
    edited June 2008

    I really need to hear from those of you who have gone through the expander process.  I am in terrible pain from my last one (which was on Friday and I still hurt a lot today, on Monday).   The first 5 fills were fine, but the last two have been intolerable.  I just called my ps to ask if I should go every other week instead of weekly, and the answer was that it would make no difference--that it would hurt just as much no matter how long I waited in between fills.  I have 2 more to go until I match the other side.  For those of you who have already gone through this, do you agree with the ps?  Will it still hurt as much even if I lengthen out the times between fills? 

  • mnatiell
    mnatiell Member Posts: 1
    edited June 2008

    Hi!  This is my first post.  I had breast cancer almost 18years ago.  I had a lumpectomy, chemo and radiation and had almost 18 years of peace and good health.  Unfortunately, this past April I was rediagnosed.  My cancer was found in my lymph nodes and was called a regional reoccurrence.  I have since had a bilat.mastectomy with lymph node (eft ) removal.  All 21 nodes were malignant. 

    Not sure what my treatment will be yet but I am sure I will find out soon enough. 

    My question is this.  I had tissue expanders placed at the time of the mastectomy.  I am not whiny and am usually very good with pain.  I am finding however that this is not the case this time at all.  Does the pain ever go away????  I feel like I am wearing a very bad bra with thick exposed underwires.  My surgery was three weeks ago so I have not had any expansion ... or anything like that yet.  Do I need to give this more time????? Am I just letting it get the best of me???? Or should I just keep taking my pain pills and just give it time?

  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited June 2008

    Christianne, I totally disagree with your PS.  The pain is caused by your muscle trying to stretch and it needs time to do that otherwise it is fighting the expander.  I say wait an extra week and see how you feel. It's worth a shot IMO.  My fills were usually 60cc every 2 weeks and I never had a problem at all.  Best wishes!

  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited June 2008

    mnatiell, I am a two-time loser too so I know how you feel.  I'm sorry that you have to be trying to figure all of this out so far from your initial diagnosis.   I would guess that with 21 nodes positive, you will be having radiation which may effect your reconstruction process.  If your pain doesn't improve, do keep taking your pain meds AND ask for a referral for physical therapy.  In fact, I'd ask for the referral anyhow.  Best wishes

  • tmac
    tmac Member Posts: 236
    edited June 2008

    Christianne, I'm w/rubytuesday.  The whole point of expansion is to stretch your muscles (and also allow for tissue/blood vessels, etc. to strengthen and heal).  So, anytime you really stretch a muscle you will be sore.  Waiting for a fill everyother week should allow your body some time to bounce back from the last fill. 

    Are you taking a muscle relaxer, too?  My clinical nurse explained that a muscle relaxer (I had valium) is sometimes better than pain meds.  In saying that, I had very little pain thru the whole process.  I was very sore in the beginning, but after about wk.2 I was fine. I took pain meds w/valium for the first week or so, and then only OTC pain meds and valium the day of and night of a fill.  I only woke up one time after a fill in pain.  The next fill my PS okayed me taking 10 mg of valium at bedtime instead of the prescribed 5 mg.  No problems after that. 

    Also, how much is he filling you?  My PS explained it would get more uncomfortable as I was expanded more.  Makes sense, bc I was being stretched more and more.  And are you wearing a sports bra all the time, even to sleep?  That can help as well.

    Hope this helps and good luck.

    Teresa

  • heatherof5
    heatherof5 Member Posts: 39
    edited June 2008
  • heatherof5
    heatherof5 Member Posts: 39
    edited June 2008

    test results came from the dr himself at 9 pm from home.  The call came across number unknown, so i hadn't answered it all day and finally picked up the phone after he had called numerous times.  I of course didn't know  that it was him.  If the conversation starts with i didn't want to call you at work and please sit down,,,,you know it is not a good outcome.  I have cancer in the left breast and now need to make an appt for a plastic surgeon and oncologist.  I go tomorrow for another surgery to be set up and for radiation . They are planning on taking nodes, nipple and possible whole breast.  I have to make some big decisions tomorrow. what i thought was my prophlactic mastectomy just turned into the dr making the decision for me.  Please remember me and my family in your prayers.  I don't know what to tell my three little ones. This is Pagets cancer and is very rare he said.  Notify me if you have this form of cancer....i need all the help i can get.

    thanks

    heather 

  • rockwell_girl
    rockwell_girl Member Posts: 1,710
    edited June 2008

    Heather I hope someone can give you some advise...

    Christianne I totally agree with Ruby & TMAC about only going every 2 weeks and only do 50-60cc unless if your feeling no pain and want her to do more.  Plus by going slow I think it helps to not get stretch marks : - )

  • kes
    kes Member Posts: 559
    edited June 2008

    Heather,

    I am so sorry to hear of your news. Sorry I don't have any info on Pagets disease, but I am sure that someone has a thread here about it . Check the active conversations topic. You might be able to find it.

    Christianne and mnatiell,

    I agree with Ruby. Don't let the PS fill you too fast and too soon. Waiting 2 weeks might be better and go for smaller fills. Take the pain pills and give your body time to heal. The PS might have put some saline in the expanders at the time of surgery.

    Kerry

  • JanCM
    JanCM Member Posts: 62
    edited June 2008

    mnatiell, I had a lot of pain after my bilat with tissue expanders.  I did not think I would make it...to the point that perhaps just wearing a prosthesis was good enough.  However, 4 weeks out was the turning point for me.  The pain subsided and things got a lot better.  My PS wanted me to come in for a fill at 3 weeks and I was hurting too much.  I told him no and waited until 4 weeks and I am glad I did.  You have the right idea, just keep taking your pain medication and it will get better.

    Christianne, I'm getting my last fill tomorrow! (yippee!)  But each one has made me so sore.  I am reminded of getting my braces tightened as a teenager.  You hurt like heck until everything stops stretching and moving.  Good luck with your fills and listen to your body.  I definitely would not go back for another fill if I was still hurting.  (Taking a shower always helped me)

    Heather I will be praying for you and your family.  God chooses us for these journeys but my struggle is in not understanding why. 

    -Janelle

  • sandym
    sandym Member Posts: 101
    edited June 2008

    Hello to all, I've been reading for a few weeks but this is the first time posting. My bilat mast with tissue expanders was 3/6/08. 

    Heather: I'll be praying for you, your family and the doctors to make the right decision for you. I had 2 lumpectomies (rt side) in '03 and radiation and then 2 lumpectomies on the left side the fall of '07.  When another re-excision was needed, I opted for the bilat mast. to be followed by chemo.  It was an easy decision for me.  I'm older, the kids are grown and out of the house and there wasn't much left of my chest anyhow.  I'm very happy I had it done although I can't wait to have the expanders exchanged.  I just wanted to do what I could to have bc behind me.  Although it hasn't been fun, I was never miserable with the surgery and the fills. The chemo has made it more difficult but that's almost over too.  How old are your children?  My grandchildren are 5 (twins) and 2.  They know Nana's sick and had medicine that made me lose my hair.  They've been fine with that but I just read that the word cancer should be used so they know it's only certain sicknesses that cause hair loss etc.  You don't want them to think their illnesses are the same.  Hope this helps a little.  It must be so hard to face these uncertainties at your age with young ones but they'll be such a comfort.  I know how much my grandchildren cheer me all the time.

    Love and prayers, Sandy

  • bestock
    bestock Member Posts: 322
    edited June 2008

    Kerry

    I have had a week break and will not see him until next week. I feel much better now,a nd I hope he will slow down on the amount. I will let you know.thanks for advise

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