1st post op visit w/surgeon

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1st post op visit w/surgeon

by noahgail on Wed Mar 18, 2009 12:00 AM

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What are some important questions I should ask my surgeon post op.  Tomorrow will mark one week post operative and I am sure he expects more healing before the chemo treatment he has recommended.  Also, I will be given the path report. 

RE: 1st post op visit w/surgeon

by noahgail on Wed Mar 18, 2009 12:00 AM

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On 3/18/2009 noahgail wrote:

What are some important questions I should ask my surgeon post op.  Tomorrow will mark one week post operative and I am sure he expects more healing before the chemo treatment he has recommended.  Also, I will be given the path report. 

additionally, should i be concerned about getting addicted to my pain meds.  honestly, i would not have survived the pain !!!!

 

RE: 1st post op visit w/surgeon

by trehouse60 on Wed Mar 18, 2009 12:00 AM

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Glad you got thru your surgery ok. 

Write down any question as it pops into your mind - those are the questions you should be asking.

Things you need to know:

what stage and grade is the cancer?  Did they find it in lymph nodes?  How many lymph nodes if any did they remove?  Was there any muscle removed, or just breast tissue?  How long do you need to heal before further therapy?  What does the dr recommend in the way of exercises and nutrition for healing?  How fast should you be increasing your activity?  Does he expect any problems with lymphedema, and what should you be doing now to prevent it?

Don't worry too much about addiction to the pain meds - you shouldn't need to be on them that long.  Especially if you get yourself up and about and moving around, and gently but persistently do your exercises to get your chest and shoulder back into normal functional shape. Gently using those muscles and keeping those tissues moving is really important toward preventing scarring that can bind up movement and cause a lot of restrictive pain later. Very gentle self-massage can also help with circulation and prevent scarring and lymphedema - but you need to know how long the dr wants you to wait before doing anything like that.

Also, make sure you're drinking plenty of fluids, especially water, and eating some good roughage.  It's ok to take the pain meds if you need them, but constipation from pain pills (especially in light of just having had anesthesia) can be a problem.   Make yourself start walking outside every day, work up to at least 20 minutes a day - it's great for the bowels, the sunshine will help you produce vitamin D3 which will help with energy levels as well as fighting off stray cancer cells.  The endorphins from walking will help decrease pain and will contribute to a general sense of well-being.  Plus you need the oxygenation to help metabolize away the anesthesia. (Plenty of water is important for detoxification of anesthesia also.)

Take care, and if you don't mind, let us know what you find out.

Sincerely,

Tre

RE: 1st post op visit w/surgeon

by noahgail on Thu Mar 19, 2009 12:00 AM

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Thanks so much, Tre.  I will keep you in touch after appt today at 4, est.

RE: 1st post op visit w/surgeon

by TurtleTAM on Thu Mar 19, 2009 12:00 AM

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Some questions will be for surgeon and some will be for an oncologist.

Tre covered quite a few of the questions that I had but one more thing you might need to know is whether your tumor was HR+ (hormone receptor positive). This may determine what kinds of meds you will have to take for the next 5 years. It will be different based on pre / post menopausal. Do your research on the meds recommended because there are all kinds of side affects to each.I am currently taking Tamoxifen with very few symptoms....night sweats periodically. 

On chemo, are you sure you will benefit? my medical oncologist had some additional tests (including this one http://www.genomichealth.com ) completed on the tumor to make sure that it was necessary which it turned out that the benefits of chemo would not have out weighed the harsh treatment so I didn't do it. Just radiation for me.

TT

 

RE: 1st post op visit w/surgeon

by noahgail on Fri Mar 20, 2009 12:00 AM

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Thanks for that.  I will ask my oncologist next week.  Today went as expected.  Stage IIB.  Tumor= 2.1 cm.  Node=Sen. Mastastacy ( sp?) = none.

I am happy to get fitted for my prosthetic now.  (Brochure looks like a very comfortable, no underwire bra with breast underneath. )

Mom and sis coming today ffrom Fla.  Looking forward very much.  Hubby has been good but you can never be too old I don't believe to need your "mama" :)

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