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onfetti surgical drains are tubes inserted into the soft tissue of your breast after surgery to help drain excess fluids that build up inside your body this fluid is normal and fills the space where breast tissue was removed during surgery if not drained properly excess fluid may misshapen implants cause infections and other complications drains are left in until the fluid output reaches a low level this is usually less than 20 30ml per day for two consecutive days but according to a nurse at nuh aesthetic plastic surgery clinic they prefer to take it out when it s about 10 20ml for a few consecutive days most drains are removed one to three weeks after surgery if they stay in longer than three weeks the risk of infection increases for the last few days my fluid output was about 15 20ml i think for the past 3 weeks i used about 7 x 200ml bottles not to the full capacity but i changed about every 2 3 days when the suction cap popped out the drain was inserted quite high up my chest and i thought it would be rather painful when dr jane removed it however it was really quick and i didn t feel a thing at all thank god for no infection either so so happy to finally have it removed ‿ it was more troublesome than painful the drain hole where the drain is inserted into my skin is just below my left breast on my top abs during the first few days of surgery it hurt slightly especially when i needed to crunch and move to sit up or lie down after a few days the pain subsided there but in the last few days the drain site actually felt rather uncomfortably like something was poking at my skin especially when i was lying down think it was the needle head did not require pain medication though dr jane removed the surgery wound dressing and today i got to see my full left breast while standing for the first time when i went home my skin has fluffed up more since surgery so the bottom part of my left breast s shape and size is similar to my right breast however the top part still looks kinda flat since there s no more breast fat tissue there and my left nipple is much higher than the right so it looks really weird reminds me of quasimodo the first few days i felt so emotional over it probably from the shock of seeing how bad it was and sadness in my body change i felt so ugly and such a freak i m usually quite body positive and take all my fat scars injuries and imperfections in my stride but this really tore me down don t get me wrong i am grateful and i know i know it could be much worst and the most important thing is that i can be healthy again but still it will need getting used to hopefully it will look slightly better once the implant settles properly dr jane said we can add fat to fill out the empty space too next time oh well i told her that dr mikael thinks the tiny lump was due to fat necrosis and the skin discolouration was due to the injected dye used to locate my sentinel lymph node she does not think so since there is no breast fat left in my left breast and the discolouration doesn t look like that from the injected dye anyway dr jane was ready to remove the tiny lump but it seems to have gotten less smaller visible since my last visit we will monitor and see how it goes and decide if i should remove it at my next visit with her 3 months later if dr mikael wants to do anything to the lump when i see him next month she said that she needs to be there just in case it affects the implant dr jane prescribed dermatix ultra 80 25 per 15g gel tube should last 2 months for my scar healing and physiogel ai 57 65 per 100ml cream tube for the dry skin on my left breast i can apply both 1 2x a day after showers she also gave the go ahead for me to start chemotherapy dr jane 4th visit cost including consumables medicine s 433 88 follow my breast cancer fight on the blog facebook or instagram aifightscancer helio i have breast cancer before mastectomy and breast reconstruction surgeries the discovery and early detection mammogram and ultrasound radlink paragon radlink ultrasound and mammogram scan results first consultation with dr celene ng nuh breast care centre breast biopsy nuh breast care imaging the diagnosis with dr mikael hartmann nuh breast care centre first consultation with dr samuel ow nuh cancer centre colour enhanced mammogram and ultrasound scan pet ct scan nuh diagnostic imaging first consultation with dr jane lim nuh aesthetic plastic surgery centre colour enhanced mammogram and pet ct scan results genetic testing results over the muscle vs under the muscle breast implant reconstruction pre surgery blood test and consent taking after mastectomy and breast reconstruction surgeries mastectomy and breast implant reconstruction surgeries part 1 mastectomy and breast implant reconstruction surgeries part 2 skin discolouration and tiny lump after surgery fat necrosis and prolonged skin discolouration adjuvant chemotherapy and herceptin injections after mastectomy surgical drains removal after mastectomy and breast reconstruction tweet サクラ kisses by ai sakura no comments email this blogthis share to twitter share to facebook share to pinterest labels aesthetic surgery breast cancer awareness breast cancer fight breast reconstruction dermatix family health jane lim mikael hartman nuh nuh breast care centre physiogel silicone implant monday november 14 2022 breast cancer fight adjuvant chemotherapy and herceptin injections after mastectomy every time i go to the national university cancer institute singapore ncis to meet dr samuel it is always so terribly crowded my appointment with him on mon 14 nov 2022 was at 3pm so i registered via the onenuhs app around 2pm and we arrived there at 2 45pm lil pumpkin came with us this time as she had her science enrichment class in the evening and we wanted to send her to class after my appointment i did my heart rate and blood pressure screening then waited until 3 40pm to see dr samuel while waiting 2 students research assistants approached me to take part in their respective surveys or research studies on cancer is this because nuh is a teaching hospital i had already taken part in a breast cancer research study previously when one of dr mikael s students approached me last time and even gave my blood but these 2 students research assistants were not related at all to my doctors but seemed to already know my name and background of my case hmmm i wonder if this will happen frequently whenever i m at ncis or the breast care centre my meeting with dr samuel gave a clearer view on the follow up treatment after my mastectomy and breast reconstruction surgeries basically based on the surgical pathology report i have stage 1a left breast cancer my mastectomy surgery was a success part 1 and part 2 and since my sentinel lymph node biopsy showed no spread of the cancer i am currently considered cured and there is no need for radiotherapy however as the largest cancerous tumour was more than 1cm 1 7cm to be exact and i have her2 and er so not positive for hormone receptors making hormone therapy ineffective grade 3 breast cancer the cancer is considered aggressive and i need to undergo adjuvant chemotherapy and herceptin injections to lower the chance of the cancer returning and to improve the outcome of first line treatment i e my mastectomy the total length for this post surgery part of my treatment is about 1 year adjuvant chemotherapy is when you get chemo after the primary treatment usually surgery sometimes cancer cells can be left behind after surgery it s also possible that cancer cells may be circulating in the bloodstream or lymphatic system so the traveling cancer cells don t show up on imaging tests without follow up treatment they can find their way to distant organs to form new tumors since i have early stage cancer dr samuel planned for me to undergo chemotherapy for 3 months instead of a longer regimen i will do a tc regimen which consists of two drugs docetaxel and cyclophosphamide this will be given intravenously once every 3 weeks for 4 cycles dr samuel said each session may take around 4 5 hours including time to use a cooling cap to help reduce chemotherapy related hair loss charlene actually went through the chemo same treatment for her breast cancer but her surgery and breast reconstruction procedures were different and she said her first session took 7 hours goodness subsequently it took around 5 6 hours zzzzz the boy said i should bring an ipad to pass the time but charlene also said the drugs made her sleepy so can nap haha before each chemo cycle i ve to do a hormone shot to make my ovaries sleep as the chemo may cause premature menopause and screen my blood and heart to make sure that i m fit enough for the chemotheraphy cycle a day after the session i have to take a blood booster to help boost my immune system as it will be drastically compromised during chemo dr samuel said the boy can help to administer this at home other side effects of chemotherapy include allergy fatigue increased risk of bruising or bleeding nausea or vomiting bladder inflammation mouth ulcers body aches or joint pain numbness or tingling in the hands feet etc oh well we gotta do what we gotta do concurrent with my tc regimen chemotherapy i have to take a herceptin jab every 3 weeks for 18 rounds this treatment course is known as ac th herceptin is a her2 inhibitor targeted therapy it works against her2 breast cancers by blocking the ability of the cancer cells to receive chemical signals that tell the cells to grow it may cause severe problems with the heart lung problems and low white blood cell counts other common side effects are nausea or vomiting headaches shortness of breath fatigue rash muscle pain diarrhea fever etc my oh my the second part of my treatment sounds really dreadful and makes my surgery experience seem like a breeze i mean apart from the trauma of losing a body part tot really praying for strength and positivity to overcome the next year please pray for me too as i still have my drainage tube zzzz i ve to check with dr jane on wed 16 nov 2022 if my wounds would have healed in time for my chemotherapy to start on mon 5 dec 2022 i can only start chemotherapy if my wounds have completely healed and i clear my heart and blood tests dr samuel 3rd visit s 99 51 follow my breast cancer fight on the blog facebook or instagram aifightscancer helio i have breast cancer before mastectomy and breast reconstruction surgeries the discovery and early detection mammogram and ultrasound radlink paragon radlink ultrasound and mammogram scan results first consultation with dr celene ng nuh breast care centre breast biopsy nuh breast care imaging the diagnosis with dr mikael hartmann nuh breast care centre first consultation with dr samuel ow nuh cancer centre colour enhanced mammogram and ultrasound scan pet ct scan nuh diagnostic imaging first consultation with dr jane lim nuh aesthetic plastic surgery centre colour enhanced mammogram and pet ct scan results genetic testing results over the muscle vs under the muscle breast implant reconstruction pre surgery blood test and consent taking after mastectomy and breast reconstruction surgeries mastectomy and breast implant reconstruction surgeries part 1 mastectomy and breast implant reconstruction surgeries part 2 skin discolouration and tiny lump after surgery fat necrosis and prolonged skin discolouration adjuvant chemotherapy and herceptin injections after mastectomy surgical drains removal after mastectomy and breast reconstruction tweet サクラ kisses by ai sakura no comments email this blogthis share to twitter share to facebook share to pinterest labels breast cancer awareness breast cancer fight breast reconstruction chemotherapy family health herceptin ncis nuh samuel ow sentinel lymph node dissection silicone implant tuesday november 8 2022 breast cancer fight fat necrosis and prolonged skin discolouration due to dye i met dr mikael about 1 5 weeks after i was discharged for my mastectomy and breast reconstruction surgeries read about part 1 and part 2 on tue 8 nov 2022 at nuh breast care centre registered via the onenuhs app early about 8 30am but still saw him around the appointment time at 9 50am he was assisted by nurse zhenna today he started off by telling me briefly that the surgical pathological report shows that the cancer has not spread beyond the breast area into my sentinel lymph nodes so that is good and it is likely pathological stage 1 cancer even then as my breast cancer type is aggressive i would still need to do chemotherapy it s ok i understood that from the beginning and have come to terms with it then we talked briefly about the tiny lump and skin discolouration and what dr jane told me about them before he examined my surgery wounds and left breast he cannot confirm without further testing but thinks that the tiny lump may be due to fat necrosis fat necrosis is a benign condition that most commonly develops after an injury or trauma to the breast tissue a lump can form if an area of the fatty breast tissue is damaged for example like when i went for my surgeries it could be a round firm lump but as mine is round but soft i think it might also be an oil cyst due to the fat necrosis dr mikael didn t seem worried about it and said we can monitor and see how it goes at my next appointment with him he can also arrange for an ultrasound to check it out further he is not sure if it will disappear on its own although it might for my skin discolouration he said it might also be bruising or caused by the injected dye used to locate the sentinel nodes by right the dye leaves the body on its own 24 48 hours after the surgery however sometimes there may be blue dye staining of the skin on the breast which may last even up to 3 years i ve read again it is harmless and since it is not causing me any pain or discomfort dr mikael is not too concerned over it after that i told him about having to change the drainage bottle every 2 days and he said that it s a fine balance between keeping the drainage tube in until the fluid output is at a low enough level and taking it out early to prevent infection or complications from having an open wound and a foreign object the drainage tube in the body most drains come out 1 3 weeks after surgery i sense that he thinks the tube can should come out this week but as dr jane isn t around and my appointment with her is next wed i should leave it in as she planned nurse zhenna also said that the aesthetics clinic prefer to leave the tubes in until the output is very low later when i went back to aesthetics clinic to get 4 more bottles to last me through the week the nurse there also said they would usually take the tube out when the output is about 10 20ml for a few days oh the nurse there also said that they prefer patients not wipe the tube and bottle tips with alcohol wipes unlike what the ward teaches currently for the last 2 days my drainage fluid output is about 30ml day i checked with ...
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