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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 dr mikael to see if increased activity would cause an increase in fluid output he said it s hard to say as it has a life of its own but doing activities is good as it aids recovery he even said i can cycle now if i want just that it is impractical with my drainage tube and bottle and that if i do i should take it easy i asked him about a scar cream for lightening my scars as i think my scar for the sentinel lymph node dissection incision looks like it is forming a keloid he recommended dermatix but said i should ask dr jane about it at my next appointment with her hmmm i think regarding anything about my wounds or scars since dr jane is the care doctor as she did the last surgery after him and closed me up he doesn t want to overstep and leave all the surgery wound healing after care decisions to her fair enough if i just did the mastectomy he would take control of the decisions i feel anyway he also said that i can start massaging my scar tissue gently next week scarring is part of the body s natural healing process after tissue is damaged when the skin is wounded the tissues break which causes a protein called collagen to be released collagen builds up where the tissue is damaged helping to heal and strengthen the wound however unlike healthy tissue scar tissue forms in random criss crossing patterns it is not as flexible or as functional as the tissue that it is replacing it has poor circulation which limits the supply of fresh oxygen and nutrients scar tissue also is more sensitive to pain because it has more pain receptors than the original tissues and it tightens up when you sleep sooo it not only can cause more pain but also limit the normal function of the muscle or area already i feel a bit stiff and tight when i lift my arms due to the scar tissue forming where the sentinel lymph node dissection occurred and a bit at my chest area in other words scar tissue is helpful when the wound is healing however too much left after the wound has healed isn t good as it can cause you to be stiffer and lose your range of motion in regards to lymphoedema due to my sentinel lymph node dissection he said the risk is very low and i can treat my arm as per normal he even said i can still tattoo my left arm more if i want in the future hahaha overall my wounds are healing and i barely feel any pain or even soreness nowadays i think in part this is due to the severing of the nerves that provide feeling to my breast and nipple when nerves are severed nerve signals are disrupted this can result in numbness and permanent loss of sensation to the breast area maybe just some heaviness when i wake up due to some fluid build up when i sleep more discomfort from not being to exercise bathe properly and slight irritation from having to drag a drainage tube and bottle everywhere sometimes i do feel rather sad when i look at my body and see all the scars and wounds and how different my boobs look and feel from one another but i try to stay positive and just focus on the good there is still a long hard way to go with the second part of my treatment chemotherapy dr mikael 3rd visit cost s 108 05 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 due to dye adjuvant chemotherapy and herceptin injections after mastectomy tweet サクラ kisses by ai sakura 1 comment email this blogthis share to twitter share to facebook share to pinterest labels aesthetic surgery breast cancer awareness breast cancer fight breast reconstruction family health jane lim mikael hartman nuh nuh breast care centre sentinel lymph node dissection silicone implant wednesday november 2 2022 breast cancer fight skin discolouration and tiny lump after surgery my first appointment with dr jane after being discharged from the hospital was supposed to be on fri 4 nov 2022 however as i noticed some skin discolouration faint blue black and tiny lump 0 5cm below my nipple on tue 1 nov 2022 i emailed dr jane and nurse jessica from the aesthetics plastic surgery clinic with a picture to ask if it was ok i wasn t too worried over it that i wanted to go in for an emergency visit but just disturbed enough that i had to ask i had kind of noticed the lump in the hospital but it seemed a bit more obvious at home maybe because i changed out of my clothes and looked at my wounds more in the hospital usually the doctors or nurses would check my wounds plus the lights are usually dimmer dr jane had previously mentioned that because my skin was thin after the mastectomy there was a possibility that the implant would show through as a blue ish or grey tinge even though i had an under the muscle breast implant for reconstruction dr mikael had cut away the lower part of my chest muscle as the some of the cancerous breast lumps was resting on it thus not all of the implant can be covered by muscle and was actually directly under my thin skin anyway that skin discolouration might just be the implant showing through but i was also worried that it might be post surgery skin necrosis after a mastectomy with immediate breast reconstruction sometimes the breast skin doesn t heal properly because the network of blood vessels that supply blood to the tissue were damaged the skin may have been thinned too much when tissue was removed during the mastectomy like mine when there isn t enough blood flow to the skin portions of the skin can wither and scab this is a significant problem after mastectomy i did not experience common early signs of skin necrosis like swelling redness pain warmth at the surgery site or a fever that day though later that afternoon nurse jessica called to tell me that she checked with dr jane who said that the lump could be from the drainage tube however dr jane asked me to come in earlier on wed 3 nov 2022 to have a better look i agreed and nurse jessica helped me to reschedule my appointment dr jane also replied my email that she couldn t really tell for sure from the picture what was happening and also asked me to come in the next day on wed 2 nov i registered about 9 30am to see dr jane even though my appointment was at 10 30am since there wasn t much to do luckily dr jane was free and saw me earlier she was relieved to see that the skin discolouration was just the faint blue black and not purplish or red as that would mean that it might be skin necrosis it was just the implant showing through as i had thought as well in the future i could add on fat as another layer to pad my left breast up if the discolouration bothered me or if i wanted extra protection but that would be another day surgery at least a year later as 5 days had already passed since the surgeries dr jane said that it was fine for her to open and change the dressing that day was the first time i saw the long incision across my left breast that was used for the mastectomy and breast reconstruction surgeries other than some dead black skin at the end of the incision and on my nipple that dr jane said would scab away the wound was healing well with no infection and my nipple was saved hurray dr jane took off the dressing completely for the cut that they made under my armpits to take out my lymph nodes as that one has closed already and the dressing was causing a small blister she gave me a small tube of chlortralim ointment which is an antibiotic that works by stopping the growth of bacteria to apply at the wound and blister twice a day forgot i already had a tube at home from the big bag of medicine prescribed when i was discharged the nurse assisting her also helped to change my drainage bottle and dr jane issued ...