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Topic: Had VLNT or LVA? Please share here or message me!

Forum: Lymphedema — Risks, tips for prevention, and info about products that can address the symptoms of lymphedema.

Posted on: Mar 24, 2015 10:51PM

Nordy wrote:

Okay, I have been mulling these procedures over for the last 4 years... and I want to know your outcomes --- The good, the bad and the ugly... Really. Please share here or message me. My goal is not to judge... I am just trying to make an informed decision and as with all newer procedures, it can sometimes be hard to do when there is not a ton of information out there - especially when there is risk involved. I don't post much, but I have been around here for a long time, so please don't think I am a newcomer here to stir the pot and I will not and hope others will not judge your decisions. I am really just in the information gathering stage... okay, well, I have been in the information gathering stage for years, but it seems only recent that people are starting to move forward with these surgeries. I am highly motivated by fear... LOL.... of crap that I totally can't control, so knowing all the pros and cons and weighing them out (after all, I am a Libra) is what works for me. Plus, it really does benefit everyone in the long run! All I know for sure is that if it weren't for women that were open and willing to share, I would not have the awesome reconstruction I have now, so I know how important this is! Thank you!


Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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Mar 25, 2015 02:38PM Dejaboo wrote:

anyone?  Id really love to hear your stories/experiences  also.  Did either procedure help truncal LE?

I figure I will have an LVA at some point & I need to do it before dh retires

statistics are just a group of numbers looking for an argument Dx 3/7/2008, IDC, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR-, HER2+
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Mar 26, 2015 04:09PM Nordy wrote:

Nobody? Sad


Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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Apr 3, 2015 12:39AM Dejaboo wrote:

Well...if someone new does have one of the surgeries...Please post here :)

statistics are just a group of numbers looking for an argument Dx 3/7/2008, IDC, <1cm, Stage IA, Grade 1, 0/1 nodes, ER+/PR-, HER2+
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Apr 3, 2015 10:03PM ahdjdbcjdjdbkf wrote:

I had vlnt surgery a week ago in combination with a latissimus dorsi revision. Richard Klein in Orlando is my surgeon. I'm out on disability from work for 3 weeks.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 5, 2015 05:38PM Soccermom4force wrote:

I'm interested on behalf of a dear friend. Looking for experience with VLNT?

Thx

" I expect to pass through life but once. If therefore,there be any kindness I can show, or any good thing I can do to any fellow human being, let me do it now, as I shall not pass this way again." Dx 12/2/2004, IDC, 2cm, Stage IIB, Grade 3, 1/21 nodes, ER+/PR+, HER2+ (FISH)
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Apr 5, 2015 06:56PM - edited Apr 5, 2015 06:56PM by Nordy

Maria - thank you, thank you for posting! Please keep sharing!

Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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Apr 6, 2015 06:50PM ahdjdbcjdjdbkf wrote:

I will share and be honest. Right now my arm is the smallest it has been in many months but I'm resting and wrapping a lot and have had strong results from just that before. The biggest thing I have noticed so far is when I do my MLD it seems to actually be working better already. Also I always had hand pain with or without flare-ups and my hand is feeling good.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 8, 2015 09:29AM Nordy wrote:

I am so glad things are going well so far. Thank you so much for sharing with us!

Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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Apr 19, 2015 03:11AM ahdjdbcjdjdbkf wrote:

Yes, still so far, so good. My donor site healed up quickly. It was quite swollen for 2.5 weeks but is looking normal and only slightly swollen at this point and my arm seems "pretty good." I sincerely hope I have good things to share so others can look to this procedure with confidence. I feel brave to be on the early end in this country and hope that my courage can help others.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 20, 2015 08:18AM Nordy wrote:

Maria - thank you so much for being so brave and sharing the good and bad with us! You are definitely in my thoughts and prayers!


Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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Apr 20, 2015 08:19PM ahdjdbcjdjdbkf wrote:

My doctors told me how important it was to go into this with realistic expectations and pointed out how long it takes for new lymph vessels to take root from the new nodes. It truly is like planting a seed of a tree that takes a while to become a seedling and several years for it to become a new tree. I do believe though that my arm is indeed better already. I waked again last night and got all heated up - which ALWAYS made my arm swell before. My arm looked the same as when I left the house 90-minutes before when I got home and with no compression.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 23, 2015 12:41AM ahdjdbcjdjdbkf wrote:

I had my first post-surgery measurements done today at the 4-week point. I'm WAY down from 18% and a 350 ml difference to 10% with 200 ml difference. Before I was always going up and not down!

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 23, 2015 01:50AM Katiejane wrote:

Oh Maria!! I am so happy for you!! Thank you for sharing this info- I am thinking of having the LNT but am so afraid I will end up with more LE. I have had 5 cases of cellulitis in the past 4 years and I'm about at my wits end! It is people like you who make a difference in so many others lives!! Katiejane

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Apr 23, 2015 03:52AM Katiejane wrote:

Maria, What does post op recovery entail- I assume it is a slow process with many visits to your LE therapist and wrapping all of the time??

Dx 6/13/2007 Dx 6/13/2007, ILC, Stage IIA, Grade 3, 3/28 nodes, ER+/PR+, HER2-
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Apr 23, 2015 06:10PM ahdjdbcjdjdbkf wrote:

Katiejane, I won't lie. Recovery is challenging...as I sit here with my arm in a knuckles to shoulder wrap put on me by my lymphedema therapist yesterday afternoon. I needed major hands-on help from my boyfriend the first 2 weeks because of 2 drains (one in my leg and one in my underarm) and my orders not to bend, reach, stoop, take big steps, drive, etc.. It is a sensitive surgery. It is recommended to go to wrapping and therapy as much as possible. I've been going just twice a week - but my boyfriend got trained in the wrapping process and we change my wrap daily. When the wrap is off I do MLD. Because lymphedema already impacted my life and our lives so severely every single day, we made the wise decision to dedicate ourselves to this process and recovery. Living in fear of life-threatening infections and worsening lymphedema is a heavy heavy load. 6-8 weeks of intense focus to improve our odds seems well worth it. I've had to use vacation time, go out on short-term disability and lose pay, and lose choice assignments and status at work. It is what it is. Cancer is a crap hand to be dealt and lymphedema as a follow-up is brutal. I'm lucky my employer is now allowing me a few weeks to work from home prior to returning to the office. I'm hoping if you need the surgery you can find a way. I was resistant, fearful, apprehensive, and concerned at every single pass - especially having to travel out of town, stay in a hotel, cover expenses, and miss work. The going way tough so I got my tough going.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 24, 2015 02:36AM mary625 wrote:

Mariasnow--from where did they take the nodes

Dx 8/29/2011, ILC, 1cm, Stage IIIC, Grade 2, 10/16 nodes, ER+/PR+, HER2- Chemotherapy 9/25/2011 AC + T (Taxol) Surgery 2/5/2012 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right Hormonal Therapy 3/11/2012 Femara (letrozole) Radiation Therapy 3/12/2012 Surgery 9/23/2014 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Apr 24, 2015 09:40PM ahdjdbcjdjdbkf wrote:

Nodes were taken from lower abdomen through the groin. Scar is on groin but nodes came from several inches higher.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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Apr 25, 2015 01:28AM mary625 wrote:

I'm glad you were able to get them from there. I failed the lymphoscintigraphy for that area

Dx 8/29/2011, ILC, 1cm, Stage IIIC, Grade 2, 10/16 nodes, ER+/PR+, HER2- Chemotherapy 9/25/2011 AC + T (Taxol) Surgery 2/5/2012 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right Hormonal Therapy 3/11/2012 Femara (letrozole) Radiation Therapy 3/12/2012 Surgery 9/23/2014 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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May 1, 2015 08:38AM ahdjdbcjdjdbkf wrote:

Mary, I hope you are able to have a surgeon and a plan that will work for you. I had a 5 week check-up yesterday and my arm is 22% smaller than at my pre-surgical assessment. That really changes what I can wear and makes a major difference in my life. I actually work a cute Jean work shirt today with my compression. I couldn't button the wrist so I rolled the sleeves but it is such progress k was proud of my dream sleeve.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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May 30, 2015 03:26AM ahdjdbcjdjdbkf wrote:

Now my arm is back to as bad as it was before surgery. I hate to be the bearer of this news that has put my life into one of the worst downward spirals since my diagnosis although this may be worse. Back then I still believed in the possibility of anything going back to normal. Now I am seeing things are just getting worse and worse and worse since diagnosis.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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May 30, 2015 03:58AM Tomboy wrote:

Oh, fuck, Mariasnow. I am so sorry to hear that. Are you ok mentally? Man, that just sucks. Have you talked with the docs who performed it? O my god...

"I will sit right down, waiting for the gift of sound & vision" David Bowie, Rest in pax, my beloved changeling... Dx 6/8/2012, IDC, Right, 1cm, Stage IIIC, Grade 3, 25/30 nodes, ER+/PR+, HER2+
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May 30, 2015 04:01AM ahdjdbcjdjdbkf wrote:

Not at all OK. Possibly the worst I've been emotionally since first diagnosed with cancer. Just deleted pretty much every positive thing I ever posted on my Facebook because I don't believe anymore. I feel sorry for my boyfriend and family they got stock with the broken person who is only a shadow of her former self.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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May 30, 2015 04:13AM Tomboy wrote:

It cannot be that bad! You ARE still who you were, just a little damaged! I am scared for you, and wish I was there, to spend some time with you.... I got fat too. It kind of worries me that you deleted all your FB stuff. I would so hug you and listen to you, if I were there. But please stay here on BCO as much as you can for today, till you feel better. Please don't disapear, as I will really become concerned for you, ok?

"I will sit right down, waiting for the gift of sound & vision" David Bowie, Rest in pax, my beloved changeling... Dx 6/8/2012, IDC, Right, 1cm, Stage IIIC, Grade 3, 25/30 nodes, ER+/PR+, HER2+
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May 30, 2015 05:33AM carol57 wrote:

Maria, having your hopes dashed is so painful, and if you are feeling lower than low, it's completely understandable. LE is hateful, and you went after it with a vengeance, and if life were fair, your reward for that would be an end to the LE madness. I'm so, so sorry that you're not getting what you hoped for, and I thank you immensely for having the resolve to keep us informed, even when reporting bad news is painful. You're not broken, just your spirit. That part of you can mend. And it will. Hugs...

Carol

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May 30, 2015 05:44AM SlowDeepBreaths wrote:

Maria, I can't begin to understand what you must be going through. I just want you to know there are people that care about you, and you are not alone. Sending gentle hugs to you.

Dx 4/2016, TN mets to lung. VATS left upper lobe wedge resection. "Fall seven times, stand up eight" Japanese Proverb Dx 7/2013, IDC, Left, 1cm, Grade 2, 0/0 nodes, ER-/PR-, HER2+ (FISH) Dx 7/2013, IDC, Left, 1cm, Grade 2, 0/0 nodes, ER-/PR-, HER2- (FISH)
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May 30, 2015 06:00AM SweetHope wrote:

Maria, this news is devastating. But your boyfriend and family are there to hold and comfort you. And we are here sending you our best hugs.

Age 65 at dx. Oncotype dx score: 18. Clinical trial: SWOG S1007 A Phase III. Dx 11/12/2014, DCIS Dx 11/12/2014, IDC, 1cm, Stage IIA, Grade 2, 1/29 nodes, ER+/PR+, HER2- Surgery 11/12/2014 Lumpectomy: Left; Lymph node removal: Left, Sentinel, Underarm/Axillary Surgery 11/24/2014 Lumpectomy: Left Chemotherapy 1/20/2015 AC + T (Taxol) Radiation Therapy 5/20/2015 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy Arimidex (anastrozole), Femara (letrozole)
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May 30, 2015 11:55PM Binney4 wrote:

Maria,

A huge THANK YOU for taking the daring step of this surgery for all of us. Trust me, all our hopes were riding with you, and we're all regrouping around you now.

Grieving is hard work, and it takes time. Please give yourself plenty of room and loads of tenderness--YOU have not failed, that's for sure.

Sent you a PM. Gentle hugs,
Binney

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May 31, 2015 06:31AM ahdjdbcjdjdbkf wrote:

Arm is wrapped up safe for the night. Living with it.

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction
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May 31, 2015 11:34AM Nordy wrote:

Oh, Maria. I am SO sorry this is happening. Lymphedema sure does have a mind of its own. I am sending you a huge hug. I think we all understand how it is to have our hopes dashed by this crazy disease. We are all still hoping for a cure, and it sucks not to have one. Please hang in there - we are here to help lift you up.

Do or do not. There is no try. (Yoda!) 2 large positive nodes before neoadjuvant chemo - all nodes negative after chemo Dx 4/21/2005, IDC, 3cm, Stage IIB, Grade 3, 0/12 nodes, ER-/PR-, HER2-
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May 31, 2015 03:57PM ahdjdbcjdjdbkf wrote:

Thanks for everyone's kindness. I'm going to keep doing my self-care and living. I've made good choices and done all the right things to heal. Hoping for improvement down the road still but living in the meantime. Recovery from this surgery has been so sedentary it just wasn't good for my body at all. I never get to the point where I really recover from the last one. Maybe now I will. Nothing is currently looming

Dx 3/2/2012, IDC, Right, 3cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ (FISH) Dx 3/2/2012, IDC, 1cm, Stage IIA, Grade 3, 1/12 nodes, ER-/PR-, HER2+ Surgery 3/23/2012 Mastectomy: Left, Right Chemotherapy 4/6/2012 AC + T (Taxol) Targeted Therapy 6/28/2012 Herceptin (trastuzumab) Radiation Therapy 10/8/2012 3DCRT: Breast, Lymph nodes Surgery 1/28/2013 Reconstruction (left); Reconstruction (right) Surgery 8/7/2013 Reconstruction (right): Latissimus dorsi flap Surgery 8/7/2013 Reconstruction (left) Surgery 2/25/2014 Reconstruction (left): Nipple reconstruction; Reconstruction (right): Nipple reconstruction

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