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10-22-2012, 05:56 AM
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#1
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Senior Member
Join Date: Oct 2012
Posts: 645
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Best day of week for chemo?
Yes, I am a tad OCD!
I plan to work during chemo and would like some input as to the best day of the week to have treatments. I do have flexibility at work (work from home). Will be doing Taxol and Herceptin. I do know that everyone is different.
I would also like to have some kind of life on the weekends :-)
Thanks in advance
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10-22-2012, 07:44 AM
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#2
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Senior Member
Join Date: Mar 2011
Location: Pittsburgh, PA.
Posts: 260
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Re: Best day of week for chemo?
I did my treatments of Taxol & Herceptin weekly on Tuesdays. I luckily didn't have too many side effects so I was able to work. I did take Fridays off while in treatment, and if I had or have to do it again, I would do my treatments on Thursdays. I think it's a better timeframe to recover so you do have some quality time over the weekend.
Good luck and God bless,
Jessica
__________________
11/17/10 - Diagnosed with 4.5cm tumor in right breast, IDC, Stage 2, Nuclear grade 2, ER+ PR+ HER2+
12/13/10 - Lymph node biopsy - negative
12/28/10 - Started neo-adjuvant treatment along with clinical trial with 4 rounds of AC chemo every 3 weeks
3/15/11 - Began weekly Taxol/Herceptin infusions along with 750mg of Tykerb taken by mouth daily
6/28/11 - Finished last cycle of Taxol
7/27/11 - Breast MRI shows tumor has dissolved, remarkable reaction to chemo
8/31/11 - Lumpectomy, Sentinel Node biopsy. Node negative, clear margins, 7mm of cancer left over from chemo.
10/05/11 - Started radiation, 5 days a week for 7 weeks.
11/8/11 - Finished radiation
3/21/12 - Last Herceptin!
3/26/12 - Port removed!
Tamoxifen for 5 years
8/4/15 - Hysterectomy & bilateral salpingo-oophorectomy. Due to large fibroids. No cancer!
8/8/15 - Started Arimidex
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10-22-2012, 09:15 AM
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#3
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Senior Member
Join Date: Apr 2008
Location: Sunny San Diego
Posts: 2,214
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Re: Best day of week for chemo?
I did my treatments on Fridays - bad decision! I had issues on a weekend and my regular folks weren't available.
If I had to do it again, I would choose Thursdays too. I worked during treatment. It was tough, but I hung in there. The day after treatment wasn't so bad, but the 2nd and 3rd day were tougher.
__________________
Diagnosed 2007
Stage IIb Invasive Ductal Carcinoma, Pagets, 3 of 15 positive nodes
Traditional Treatment: Mastectomy and Axillary Node Dissection followed by Taxotere, 6 treatments and 1 year of Herceptin, no radiation
Former Chemo Ninja "Takizi Zukuchiri"
Additional treatments:
GP2 vaccine, San Antonio Med Ctr
Prescriptive Exercise for Cancer Patients
ENERGY Study, UCSD La Jolla
Reconstruction: TRAM flap, partial loss, Revision
The content of my posts are meant for informational purposes only. The medical information is intended for general information only and should not be used in any way to diagnose, treat, cure, or prevent disease
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10-22-2012, 10:20 AM
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#4
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Senior Member
Join Date: Jan 2010
Location: Wisconsin
Posts: 80
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Re: Best day of week for chemo?
Mine were on Thursday for me it was perfect. Treatment and if fluids needed on Friday and took off work Friday and back to work on Monday. That only worked for the first three Chemo's, the last three I was required to work 1/2 days the week after treatment - it was jsut too much. But I liked Thursdays personally. GOOD LUCK to you and no you are not OCD< I would have asked the same question 
__________________
Sandra from WI
Stage 1, Tumor 1.4 cm, Grade 3, ER-/PR-/HER2+++
Poorly Differentiated IDC with comedo type necrosis with DCIS/ALH :(
Mammogram: 11/12/09
Call Back Mammo: 11/17/09
Biopsy: 11/25/09
Diagnosis Call: 12/2/09
Partial MX: 12/16/09. 3 LN clean.
6 Cycles Chemo (TCH) Jan-April/10; Herceptin all of 2010; 33 Rads complete 7/10. Herceptin done 12/10.
FOLLOW UPS:
Bil mammo, and Breast MRI 12/10 - CLEAN! (after a second lump was biopsied and BENIGN - showed giant cell reaction?).
Bil mammo 6/11 - CLEAN!
Left mammo 12/11 - CLEAN!
PET/CT scan 4/6/12 - CLEAN!
Bil mammo 8/12 - CLEAN!
November 2012 - Gallbladder Removed.
Bil MRI 2/13 - CLEAN!
http://www.caringbridge.org/visit/sandragreen
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10-22-2012, 10:42 AM
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#5
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Senior Member
Join Date: Aug 2011
Posts: 271
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Re: Best day of week for chemo?
I had TCH on Thursdays. My chemo center was wireless, so I worked while getting my infusion...although took a benadryl nap for about an hour after that infusion...Friday I was energetic still "jacked up" on steroids, then Saturday and Sunday I was on the couch watching TV, staying away from germs and eating broth soups etc. Thursday was just perfect! Good luck...it is really not that bad.
__________________
DX November 2010
Brain MRI, CT of lung, liver, bone, all clear
Double Mastectomy w/expanders December 1, 2010
ER- PR- Her2+++, grade 3, 12 positive nodes out of 15
Stage IIIc
Started TCH/Chemo December 31, 2010
6 rounds TCH
Herceptin every 3 weeks for a year
33 rounds of TomoTube radiation, to chest wall, neck, skin and lymph area
September, 2011, MRI to lower spine, hips, DX bulging disk, L4 & L5, pain not from cancer
Expanders removed, implants in Dec 1, 2011
Finished Herceptin, December 21, 2011
August 2012, CT of chest and abdomen, all ok
Enrolled in MC1136 Phase I Peptide Vaccine Trial at Mayo Clinic, Rochester, Minnesota
March 2013, First Vaccine
April 2013, 2nd Vaccine
May 2013, 3rd Vaccine
June 2013, 4th Vaccine
July 2013, 5th Vaccine
August 2013, 6th Vaccine Done!
September 2013, Mayo visit, Echo results 68, vaccine did not effect my heart! Blood work normal.
January 31, 2013, Mayo visit, Echo normal
February 23, 2014, Numb lips on right side, Brain MRI, normal!
June, 2015, Finished the trial at Mayo Clinic. Feels good!
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10-22-2012, 11:08 AM
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#6
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Senior Member
Join Date: Jan 2007
Location: Thornhill, Ontario
Canada
Posts: 2,320
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Re: Best day of week for chemo?
I also had my chemo and then Herceptin infusions on Thursdays. I found it was good to have the weekends to "recuperate."
all the best
caya
__________________
ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08
Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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10-22-2012, 12:09 PM
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#7
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Senior Member
Join Date: Oct 2012
Posts: 645
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Re: Best day of week for chemo?
Thanks, everyone. Looks like Thursday is the optimum day
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10-22-2012, 03:15 PM
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#8
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Senior Member
Join Date: Sep 2005
Location: Newton, MA
Posts: 951
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Re: Best day of week for chemo?
I had my treatment on Fridays. I went in after lunch and only missed part of the day. I felt fine on Saturday, but crashed on Sunday afternoon. I took Mondays off. I teach and I only missed about 6 days that year because I started treatment in July. It was doable. I am glad that I worked because it took my mind off of it, and I did not have time to think too may negative thoughts.
Good luck,
Barbara H.
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10-22-2012, 04:04 PM
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#9
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Senior Member
Join Date: Sep 2005
Location: Stockton, NJ
Posts: 4,179
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Re: Best day of week for chemo?
I had mine on Monday which made for a nice weekend but not so great for working Thursday and Friday. If I had to do it again, I would pick Thursday as Friday isn't the greatest day but by Monday - you're good to go.
And this is just the chemo week.
__________________
Kind regards
Becky
Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia
NED 18 years!
Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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10-22-2012, 04:40 PM
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#10
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Senior Member
Join Date: Mar 2010
Location: Mechanicsburg, OH
Posts: 109
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Re: Best day of week for chemo?
I did mine on Thursdays, it was the best. Friday I was still good, Sat. and Sun. tired and not so hot, better by Monday. I worked throughout my whole treatment plan so this was best for me. Good Luck!
__________________
~Anna
DX April 2009 age 40
IDC Triple Positive
7 of 14 nodes positive
Lumpectomy May 2009
Port May 2009
AC done in Sept 2009
T done Dec. 2009
Herceptin (should finish Oct. 2010)
Mastectomy January 2010
Radiaition x 33 done April 2010
Tamoxafin for five years
Herceptin done!
Still clear May 2011
3 years out May 2012, all good!
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10-22-2012, 07:11 PM
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#11
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Senior Member
Join Date: Oct 2009
Posts: 46
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Re: Best day of week for chemo?
Thursday worked well for me, too. Friday I felt fine, but took off from work anyhow. Eventually, I was somewhat tired on Saturday and Sunday, and ready for work on Monday. Between chemo and seeing my oncologist, it was not possible to work on Thursday.
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10-23-2012, 01:43 AM
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#12
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Senior Member
Join Date: Oct 2011
Location: Geelong, Australia
Posts: 250
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Re: Best day of week for chemo?
Yep, it's Thursday's all the way!
Dawn
__________________
Dx May 27 2011, age 43
Stage 1V 3.6cm breast lump, spot on lungs, nodes chest + neck
HER2+ ER/PR-
Abraxane weekly - 16 weeks
Herceptin every third week
September 26 2011 N.E.D!
Herceptin ongoing
8th Dec 2011 Brain MRI - clear
20th Dec 2011 bone/cat scan clear still NED
April 2012 scans show axillary node lump - ? what to do...
June 2012 Axillary node dissection 1/11 nodes affected, a wide local excision shows DCIS. Now what to do again? Watch and scan 3 monthly
April 2013, two spots in nodes to chest wall, start TDM1 (Kadcycla) as part of clinical trial
July 2013 stable
Oct 2013 progression off TDM-1 (Kadcycla)
Nov 2013 radiation to lymph nodes in sternum
Dec 2013. Mastectomy right side, pathology shows tumour was HER-2 negative, no wonder TDM-1 (Kadcycla) didn’t work!
April 2014 NED. On Herceptin only
August 2014 NED. On Herceptin only
March 2015. NED. On Herceptin only
September 2015 NED on Herceptin only
March 2016. Pulmonary embolism, Clexane injections daily forever. Still NED On Herceptin only
Nov 2016. Bone Mets in ribs - Radiation. Don’t know if bone Mets are er-/pr-/HER2+ or triple negative.
Can’t give self injections on to tablets (Xarelto) for blood clots.
2017 NED - On Herceptin only
2018 NED - On Herceptin only
2019 NED - On Herceptin only
2020 NED - On Herceptin only
2021 NED - On Herceptin only
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10-23-2012, 07:23 PM
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#13
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Senior Member
Join Date: Oct 2005
Location: New Jersey
Posts: 3,154
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Re: Best day of week for chemo?
Well Planned thought...Thurs.
It permits you to work 1/2 day on Thurs. morning...have treatement in the afternoon. Friday you are feeling fine
and can work and have a normal Friday.
Sat/Sun you are resting up and even permits support from others as most people are off on Sat/Sun.
By Monday you are feeling better ...
Best Wishes,
jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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10-23-2012, 09:24 PM
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#14
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Senior Member
Join Date: Apr 2008
Posts: 1,477
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Re: Best day of week for chemo?
I often had treatment on Thursdays for reasons Jean mentioned immediately above.
Best,
K
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10-24-2012, 05:03 AM
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#15
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Senior Member
Join Date: Jan 2008
Location: "Love never fails."
Posts: 5,808
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Re: Best day of week for chemo?
I also worked full-time during chemo treatment in 2007. Thursday afternoon worked like a charm.
But if you are working at home with a flexible scheducle and want to preserve your weekend, then I'd suggest you get your infusion on Monday or Tuesday. Based on my experience, you will be feeling good enough to enjoy your weekend 4 days after chemo.
__________________
Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2
NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement （600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa
Advocacy is a passion .. not a pastime - Joe
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10-24-2012, 11:59 AM
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#16
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Senior Member
Join Date: May 2011
Location: El Paso ,Tx
Posts: 436
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Re: Best day of week for chemo?
I did Fridays, was still able to enjoy Sat, but on the couch on Sunday, still a little groggy on Monday.
__________________
 dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41
Double mast w reconstruction
6 TCH w 1yr herceptin
Tamox.
25 radiation tx
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway.
Reconstruction set for December 21st,2011
Finished chemo 12/2010
Finished Herceptin 8/26/11
Reconstruction 12/21/11
Expanders exchanged for silicon 3/19/12
Nipple reconstruction 5/18/12
Nipple tatooing- 7/9/12- All done yay!
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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10-24-2012, 12:59 PM
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#17
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Senior Member
Join Date: Feb 2011
Location: San Diego, CA
Posts: 133
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Re: Best day of week for chemo?
Day 3 and 4 were the hardest for me. I started with Thursdays but hated spending the weekends in bed. So I switched to Mondays - worked from home on Tuesday and Wed and laid low Thursday. By the weekend I was back to semi normal energy and could feel like I could experience life. It was always a waiting game for me so keeping busy on my "down days" seemed to make them go faster. I hated going to bed because it made me feel sick (I know, I was always in denial). You will figure out the best schedule that works for you.
__________________
11/19/10 Identified swollen lymph node
1/24/11 Mammogram showed microcalcifications - no mass
2/4/11 Diagnosed ER/PR- HER2+++
2/23/11 Began TCH protocol every 21 days 6x
5/23/11 Ultrasound of originally diseased lymph node shows normal
7/25/11 Lymph node dissection - 8 of 14 show disease
7/29/11 Double mastectomy with reconstruction (expanders)
8/29/11 Begin follow up chemo - Adriamycin 4 treatments every 2 weeks and Xeloda. Self inject Nupogen shots
1/6/12 6 weeks of Radiation finished
2/13/12 Last Herceptin/remove port
3/27/12 PET/Brain Scan NED :)
8/15/12 Final reconstruction - hello nipples, good bye expanders
9/14/12 Rejected implant/infection. Implant removed
5/6/13 Latissumis Dorsi surgery left side with expander
PS - my photo was taken 5 days after my double mastectomy surgery and 6 weeks after my TCH was completed
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