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Old 11-19-2005, 01:22 PM   #1
StephN
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Unhappy Add me to LYMPHEDEMA list

You all know how we sometimes tend to ignore little things and think they are probably nothing and will go away. Well that was how I was treating the puffiness that had developed between the knuckles where my fingers meet my hand. I have it a little bit on each hand, but worse on the right (lumpectomy and lower axcilla excision side) and also in my fingers now. One other thing that I noticed was a little feeling of "fullness" in my upper right arm in the underside area.
Someone else here had mentioned that and it raised a red flag for me. There is still little difference in measurement from one arm to the other, but some.

So, I went for an evaluation for lymphedema with a very good local physical therapist. She felt that the duration and slight worsening was indicative of Stage 1 lymphedema. (Yeah - they "stage" it just like our cancer!)

She said this is a hard stage to treat as it is so light, but with the proper attention we may get it to go away completely. I now understand WHY it is important to catch early - as there are proteins in the lymph fluid that will build up and stick together forming fibroids that tend to block normal flow of the lymph from one area to another. Once this is the case, it becomes VERY hard to move the lymph and keep it from collecting again.

Looks like I will be getting a glove with fingers and also using some pressure pads for the knuckle area. Not sure about the upper arm and sleeve use yet.

So, more fun and games with the cancer long-term side effects. I just hope in my case this will get under control and can stay under control! I have been careful with my arm as far as no needle sticks, cuts, and blood pressure cuffs. But, I WAS doing a lot of raking 3 Sundays ago and after that is when I noticed the pressure in my upper arm. The therapist said that some activities are GOOD for this problem and some are not.

More soon!

Last edited by StephN; 11-20-2005 at 12:43 AM..
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Old 11-19-2005, 03:43 PM   #2
Sheila
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Steph
That is something I worry about too...my Dr. told me never to lift anything heavy with that arm...especially if the arm is hanging down carrying the weight, even like a gallon of milk, detergent etc....I try to be careful, but sometimes we just do it and then hope we haven't caused a problem...I have heard of more and more women getting lymphadema 5 years or more into the BC diagnosis....maybe it is a cumulative effect of what we do...you were wise to get treatment right away, hopefully you can avoid any complications....I was told to wear a sleeve even when I fly due to the pressure changes...so I got measured and wear one if I travel.
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 11-19-2005, 07:41 PM   #3
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As you know I was already on the list. I am getting a new glove and will be wearing a sleeve while flying to Texas next month. I always wear a sleeve when traveling and even riding in a car for long distances. I am working on that with my lymphedema specialist. I have been back in lymphedema treatment now for almost two months. Going 3 and 4 times a week then 2 and then once a week. Its a long drag but takes a while to get that fluid moving. Mine is mostly chest wall and so makes me look 6 months pregnant. Rebounding has helped me. It seems its always something with us. hugs, Sandy
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Old 11-19-2005, 09:00 PM   #4
Quiltlady
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I was diagnosed with early lymphedema. It is not so bad once you get it under control. Wearing the sleeve and glove gives me courage to do things that otherwise I might be worried about. I'm glad to have it instead of always trying to be so careful. Not that I'm not careful now...but when I want to do something vigorous I wear the "stuff". I don't have to wear it all the time but I do wear it on plane trips and on car trips over 2 hrs. If you get it under control, and keep it under control, you don't have to wear the sleeve and glove all the time!!! The big thing is infection so guard carefully against that...I carry antibiotic ointment with me but other than that, I'm pretty much normal now....just pace myself when I'm doing stuff that could cause a flair...like washing windows...arghhhhhhh! Good luck!
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Old 11-20-2005, 07:23 AM   #5
kristen
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Hi Steph,

I am so sorry to hear about this. I know when I went in for P/T after my mastectomy and they were educating me about lymphodemia, they told me that if caught early there was an antibiotic regimen they could use to stop it. Is it too late for that? I could go back and look through all my material, but I do remember something about high doses and that the onc. agreed with the P/T and to not delay in getting it?

Just a suggestion, you know me and chemo brain, but I am pretty sure about this one.
Update on Wendy. She has finished her rads and is feeling supurb. Thank you for all your help and encouragement. She is going in to the many doctors in the next 2 weeks to see where she stands, but when I talked to her on Friday, she was on top of the world. She is very positive that all is stopped in it's tracks or gone. I will let you know when I hear. Take Care Steph. Ps. How was the Anniversary party for your folks?
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Old 11-20-2005, 05:29 PM   #6
Kim in CA
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Steph,

I'm so sorry you are facing yet another challenge. Thank goodness you have caught it early, and thank you for bringing this subject up. I tend to be a little reckless sometimes and do some of the things that the other ladies have said you should never do. I knew you shouldn't take your BP on that arm, or get injections, IVs etc., but I never was told about not lifting heavy things. You wouldn't believe how much weight I lift with that arm sometimes! I stack large bales of hay and carry very heavy water buckets, and get far too many cuts and scrapes. Oh my gosh, I guess the good Lord really does watch out for fools!

I'm going to be much more careful. Love Kim

P.S. please do keep us posted on your progress.
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