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Medical Forum / Diseases and Disorders / Cancer / June 2004

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Lumpectomy & Mastectomy-how painful are they?

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Robin - 19 Jun 2004 19:50 GMT
My sister in law will know in approx 1 month which she will have to
have.  The surgeon said that he will be taking one lymph node from under
her armpit regardless which surgery she will need.  She has a brain
disorder which makes her a little fearful even on a good day, so she's
worried about this and feels she has a low threshold for pain.  I will
be the helping at her at home for a week or two when she gets home from
the hospital.

For those who have had either, can you give me an idea what it felt like
after anesthesia wore off, and how was it before it wasn't painful
without pain medication?

Also, if she does have mastectomy, she may opt for removal of other
breast since they are large and have heard that the imbalance could be
uncomfortable.  If you've had reconstruction at the time of mastectomy,
would be interested if that adds more pain, or anything else that we
should be prepared for after surgery.  

Thanks.

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J - 19 Jun 2004 20:49 GMT
> My sister in law will know in approx 1 month which she will have to
> have.  The surgeon said that he will be taking one lymph node from under
[quoted text clipped - 13 lines]
> would be interested if that adds more pain, or anything else that we
> should be prepared for after surgery.

Hi Robin,
Post on the breast cancer newsgroup.
You'll get a wider range of responses there
Clicking on this might automatically take you there, depending on how your
newsreader works or add it to your list.
news:alt.support.cancer.breast
J
Sharon - 20 Jun 2004 02:27 GMT
"Robin" <robinxjoy@yahoo.com> wrote in message
> For those who have had either, can you give me an idea what it felt like
> after anesthesia wore off, and how was it before it wasn't painful
> without pain medication?

The first lumpectomy really was a piece of cake for me.  I had it under
lidocaine in a same day surgery setting.  I had another lumpectomy on the
same breast, a week later.  Same thing.  But when they told me that they had
not gotten all of the cancer, I had a third lumpectomy under general
anesthesia, with morphine for pain.  The pain was tremendous at that point
because the breast was so traumatized.  I want you to know that this type of
situation is not "normal".  It was a very rare cancer that was hard to
distinguish.

She may feel pain, and then again she may not.  It depends on the extent of
the surgery they need to do.  If a lot of tissue is taken, and if that
tissue is in a painful place, or if she chooses a mastectomy; most likely
she will have pain.  So, the question is not whether she will feel pain, but
what will the doctors plan to treat the pain.  She need to speak up ahead of
time.

I had a follow-up reconstructive plastic surgery, while the breast tissue
was still a little traumatized.  I did not ask for anything for pain, and I
had to sit all night in pain in the hospital because they did not have an
'order' from the doctor to treat the pain.  So, if you are here in the US,
ask the doctors to give the nurses a standing order for pain medication. If
the surgery is going to be extensive, ask for the 'big guns' in pain
medication.  One thing that I learned is that if you treat the pain
immediately, it does not escalate.  But if you wait to treat it, many
medications will not be able to bring it under control.  So, have her ask
for the pain medication when she starts to feel the pain.  It will help to
alleviate experiencing high levels of pain.

There are very few surgeries that do not have some degree of pain with them.
It is better to be prepared ahead of time by asking the doctors what nursing
plan they will be leaving the nurses in case she has pain.
--
Take Care,  Sharon Lane
http://www.rare-cancer.org
Robin - 20 Jun 2004 07:13 GMT
> "Robin" <robinxjoy@yahoo.com> wrote in message
> > For those who have had either, can you give me an idea what it felt like
[quoted text clipped - 21 lines]
> had to sit all night in pain in the hospital because they did not have an
> 'order' from the doctor to treat the pain.

Oh, you poor baby! I would have screamed on top of my lungs that they
wake the doctor up or get the chief of staff, or the doctor on call, or
whatever it takes to get pain medication.  How dare they let you suffer
without reaching a doctor, I don't care which doctor or what the hour.  
For some reason, your experience has really pressed my buttons.  
Probably because I have gone thru similar situations taking care of my
various immediate family members, but I do make a lot of noise, and, the
squeaky wheel gets the grease (or whatever that expression is).  If you
are ever in a situation like that again, please, make noise and lots of
it, have an advocate you can call in the middle of the night, if
necessary, to make noise for you.

So, if you are here in the US,

I'm in So. Calif.

> ask the doctors to give the nurses a standing order for pain medication. If
> the surgery is going to be extensive, ask for the 'big guns' in pain
[quoted text clipped - 3 lines]
> for the pain medication when she starts to feel the pain.  It will help to
> alleviate experiencing high levels of pain.

Thanks Sharon, I will be sure that this is taken care of.

Robin

> There are very few surgeries that do not have some degree of pain with them.
> It is better to be prepared ahead of time by asking the doctors what nursing
> plan they will be leaving the nurses in case she has pain.
> --
> Take Care,  Sharon Lane
> http://www.rare-cancer.org

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Guess Who - 20 Jun 2004 14:18 GMT
"> >
> Oh, you poor baby! I would have screamed on top of my lungs that they
> wake the doctor up or get the chief of staff, or the doctor on call, or
[quoted text clipped - 7 lines]
> it, have an advocate you can call in the middle of the night, if
> necessary, to make noise for you.

I have never seen a post operative case where pain medication is not
ordered, I would say that is malpractice.
When I woke up from my mastectomy and reconstruction, I was very surprised I
had no pain, that is because I was injected with a long action local
anesthetic
I had pain, I was ordered for Morphine but choose to take a pill instead.
Howian - 29 Jun 2004 18:42 GMT
1. My wife just had the lumpectomy for a small tumor and it wasn't too bad.  I
took her home the same day after about 3 hours following surgery.

2. The surgery was shorter because she had I believe CT with contrast the day
before which identified the location of the sentinel node which had to be
tested.  

3. If you decide on a mastectomy apparently there is little risk of recurrence
with reconstructive surgery which makes sense for cosmetic reasons.  

>Subject: Lumpectomy & Mastectomy-how painful are they?
>From: Robin robinxjoy@yahoo.com
[quoted text clipped - 20 lines]
>
>Thanks.
 
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