DCIS pre op isolation loneliness-not sure what to expect

I was diagnosed with DCIS in right breast in Nov, surgery delayed but now given date 02/02. 
In non Covid times my friends and family would've visited and kept me busy but that can't happen.
I now can't even go out for a walk as am in pre op isolation for 14 days and post op for 3 days. I can't believe how much I'm struggling with it all.

My pre op assessment on 14/01 felt chaotic. The nurse was lovely but was understandably clearly stressed in these difficult times and just poured out all her troubles to me. The doctor wasn't available as they had Covid and no other doctor could see me so no chance to have the procedure explained or for me to ask questions about what will happen before, during and after or what sort of scarring I will have. I understand that is just how things are now and no one is to blame but it has oddly unnerved me.

I'm unsure if I need a Covid test before the op as I had Covid in Dec (it's been a tricky few months!). The nurse said it may lead to a false positive and she would have to find out. I also don't know when the wire will be put in. It maybe 01/02 or 02/02 but they couldn't tell me. They said they would ring me but they haven't and I don't want to ring them and be a nuisance.

My usually lovely husband couldn't attend any of the appointments because of Covid restrictions, seems very detached and is now camped out in in a separate room due to me isolating. 

I feel guilty for posting as I know it could be worse and my prognosis should be good but I'm just thinking about it and worrying all the time. I don't want to bother friends and family as they will worry especially as they can't visit so I just brightly tell them "I'm good" and change the subject if they message.

I'm not usually like this and take everything in my stride. I'm not sure if having Covid had left me a more anxious person at the moment. It's like my brain is struggling to function properly! 

is there anyone here who could tell me what to expect for dcis surgery, what happens after, how long will I need off work, will I be able to do things after op or is it rest and if so, how long before feel ok again, what will the scarring be like, is there anything I should avoid doing or anything I should do before/after, how long does the op take, does it hurt, any hints and tips?

 I know everyone here is going through worse but I feel like I'm going under or maybe I just need a hug x

  • [@JulesW]‍ 

    Thanks for the info regarding radiotherapy. I'm still doing the exercises. How many days will your radiotherapy be over. That's why we go through this process to protect against cancer returning. Hopefully they have better music when I go for my planning. I remember once supposedly having a relaxing facial, the music was dolphins singing. I came out and wanted to scream .

    This week I feel great as though I've never been ill and my heels have recovered glad I made you laugh. Laughter is sometimes lacking at the moment.

    Listen to your body if it craves a rest do so. Cry and shout if you need. As one day this will be in the past and we can get on with the rest of our lives.

    Good luck with your treatment and let me know how you get on.

    Take care

    Litchielou x

     

     

  • Hi [@Litchielou]‍ 

    Hope you're doing ok. I hope your bone scan results were as good as possible, your heals have healed (!) and you might even have a date for your radiotherapy. I forgot to say they might need to do a mould at your planning session. Something they need to do to provide support for larger breasts during radiotherapy (not something I needed!)
    I had my first radiotherapy appointment yesterday. I'm on the accelerated version so it'll only be 5 sessions with increased dose. It was ok and only took 20 minutes. I felt a bit emotional (caught me off guard as thought I had that in check) I think it just made it all feel so real again! But the process itself was all ok. I think I'm more fascinated by the science and technology behind it. Amazing stuff.

    If you're driving or being driven to your appointment, find out if there is patient parking for radiotherapy. It is often free and some hospitals have dedicated spaces. I had to ring the hospital when I arrived and wait a few minutes in my car until they were ready for me due to Covid restrictions. Then went straight in, temp check, answered the usual Covid questions, was shown where to go, greeted by the radiotherapist who did the usual name, address, date of birth checks and then straight in to get changed. I had to keep lower clothes on and put gown on tied at the back. I have learnt to take a fold up bag with me to put my clothes in and to take as little as possible in with me so I can easily take everything with me into the treatment rooms. I went straight in for treatment. They were lovely, 2 radiographers who again checked name, address, date of birth and then took a few mins to move me into the right position on the bed, arms supported in stirrups and foam wedge under knees, lined up with the tattoo dots, They then left the room and the treatment started. They explained they can still see and hear you and said to raise a hand if I needed anything, It's just a big machine (mine was a bit like an x-ray not a tunnel like a scan). It slowly circles around you. It gets near to you but does not touch. Really didn't feel anything at all. Then the radiographer came back into the room and explained I needed to wait until they said to get off the bed because it is raised up so I waited another few seconds and then was free to leave and get changed again. I was surprised how quickly it was all done. The only thing I had to do was keep still. They were playing Surfin' USA so I was very focused on not tapping my feet or jiggling to the music! I was in and out in about 20 minutes. 1 down and 4 to go
    I fell asleep yesterday evening after treatment and then didn't sleep well last night but I'm sure that's an emotional thing rather than any physical side effects. They said the physical side effects, if we have any, peak about 10 days after the final treatment as there is a cumulative effect. Not everyone gets them so I'm keeping my fingers crossed for us all.

    The top advice seems to be to keep doing the exercises for arm movement and to help with the scar tissue, and moisturise, moisturise and moisturise making sure you go around to your side and back as far as you can reach, up towards your neck in a vertical line across from the armpit to the centre of breasts as this is the area that will be zapped. I've been using E45 and they said that is fine but it would also be ok to use any usual moisturiser that isn't overly perfumed. Some hospitals will advise specific creams like dermol. Only a thin application when you get up on the day of treatment and then as much as you need after, applying gently. Ok to shower as needed. Advised to pat the area dry after a shower not rub. I was told it's ok to use usual shower gels, deodorants as long as not too perfumed but to advice from the team if it becomes very sore or blistered which can happen occasionally. They can then advise or prescribe creams.

    I'm back again today for another session and then the same again on Monday to Wednesday next week.  They are doing my sessions on 5 consecutive days but not at the weekend (or on bank holidays). They said my Wednesday appointment will take a little longer as I will also have a review meeting to discuss side effects and any further treatment (I'm hoping both will be none!) I'm looking forward to it all being finished.

    I do hope you're doing ok. Take care xx

     

     

  • [@JulesW]‍ 

    Thanks for your reply and advice to what will happen. I haven't got big boobs so I don't think I'd need a mold. My heels took ages to repair. I'll be wearing sandals next time as the unit is a long way from the front door. The parking is only £1.50 per day and the first 30 minutes is free.

    I'm having my planning meeting on Wednesday 31st march. I do know that when it starts my radiotherapy will be over 3 weeks Monday to Friday. I presume it's to protect my heart as the cancer was in my left boob.

    I've already started to moisturise and drink more water. (Side effect is getting up more in the night)

    I'm hoping that everything is over by the middle of may as that's when I'm having my hair cut and coloured . Just got to have a Bisphosphonate treatment after the radiotherapy. 

    Not had any alcohol since this has started. My son and daughter bought me for mother's Day a bottle of champagne to celebrate the end of my treatment so I've got something to look forward to.

    Good luck with the rest of your treatment let's hope you have music that won't make you want to dance. 

    Take care litchielou x

     

  • Hi [@Litchielou]‍ 

    Hope your planning appointment went well, you're doing ok on the meds and maybe even have a date for your radiotherapy.
    I've now finished my radiotherapy. It was ok and I soon got into the routine. The music didn't improve Surfin USA, Grease, Spice Girls and Cher but all were a good distraction as was the bluebell picture on the ceiling. My emotions were up and down but I learnt to just roll with them. It was easier once I knew where to go and what to expect. They used the same machine everyday so it was always in the same place. I saw 2 different people every day but all were lovely. It only took about 20 minutes each day. I had a review appointment on the last day but this was simply a phone call whilst I was sat in the car park waiting to be called in for my last treatment. Normally it would be face to face but Covid restrictions meant it was another phone call. They simply asked how I was after radiotherapy, I answered ok and that was the review all done. 
    I thought I'd be elated on the last day of radiotherapy and celebrate but to be honest I felt strangely a bit flat. Everywhere was shut due to Covid restrictions so I just went home and wasn't quite sure what to do. The radiographer joked about having a bottle of something nice after the last treatment but I'm still completely off alcohol (not a bad thing really) so I just went home and had a cup of tea. I expect everybody feels differently at this stage.
    My boob now has a large faint brown rectangle (like a mild tan) in the area that has been treated stretching from under my arm, across to the mid line and down to just under my breast. It's barely noticeable but I'm oddly aware of it. I felt ok for a couple of days after the radiotherapy just sleeping a little more but then found I get waves of complete exhaustion and fall asleep a lot and still sleep all night. I also feel nauseous on and off but I have always felt that when I get over tired and it goes when I sleep. On day 4 post treatment I also got a very itchy rash/lots of little spots over the whole area which I'm slavering with even more E45. It's still itchy and spotty now but is much better than it was and the cream really cools and soothes the itch. I bought 3 x 350g tubs and have used one and a half so far. The hospital said they can prescribe creams if needed but I have found E45 is working for me.
    My wound from the op in Feb seems to have healed nicely but is very hard. It is indented which means there's like an overhang of skin above it so it looks more of a V shape. I know this will all fade in time and feel surprisingly at ease about it. My arm movements are good but feel a bit stretched at the extremes so I'm still doing the exercises. My nipple remains surprisingly very tender.
    I happily don't think I need to go back to the cancer hospital but have been told I will have an appointment with the breast care unit in 6 weeks time but do not have a date yet. I'm not sure what that is for but am guessing it's a catch up post radiotherapy and may well just be another phone appointment.
    I already have an appointment for my yearly review next Feb and will now have reviews/mammograms once a year for 10 years. I think the frequency of these reviews vary depending on hospital/health board.  
    I've also happily had my first Covid vaccine (Pfizer). My appointment came in the middle of the radiotherapy sessions. I checked with both the cancer centre and the vaccine centre and was told it was ok to go ahead with it.
    I went for a long walk on the beach on Easter Sunday and felt really good for the first time in quite a while but then promptly slept for hours and felt exhausted again. I know the tiredness and rash will pass and am optimistic about the promise of better times ahead. 
    I hope you're doing ok. It's such an odd journey. Take care x

  • [@JulesW]‍ 

    Thank you for your message. My bone scan only showed wear and tear of my feet. Not sure what that means as I've never had any problems but I never had problems with my spine which showed up on the CT scan.

    I started radiotherapy last Friday 2 down and 13 to go. I'm getting ready for my appointment this afternoon. The one on Friday was quite quick more time was getting me in the right position. Yesterday was strange I was diagnaly under one machine and one at the side. They then took photos and then I was straight under the machine for another 10 minutes. I asked if that was usual but didn't get a straight answer. I might ask again today for an explanation. Last appointment will be 29th April. On the 28th I have an appointment with the consultant.

    Like you Ive been smoothering e45 cream all over my chest, boob and under my arm. I'm very lucky that my arm has very good movement.

    With regards to the tablets I was fine with the ones given at the hospital (cipla brand) but was given the accord brand from my GP and I had horrendous side effects. Freezing cold and uncontrollable shivers, urine infections and terrible headaches. Spoke to the GP and he gave me another prescription for Cipla. My local pharmacy are very good ringing around the rest of their shops and have got me and put to one side a years supply with my name on, as it's not one that they normally stock. They had just been taken over by another company now they have 230 shops where as before they only had 2.

    I was given the astro covid jab 3 weeks ago and my next one is 28th may. More importantly I have an appointment for my hair to be cut and coloured 19th May and a manicure on the 20th. It's my birthday on the 21st and my son is having a BBQ for me to celebrate. I've promised I'll have a glass of champagne to celebrate the end of the treatment. I'm sure after having no alcohol since December I'll be in bed by 8.

    Yesterday was 19 weeks since I was diagnosed. I can understand that you now feel lost as it's been a very intense time. Life is now on its way to get back to normal. What ever you do live life to the full. We now understand that sometimes it can change in a blink of an eye.

    Take care and if you ever want or need to just chat I'll be waiting

    Lind x

     

     

     

  • Hi, Although it does seem like a strange thing to say to anyone, I'm glad to hear your radiotherapy has started. It's good things are progressing.
    I can't explain the different position you were in yesterday as I had the accelerated 5 day course which is different. I was in the same position everyday. I shut my eyes to relax at times so was not always aware where the machine was. I'm sure there's a good reason and they know what they are doing but you are right to ask if it's causing you any concern. Hopefully they will provide a more useful explanation for you today.

    I found the whole thing very surreal and think I felt a different emotion everyday. Sometimes I felt strangely empowered and completely in control and other times a complete mess. I have realised both are ok but I prefer the first one!
    What a horrible experience you had with your meds. I'm glad that has been sorted for you and that the pharmacy have sourced the right meds that you need for the year ahead.
    I hadn't counted the weeks or realised that we were diagnosed around the sabe time. It's been 20 weeks for me and then I had Covid a week later just to add to the mix. In some respects it feels much longer ago but also like time has stood still. It felt good to count the weeks and has helped me put it in some perspective.

    Lost is a good word to describe my current feelings. I'm not usually someone who sits still but I'm finding it helpful to rest quietly, sleep when I need to and take time to process the last few months. You may find you need to do the same or you may feel differently. Listen to your body and do whatever you need to do but be prepared to feel tired and rest when you need to. The full effects of the fatigue seemed to hit me about 10 days after my radiotherapy finished.
    I've now realised I need to get back to some normality and intend to go back to work on Monday. I surprised myself by taking time off in the first place and also by agreeing to a part time return with a view to increasing hours and days. I can see this has changed me. Hopefully we'll all be a bit wiser and kinder to ourselves
    You are right things really can change so quickly and we all need to enjoy ourselves. A big cheer for you having an appointment to get your hair and nails done and a celebration for your birthday and the end of your treatment. I hope you enjoy your birthday and the champagne. 

    I'm looking forward to a week away with family in a Welsh cottage in June. Fingers crossed restrictions will allow it. Things are looking hopeful.

    Thank you for your support and do message to let me know how you get on if you are able/have time. I too am here if you need to chat.
    Good luck with the rest of your treatment. There will be better times ahead xx

  • [@JulesW]‍ 

    Just got back from my appointment. Today I was lucky that 2 people hadn't turned up and so I went in early. I asked about the machines and they explained everything to me. I had today the same treatment as yesterday. Friday was just to make sure that they were correctly lined up. 

    Enjoy your holiday to Wales in June. We normally go Tenerife in November but as we are retired can book anytime up to the day before. We are looking to going either somewhere in Cornwall or Brighton in September. Went to Newquay, St Ives the year before last for the first time and loved it.

    Take time in returning to work listen to your body.

    Take care

    Lind x