Thursday, September 19, 2019

A Little Longer...

Today, I saw the PA at Dr. Speigel's office for a check-up. I'm 5.5 weeks post-op, and here's the scoop.

My abdominal incision that had the little delayed healing spot? That's all better! The whole incision is looking fantastic - definitely not like a month old scar, that's for sure! I still have to walk flexed for 2 more weeks though, because if I stand up now, the scar will stretch and widen, so they want me to wait til 8 weeks post-op before I stand up fully. Or rather, start to stand up - I can already tell it's going to be a slow process.

Also at 8 weeks, I can start sleeping in my bed again, instead of the recliner. That will also be a transition too - one week with 2 pillows behind my head and knees, then a week with one pillow each, and then normal.

Another 8 week change is that I will be able to start using Silagen silicone scar therapy sheets. They're supposed to be amazing.

Pretty soon, I will get set up with the physical therapy group at The Women's Hospital, and that'll be twice a week for 6 weeks. That is for range of motion in my arms. They'll also do some cold laser therapy on some areas of hardness in my breast. The hardness is from the bleeding I had that required the second surgery, if you remember that. I still have some bruising from that episode, and where the bruising is, is hard... It's softening up, but the laser (which doesn't hurt) will help it improve faster.

Another thing they did today was remove the glue (dermabond) covering the breast incisions. On the left side, there are 2 tiny dots of "delayed wound healing" so I've got to use the special dressing I was using on my abdomen, there. It really looks like there were two little scabs that stuck to the glue instead of my body, so hopefully those clear up quickly.

And, that's pretty much all the news for today. I was pretty disappointed to not be cleared to stand up, but I love that she explained why, so I can be patient.

I'm seeing a trend of things taking a little longer than planned at each step in the process. 6 days in the hospital, instead of 4. 8 weeks walking flexed, instead of 4-6. So, I'm kind of starting to prepare myself for the possibility that I might not get to have my Phase 2 surgery before the end of the year.

Phase 2 is a second, planned surgery for symmetry and scar revision - Phase 1 is the big one, and it's meant to be a foundation, not a finished product. Phase 2 is always at least 4 months after Phase 1, longer if needed.

I was really hoping to have it by the end of the year, because all of my medical expenses are covered by at 100% by insurance right now. If it's after 1/1/2020, then we start over and I have to pay a big chunk of the cost. Which is manageable, but obviously if it's avoidable, then that's better! But my priority is the best outcome, and I fully trust my doctor to make that decision when the time comes. I will see her next on 11/21, and she will decide then if we want to keep our pencilled-in date of 12/11, or push it back.

That's what's new with me. If you're following the weather, you may know it's been bad down by us, but we've stayed safe and dry and I think it's about finished. Be praying for others in my area that flooded - some who also flooded during Harvey.

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