So here goes a long post....my opinion based on my experience with a Bilateral Mastectomy and immediate DIEP Flap Reconstruction....
Even before I was diagnosed, I had already started using my grocery store's new Curbside Pick-up option....it is awesome! This has really been great post-op too. I order my groceries online, pay online, and schedule a pick-up time. This is less expensive than a subscription delivery service and the store is just down the road. My parents picked up my order a couple of times and yesterday I did it myself! (My first time driving since surgery was yesterday!) You might try it before surgery just so you get a feel for it.
My appetite was hit or miss while in the hospital, but it slowly returned and getting good food into your system is important for healing. Popsicles were my favorite treat especially the first couple of weeks due to my mouth and throat still being a bit irritated from intubation. I've been keeping a box in the freezer ever since.
A great gift idea if you are looking for something nice to do for someone preparing for surgery is a stack of restaurant gift cards! Some of my friends did this for me and even included some $1 bills for tip money. They picked up cards from a variety of places, including sit-down restaurants for when I was feeling up to it and fast food for quick stuff; all located near my house. These will come in handy for awhile!
|A variety of food gift cards makes a great gift idea for post-op!|
One thing I do fairly regularly is "freezer meal prep". This comes in handy when life gets busy, which is often when you have a freshman athlete and work full-time! If you have never done this, now is a great time to start! Having something that I (or my son) can toss into the crockpot or stir-fry pan has been wonderful. Eating restaurant take-out or fast food gets old (and expensive) and sometimes all you really want is a home-cooked meal. You won't be allowed or able to cook for awhile, so this can be a nice help. About a month before surgery, I made my menu and spent an afternoon assembling some meals. Within three hours, I had 12 meals and an appetizer in the freezer! Nothing is cooked ahead of time, just prepped. If you need ideas on this, feel free to message me or check out my Pinterest Board dedicated to "Freezer Stuff".
|12 meals & and appetizer ready for the freezer in 3 hours!|
One thing I read a lot about was drain management. Those stinkin' JP Drains become truly annoying after awhile. Almost every blog post or list you read recommends some type of "drain holder". My Great Aunt mailed me a "drain pocket" that she received as a gift before her mastectomy and one of the sweet ladies in the Sewing Circle and my parent's church made me a "drain apron". The hospital provided lanyards and rubber bands as their solution. There are pros and cons about all three and I used all three at different times. Here's my take on drain management:
|My 3 JP Drains hanging with |
rubber bands on a lanyard.
|She made this one with two large pockets since we |
were not sure how many drains I would have.
|Not the best "in use" pic, but you can see the drain apron |
is on my abdomen as I'm chillin' on the couch
right after I got home from the hospital!
The drain pocket is similar to the lanyard because it goes around the neck. Again, this does get tiresome and you'll want a break, so having options is nice. The pocket was especially nice toward the end of my drain days when they were not as full. I could fit all three in the pocket at that point! Just like the lanyard, I tied a knot in the string to make this one shorter when I was up and about.
|In this pic, I have the drains still on the lanyard tucked |
into the pocket. Shortening the length seemed to provide some
much needed relief to my neck.
I did a very short video the day I came home (POD #5) on stripping my drains, if you want a better look at how they worked:
This is an adventure. I am a side-sleeper so being propped-up and on my back is an adjustment. Lots of folks recommend a recliner for sleeping. I do not own one and am not a fan in regular life, so I did not borrow one for surgery. That being said, I probably would if I had it to do over again. Not necessarily for sleeping, but just to change up where and how I am sitting all the time. My tailbone was getting sore the first week at home, so I recommend having some extra padding or foam cushions handy. And, you can never have enough pillows!
I purchased 2 wedge pillows at Walmart prior to surgery and wound-up asking my family to get me 2 more after I got home. I have stacked these in different ways for both my back support, as well as my legs and feet. I keep one on the couch for watching tv and as I am slowly lowering my incline in bed (per MD orders), I can remove or adjust a wedge as needed.
|Wedge pillows, regular pillows, and body pillows!|
I have 2 body pillows that I use on either side of my body when in bed. These help keep me from trying to roll-over in my sleep and give me cushioning for my arms.
The Breast Center and my Plastic Surgeon's office each provided me with an underarm post-mastectomy pillow (both made and donated by volunteers). There are different varieties of these. They are nice, esp. in the beginning when you are a little more sore due to the drains. Honestly though, I never used them. Instead, I used my special "weird" pillow that a lady at church made for me (blue one below).
|Mastectomy recovery pillows|
I saw this mastectomy recovery pillow online and knew I wanted one! My mother gave a friend the measurements and she made it for me before I went to the hospital. This pillow has been used in all kinds of ways! Several people at the hospital took photos of it and asked about my "weird" pillow. It is soft and easily folds or bends. I have used it in the way it was intended (as pictured above) and I used it behind my neck in the hospital bed, behind my knees, under my feet, etc. One of my nurses laughed every time she saw it someplace new! I have included the measurements and my recommendations for tweaking it on my Helpful Links page. This pillow has definitely been a great must-have! This was the pillow I used for the car ride home too.
Another family friend bought me these sweet pillows that velcro around your seatbelt:
|Velcro seatbelt pillows|
These are nice and will hang out in my car for awhile.....just a little extra padding over the tender incisions.
|Pretty much my outfit until those drains came out!|
My Plastic Surgeon's office had me purchase white cotton t-shirts and cut them straight up the front to make them like a jacket. I was instructed to bring one to the hospital to put on after my first shower. The shirt helped keep the bra and binder from rubbing on my incisions and if any of the drain sites leaked, it helped keep the bra and binder clean. I wore this outfit until my drains came out and I was cleared to change into a regular bra and binder.
|After my first shower in the hospital.|
For doctor's appointments and stuff, I wore button-up blouses. I have a couple of pairs of pull-on, stretchy capri pants that I have been using for these trips too. You definitely want stretchy, soft fabrics and things that are comfortable on you. I have been living in tank tops and knit shorts.
Being at home and unable to really do much gets boring! Try to line-up some entertainment for yourself ahead of time. Now is a great time to binge on some Netflix shows you've been saving or go ahead and add a movie channel package to your cable if you can afford it temporarily.
A couple of friends gave me coloring books and pencils, books, and a big stack of magazines! Of course, I have my iPad and I've been blogging to help pass the time too. Some folks prefer journaling, but I do encourage you to write stuff down as you go.
|Cards, flowers, balloons, & gifts from friends and family|
|Friends from high school over |
for a lunch visit!
Obviously, this is a BIG one! If you are on this journey, be sure to make yourself very familiar with your insurance coverage and how much your out-of-pocket will be...then plan on extra just in case.
For me, this is a tough one. I'm used to being pretty self-sufficient. Asking for help is hard for me....especially financial or physical help! I've learned on this journey though, that you HAVE TO ACCEPT HELP! You need it and people who care WANT to provide it.
I am supposed to be out of work for 6 weeks. I already knew I did not have enough PTO to cover that long of an absence nor do I have short-term disability to help. This means, that I will be short just over one whole paycheck (if I get to return at 6 weeks as planned). Thankfully, I have some money in savings and I submitted my taxes prior to hospitalization so that I could get my tax refund sooner....every little bit helps.
For those of you who have even bigger treatment expenses than I do, this can mean needing to think about fundraising, etc. I did a small fundraiser...more for the moral support than the money, but the money sure came in handy! I posted about it in a previous post...my t-shirt campaign via Bonfire.
|More friends wearing #TeamJules tshirts!|
HANDY MISC. ITEMS
Chapstick/Lip Moisturizer!! This is a must-have especially that first week in the hospital. Your lips and mouth are pretty dry after being in surgery for so long. Both the Breast Center and my Plastic Surgeon's office gave me chapstick and I received some from a couple of friends as gifts. My absolute favorite one was given to me by a friend...Tom's Peppermint! It is so smooth and the peppermint smells wonderful. I wish I had taken this one to the hospital.
Be sure to follow your MD's orders and recommendations for things. Mine had me pick-up all of my prescriptions the week before surgery. This was a good idea and I was glad not to have to wait for a prescription to be filled once I was home. I also recommend having Benadryl on hand. I had a delayed allergic reaction the week I got home and needed it.
My grandmother bought me one of those reacher-grabber things since bending isn't something you can do for awhile. These are always handy around the house anyway....although I usually use my teenage son! :) Putting things within reach is really important though and it's not something you might think about. There are things I was surprised I could not reach...don't seem high or too low normally...but post-op my arms just couldn't go there. For example: I had my son put a few of my drinks on the top shelf of the fridge every day because bending over to reach the bottom shelf was hard.
I tried using a shower chair, but it was not helpful for me. I did much better just standing in the shower and using the removable head. Although, I have kept a chair outside the tub to sit on while drying my legs and feet.
Stock up on regular use items and paper products...one thing you don't want to run out of is toilet paper when you are home alone and can't drive!
I'm sure I'm forgetting all kinds of things, but this post is plenty long already. :)
If you have questions or have other ideas to add, please leave a comment below!
I'm going to start working on a hospital packing list too.