Tag: staples

staples out

Staples Out, Chill Out

A couple of days ago nurse Bonnie took out my staples. I had to lay on the bed while she took them out. No standing allowed since some people pass out. (Oh great. Isn’t that foreshadowing??) She seemed to be struggling a bit with the disposable staple removal device … I think mainly because she had baggy rubber gloves on. I was close to asking her to take them off, but she looked so determined. She took out one or two staples that didn’t hurt at all and then the digging began. Now that was not so pleasant. “Oh this one is hard to get a hold of. We’ll come back to that later.” Oh great. 

remover
This little removal tool is pretty clever! Shove it under, squeeze. It crimps the staple in the middle, causing the tucked under part to shoot up and out.

When it was all said and done, 53 staples were out and 12 steri-strips were put on. Why? Well, “just in case the incision doesn’t hold”. Oh, ok. Great.

steri-strips
The staple holes will heal along with the incision. The breast-shaped bruise is pretty impressive don’t you think?

Any special instructions about the steri-strips? (I’ve learned to ask this.) Oh yes, says Bonnie… 

  • no lifting anything over 5 lbs
  • no pushing
  • no pulling
  • no reaching over your head
  • anytime you are doing exercises, stop when it hurts – don’t push past that (read: no shampooing the top of your head)
  • no baths

Piece of cake. I’ll just go ahead and do NOTHING. 

icing the chest
This is me going slowly bonkers. Keeps the swelling (and tenderness) down though…

She didn’t say no knitting, so I knit up this cowl (thanks to Dana for the wool). 

goofy cowl shot
Again with the crazy eyes…

It’s a basic pattern except that I added in a little triangular part on the bottom edge so that the wind doesn’t whistle into my coat above the top button. I HATE that about cowls! They are just a bit too short for coats that you don’t button right up to your chin.

cowl
This is the chilly spot… 

Next up – go to see the surgeon. I plan to ask him a whole lot about the surgery itself, such as:

  • Where exactly were the lymph nodes taken from … that really swollen and painful spot or is that something else?
  • How many were taken?
  • And do you realize that the left side of my chest looks a LOT different from the right? 
  • Did the resident do one side and you did the other? 
  • And what did you do with my gorgeous nipples? I should have donated them. Or bronzed them.

Of course I will also get the first set of results from the surgery – information about the lymph nodes. Big question – was there any cancer in them? If there was, then they will likely want to take out more nodes … but not necessarily. Or they may want to radiate the lymph node area … but not necessarily. If there is no cancer (obviously a good thing), they won’t take more nodes, but it doesn’t mean I’m done with treatment. That will depend on what the breast tissue says … and that’s another 2 – 3 weeks. Could be radiation, could be chemo.

One step at a time. 

In the meantime, knit. And make a plan for physio and massage therapy. (This surgery does quite the number on your shoulders and back.) And watch a little Netflix. Recommended last night are: Ozark, Shameless and Lion. Oh and Melissa implores me to watch Coronation Street, but then I’d drive people bonkers with my British accent.

staples

Stapled

The other day Ripley starting barking, so I knew I had company. I looked out to see a van coming up the lane. A man hopped out and headed toward the front door with a large paper bag. I’m thinking “Hey someone ordered Chinese Food for me!” Nope. It was a bag of medical supplies. The packing slip said “Staple removal kit.” 

paper bag
Looks like Chinese Food…

Of course I’ve been anticipating the procedure. It’s next, after all.

First though, let me tell you just a wee bit about how I survived nurse Amanda removing my drains. It was quite easy. She cut the suture, then I braced myself by putting my hand on her shoulder and followed her instructions. “Take a deep breath in, now breathe out …..” Then I swore a lot.

Here’s one of the drains that came out:

drain
The white flat part with holes is the section of drain that was inside my chest. No wonder I’m super swollen since she pulled them out!

At any rate, I got through that. No problem.

drain hole & bruising
This shows the drain hole that is healing, but check out the pattern of bruising! Turns out that tape affects bruising a LOT! The angled bruise marks above the hole are from tape, the rectangle around the hole is also the same shape as the bandage. I think that’s all rather weird.

So now, the staples. I have 26 staples across the left, 27 staples across the right. The surgeon explained that depending on the stretch / tension in the skin he would either be doing invisible stitches or staples. I got the staples. 

26 staples
Here’s a glimpse of my left chest (can’t really say it’s a breast anymore, but with the swelling it kind of looks like one…)

What exactly does that mean about my skin? It’s tighter? I’m more apt to be an idiot and do too much each day? I would NEVER do that! Anyway, I wonder about his choice. Because the staples are very very cruel. They look cruel and feel cruel. When the pain meds wear off they tingle and sometimes burn. I can’t sleep on my side or hug anyone. I know that they are doing their job and allowing the incisions to bond together. They’re just a bit much. 

At any rate, Amanda told me the date that the next nurse would be coming to take them out (day after next…) and I asked “soooo, how exactly do you take those out”? 

I of course was imagining the various staple removers that I have used – one that looks fairly sinister, with 4 fangs that come together when the hinge is squeezed, and other that seems to rely on a measured thrust under the staple. Neither of these seemed like good options for my chest. I waited with some dread as she rooted through her kit to find hers. Finally she pulled out a slim device and showed me. 

This one is from the paper bag (yes, I had to open it, what can I say?):

She explained it in simple terms which I will do my best to pass on here:  the device bites the staple in the middle, crimping the staple and forcing the curved ends (that are nicely tucked under my skin) to pull up and out. Just like that.   

I’d rather have Chinese Food.