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port placement for Chemo
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port placement for Chemo

I am getting a Port Placement on my Chest to continue Chemo treatments,I had a double Mastectomy,
My right side is the Cancer side, the left  breast was healthy, but it was decided to have a Mastectomy as well,
The Surgeon took 2 Lymph Nodes, all NEGATIVE.from the left side, and 18 Lymph Nodes from the right side, 3 were
POSITIVE, STAGE II
My question is: WHAT IS THE BEST SIDE THE PORT SHOULD BE PLACE ? RIGHT OR LEFT?
I  also have expanders placed on both breast, to get reconstruction after Chemo is completed.
Does expanders represent a nuisance, with the Port placement?
Please, Advise.
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15 Comments
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962875_tn?1314213636
Going just on common sense, I wouldn't think it would make it  make much difference, since you has surgery on both sides (bilat. mx and lymph node removal), although maybe the side that had the least surgery (that is, where just 2 nodes were taken, rather than the side where 18 were removed), would be preferable.

However, the best person to ask all of your questions regarding the port and its placement would of course be the surgeon who will be doing the surgery and has the expertise and experience to answer them.

Meanwhile, how are you doing? How did Friday's chemo go? Did you learn of a BC support group that would be convenient for you to attend?

Hang in there,
bb
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thanks BB for your very smart advise.I am a little scare about the Port
placement, maybe, I do not want to have further complications,.I must  be on top of all my procedures.
My 2nd Chemo went well, but Nausea set up sooner, just next day in the morning , for nearly 24 hours, I took the medication ONDANSETRON for Zofran, and felt worse. I will ask my Onco to change it.Today I feel better
and I am eating, but feel weak.My next is the 30th.
I wish you and all my good friends from the Forum a Merry Christmas and a Healthy year.!!
God Bless you all.
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587083_tn?1327123862
Hi Ali,

I am afraid I don't have a personal experience with Chemo side effects,but I found a link where many women have experienced sickness from Chemotherapy.
I hope their comments will help you to find out which medication worked for them concerning the nausea.
Wishing you a Merry Christmas and a New Year full of hope,recovery and health.
God Bless you too Ali.

http://www.medhelp.org/posts/Ovarian-Cancer/Nausea-Prevention-for-Carbo-Taxol/show/963095
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Avatar_f_tn
Hi Zouzi, My friend, you are so lucky, you did not have to experience Chemo Nausea, what was your prognosis and treatment?
CMF Chemo is supossed to be mild, but I guess, is up to the dosis.
I heard Marinol works, but I do not know if they can prescribe  here in New York,
I will go thru the 6 remaining treatments, I am not a quitter, besides, I can not wait to go Home. I will prevail, not without complaining.
This wednesday , I will have the Port placement, (the last pinching in my
vein)
I wish you all the best!
MERRY CHRISTMAS ! and Thanks !!!
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962875_tn?1314213636
Hi again,

A newer anti-nausea drug, Emend, has been very effective for many chemo pts. (SueYoung55 sings its praises!)

Feel free to complain all you want--the road you are on is not an easy one!

My loved one was extremely glad she had her port (I think maybe it was placed at the same time as her lumpectomy?) and even was reluctant at first to have it removed when her tx was completed, because it made all of the bloodwork so much simpler.

I hope it works out as well for you.

Merry Christmas to you, too, if we don't hear from you before then.

bb
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962875_tn?1314213636
p.s. I have sent you a private message which contains an excellent article that discusses management of chemo-related nausea.

bb
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587083_tn?1327123862
Ali, I had a small tumor 9 mm IDC stage 1 grade 1. ER/PR positive HER2 negative. Had lumpectomy,20 radiation sessions,and I am now taking Femara.Still have 2 years to go.. :( Of course I will continue taking this drug no matter what, as recommended by my Surgeon..but I would have certainly preferred to do without! LOL
Yes, I guess I was lucky to have caught my breast cancer early! I did  have  radiation side effects though,feeling tired for quite some time.
You got  very good advice from our dear friend bb..Yes I remember now, that Sue Young talked about Emend and how good it is to control the nausea.Also I think she advised to drink lots of water after each chemo infusion to flush out the chemicals from the body.
All the best to you Ali...
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Avatar_f_tn
Thank you , I will ask my Onco to change the nausea meds to Emend.
The Port is schedule this coming wednesday.It should have been done
since the begining,
Zouzi: continue with  Femara, watch your Bones!
BB and Sue, thanks again for the excellent advise.
I will let you know of my progress.
God Bless!!!
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Avatar_f_tn
BB I do not know how to open your private message,
I clicked on REPORT by mistake,
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962875_tn?1314213636
Click on "Inbox" in the upper right corner of your screen.  When you see your list of messages, click  on the message you sent to me, titled ":Lymphedema." I added the article on chemo nausea to the bottom of that thread.

By the way, do you have your profile preferences set so that you get an e-mail from MedHelp every time you get an answer, note, or private message? That way, all you have to do is click on the link they have sent you, to see the latest communicationform any of us.

bb
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739091_tn?1300669627
Hi Allidi,

Typically they install the port on the non cancer side even if you've had bilateral mastectomies.

The installation surgery is a quickie in and out and here in the states is considered an outpatient surgery.

Best wishes my friend. :)
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739091_tn?1300669627
expanders won't be in the way of a port, it'll be installed about two inches from the top of your shoulder (general area)
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Avatar_f_tn
thanks for your answer, but I had a lot of trouble, they installed the port
in the cancer side, and I went into heart trouble,  my heart raced and I expirienced preassure in the middle of the chest, I was half sleep, and heard them rushing with medication, When I was in recuparation, I had an excrusiating pain from the port all in my right armThey called a Cardiologist who , order an special blood test. They left me in the hospital in observation, for three hours and the gave me Percocet.It was a horrible expirience, they said, ( the Cardiologist and the Radiologist,) that maybe the Catherer tickle something, this explanation is unnaceptable, I am weak from the expirience, an unimformed,Please, help!!
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739091_tn?1300669627
Good heavens! You're having a tough time!  

Before having a port installed they performed a MUGA test on my heart to make sure everything was ok. Typically a port installation causes only minor discomfort that subsides within 48 hours or so and most doctors give a prescription of pain meds for it. Did they perform a MUGA on you?

Do you know which vein they ran the catheter to? It's usually run to the jugular vein, subclavian vein, or superior vena cava. I know for mine they tried to get it into the vena cava but couldn't so mine was put into my jugular vein.

I have never heard of a port being installed on the cancer side when there is a non cancer side available.

If you don't have heart issues then I think you'll find that everything settles down in a day or so. I'm praying for things to calm down for you.
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Avatar_f_tn
thanks for all that wonderful answer, Its the Holidays and I can not get
a hold on the surgeon who did it, Just surgeons and call, that do not know
my specific case, thanks for your BEST ANSWER!!!
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