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September 2, 2008, 2:27 pm PDT
Breast Cancer Reconstuction Disaster
I originally sent the below concerns a few weeks back to "Be on the Show" about Bad Plastic Surgery ...The main concern is that I am still having severe pain in my left breast and am concerned that the Capsilar Constiction is getting worse in that breast...The doctors disregarded my pain and concern the last time I saw him, in 2006...My implants are Silicone and I feel thbe doctor just is refusing to deal with the problem since I'm in a 10 year study for Silicone Implants...Because of this disregard to the pain and my concerns on the uneven breasts, I am afraid to go back to the Breast Center...The insurance company viewed the last reconstruction surgery as cosmetic, refusing to pay for the claim, leaving a huge medical bills that has been taken from my taxes for the past 2 years... My questions to the doctors: 1. How can I convince my Breast Surgeon to examine and take my concerns and pain seriously??? 2. Why aren' the insurance companies adhering the the 1998 Federal law for Breast Cancer patients and their rights to reconstruction???
Here is the email I sent describing the history of my Breast Cancer and surgeries:
I'm a Breast Cancer Survivor...I was diagnosed with "pre" cancer in my left breast in January 2002, just 2 months after being widowed of a 17 yr marriage and 6 months after my last sibling passed away of lung cancer and Aids...Since Breast Cancer ran rampant in my mothers side of the family, I decided to do the best thing and have a Bilateral Mastectomy...Removal of both breasts "before" cancer set in...It was an extremely hard decision for me, yet I think I made the right choice...Catching the breast cancer is the "pre cancerous" stage, I did not have to go through Chemo or Radiation...I thought i was very lucky...However, the reconstruction became (and still is) a nightmare...The originally surgery went fine, implants were immediately put into my chest, under the muscle during that surgery...On the 2nd day in the hospital, the male nurse asked if I wished to take a bath...Since I'd had a sponge bath earlier that same morning by a female nurse, I declined...The male nurse insisted it would help me relax...He kept asking me so I gave in and said yes...When I was taken to the bath room with tub, in the hospitals burn unit where I was roomed, I asked the nurse what I was suppose to do with the drains in my chest...He told me, and I quote here, "Let them float"...I thought he was joking but he reassured me all would be ok if the drains floated while I bathed, it was after all, a hospital burn unit and he had just cleaned the tub thoroughly...The nightmare began...I caught an Endococcus infection in the left breast because the tub was not cleaned properly...The implant had to be removed...The doctors replaced that implant 4 times, each time, I caught another infection in the left breast...One time, the sutures were not tight and the drains tubing slid inside the breast and wound up, leaving just a bit of tubing outside the breast...Another time, the fluid drained out of the tubing because the inside tube had a small hole in it...It was exhausting and scary to go through so many surgeries...The doctors finally had to settle on Silicone implants instead of the safer Saline because my left breast had been through so much trauma...Then came the surgery for removal of my inner thigh skin to graft onto my breast to replace the aureole areas...The nipples were constructed of breast skin and was left far too long, it wouldn't shrink like the doctors told me it would...I had to literally tape them down for months on end...The skin underneath would blister due to the bandages...When the doctor aligned the aureola areas, I told him I thought they were uneven and the right one higher and angled out too much...He assured me it would heal evenly...It didn't...He also assured me the skin grafts would work out as he had intended them to...They didn't, they fell off, in patches...I had to be tattooed a number of times by a doctor who hadn't done nipple tattooing before...I had to tell her which colors would work and pick them out...I was tattooed a few times, it is now fading fast...MY left breast became painful, in 2004...I did online research and told the doctors I suspected "Capsular Constriction", where hard tissue grows around the breast implant and can cause a number of complaints, pain is just one of them...He said it looked ok, but would NOT check me further for Capsular Constriction...:I repeatedly told the doctor that I was having pain, the breasts were NOT even and he told me he might be able to raise the one nipple (another in depth surgery) to match the other...The left breast is larger than the other...The right nipple is angled out towards my arm...My left breast is extremely painful, and is hard to the touch...The last surgery was to remove the extra skin the doctors left under both my arms, since they had not done that in the initial surgeries...They failed to remove it all and I have puckers under each arm because of this...I had so much trouble getting our insurance company to pay for the last surgery, that I fell into debt that I still suffer from...There is a Federal Law for Breast Cancer survivors that guarantees them surgery to complete ALL the reconstruction needed for both breasts...My insurance company claimed it was "cosmetic surgery" even thought the referrals and doctors cited Breast Cancer reconstruction...I've spent countless hours on the phone with insurance company, the doctors office to make sure the insurance claim "codes" were properly in place on the claims, and still, the last surgery was not covered by Federal law...This made my liable for the hospital costs, surgery costs, anesthesiologist cost, etc, all went unpaid...I had to get a referral from my primary doctor for: the Breast surgeon, the hospital, the anesthesiologist, the Breast Center for follow ups, and the office visits prior to the last surgery...It's ridiculous...My state tax returns have been swallowed by the hospital to recover costs of the last surgery and are still being taken to pays for those costs...My left breast is getting more painful, is hard, the breasts are not the same size, the right nipple is off to the side, and there is extra skin under my arm that shouldn't be there...I have NOT been back to the doctor since the last surgery...He will NOT listen to the fact that Capsular Constriction IS in my left breast, and I'm afraid I'm going to be going through a number of surgeries that still won't fix the breasts as the reconstruction was to do...I don't even want to think about having to deal with the insurance company again, telling me NO, it's not covered, it's cosmetic surgery, even though there is a Federal Law that allows Breast Cancer patients reconstruction to be covered by their insurance companies...My husband has been wonderful throughout my surgeries...I met him online when all I had on my chest was scars...We married in a Cherokee Traditional Ceremony at his Methodist Church on Winter Solstice, 2004...He was been right beside me during most of the reconstructive surgeries...I'd be lost without him...How do I get the proper reconstructive help and surgery I need to even my breasts, restore my confidence and end the physical pain when not only do the doctors here disregard the mistakes they've made, but the insurance companies refuse to allow the claims for Breast Reconstruction as guaranteed by Federal Law [1998]??? I will be celebrating my 6 year "Booberary" on August 23rd, and my 54th birthday on September 11th this year...Yet, why do I feel so incomplete as a woman???
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