ileostomy

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Chickspeed
Posts: 43
Joined: Sat Jun 17, 2017 5:16 am

ileostomy

Postby Chickspeed » Mon Nov 20, 2017 10:21 am

I can't seem to ever get more than 1 day out of my appliance without itching and burning.

How long do you get?
12/15/2016 Mod Diff tumour 5-6 cm 10-12 cm fr AV T3 tumour cea 1.4
12/29/2016 CT no spread ln normal
1/19/2017 MRI confirms mass and shows 3 enlarged LN (suspected to be infection draining)
3/6/2017 25 sessions chemoradiation
6/20/2017 LAR with temp loop ileo
7/10/2017 Path 20mm margins tumour 0.1 CM with microscopic invasion of submucosa
aug-dec 2017 6 rnds xeloda
1/9/2018 CT all clear
1/18/2018 Colonoscopy clear
3/27/2018 ileo reversal
CEA continues to be normal

Aqx99
Posts: 403
Joined: Fri Mar 31, 2017 7:28 am
Facebook Username: aqx99
Location: Pfafftown, NC

Re: ileostomy

Postby Aqx99 » Mon Nov 20, 2017 10:28 am

I typically get 4 days out of my pouches. Have you worked with an ostomy nurse? There a ton of different products and methods of setting it up because every person is different. If you explain a little bit more about your issues, we might be able to brainstorm a solution for you. Sometimes changing brands helps, or adding or taking away products.
Anne, 40
Stage IIIB Rectal Cancer
T3N1bM0
2/21/17 Dx, Age 39
2/21/17 CEA 0.9
3/23/17 - 5/2/17 Chemoradiation, 28 treatments
6/14/17 Robotic LAR w/temp loop ileostomy, ovaries & fallopian tubes removed, 2/21 lymph nodes positive
7/24/17 - 12/18/17 CapeOx, 6 Cycles
7/24/17 Dx w/ovarian cancer
9/6/17 CA 125 11.1
11/27/17 CEA 2.6
12/5/17 CT NED
12/13/17 CEA 2.9
1/11/18 CA 125 8.6
1/23/18 Reversal
3/21/18 CT enlarged thymus
4/6/18 PET NED
7/10/18 CT NED
7/11/18 CEA 2.6
9/18 Bilateral Prophylactic Mastectomy

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: ileostomy

Postby NHMike » Mon Nov 20, 2017 11:50 am

Are you applying the barrier wipes? The stuff coming out of you has enzymes which can be rough on your skin and the stuff on the wipes protects your skin from them.

I've done three bag changes on my own (well with assistance from family handing me things) and the bags were changed at 5 to 5.5 days. Sometimes there is an itch for a moment or a little soreness, particularly when there's too much in the bag and it pulls things down. I've been using additional adhesive tape on top to hold things down and prevent water from getting under the wafer tape.

I would look for another session or two with an Ostomy nurse, either through your local VNA (Visiting Nurse) or through the Ostomy nurse at the hospital where you had your surgery. I am scheduled for a followup with her about a month after discharge.

I think that the Ileostomy stuff is challenging as you have to get used to it. I think that changing the bag is even more challenging because you don't get as much practice with it and there are a lot of steps where things can go wrong.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

tater
Posts: 133
Joined: Wed Jul 19, 2017 5:53 pm

Re: ileostomy

Postby tater » Mon Nov 20, 2017 1:13 pm

I don't want to hyjack anyone's thread but I have a question. First my wife has had no itching or redness but I remember them saying that it does happen. You might be reacting to the material so i would contact the nurse.
My wife has been home from surgery for almost a week now. The majority of the pain that she has experienced has been from the ileostomy is that normal? I will say helping her change it for the first time over the weekend was scary. It hurt her a lot pulling the old one off of that tender just operated on skin.
DH to 38 wife w/kids
Stage 3C DX 3/3/17 CEA 29
5-fu and radiation ended May 17, 2017
Stage 4 External iliac node July 17, 2017
FOLFOX + Avistan July 18 2017 CEA 2.3
Nov 9, 2017 Coloanal Anastomosis, Hysterectomy & External Nodes Removed W/ileostomy
Clear Margins NED
CEA 1.5 12/17, 2.1 2/18, 2.3 6/18, 1.1 9/18, 1.3 12/18, 1.8 3/19, 2.5 6/19
Clear CT and MRI on 2/5/2018, 9/18 Clear Scans
Reversal Surgery 6/26/18
Small Spot on right ureter surgery 10/30/19 adhered to artery
Dec. 2 start 12 rounds FOLFIRI

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: ileostomy

Postby NHMike » Mon Nov 20, 2017 2:52 pm

tater wrote:I don't want to hyjack anyone's thread but I have a question. First my wife has had no itching or redness but I remember them saying that it does happen. You might be reacting to the material so i would contact the nurse.
My wife has been home from surgery for almost a week now. The majority of the pain that she has experienced has been from the ileostomy is that normal? I will say helping her change it for the first time over the weekend was scary. It hurt her a lot pulling the old one off of that tender just operated on skin.


I suppose that it depends on how close to the laparascopic holes or the open incision the wafer and tape are. One of my laparscopic holes and the drainage hole had gauze and a transparent bandage covering them and the wafer tape was on top of the bandages so when I took the wafer off, one of the bandages came off completely and the other one partially. So I used very strong bandaids on the one that came off completely and I reattached the other one. The danger is that waste gets into one of those holes and causes an infection. But the same thing happens every time I change the wafer and bag so I pick up a box of strong-adhesive bandaids when I go to the supermaket every week. The drainage hole is covered over with skin now so it isn't a problem anymore.

I don't really have pain pulling it off. There can be a few points though. First there is the tape on the wafer and I'm quite careful removing it. I take my time as trying to pull it off too quickly can be painful. Sometimes it might help if you used a slow approach in separating the tape from the skin, kind of gently pulling the skin off the tape. The second part is then removing the bag from skin and that's held on by the sticky part of the wafer (besides the tape) and the paste. I find that it usually peels off okay but remember, this whole system is designed to stay on and not leak.

I do it myself so I know whether I'm going too fast or not. If it hurts when you remove it, try to go fairly slowly on it. And yes, the first few times are scary. It's complicated and requires a lot of steps. One thing that might help is to build up a set of directions and edit it regularly for improvements. The current version of my directions are below. Please excuse the formatting as it didn't really come over from the cut and paste. Note that my directions may not be the same as yours if you're using a one-piece instead of a two-piece or if you're using a different model or brand of products. Also, the directions that you'd use doing it for someone else would be different if they are doing it for themself.

Changing stoma and wafer
Supplies:

1 Wafer
1 Stoma Bag
1 Tube Paste
6 Packets of barrier wipes
1 Disposable Glove
Scissors
Template
Clear flexible bandage for wound
Bandaids
4 Face Cloths
Toilet Paper
Empty wastebasket
2 Small Trash Bags

Step 1: Remove Old Bag and Wafer and Clean Area
- Peel off the old wafer.
- Clean with facecloth.
- Peel off old paste (stool may come out while cleaning). May need to rub with dry towel to get paste off.
- Use wet towel to go around stoma; it may take a few passes.

Step 2: Prepare Tracings with Template
- Open Wafer Package.
- Check template alignment and sizing.
- Place template face up (ink facing me) on wafer, open in package. Template has top labeled.
- Trace with a pen into the backing.
- Cut with trace facing me.
- Draw a T at the top.

Step 3: Prepare the Stoma Wafer and Bag
- Attach the bag to the wafer and press the ring firmly.
- Close the bag outlet with Velcro.
- Peel off the wafer paper.
- Apply thin layer of paste from the perpendicular tube around the ring.
- Flatten with tube tip.

Step 4: Clean skin around stoma and create skin barrier
- Use barrier wipes to clean the skin around the stoma and create a skin barrier.

Step 5: Install the stoma
- Before removing the backing, put on the stoma.
- Hold it down for at least two minutes for the paste to warm up and attach well to the skin.
- Remove the backing while pressing against the skin.
- Press all the way around to ensure a good seal.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

heiders33
Posts: 363
Joined: Sat Nov 04, 2017 11:08 am

Re: ileostomy

Postby heiders33 » Mon Nov 20, 2017 5:21 pm

When removing the bag, you can use a no sting medical adhesive remover. Hollister makes one and I’m sure the other companies do too. It comes in both spray and wipe form (I have both). You simply start removing the sticker, then start spraying or wiping until the whole thing comes off. It makes the process 100 times easier and pain-free. Also be sure to push the skin away from the adhesive as you pull, rather than just pulling the adhesive up along with the skin.

Here is a recent post I did on my ileostomy - you may find the replies helpful: viewtopic.php?t=59071
40 year-old female
May 2017: Dx rectal cancer T3N2M0
MSS, KRAS G12D
6/17: 28 days chemorad
9/17: LAR/loop ileostomy, CAPOX six rounds
3/18: reversal
9/18: liver met, resection/HAI pump, 11 rounds 5FU, 1 round FUDR
11/19 - local recurrence, brachytherapy, 3 weeks targeted radiation
12/21 - end colostomy

MissMolly
Posts: 645
Joined: Wed Jun 03, 2015 4:33 pm
Location: Portland, Ore

Re: ileostomy

Postby MissMolly » Mon Nov 20, 2017 5:55 pm

Chickspeed:
Skin irritation or itching can be a warning signal that liquid decal material is beginning to undermine and seep under the water - necessitating a change.

Skin irritating and itching can also be due to skin surrounding the aroma being exposed to the digestive enzymes of the liquid fecal output. A skin barrier product - available as a spray or single towelette - can be immensely helpful in protecting the skin.

By far the best skin protectant is called “Cavilon Liquid Skon Protectant” by 3M. I have a permanent end ileostomy and consider Cavilon Liqiid Skin Protectant an essential part of my Ostomy routine. Cavilon is available as a spray and single towelette. I prefer the spray. It is available without a prescription through the medical supply provider who you go through to order your monthly supplies (ex. Byram Healthcare; Sterling Medical; Edgepark). Cavilon is also available on Amazon.

A word to the wise: Do NOT use premoistened baby cleaning wipes. Do NOT use baby wipes as they contain moisturizers and aloe vera that will adversely affect the seal between the skin and the water. The use of baby wipes contributes to liquid fecal material undermining the wafer, causing skin irritation, itching, and embarrassing leaks.

When removing a wafer from the skin, do NOT pull the wafer off of the skin. Pulling the wafer from the skin effectively peals off the epithelial upper layer of skin causing micro-abrasion of the skin and intensified skin sensitivity. Do not pull.

Instead, press with fingertips into the skin at the outer boarder of the wafer, pushing gently into the skin and pushing the wafer away from the skin. Do push. With fingertips, push into skin adjacent to the outer boarder of wafer, effectively pushing the water away from the skin. This technique is kinder to the skin and less likely to cause skin abrasion.

For any overt skin irritation, open skin sores, or weepy skin I highly recommend “Marathon Liquid Skin Protectant,” also by 3 M. Marathon Skin Protectant is like a nuclear-charged Cavilon Slin Protectant. Marathon is a wound care product designed specifically to heal skin excoriated by urine or feces.

A final word about wafer leaks and potential causes . . . Ostomy Paste is often a culprit. Ostomy paste is not a glue and does not add adhesion between a wafer and skin. Use of Ostomy paste in a ring around the hole of the wafer is ill-advised. A ring of Ostomy paste provides a ready medium for liquid fecal material to seep under the water. Ostomy paste is meant only to fill small dips and creases in the skin. Ostomy paste is like grout used to fill in gaps between ceramic tiles. Ostomy paste is a product that befuddles almost all individuals with a new ostomy. Individuals with permanent ostomies rarely use ostomy paste as we become wise to its limitations.

Use of an adaptic barrier ring is the best defense to prevent wafer leaks. A barrier ring acts like a gasket in a faucet, circling the stoma and forming an effective barrier. Barrier rings vary
By name depending on the ostomy manufacturer: Ekin Cohesive Seals and Brava Adaptic Rings are the two most popular.

The Ostomy Association of America provides an on-line forum and informative web site.

www.uoaa.org

Karen
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.

Lydia666
Posts: 676
Joined: Sat Jun 06, 2015 6:50 pm
Location: Montreal, Canada

Re: ileostomy

Postby Lydia666 » Mon Nov 20, 2017 9:27 pm

Chickspeed wrote:I can't seem to ever get more than 1 day out of my appliance without itching and burning.

How long do you get?

It was the same for me- 2 days max, but usually 1!
Oct 2012- thyroid cancer
June 19, 2015 Dx@39 yrs- CRC-T3N1M0
No vascular, no perineural invasion
Aug-Sept 2015- 28 rad/5FU
Oct 28, 2015- LAR- temp ileo, neg. nodes- 0/11
March 2016- 6 rounds Xeloda/positive CHEK2 mutation
August 2016- DCIS and decided post prophylactic double mastectomy
May 2018 - clean CT
Sept 2018-clean scope
Devastation, total shock- oct 2018, invasion of peri mets
Dec 20 - 2 round of folfox
Mom to 4 & 7 yrs kids - at least i brought them to this level of independence.

AbbyDoo
Posts: 134
Joined: Wed Jun 29, 2016 2:25 am
Location: So.Ca.

Re: ileostomy

Postby AbbyDoo » Tue Nov 21, 2017 3:41 am

My mileage was average 3 days on a bag.
Adapt 7731 no sting medical adhesive remover by Hollister is some pretty good stuff.
I also used the Cavilon Liquid Skin Protectant by 3M.
Luckily in the seven months I had the bag I had none or very minor skin problems.
If it itches change it
53 yrs old
4/30/15 colonoscopy Mass found
5/21/15 staged 3 C rectal cancer
7/3/15 finished xeloda and radiation 28 rounds
9/30/15 LAR
10/29/15 picc line installed
11/2/15 start chemo 5 fu Oxaliplatin
3/7/16 Finish Chemo
4/29/16 Ileostomy Reversal.
7/13/16 colonoscopy clear.
CRC survivors know there Sh%t

Aqx99
Posts: 403
Joined: Fri Mar 31, 2017 7:28 am
Facebook Username: aqx99
Location: Pfafftown, NC

Re: ileostomy

Postby Aqx99 » Tue Nov 21, 2017 10:58 am

My best suggestion would be to examine your pouch when you remove it. See if you can find exactly where the leak is getting through, then you can work on fixing the issue. I have two places on mine that used to leak. I have creases in my belly at the 3 and 9 o'clock positions on my wafer. My ostomy nurse has me cut a barrier ring in half and place each half in those locations on the wafer to stop the leak. Again, it takes trial and error to get the right set up for you since every person is different. Try not to get frustrated, you will find a solution.
Anne, 40
Stage IIIB Rectal Cancer
T3N1bM0
2/21/17 Dx, Age 39
2/21/17 CEA 0.9
3/23/17 - 5/2/17 Chemoradiation, 28 treatments
6/14/17 Robotic LAR w/temp loop ileostomy, ovaries & fallopian tubes removed, 2/21 lymph nodes positive
7/24/17 - 12/18/17 CapeOx, 6 Cycles
7/24/17 Dx w/ovarian cancer
9/6/17 CA 125 11.1
11/27/17 CEA 2.6
12/5/17 CT NED
12/13/17 CEA 2.9
1/11/18 CA 125 8.6
1/23/18 Reversal
3/21/18 CT enlarged thymus
4/6/18 PET NED
7/10/18 CT NED
7/11/18 CEA 2.6
9/18 Bilateral Prophylactic Mastectomy

Chickspeed
Posts: 43
Joined: Sat Jun 17, 2017 5:16 am

Re: ileostomy

Postby Chickspeed » Fri Nov 24, 2017 3:17 am

I actually used a new ring on monday
eakin 839002 and i'm into my 4th day without a change
I was using hollister 8805
but I also cut the opening in the plate a little closer to size
so 1 or the other or a combination of both could be the answer.
I use a hollister 11402 and 18002 I use cavilon for barrier but I have always been confused
about 3m's pricing I'm in Canada so naturally everything is more expensive but I buy
cavilon barrier wipes 3344 at 34.99 per box of 30 and they have cavilon 3344E
at 53.99 per box of 30 I see no difference between them.
12/15/2016 Mod Diff tumour 5-6 cm 10-12 cm fr AV T3 tumour cea 1.4
12/29/2016 CT no spread ln normal
1/19/2017 MRI confirms mass and shows 3 enlarged LN (suspected to be infection draining)
3/6/2017 25 sessions chemoradiation
6/20/2017 LAR with temp loop ileo
7/10/2017 Path 20mm margins tumour 0.1 CM with microscopic invasion of submucosa
aug-dec 2017 6 rnds xeloda
1/9/2018 CT all clear
1/18/2018 Colonoscopy clear
3/27/2018 ileo reversal
CEA continues to be normal

Aqx99
Posts: 403
Joined: Fri Mar 31, 2017 7:28 am
Facebook Username: aqx99
Location: Pfafftown, NC

Re: ileostomy

Postby Aqx99 » Fri Nov 24, 2017 3:49 am

Chickspeed wrote:I actually used a new ring on monday
eakin 839002 and i'm into my 4th day without a change
I was using hollister 8805
but I also cut the opening in the plate a little closer to size
so 1 or the other or a combination of both could be the answer.
I use a hollister 11402 and 18002 I use cavilon for barrier but I have always been confused
about 3m's pricing I'm in Canada so naturally everything is more expensive but I buy
cavilon barrier wipes 3344 at 34.99 per box of 30 and they have cavilon 3344E
at 53.99 per box of 30 I see no difference between them.


I use the Eakin rings as well, I think they work great. I also use the Cavilon barrier wipes. I looked up both numbers you provided and I agree, they look like the same thing. Keep doing what you are doing, it sounds like you are getting better with your set up.
Anne, 40
Stage IIIB Rectal Cancer
T3N1bM0
2/21/17 Dx, Age 39
2/21/17 CEA 0.9
3/23/17 - 5/2/17 Chemoradiation, 28 treatments
6/14/17 Robotic LAR w/temp loop ileostomy, ovaries & fallopian tubes removed, 2/21 lymph nodes positive
7/24/17 - 12/18/17 CapeOx, 6 Cycles
7/24/17 Dx w/ovarian cancer
9/6/17 CA 125 11.1
11/27/17 CEA 2.6
12/5/17 CT NED
12/13/17 CEA 2.9
1/11/18 CA 125 8.6
1/23/18 Reversal
3/21/18 CT enlarged thymus
4/6/18 PET NED
7/10/18 CT NED
7/11/18 CEA 2.6
9/18 Bilateral Prophylactic Mastectomy

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: ileostomy

Postby NHMike » Fri Nov 24, 2017 7:24 am

Aqx99 wrote:
Chickspeed wrote:I actually used a new ring on monday
eakin 839002 and i'm into my 4th day without a change
I was using hollister 8805
but I also cut the opening in the plate a little closer to size
so 1 or the other or a combination of both could be the answer.
I use a hollister 11402 and 18002 I use cavilon for barrier but I have always been confused
about 3m's pricing I'm in Canada so naturally everything is more expensive but I buy
cavilon barrier wipes 3344 at 34.99 per box of 30 and they have cavilon 3344E
at 53.99 per box of 30 I see no difference between them.


I use the Eakin rings as well, I think they work great. I also use the Cavilon barrier wipes. I looked up both numbers you provided and I agree, they look like the same thing. Keep doing what you are doing, it sounds like you are getting better with your set up.


You guys are experts at this. The only thing I have is the stuff that the WOC at Brigham and Women's showed me. A box of 10 wafers is $20 and a box of 10 bags is similar I think. I think that I'd like to try some one-piece bags for setting up an emergency kit and to see if they would be better for running.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

Aqx99
Posts: 403
Joined: Fri Mar 31, 2017 7:28 am
Facebook Username: aqx99
Location: Pfafftown, NC

Re: ileostomy

Postby Aqx99 » Fri Nov 24, 2017 3:57 pm

NHMike wrote:
Aqx99 wrote:
Chickspeed wrote:I actually used a new ring on monday
eakin 839002 and i'm into my 4th day without a change
I was using hollister 8805
but I also cut the opening in the plate a little closer to size
so 1 or the other or a combination of both could be the answer.
I use a hollister 11402 and 18002 I use cavilon for barrier but I have always been confused
about 3m's pricing I'm in Canada so naturally everything is more expensive but I buy
cavilon barrier wipes 3344 at 34.99 per box of 30 and they have cavilon 3344E
at 53.99 per box of 30 I see no difference between them.


I use the Eakin rings as well, I think they work great. I also use the Cavilon barrier wipes. I looked up both numbers you provided and I agree, they look like the same thing. Keep doing what you are doing, it sounds like you are getting better with your set up.


You guys are experts at this. The only thing I have is the stuff that the WOC at Brigham and Women's showed me. A box of 10 wafers is $20 and a box of 10 bags is similar I think. I think that I'd like to try some one-piece bags for setting up an emergency kit and to see if they would be better for running.


I use a one piece pouch. I like it better than the two piece I was originally fitted with because the wafer is not as rigid. The plastic pieces that let the pouch snap on to the wafer of the two piece system did not allow the wafer to bend enough with my belly. Send away for some samples from the various companies. That way you can find what is best for you. They have ostomy nurses on staff that will ask the specifics of your stoma and help you find the right products to try.
Anne, 40
Stage IIIB Rectal Cancer
T3N1bM0
2/21/17 Dx, Age 39
2/21/17 CEA 0.9
3/23/17 - 5/2/17 Chemoradiation, 28 treatments
6/14/17 Robotic LAR w/temp loop ileostomy, ovaries & fallopian tubes removed, 2/21 lymph nodes positive
7/24/17 - 12/18/17 CapeOx, 6 Cycles
7/24/17 Dx w/ovarian cancer
9/6/17 CA 125 11.1
11/27/17 CEA 2.6
12/5/17 CT NED
12/13/17 CEA 2.9
1/11/18 CA 125 8.6
1/23/18 Reversal
3/21/18 CT enlarged thymus
4/6/18 PET NED
7/10/18 CT NED
7/11/18 CEA 2.6
9/18 Bilateral Prophylactic Mastectomy


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