Severe complications, following bilateral mastectomy/tissue expander
I recently had a bilateral mastectomy with the start of reconstruction on my other breast that was removed prior. Since the surgery the day after to be exact, I developed an infection, but because it was the weekend and I went to the emergency room it was untreated. Then when I went to my appointment, my surgeon said that my breasts “ looks great” regardless of the fact that I had just had a mastectomy and shouldn’t of had a breast at all on one side. In addition to that, my breasts had swollen to the point to where my incision burst open and I had 4 inch long clots 3 inches wide projecting from the incision hole that had developed. being that it was the weekend there was nobody I could contact that would respond. The emergency room refused to treat me because I had a surgeon so I was sent home again when I went to my next appointment with my surgeon, I begged him to aspirate the fluid off my breast and was told that he didn’t think that he was going to get any…after 175 cc of blood that was removed, I asked him to reevaluate the side with the tissue expander, and he got an attitude with me and said you saw that I tried to remove some, and I didn’t get any, and was told you knew the risks of the surgery before you agreed to it, this is not an emergency situation and the emergency room is not the place for you to go .So I left. Two days later, I was back in the emergency room. Because the breast with the tissue expander turned red across the whole breast. at the emergency room I was given a prescription for an anabiotic and told to go see my doctor at this point I didn’t even want to see that surgeon again. I drove to a different facility and they wouldn’t deal with me because I had a surgeon already because I didn’t go to my surgeons office where I had already been three times and told nothing was wrong with me. They scheduled me for a week from that day. I finally go in for my appointment and he extracts 100 cc of fluid from the side with the tissue expander and tells me that he’s gonna send it into the lab to test it for infection. The next day was Friday. I just so happened to have my phone in the house and miss the two phone calls and the text message from them low and behold, I have an infection in the fluid surrounding the tissue expander after all my research that I’ve done the anabiotic I was prescribed is not on any list that I’ve looked up on any medical information referring to the bacterial infection that I have. The medication that is suggested on every list on every site is five different IV administered antibiotics with the suggestion to use a pill form in addition to the IV antibiotics because of the resistance this particular bacteria is capable of. It is in the family of MRSA. And is considered a hospital acquired infection.(HAI) and it is the end of the day Friday. I responded to the message and when I went to go pick up my other medication, there was a refill of the same anabiotic that the emergency room doctor prescribed for me. There was no instructions in the message. There was no further contact by anybody from the specialty clinic nor was any other communication attempted by the office because it was the weekend once again in any instance that this bacteria is detected in a patient they are quarantine in the hospital. I live with two auto immune compromised family members I as well auto immune compromise. I was just diagnosed with breast cancer in October and I have had four surgeries because I broke my leg three weeks after my first mastectomy had two surgeries on my leg and now the other mastectomy on the other side with the tissue expander place on the other side that I had the mastectomy on already now this is is four surgeries that I have had within a year and now tested positive for the strain of bacteria, which “Serratia marcescens”. When I looked up the antibiotics that I have been on for two weeks now it is a skin infection antibiotic, and I have at this point had this infection since the day after my surgery a month ago. This bacteria causes sepsis and Mersa and it is the weekend once again so when the surgeon goes home if you don’t make it until he comes back in the office on Monday, you die.
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Hello,
Very sorry about your recent surgical issues, suffering and distress. I can imagine how difficult your cancer and orthopedic issues have been.
° CANCER CARE Care social workers help with many issues. They may be able to assist with referrals to Dog Walking assistance and food shopping etc
Your hospital where the orthopedic surgery is as performed will have Social Workers. Please call them and request Home Care Aide ( paid for by insurance) and referrals to Dog Walking assistance, food shopping etc..
A local Church, House of Worship , or Salvation Army Church may be able to assist with Dog Walking , as well as food shopping etc.
Your State and City elected government representatives may be able to provide assistance. Be certain to emphasize your Cancer related and Surgery issues and request Emergency assistance with Home Care Aid and Dog Walking.
I hope you receive the assistance you need and feel better.
Best,
Susan
To say what you have experienced is beyond inappropriate - is not enough!
And I can't believe this is the Mayo Clinic you have been going through all of this with. It just says to me (& I already knew this) despite having medical/surgical care at one of the top facilities in the country...your treatment care can become dangerous/ineffective/severely lacking/does not measure up to their "standard of care", etc. etc.
I can only give my opinion...your decisions are your own. I would sever ties with this provider, no question. I would call the patient advocate at this facility and state your case/make a complaint. It will be followed up. Perhaps you will be reassigned a new provider (if in fact, you wish to stay at the same facility), I would call the ACS to report your oncology physician/surgeon. I would call your state's medical examiners board to make a complaint. They will file a report. But most importantly, you must find a new provider!! Reach out to all your medical specialty providers and ask for their recommendation. I don't know where you live but you can look at US News and World Report for the top cancer facilities in the country and go from there. Yes, it might involve traveling...but aren't you worth it?? Ironically, you will see the Mayo Clinic there among the top!!
Yes, by the grace of God you are alive despite your horrific medical experience. Now is the time to set up all your ducks in a "new" row. Take it all one step at a time as it is overwhelming. But you CAN do this! You must!
And again, just my opinion...I don't know your age. I am 70, bilateral mastectomy in May 2025. I have multiple health issues and prone to scar tissue with any operation. I opted NOT to have implants. To me, it was asking for more potential problems. I was fine with this decision, my husband/family supported me completely.
But that was me. I truly wish you ALL the very best moving forward. And now is the time to move "forward".
But I wouldn't let this surgeon/your team(??) not be held accountable for their lack of the appropriate standard of care/appropriate health practices in their facility, which you most certainly did not receive. A physician's oath is "first, do no harm". Your particular case is a total mess. Don't let them get away with it - for the next patient.
Be well.
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4 ReactionsSo sorry to hear about your nightmare. Is it allowed on this platform to tell us where this all happened so that we can avoid if necessary? Thank you for your bravery.
So sorry to hear about that. I had serratia too! I believed I picked it up in the OR from my surgical drains. I had 2 breast surgeries within 4 weeks and was hospitalized for almost one week on iv antibiotics and then sent home with a picc line for 10 more days of antibiotics before being cleared to start chemo. I really feel that there are some plastic surgeons who are not well versed on cancer patients and the risks that come with complete mastectomies and tissue expanders. After removing the infected expander I was flat on that side for 6-7 months then had a direct to implant surgery. Good luck and so sorry to hear that you’re dealing with all of that.
genetteg23, I had triple neg breast cncet, after chemo, radiation, dbl mastect.I also had expanders in, had implants in twice, left breast opened, luckily I went to hospital my Dr did surgerys at. Hospital contacted him, they kept me on IV antibiotocs till he came in & removed the implants. Had radiation left side & that's why surgerys wldnt take. Now I hv 1 R implant & 1 left prostetic, till I decide if I'll try surgery on L breast w/ back dorsi muscle & skin from back? Or if I'll jst remove R implant? But Im waiting lil bit b4 I decide. W/saying all that, It snds like u don't hv a good Dr? Also if I had it to do all.over again, I'd hv waited a while, ask more questions, let my body have time to heal from the treatments etc.. b4 deciding if I shld hv done athg. Please remember yout health is so much more important than breasts, Im trying to take care of myself, b4 I mk any more decisions, I pray u get ur health back and possibly a better Dr? Im so sorry for ethg ur going thru, I pray thgs get better for u! God bless!
Dear Heart, you have been put through things a woman should not experience. It's the level of caring from our Drs, techs, hospitals that are harming us more than the breast cancer we sought help for.
I have experienced some of the issues you have experienced.
I had a rare form of cancer, Pager's disease. Not many folks have heard of it. It affects only one breast, the nipple and areola. The entire breast had to be removed and I had the left breast prophylactically removed. No chemo or radiation was necessary thank God.
I had expanders, so uncomfortable and tight. Just had implants put in and now have lymphatic issues under both arms. There's so much more that has happened in between.
The plastic surgeon was only concerned with his end of the deal. My breast surgeon did a good job with taking care of the cancer part. (As far as I know)
My gripe is in the beginning, middle and end of treatment for breast cancer. As women we are not told everything before our surgery. We don't always know what questions to ask. This is not a routine visit to a doctor. Then we have questions during the healing period. Very rarely will you speak with the Dr. After getting switched through call centers, etc and several hours later, you may get a call back from the poor overworked nurse. She/he tells you they need to speak with the Dr. You're the hamster on the wheel.
We are all unique. No 2 women are going to have the same experience through breast cancer. BUT THERE IS A THEME!!!!
Is anyone really listening to us? Is it ageism? I'm 72 and I have found that we are falling into a dismissive category. I'm tired of this treatment as well.
I wish all of us the best as we go on this journey together.
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5 ReactionsI am so sorry you are going through this. My expanders got infected as well and had to be removed ASAP because of the risk of sepsis. Over a year later after chemo and radiation, I was able to have diep flap reconstruction which seems to be a better way to do it in hindsight
@genetteg23 to say I am now terrified would be an understatement. I would like to know who your Plastic surgeon was Because I’m going in for a double mastectomy in one week. I also agree with the person who said something about ageism because I feel like now that I’m in my 60s I’m no longer as important, especially when it comes to wanting to look good
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1 Reaction@jjjw I had a double mastectomy and reconstructive surgery eight years ago I was 62 at the time. I had amazing and caring providers. No infections or complications. Surgery was at Mayo in Rochester. Make sure you do the skin scrub very thoroughly before surgery.
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3 Reactions@laurieak my surgeon was Dr.Harris out of Mankato.
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