Treatment Provider

Kenneth Bermudez, MD, FACS
Board Certified Plastic Surgeon
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Post Op yesterday/Being Inactive is Driving Me Nuts

A friend drove me to my post-op yesterday, it was nice to have female adult company and talk openly about my surgery and just laugh and chat. The appointment went well, the swelling in my left breast isn't a hematoma and my recovery, other than the rash, is going as planned. Anti-inflammatory prescribed to help with both the rash and swelling, and a prescription for acetaminophen with codeine instead of the Percocet and Dilaudil. (I found out that Dilaudil is hydromorphone/pure synthetic heroin....holy cow. Inspired me to re-watch Drugstore Cowboy).
Being inactive is driving me insane, but I definitely don't have the energy to resume all my daily living activities. Me and husband went to brunch, and I walked over to Anthropologie hoping to browse. Unfortunately, the 2 block walk plus the 80 degree weather didn't bode well with me, and I spent most of my time at the store sitting on a couch and flipping through the Alexa Chung book. My appetite has been reduced to less than half of what I usually eat, since I'm not generating enough activity for greater corresponding calorie intake. I can't believe it's only been a week.

Swelling of left breast, Percocet allergy

Yesterday was great - I removed the pain pump, took a shower and managed to (carefully) be out and about. My rash was still present, so I made an urgent care appt. with my primary physician today. I had stopped taking all meds. Well, my left breast got very painful and swollen. I tried 650 mg of acetaminophen and ice, but it didn't work, so I took a Percocet. The Percocet relieved the pain, but I felt nauseous and had a lingering headache, and my primary physician (who is pretty well versed with allergies) told me it was likely the Percocet that was causing the rash. Ugh, what a setback! Now waiting for a Dilaudid prescription and trying to drink lots of water to flush out the Percocet. I feel like crap and now thinking I overdid it yesterday.

Itching, chafing and noisy kids

Got itching & hives, apparently from bromelain and arnica supplements that I'd been taking (got them from my surgeon to take 3 days pre-op and 7 days post). I hadn't had a reaction to them previously, though, but doctor said to stop taking and take Benadryl as needed.

The itching and chafing underneath the compression girdle has been horrible. I switched back to the bra I got post-op because the Marena one was cut smaller around the armholes and irritating my armpit skin, and cut out a section of a thin cotton shirt to place between my skin and the garment - seems to be helping right now.

I took a very slow stroll one block around my neighborhood yesterday evening, since moving around helps relieve the soreness. I'm going to try not taking any Percocet today.

Husband and kids will be gone at church, which will be nice so I can have some real peace and quiet. I feel guilty not wanting to hang put with them while they're at home, but other than the day of surgery, when I locked my room, I haven't had a good amount of time for real rest.

Provider Review

Board Certified Plastic Surgeon
525 Spruce St., San Francisco, California
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

My experience with Dr. Bermudez has been wonderful so far. He has a warm yet professional mannerism, is obviously experienced and skilled, and never condescending. He is a proponent of a natural looking result, and knows what it takes to deliver it. He answered my phone call on a Saturday (one day post op) when I got an allergic reaction to some supplements, and his staff has always returned my calls promptly. Also had a GREAT experience with the hospital, California Pacific Medical Center, Davies Campus. The overall surgery fees were higher, largely because of the high hospital fees, but I had such a positive experience, I think the extra cost is worthwhile. All of the nurses were so kind and attentive, and even the anesthesiologist made me feel very comfortable.