Patient Reported Outcome Measurement in Plastic Surgery & Breast Reconstruction

Patient Reported Outcome Measurement in Plastic Surgery & Breast Reconstruction Patient Reported Outcome Measurement (P.R.O.M.s) are a way to improve plastic surgery and breast reconstruction. Dr. Roy Kim, San Francisco Plastic Surgery, points out that with the development of P.R.O.M.s in the future, the hope is that a broader audience of participants including a more diverse female group both in ethnicity and socio-economic levels, will be included. By engaging both patient advocacy groups and breast reconstruction practices, better data could evolve to be more statistically valid information and help more patients. How and Why are P.R.O.M.s done? Patients do surveys of their plastic surgery and breast reconstruction results/experience. Data is collected and saved. The data becomes statistically significant The data helps with various procedures in breast surgery, plastic surgery, and various breast reconstruction. P.R.O.M.s started with an on-line group to measure patient outcomes. Academic Centers will want to collect this data Continue Reading →

Sensory Nerve Reconstruction During DIEP Flap after a Mastectomy

Sensory Nerve Reconstruction During DIEP Flap after a Mastectomy DiepCFoundation interviews Dr. Minas Chrysopoulo from PRMA in San Antonio about sensory nerve reconstruction during DIEP flap after mastectomy to restore sensation to the breasts. The procedure is called microneurorrhaphy (micro-ner-ar-o-fee) A real mouth full! Dr. C points out that this is a complex topic to describe at a consult. A plastic surgeon may say that your breasts will “feel” more natural but “to whom”? The reality is that the patient will not feel the same that they did before mastectomy. I am the Founder and Director of DiepCFoundation and was fortunate to have this interview with Dr. Chrysopoulo. I am also a patient who has had successful sensory nerve repair performed by Dr. C. It is truly better than the alternative, which is NO sensation in the breasts at all. I’m quite used to this “new” sensation now and I Continue Reading →

Meet my Friend, Patient Advocate & Four-time Breast Cancer Fighter

Meet my Friend, Patient Advocate & Four-time Breast Cancer Fighter This is Terlisa Sheppard. Terlisa is my friend. She is also a patient advocate and four-time breast cancer fighter. Terlisa and I met this past summer at the Project LEAD Institute graduate program along with other amazing patient advocates. I was blessed to see her again in December of 2017 at the San Antonio Breast Cancer Symposium (SABCS) and we put it on our schedule to commit to making this video together. I will visit this blog frequently to listen to her Journey of being a young mother diagnosed with breast cancer and now living daily with the disease. Are you inspired? I think you should be, I really do. To know that cancer is in your body in various organs and continue to look at life with a blessed, grateful disposition is nothing short of God-given, super-human constitution. Be Continue Reading →

Study of Body Mass Index post DIEP Flap Breast Reconstruction: A Patient Perspective

Study of Body Mass Index post DIEP Flap Breast Reconstruction: A Patient Perspective I rely on research from evidence based journals I read to understand and share the latest information about breast reconstruction and breast cancer to the community I serve. One of the journals I utilize is Plastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons. January is a month many of us focus on health, weight loss, and losing those extra holiday pounds. As a patient advocate who has had autologous, DIEP flap breast reconstruction, I wanted to share my thoughts and perspective from a study of body mass index post DIEP flap breast reconstruction from the December 2017 issue of the Journal : The Impact of Autologous Breast Reconstruction on Body Mass Index Patterns in Breast Cancer Patients: A Propensity-Matched Analysis.  I appreciate the focus of the article. It can be read here from the final Continue Reading →

Collaboration in Educating about Breast Reconstruction

Collaboration in Educating about Breast Reconstruction My favorite word throughout my education career has always been “collaboration”. So is the case now in my role as Founder of I couldn’t feel any stronger about collaboration in educating about breast reconstruction. The change leaders I have met in the past three years on my own personal quest to educate more women and men about options in breast reconstruction motivate me daily to do more, explore new avenues to educate, support them in their mission, and stand beside them collaboratively to continue this work. This week on my social media feeds I have seen an announcement by Patricia Anstett that her book, Breast Cancer Surgery and Reconstruction, What’s Right for You, is now out on paperback on Amazon. Congratulations are in order as this was a professional labor of love for Pat. Full disclosure: Yes! I’m featured in the book and Continue Reading →

Reflections of Gratitude from DiepCFoundation

Reflections of Gratitude from DiepCFoundation November and the upcoming Thanksgiving holiday have given me time to stop and reflect the true feelings of gratitude and this honor given to DiepCFoundation. “Plastic and Reconstructive Surgery”, the official journal of the American Society of Plastic Surgeons, published a special forward to their November 2017 supplement issue on “Advances in Breast Reconstruction.” The Journal contacted me prior to publication to let me know Dr. Rod Rohrich would be quoting me in the introduction to this supplement. September was an extremely busy month planning for upcoming conferences, fundraisers, and my own Breast Reconstruction Awareness Day. Although, excited, I must admit I didn’t take time to appreciate the true impact of the honor.   I want to take this opportunity to publicly express my gratitude to the Journal, Dr. Rohrich, the Journal editorial staff, and the many board certified plastic surgeons who tirelessly work to find Continue Reading →

DIEP flap Patient Advocate Prepares for PSTM17

DIEP flap Patient Advocate Prepares for PSTM17 I am a DIEP flap patient advocate currently doing final tweaks and changes in preparation for Plastic Surgery the Meeting, PSTM17.  Wheels will be off the ground early Thursday morning to fly out to Orlando. PSTM17 will be held at the Orange County Convention Center for a five-day event full of education sprinkled with a bit of fun around the Walt Disney World theme park. Last year at PSTM16 in Los Angeles, I walked into the LA Convention Center amazed and overwhelmed, feeling like a little girl walking into Disney World for the first time. I wondered around both wide-eyed and a bit frightened at times since that was my first medical conference. Everyone was welcoming and friendly from staff, vendors, to all the plastic surgeons I was finally able to meet after “knowing” them only through social media. The classes I attended Continue Reading →

New Game Changer App for Anyone Impacted by Breast Cancer

New Game Changer App for Anyone Impacted by Breast Cancer I am a breast cancer survivor.  I have had breast cancer twice.  I had two lumpectomies my first diagnosis.  I relied on the visits to my oncologist and breast surgeon to inform me of my options and what the treatment, side effects, and recovery would be like that included chemotherapy and radiation.  That was in 2002.  My second diagnosis in 2014 resulted in double mastectomy.  I wore prosthesis for seven months before I decided on DIEP flap breast reconstruction. Many patients complain that their surgeons essentially just old them what their treatment would involve without much discussion.  What if someone said you can be actively involved in deciding your breast cancer treatment plan?  Many of us use a variety of apps on our mobile devices and computers every day. Those apps serve many different purposes to suit our individual needs. Continue Reading →

From Nipple Sparing Mastectomy to DIEP flap Breast Reconstruction

From Nipple Sparing Mastectomy to DIEP flap Breast Reconstruction A nipple sparing mastectomy to DIEP flap breast reconstruction can be a very successful surgical process after being diagnosed with breast cancer. I want to share my success story and reference articles that I have been reading about nipple sparing mastectomy (NSM). My NSM Experience: Breast Surgeon I credit my breast surgeon, Dr. Michele Boyce Ley, and my plastic surgeon, Dr. Minas Chrysopoulo, for the success of my nipple sparing mastectomy and DIEP flap breast reconstruction. My NSM process began in my breast surgeon’s office the day we consulted about next steps after my second breast cancer diagnosis. She was very hopeful but realistic about saving my nipples while performing my double mastectomy knowing I had in mind that I wanted DIEP flap later. The MRI scan ordered prior to my mastectomy led her to make this pre-surgical assessment due to Continue Reading →

My #Tweet Story from Science Camp

My #Tweet Story from Science Camp This is my #Tweet Story from science camp, otherwise known as Project LEAD you will not believe what happened.  Before I get to that part of the story let me back up a little and fill in some details. Years ago, when I started my Twitter account I was attempting to bring more attention to a non-profit.  I was a board member and wanted to spread the word about what we did.  I mainly followed on local businesses with hopes of finding sponsors.  I soon learned Twitter was for more than finding sponsors. Twitter is a wealth of knowledge in 140 words or less, commercials of sorts that did not make noise.  I could browse and tweet without anyone knowing.  No noise and a cancer diagnosis brought me to the new reason I was on Twitter.  There were positive quotes and cancer information.  New Continue Reading →