Category: Finding A Surgeon

Primary Care; Radiologist; Breast Surgeon; Oncologist; Plastic Surgeon specializing in mircrosurgery

The Intersection of Research and Decision for Breast Reconstruction

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One day your life is humming along as usual. Work, children, family, friends, school, house cleaning, errands, vacation, cooking, on and on. Then out of nowhere you hear the news that feels like a gut punch. “You have breast cancer.” Perhaps you get genetic test results back and you find out you have a genetic mutation putting you at high risk of getting breast cancer. You are thrust into a new role finding out all you can about your diagnosis. Will I be facing a mastectomy or choose a mastectomy for my treatment? When will the intersection of research and decision for breast reconstruction occur? The Research Process Why am I writing about this? I agonized over this part of my breast cancer diagnosis when I was told my best choice for my long-term survival was a double mastectomy. It was my second diagnosis and now in both breasts vs. Continue Reading →

Function and Management of Breast Reconstruction Drains

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The DiepCJourney Facebook group has members from all over the world. The purpose of the group is to nurture an ongoing learning community with people affected by breast cancer and those who serve breast cancer patients. A request was made to make a video about surgical drains. It is not a favorite part of recover but certainly necessary. I sat down with Dr. Randall Feingold of NYBRA, New York Breast and Reconstruction and Aesthetic Plastic Surgery to discuss the function and management of breast reconstruction drains. Why Drains Are Placed at the Surgical Sites I start off the conversation by sharing my own experience with drains for my double mastectomy and DIEP flap. The general consensus from patients is that drains are not something that anyone likes. I feel when patients understand why they are being used, they become a bit more tolerable, especially knowing they are a short-term part Continue Reading →

A Celebration of 10K Breast Reconstruction Flaps

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On May 21, 2022, I will be back in San Antonio, Texas for a celebration of 10K breast reconstruction flaps. This event is put together by the plastic surgery group who did my DIEP flap surgery in December of 2014. This day holds great significance for me. I am grateful to PRMA for their fantastic efforts and support putting this 10K race together to celebrate the 10K flap surgeries they have performed for those affected by breast cancer. Thank you to the sponsors who are generously supporting this race. Honoring All the Patients Who Have Chosen Flap Surgery The 10K breast reconstruction flaps race is being held in San Antonio. The real honor goes to ladies across the world who have chosen or are planning flap surgery after being affected by breast cancer and losing their breasts to the disease. Over the years since I started my nonprofit organization, DiepCFoundation, Continue Reading →

Lessons from Mom Before, During, and After Breast Cancer

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I want to start with a gentle reminder that not everyone is fortunate enough to have a mom like I do. Some Moms have passed and are missed dearly. Others are not present physically or emotionally even though they are still alive. On Mother’s Day, it is important to be sensitive to this when we speak to others. We cannot assume that they celebrate Mother’s Day. It anguishes me to think what my own sweet mom went through learning I had breast cancer, not once, but twice. I am fortunate to be able to share the experiences and lessons from Mom before, during, and after breast cancer. Lessons from Mom Before Breast Cancer I am one of four girls born to my parents. However, I never knew one of my sisters who died shortly after a full-term pregnancy. My mom sorrowfully anguished over this, most of the time, with dignity Continue Reading →

Episode 17: Journey of the Caregiver

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Caregivers are called upon in the most unexpected ways through disease, an accident, surgery, or treatment. This is the story and journey of a thousand miles, two breast cancer diagnoses, multiple surgeries, and the story of how my son, Brian, taught me more about this role and what it means to be a compassionate caregiver on Episode 17: Journey of the Caregiver, on the DiepCJourney podcast. No Instruction Book for a Caregiver When a friend or loved one faces a health event and you know they will need assistance, your call to duty to be a caregiver begins. There is no payment for this role and certainly no instruction book. Both the patient and the caregiver shift their daily routine and begin to think in terms of strategy to help the patient. Considerations can include any or all of the following: This can all become overwhelming and require a great Continue Reading →

Packing When Traveling for DIEP flap Breast Reconstruction

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Many women travel for breast reconstruction surgery. Why? Access to a plastic surgeon in your town may not be available. It was not for me so I decided to summarize a list of what I recommend you will be packing when traveling for DIEP flap breast reconstruction. Why Patients Choose to Travel for DIEP flap If you are having autologous breast reconstruction, like DIEP flap or any other type of tissue reconstruction, finding a microsurgeon to perform your breast reconstruction is important. Microsurgery is a specialty of plastic surgery. These surgeons perform tissue reconstruction. Tissue reconstruction has warm blood flow in the transferred tissue used to reconstruct the breast. It requires great skill and additional training beyond plastic surgery training to tie the tiny blood vessels together to achieve the blood flow in the newly reconstructed breast making it feel more like the native breast tissue removed from a mastectomy Continue Reading →

Episode 16: Options for Breast Reconstruction after Mastectomy

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When a person faces a mastectomy due to breast cancer, they have options to reconstruct their breasts. The options include using an implant, using the patients own tissue, or choosing to remain flat with aesthetic flat closure. Dr. Steven Pisano of PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio, Texas discusses all the options for breast reconstruction after mastectomy in Episode 16 of the DiepCJourney podcast. The Voice of an Expert in Breast Reconstruction after Mastectomy Dr. Pisano is one of the original founders of PRMA in San Antonio. He started the practice in 1994 with partner Dr. Peter Ledoux to serve the San Antonio area with general breast reconstruction surgery. Since that time, they will be on track by the end of 2021 to perform over ten thousand flap breast reconstruction surgeries for patients from all over the world. They now have a team of eight highly skilled microsurgeons Continue Reading →

Global Collaboration and Learning on the Topic of Breast Reconstruction

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Collaboration is defined as an action working together with someone to produce or create something. My chosen profession is education. Working with my team in school districts to share ideas exhilarated me. Now, as a nonprofit leader and Founder of DiepCFoundation, I frequently experience global collaboration and learning on the topic of breast reconstruction. Developing a Community of Collaboration Our geographic world is expansive but our ability to collaborate is only an email, text, or message away. When I opened the DiepCJourney private Facebook page, often referred to by members as “The Journey” in the summer of 2015, I had no idea the global relationships that would develop on this page, let alone the other social media accounts I use for the Foundation. The need for education, support, and resources for all options of breast reconstruction after mastectomy continues. I witness this every day on “The Journey”. I set the Continue Reading →

Episode 15: Lymphedema Treatment and Surgery

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Lymphedema. It is not a disease. It is a condition breast cancer patients can experience. Skill, knowledge, expertise, experience, and compassionate care all matter when you are seeking any treatment for lymphedema. Our guest, Dr. Ramon Garza III, is well-qualified to discuss the topic of lymphedema treatment and surgery and possesses all of those characteristics. This is Episode 15 of the DiepCJourney podcast. Dr. Garza is a board certified plastic surgeon in San Antonio who practices at PRMA (Plastic Reconstructive Microsurgical Associates) and performs both surgical and non-surgical treatment for those affected by lymphedema. We discuss the value of finding a certified lymphedema therapist. You can search the LANA website for one in your area.  Understanding the Lymphatic System When Considering Treatment and Surgery The function of the lymphatic system is to move excess fluid out of our bodies. It works in unison with the immune system. It is the mismanagement of fluid that causes lymphedema. Continue Reading →

Episode 5: Abdominal Wall Reconstruction

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Dr. Ron Israeli of New York Breast Reconstruction and Aesthetic Plastic Surgery (NYBRA.com) and Dr. George DeNoto, Director of General Surgery and Hernia Institute, St. Francis, Hospital, East Hills New York, discuss the technique they have developed together in Episode 5, abdominal wall reconstruction, for the DiepCJourney Podcast. I hear from patients in the DiepCJourney Facebook group who requests information on various topics. This is one of those honored requests and I knew exactly who to turn to. I invited Dr. Israeli to do the podcast. To my pleasant surprise he asked if he could be joined by his colleague, Dr. George DeNoto. These two gentlemen have known each other for a while when they trained together in General Surgery. They refer to each other as “surgical brothers” leaning on each other as resource and eventually collaborating on a technique to repair hernia after TRAM flap surgery. Abdominal Wall Reconstruction Continue Reading →