Episode 43: The Drain-Free DIEP Flap Concept

DIEP flap breast reconstruction most often requires surgical drains for post operative care. Patients often mention to me they are awkward, can become infected at the suture site where they are attached, and are cumbersome to hide under clothing after surgery when going out in public. This is a summary of Episode 43: The Drain-Free DIEP flap Concept as it relates specifically to this type of autologous breast reconstruction. My guest on this episode of the DiepCJourney podcast has been in communication with me over the past year in anticipation of his published paper, Are Surgical Drains Needed in DIEP Flap Surgery? The Drain-Free DIEP Flap Concept. Dr. Nanidis and the Motivation for the Drain-Free DIEP Mr. Theo Nanidis, is a Consultant Plastic and Reconstructive surgeon with the NHS and private practice at The Royal Marsden. He graduated with distinctions from University College London Medical School in 2003 and completed Continue Reading →

Episode 39 The London Breast Meeting Recap

This podcast was recorded prior to The London Breast Meeting with the Rob Pupelis and Elizabeth Van Thillo of T-Stat along with Dr. Minas Chrysopoulo of PRMA. The meeting took place in early September at the Royal College of Physicians. Shortly after the recording this summer, Dr. C posted on his LinkedIn account. He stated, “Great way to kick off a Saturday! Looking forward to part two at the London Breast Meeting!” This blog summary of Episode 39 of the DiepCJourney podcast is the London Breast Meeting Recap and what took place those fantastic days during the conference. We will call it part three! Rob Shares His Thoughts on Discovery at the London Breast Meeting I invited my guests to share a realistic analysis of what they expected to get from the conference. Beyond the travel, there is a great amount of thought and preparation that goes into attending conferences optimizing Continue Reading →

DiepCFoundation attends the GRYT Virtual Cancer Conference

I have attended a number of conferences as a patient advocate since opening DiepCFoundation in 2016. Traveling takes time and financial resources. I am happy to share with you a virtual conference you can attend from the comfort of your home. Come with me as DiepCFoundation attends The GRYT Virtual Cancer Conference held Saturday, October 5th, 2019. How to Participate in the GRYT Virtual Cancer Conference The conference will be “open” from 8am-9pm Eastern Standard Time. During this time, you can listen to a variety of speakers and attend breakout sessions from a number of organizations across the cancer community. You can also visit the Exhibit Hall to interact one on one with the hosts of the virtual booths. They will be available during various times of the day to answer questions from participants. Ongoing Resources after the GRYT Virtual Cancer Conference There is an added advantage and ongoing resources Continue Reading →

Undeniable Physical and Psychological Changes After Breast Reconstruction

Facing the possibility of mastectomy is frightening for most. You have breast cancer or a genetic mutation putting you at high risk for developing breast cancer. The body parts that are front and center on your body are about to be removed. You are sitting in front of a plastic surgeon as the surgical process is described to you. You know there will be undeniable physical and psychological changes after breast reconstruction. How in the world do you begin to even process all of this? How Will I Feel Physically After Mastectomy? My breasts gave me a sense of balance I didn’t realize until I began to stumble over my own feet after my double mastectomy. I thought I was just recovering from side affects of anesthesiology. Walking through my house I would randomly trip like a baby taking its first steps. I felt clumsy and awkward. My breast surgeon Continue Reading →

DiepCJourney Celebrates a Four-Year Anniversary of Educating About Breast Reconstruction

Four years ago, on March 17, 2015, an idea was launched. DiepCJourney blog began as a cathartic writing exercise, detailing my Journey of being diagnosed with breast cancer twice and the choice to undergo DIEPflap breast reconstruction. DiepCJourney soon transformed into a passion, a mission to educate others about my successful experience and what I continue to learn on this amazing Journey. I am grateful to celebrate the four-year anniversary of DiepCJourney, the blog that launched a Foundation to educate others about all their options for breast reconstruction after mastectomy. The Celtic symbol and backdrop for DiepCJourney was developed with a dear friend, Meagan. Both of us embrace our rich Irish heritage. We met several times at quaint coffee houses in early January of 2015 discussing the design, meaning, and an appropriate launch date for the blog. The sketch she drew of me was something I had to consider for Continue Reading →

Recovery from Breast Reconstruction: A bit like the Winter Doldrums?

Does recovery from breast reconstruction seem a bit like making it through the winter doldrums? Sometimes, yes, it does. The recovery period, for any breast reconstruction takes a bit of time. However, if you have had any type of autologous (using your own tissue) breast reconstruction you will be recovering for a few weeks. Long, cold, snowy, winter days when you can’t get out of the house reminds me of my own recovery from DIEP flap surgery. Fatigue and Recovery from Breast Reconstruction You will be fatigued for a few weeks after surgery. Your body is working overtime to rid itself of the effects of anesthesia. You are also in healing mode so it will take a lot out of you when you are released from hospital. I often tell women I knew when I was getting back to normal when suddenly one day, I no longer needed my daily Continue Reading →

What to Communicate with the Radiologist when Imaging the DIEP Flap Reconstructed Breast

What to Communicate with the Radiologist when Imaging the DIEP Flap Reconstructed Breast   A Guest blog from Danielle Carroll, MD To image or not to image the reconstructed breast- that is the question…Well, actually the first question.  I am not going to tackle that topic here, but Dr. Chrysopoulo discusses this in his article “Mammograms and MRI after Reconstruction- Are They Needed?” .  However, if you decide to proceed with imaging follow-up, what is important for you to know about imaging the reconstructed breast, and how can you best convey your reconstruction status to the reading radiologist?   The reconstructed breast will undergo many changes over the first several years post reconstruction, some of which will be visible externally, some may only be seen by imaging.  The two most important pieces of information to convey to the scheduler and/or technologist are 1.  Your history of mastectomy with soft tissue Continue Reading →

Road Map to Success for DIEP Flap Surgery: Fluorescence Imaging

Road Map to Success for DIEP Flap Surgery: Fluorescence Imaging A Patient’s Story Would you take a road trip before consulting a map, planning out your best route with the least amount of obstacles to drive around or through? Think of the SPY Elite Fluorescence Imaging System in this way for breast reconstruction surgery.  DIEP flap breast reconstruction surgery is a specialized and intricate process that women have the option of choosing to rebuild their breasts after a mastectomy.  It is what I chose after a second breast cancer diagnosis. Patients are savvy, engaged, customers these days with the internet and social media to guide them in learning about the surgical procedures that they are facing.  DIEP flap surgery is intricate, long and must be done by a well-qualified microsurgeon. Choosing this profession is a passion for a majority of physicians because they are transforming lives after breast cancer.  It Continue Reading →

Pregnancy After DIEP flap Breast Reconstruction

Pregnancy After DIEP flap Breast Reconstruction I meet amazing women and hear inspiring stories of courage in my breast reconstruction education and outreach. We share pictures, laughs, tears, fears, and stories of triumph in my conversations with these women warriors. Chats with these women, not only in the U.S., but across the globe fuels and energizes me to continue this advocacy. This story, pregnancy after DIEP flap breast reconstruction, touched my heart as a mother of two boys. I am fortunate through my travels to meet DIEP flap patients in person. Nothing gives me greater joy than sharing my experience and listening to others’ journeys through their own breast reconstruction process. It is a shared strength and sisterhood few understand and appreciate. One fortunate meeting and follow up story I wrote might seem nothing short of miraculous.  Although for each of us, our stories too, feel miraculous after we’ve reached Continue Reading →

DIEP flap Recovery With Young Children at Home

Recovery from DIEP flap breast reconstruction with young children at home is a worrisome consideration. Women are, by nature, care givers. A mother’s thoughts focus on what their physical ability will be after surgery and how they will be able to care for their children once  home and recovering. A mother leaves the house to go to reconstructive surgery and her children see her in a healthy, active state. When she returns home from surgery she will physically be weaker, perhaps a bit hunched over from the abdominal incision and will be very cautious about having children sit on her lap, lift them, hug them or snuggle with them like she used to before surgery. Moms are active and engaged with young children, bending, stooping, lifting and twisting; all activities that must be adjusted after DIEP flap surgery. I have taught young children for many years and know that speaking Continue Reading →