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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 →

Breast Reconstruction Nipple Tattoo Artistry Experience

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This story is about three friends in vastly separate places in their lives, uniquely connected through the breast cancer experience, and a narrative of a breast reconstruction nipple tattoo artistry experience. Whitney’s Breast Reconstruction Story I met Whitney in 2019 shortly after moving back to Seattle. Our past connections are uncanny. We remain friends and the story behind how it came to be still warms my heart. You can read more about it in this blog and how Whitney’s genetic mutation for ATM and CHEK2 put her at high risk for getting breast cancer. She completed her breast reconstruction Journey traveling to San Antonio having her DIEP flap performed at PRMA. Whitney communicated with me while she was in Texas revealing how pleased she was with her surgery. My heart was happy to hear about support from her husband and other Journey members living in the San Antonia area. Because Continue Reading →

Episode 24: Sexual Health Program for Cancer Patients

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Sharon Bober, PhD, Psychologist, Dana-Farber Cancer Institute, and Assistant Professor in the department of Psychiatry at Harvard Medical School, chats with us on this episode of the DiepCJourney podcast. I met Sharon through the Scientific Network on Female Sexual Health and Cancer where she is the current chair of this organization. Our topic in this blog summary of the podcast; sexual health program for cancer patients. Why Sexual Health is not Often Talked About I feel the intimate and sometimes uncomfortable nature of the topic, sexual health, is one of the major reasons it is not often talked about at consult for cancer patients. Dr. Bober points out very few medical professionals have formal training in sexual health. Further, she points out managing sexual disfunction remains outside the bounds of normal conversation. A noticeably clear statement she makes is, “We live in a culture that is suffused with images of Continue Reading →

Episode 14: Nipple Graft, an Innovation in Breast Reconstruction

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New innovations are born out of passion, vision, clinical trials, and a scrupulous process of providing patient safety. In this episode of the DiepCJourney podcast, I speak to Billy Heim, COO of BioAesthetics. He is part of a team who developed an innovation in breast reconstruction, the NAC Graft, nipple areola complex graft. Here is the summary of Episode 14: Nipple Graft, an Innovation in Breast Reconstruction, of the DiepCJourney podcast. I am joined by Minas Chrysopoulo, MD, FACS, an internationally recognized expert in breast cancer reconstruction and shared decision making. He is president of PRMA (Plastic Reconstructive Microsurgical Associates). Dr. Chrysopoulo founded Toliman Health and is the creator of Toliman’s flagship app, Breast Advocate®, the world’s first shared decision-making app for breast cancer treatment and breast reconstruction. Saving the Nipple/Areola in Breast Surgery Dr. Chrysopoulo points out that a lot depends on the specific diagnosis. If there is an Continue Reading →

Staying Connected in 2022

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We have rolled over another year of the calendar. Living through two years of a global pandemic has not been easy for any of us. There are traits we have learned about ourselves we did not know we were capable of, like patience and persistence. None of us anywhere on Earth were prepared to deal with all the rapid changes we continue to make because of the pandemic. And yet we have somehow stayed connected. I feel so strongly and see such immense value in staying connected in 2022. Staying Connected Through social media Whether you have one social media account or many, whether you have actually met your social media friends in person or not, Twitter, Facebook, Instagram, LinkedIn, and others, these platforms connect us in valuable ways. I think there are two important questions to ask yourself when using social media. The answer to question number one should Continue Reading →

Is Compassion an Action?

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I promised a dear friend I would write a blog on this topic after a conversation we had online one morning while sipping coffee. We spoke about the numerous ways folks have been off put by the circumstances we have all encountered over the past two years during the global pandemic. It seems fitting to write the blog during the holiday season and ask ourselves the question, is compassion an action? Compassion and the Origin of the Word We think of the word compassionate as being a verb. But the full meaning of the word “compassion” from Meriam’s dictionary states the definition of compassion as a “sympathetic consciousness of others’ distress together with a desire to alleviate it. I can see defined compassion as an action. Have you Ever been Called to Show Compassion Lately? A recent example I encountered myself happened this past week when I stood in line Continue Reading →

My DIEP Flap Breast Reconstruction Seven Years Later

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This morning I began my usual morning routine. I am an early riser. I open my laptop, check my phone for messages, begin sorting out emails to respond to, and begin my workday. But this morning marks a day on my calendar I never forget, or more appropriately, always remember. December 1, 2014, I was sitting on a gurney being marked up for my DIEP flap breast reconstruction. Writing about my DIEP flap breast reconstruction seven years later? How is that possible? Where did the time go? The Days and Months Leading up to my DIEP Flap My coffee is fresh and warm. Thoughts flood through my mind as I recall the events of the morning I showed up at the hospital. Yes, I showed up. But boy did that take a lot of decision making, planning, and a strong dose of physical and emotional fortitude in the days leading Continue Reading →

How Are you Feeling Toward the End of The Year?

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Are you feeling anxious? Peaceful? Introspective? Determined to roll into the New Year with some novel ideas and changes in your life? It is the time of year when we can feel any, and all of these emotions and they can change within a moment, a day, or a week because of an unexpected circumstance. As we roll into the month of December, it is time to ask, how are you feeling toward the end of the year? End of the Year Holiday Celebrations There are holiday celebrations in December like Hanukah, Christmas, Kwanzaa, Las Posadas, and similar celebrations around the world. I recall the excitement of children in my classroom during my years as an ESL teacher honoring each of these holidays. Students loved learning and experiencing the difference and similarities in all of the holidays. This was during a time when families were allowed and felt comfortable bringing Continue Reading →

The Most Difficult Part About Deciding to Have DIEP Flap Breast Reconstruction

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I always appreciate hearing patient stories and true feelings about why women choose to have DIEP flap breast reconstruction. The decision is not an easy one to make with many factors involved. I recently asked the women of the private Facebook group DiepCJourney, what was the most difficult part about deciding to have DIEP flap breast reconstruction. Here is what they shared. Consideration of Family and Work During Diep Flap Breast Reconstruction Many women who choose to have DIEP flap are mothers, wives, and working full time either at home or outside the home. Imagine their thought process prior to surgery. “How will I handle activities of daily life knowing I will have incisions from hip to hip and at my breast area?” For women with children there are going to be limitations from those activities we do frequently as mothers, bending, lifting, and twisting. When we are used to Continue Reading →

How to Prepare for and Have a Shared Decision-Making Conversation

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Terri Coutee and Minas Chrysopoulo, MD FACS Shared decision-making occurs when your doctor (or any healthcare professional) collaborates with you to make the best healthcare decision. The optimal decision takes into account evidence-based information about the available treatment options, the clinicians’ knowledge and experience, and any factors you value in your decision-making. The patient brings their preferences, goals, lifestyle, support structure, …whatever they feel is important to them in making a decision. The physician brings evidence-based information and their expertise. Together, they find the “sweet spot” in the middle. Our aim is to offer recommendations for patient and healthcare professionals to prepare for and have a shared decision-making conversation. Most patients prefer this collaborative approach over deferring treatment decisions completely to their doctor. Unfortunately, in many cases patients may be reticent to initiate this type of conversation or simply don’t appreciate that they can. In reality, if the clinician doesn’t Continue Reading →