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5 Things to Look for: Hospital, PRS: DIEP flap Surgery

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5 Things to Look for: Hospital, PRS: DIEP flap Surgery Here is your list of 5 things to look for in a hospital and plastic reconstructive surgeon (PRS) before your DIEP flap surgery.   The list could fill a book; however, the purpose of this blog is to hit on five important topics that may well be priorities on the patients’ list of items to inquire about before surgery. No. 1 ~ Hospital Accreditation This might not be a question that you would even think to ask.  But, the reputation and accreditation of the hospital facility that your plastic surgeon practices at should be of great importance to you for your reconstructive surgery.  Odds are, you have been extremely wrapped up in the details of your breast reconstruction surgery and the outcome itself, but knowing the official endorsement of the facility is just as important.  When hospitals are accredited through national Continue Reading →

Breast Reconstruction Consult DIEP flap Surgery: The Power of Two

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Breast Reconstruction Consult DIEP flap Surgery: The Power of Two You may bring someone with you to your breast reconstruction consult for your DIEP flap surgery but it is the power of two, you and your plastic surgeon, who are the two key players at this all important appointment.  This topic is worthy of a two part blog.  Part 1 will touch on the potential emotional and psychological aspects of the visit and part 2 will discuss the actually physical and technical part of the visit.  I have learned a lot reflecting on the experience of my first visit with my plastic surgeon.  I have gained yet a different perspective from speaking with other women about their experience and what this involved for them. What I do know is this; the appointment needs to be a home run for both you and your plastic surgeon.  You need and want to Continue Reading →

Ray of Sunshine after Breast Cancer Diagnosis

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It just doesn’t seem a ray of sunshine might even play into the discussion the day I was told I had breast cancer does it?  There actually was a ray of sunshine after a breast cancer diagnosis. This is my story. The Breast Cancer Diagnosis The day of my second breast cancer diagnosis I was sitting in the office of my breast surgeon, Dr. Michele Ley, I saw Dr. Ley about five years previous to my second diagnosis to remove a benign area in my left breast.  I chose to go to her because I was very impressed with her demeanor, compassion, confidence and skill for the minor surgery she performed then.   It was a “steel in my back” kind of day when I was scheduled to go in to see her.  I was alone.  My husband was out of the country on business.  I had been down this road Continue Reading →

National Cancer Survivors Day: Where Do I Begin?

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National Cancer Survivors Day: Where Do I Begin? Today is National Cancer Survivors Day and it is difficult to know where to begin to condense my thoughts about this day as a two time survivor of breast cancer.  There is a very dark side for many survivors.  I’ve had those days; diagnosis, telling your loved ones, surgeries, chemo, radiation, medication, side effects.  But oh those glorious bright days!  Let’s take a look at both. The Dark Side of Cancer Survivor-ship: The Ugly Vortex I have always equated cancer to an ugly vortex.  When you first hear the words that you have cancer that vortex begins its whirling mass of sucking many people into it. Being a cancer survivor does not affect just the individual with the diagnosis. Your spouse, partner, children, family and friends become survivors of sorts as well.  They weren’t asked to take on the role of caregiver Continue Reading →

Managing Surgical Drains with Drain IQ

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Managing Surgical Drains with Drain IQ Managing surgical drains post mastectomy and post breast reconstruction is one of the biggest grievances I hear when I speak to women about their surgery after breast cancer.  I was in that club after my own DIEP flap breast reconstruction.  I used the paper recording sheet provided by the hospital to track drain output.  Keeping track of that piece of paper and diligently recording drain output each and every time I stripped those drains was a necessary evil and part of the process for the duration they were stitched to my body. Let’s talk about managing surgical drains with Drain IQ. Managing Output Using your Phone? But, how many of us today have our phones with us almost as an appendage?  I am surprised to hear from ladies while still in hospital after their surgery, texting and posting on social media that they are Continue Reading →

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

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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 →

A Mother and her Sons

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A Mother and her Sons I was encouraged to write a blog about a Mother and her Sons by a friend of mine who began reading my blog about a year ago.  I have avoided it until now.  Not because I didn’t want to write it but I knew the complete emotional fortitude it would take for me to pen my feelings about my two sons.  Mother’s Day will be celebrated soon.  I love Mother’s Day because of my sons. Writing this blog seems appropriate each and every day I am a mother to these two amazing and imperfectly perfect men. This is not Fair for My  Two Sons! What they have been asked to do as sons is beyond what anyone would want their children to go through.  These two stepped up to the plate and knocked it out of the ball park when it came to taking care Continue Reading →

Road Map to Success for DIEP Flap Surgery: Fluorescence Imaging

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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 →

Guest blog: Wojciech Dec, MD

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Guest blog: Wojciech Dec, MD I recently connected with  Wojciech Dec, MD after he came across my website and he asked to write a guest blog explaining the various types of breast reconstruction.  Dr. Dec is a member of The American Society of Reconstructive Microsurgeons.  ASRM is a resource I list for patients to check to see if a micro-surgeon is a member when they are seeking a plastic surgeon for breast reconstruction. I particularly like his title. So with that introduction, here is Dr. Wojciech Dec’s guest blog.  The Alphabet Soup of Breast Reconstruction Surgery (Making sense of all the acronyms: TRAM, free TRAM, MS-TRAM, DIEP, SIEA, GAP, PAP, TUG, LD.)   by Wojciech Dec, MD   When I first meet with a patient to discuss her options for breast reconstruction we take a step back and look at the big picture to avoid getting bogged down in the Continue Reading →

Physical Therapy after Breast Reconstruction

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Physical Therapy after Breast Reconstruction I had the honor and pleasure of interviewing my physical therapist, Leslie Drawdy, to discuss the value of physical therapy after breast reconstruction.  Before I share the information we discussed I want to share my personal story and how I came to meet Leslie. My breast surgeon, Dr. Michele Boyce Ley, advised that I begin physical therapy soon after the mastectomy that she successfully performed.  I went in for a follow up appointment after healing post-surgery and told her of onset and new shoulder discomfort, especially when I was on my computer.  Knowing how much time I spend on my computer she gave me a sheet of well-qualified physical therapists.  I chose Leslie because she is a lymphedema specialist.  Although I did not have lymphedema my thought was, who would know better about the lymphatic system and post breast cancer mastectomy patients?  I hit a Continue Reading →