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Scar Healing: Post DIEP flap Surgery

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Scar Healing: Post DIEP flap Surgery Scars, scar healing, and scar therapy  after breast reconstruction surgery is a frequent topic of discussion on DiepCJourney support group page. I can share with you what I have learned about these topics after phase 1 & 2 of my DIEP flap surgeries. What Forms the Scar? You may have heard of collagen. Collagen is a structural protein occurring in our bodies. Collagen goes to work and is produced by your body, in simplest form, after skin is disrupted through a surgical incision. It repairs and heals the wound because of its fibrous, connective properties. It is what forms the scar when your body goes through its natural healing process. Healing is Individual but Maintaining Health is Important! We are all unique and individual when it comes to healing. Your skin color, genetics, and overall health are important factors in the individual outcomes and Continue Reading →

Exercise After Breast Reconstruction Surgery

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Going in DIEP! Exercise after breast reconstruction surgery is a tricky game. You must clear it with your plastic surgeon. Your incisions must be completely healed so that you do not compromise the healing process. One question I asked my PS, Dr. Minas Chrysopoulo of PRMA at my pre-op appointment before the final phase of my reconstruction was when I could get back to swimming. We have a pool in our backyard and I felt it would be good rehab as a post-surgical exercise. His answer, “When you are ready and when the wounds are all healed”. New Sensations and Healing I’ve been working up to this moment today. I emailed the nurse at my plastic surgeon’s office a couple of weeks ago and told her I was feeling some interesting and strange new sensations in my breasts. I couldn’t really put the feelings into words but I think she Continue Reading →

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon

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DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon DIEPflap breast reconstruction & aesthetic questions to ask your plastic surgeon involves more than  you may have given much thought to.  You have had a mastectomy due to breast cancer. You have tested positive for the BRCA gene and are facing the decision to have a prophylactic bilateral mastectomy to significantly decrease your chances of getting breast cancer. Perhaps you are even going in for a consult to repair damage done at another practice and are looking for better results.  Now you’re researching and thinking about breast reconstruction options. You found a board certified plastic surgeon with great skill and a high rate of success. The consult appointment has been set up. You write down as many questions as you can and hope beyond hope you will be given the time to have all of them answered.  Your main concern Continue Reading →

Infusion Therapy: Facing your Fears

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Prolia Injection at the Infusion Therapy Center I went to the infusion therapy center at my cancer center today to have the first of my Prolia injections to treat bone loss. I would be getting them twice a year.  Since I am taking an AI (Aromatase Inhibitor) and additionally have a family history of osteoporosis, my oncologist recommended I start the injections. I do not have a fear of needles. I had a CVC line for chemo thirteen years ago and was fully awake when they inserted that. I have had multiple IV sticks for breast cancer and reconstruction surgeries and blood drawn. I always watch them put the needle in for both and tell them where my good, “go to” veins are. No problems. Today was a simple subcutaneous injection at the back of my arm. I had the option of having it in my abdomen but I looked Continue Reading →

DIEP Flap Surgery: Day one, Phase one

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Check-in It was still dark outside the morning we left for phase one of my DIEP flap breast reconstruction surgery. We were told to be at the hospital at 6 a.m. Monday morning following Thanksgiving weekend had to be a good day for surgery. My surgeon had time to be with his family, enjoy a feast and be all rested up. It was a new week and a brand new month, December 1. We arrived at the hospital and signed all the paperwork for check in. The wait wasn’t too long but the room we waited in was the typical sterile, hospital environment, fluorescent lighting with CNN on the TV. They had coffee available but nothing for me, thank you very much. I had been on complete fasting since midnight. They took us up to another smaller and quieter waiting area where all patients were checked in and waiting to Continue Reading →

Bilateral Prophylactic Mastectomy

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  Bilateral Prophylactic Mastectomy ~ Is it Right for You? When I read an article about BPM posted on Facebook by my reconstruction surgeon I knew immediately what the letters stood for and so do those in the BRCA and cancer community. Out of pure curiosity I searched on the internet the “meaning of BPM” without adding “medical” to the search. You get some interesting as well as hilarious results: British Prime Minister, Beam Position Monitor, Business Performance Management, Blood Pressure Monitor, Beats per Minute and my favorite, Butt Pumping Music! The Angelina Effect Bilateral prophylactic mastectomy became a popular news topic after Angelina Jolie shared that she reduced her risk by nearly 90% of ever getting breast cancer because of choosing a BPM. She tested positive for the BRCA1 gene mutation and her mother died of ovarian cancer. I wrote a previous blog on this and completely understand why Continue Reading →

Genetic Testing

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Is Genetic Testing A Scary Road to Travel? It is one of the hot topics in the medical world, “Genetic Testing”. A recent report from NBC Nightly News reports on the the risks and benefits of genetic testing.  Why do individuals choose to do it? What are the benefits and risks? What is the cost? Is it covered by insurance? Does it risk an individual’s chances of further insurance coverage in the future if they test positive? My Own Personal Experience I can only speak from my personal experience and reasons to explore genetic testing for myself. There are certain criterion that determines if you are a candidate who will likely benefit from genetic testing. I fit two of those conditions. One, I had breast cancer at a fairly young age, 47. Two, I had a recurrence of the original cancer I had at 47 but more importantly a newly Continue Reading →

The Perfect Breast Shape and Plastic Surgery

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How I got to the “Breast” Shape Ever Twitter is such a valuable tool for me. A year ago my Twitter account was full of nothing but educational websites. I returned to school to attain my M.Ed. and I used it for the sole purpose of gathering information about the latest “speak” in education. I did not tweet, like, retweet, or DM (direct message). I only lurked and learned. The lurking and learning changed in October of 2014. School ended for me to focus on my health.  My Twitter account went from education to all things breast cancer and breast reconstruction. I entered the world of plastic surgery as a breast reconstruction patient after undergoing a double mastectomy following a second breast cancer diagnosis. It was a world I was unfamiliar with and had much to learn about both on an academic and emotional level. I was now following, being Continue Reading →

Bone Density and Aromatase Inhibitors

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The Devil and the Details Today was a four month visit with my oncologist after my second diagnosis of breast cancer one year ago.  One of the purposes of the visit was to discuss bone loss while on Arimidex, the Aromatase Inhibitor I will be taking for ten years, unless of course they come up with something new between now and then. I was diagnosed with both invasive and in situ lobular carcinoma (LCIS) in my left breast twelve years ago. After two lumpectomies to achieve clear margins, eighteen weeks of chemotherapy and six weeks of daily radiation I took Tamoxifen for five years. Last year I had a recurrence of LCIS in the left breast and a new and different cancer, ductal carcinoma in situ (DCIS), in the right breast. Because of the new cancer in the right breast and the fact I had a recurrence in the left Continue Reading →

A Letter to Secretary Sylvia Burwell

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Dear Secretary Burwell, I enjoyed reading your bio on the HHS.gov website because I found we have a few things in common and I value human connections. We are both passionate about ensuring that individuals lead healthy and productive lives. Your outreach is far greater than mine and I am grateful for your passion and mission. My outreach, smaller though no less important, is to breast cancer patients who have been faced with a mastectomy. We are both former Seattle residents. As former President of the Global Development Program for the Bill & Melinda Gates Foundation you focused your efforts again on health.  I was an educator in Seattle at Sacred Heart School in Bellevue and had a brief opportunity to meet Melinda Gates when she visited our school and came into my classroom.  I was struck by her unpretentious manner and was humbled to speak to her and meet Continue Reading →