Category: Breast Reconstruction

Introducing BulbPendant for Drain Management During Breast Surgery

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The perfect solution for the management of Jackson Pratt bulb drains. From the HandandHand Medical website Successful recovery depends on the ability to heal without worry. But as physicians, patients and caregivers know, bulb drains are incredibly stressful. After surgery, the bulbs are loose, and patients do not know what to do with them. Drains can also become dislodged, requiring another procedure to replace them. BulbPendant for drain management during breast reconstruction not only solves these problems it relieves patients of the stress of dealing with bulb drains. Eliminating learning curves is a huge advantage. They (BP) are simple, so intuitive, it’s self-explanatory fitting 99% of all patients. The patient simply bows their head, keeping their elbows down at their sides while the neoprene band slides over their shoulders. The drain bulbs insert into the mesh pedant and easily clip into place, 30 seconds and you are done. BP is designed Continue Reading →

Episode 20: Planning Your Breast Reconstruction

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You have been diagnosed with breast cancer or find you are at high risk of getting breast cancer and are facing a mastectomy. Now what? If you choose to reconstruct your breast what does this process look like? Dr. Santosh Kale, MD, MBA is my guest on Episode 20 and planning your Breast Reconstruction, of the DiepCJourney podcast . He is a board-certified Plastic and reconstructive microsurgeon who practices in Gahanna, Ohio at Midwest Breast and Aesthetic Surgery outside of Columbus, Ohio. Along with his team at Midwest Breast he specializes in breast reconstruction (implant and tissue-based), aesthetic breast surgery, body contouring, and lymphedema surgery. Patient Considerations in Planning Their Breast Reconstruction Patients are inundated with information at the beginning of a diagnosis or finding they have a genetic mutation. They see an oncologist, breast surgeon, plastic surgeon, radiologist, and other medical specialists. Where does a patient begin the research and planning for their Continue Reading →

Breast Reconstruction for Stage IV Breast Cancer

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I have embedded a video with my guest Dr. Minas Chrysopoulo, current president of PRMA in San Antonio, Texas on the topic of breast reconstruction for stage IV breast cancer. We share our common thinking that we do not believe we would have been having this conversation ten, or even as recently as five years ago. It is a topic worthy of discussion. Dr. C shares information in the slides to guide those with stage IV breast cancer through the decisional process of considering their options for breast reconstruction. Development of Decisional Apps and Treatment for Stage IV Breast Cancer A convincing motivation for me having this conversation with Dr. C is that he is the developer of the Breast Advocate® app. This free app is co-created by leading specialists and patient advocates. I have been on Dr. C’s advisory team since the inception of the app and have watched Continue Reading →

From Diagnosis to Regaining Strength after DIEP flap Breast Reconstruction

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I remember well the day I was diagnosed with breast cancer. I found out when I received a phone call about my first diagnosis. It honestly felt surreal, like a gut punch when I picked up the phone and heard, “You have breast cancer.” The second time it was in person when I was called back to the radiologist’s office on my way home. The phone rang telling me to return after being cleared to go by a resident. I knew it wasn’t going to be good. But from diagnosis to regaining strength after DIEP flap, I made it through like so many others. My Diagnosis, Both Does the moment and emotions you experienced when you were diagnosed ever go away? I often hear the day, time, place, and how one felt is forever etched in your mind. It still is for me. How did you feel? My palms were Continue Reading →

TruSense℠: Restoring Sensation and Wholeness after Breast Cancer Surgery

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Many women are left numb after mastectomy. At PRMA in San Antonio, Texas they have created the term TruSense℠ that refers to restoring sensation and wholeness after breast cancer surgery. I interviewed Dr. Minas Chrysopoulo to learn why this procedure is important to patients. Maintaining Breast Sensation after Breast Cancer Surgery Dr. Chrysopoulo, Dr. C to his patients, points out the good news first. We now have surgical techniques where there are ways of maintaining sensation and even restoring it. There are variations in mastectomy results. The breast surgeon has a lot to do with how much feeling they have after mastectomy. Thus, this is a breast surgeon issue since they are the ones removing the breast gland that contain the nerves that provide feeling. Dr. C points out they do not do it on purpose it is just the way the nerves travel through the breast tissue. There are Continue Reading →

Robotic Assisted DIEP Flap Breast Reconstruction in Australia

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Since I had my own DIEP flap breast reconstruction at PRMA in late 2014 performed by Dr. Minas Chrysopoulo I have been fascinated with this surgery. I feel one strong reason people choose the profession of microsurgery is out of passion. The satisfaction of what is accomplished each day must linger long after they leave work and in fact drive them to do better. I invite you to learn more from one such surgeon I met via social media, Dr. Joe Dusseldorp. Join me in learning more about robotic assisted DIEP flap breast reconstruction in Australia. The Progress of DIEP Flap and Value of Robotic Assisted DIEP Over time, I have seen so much progress in surgical procedures and robotic assisted DIEP is just one of them. Dr. Joe agrees and points out this is just ONE technique. His comment, “Surgery doesn’t change overnight. It’s lots of little incremental steps Continue Reading →

Dismayed at Coding Changes and What is Being Taken Away from the Breast Cancer Community

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I returned from the American Society of Reconstructive Microsurgeons’ meeting late Tuesday this past week on January 24, 2023. What has been happening in the world of access to care and choice in breast reconstruction has shattered many of us in this community. There are many passionate surgeons who have dedicated their lives to performing the DIEP flap surgery. Patients affected are dismayed at coding changes and what is being taken away from the breast cancer community. The Coding Changes and What is Being Taken Away DIEP flap surgery is not going away. It is access to care thereby limiting our choice of what type of reconstructive surgery breast cancer patients can choose after mastectomy and loss of breast. The process of why these codes have been taken away, the S-code, is a complex system and decision process made by medical governing organizations. It involves evaluation of work hours spent Continue Reading →

Benefits of Yoga after Breast Cancer and Breast Reconstruction

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This summary is an interview I had with my former oncologist, and now dear friend, Leona Belle (Dr. Leona Downey, a retired medical oncologist) about the benefits of yoga after breast cancer and breast reconstruction. Because Leona is a breast cancer survivor and has had breast reconstruction she speaks about her own Journey through diagnosis, treatment, surgery, and recovery. A Medical Oncologist Turned Yoga Instructor Leona is a trained medical oncologist. She lived in Tucson, Arizona working in both academic and private practice for ten years. Leona expresses how much she enjoyed being able to help others who were diagnosed going through what is a very challenging time in their lives. She did a pivot after ten years in practice realizing she wanted a slower pace of life and to do something different. Leona retired at a young age and moved to Puerto Vallarta, Mexico with her husband.  Her goal, Continue Reading →

Resilience and Hope in Breast Cancer and Breast Reconstruction

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These seem like very strong words to define one who has been diagnosed with breast cancer or going through breast reconstruction. I believe people in either of these circumstances possess both hope and resilience. There are unpredictable forces in our life that move us forward. I consider resilience and hope in breast cancer and breast reconstruction as two of those forces. Resilience When Diagnosed with Breast Cancer When you hear or read the word, resilience, it seems like a strong word to define someone who has heard the news they have breast cancer. What I am really trying to convey is that whether you think you have resilience or not, you are actively showing that you do. How? By putting one foot in front of the other each moment, each day after being diagnosed. It is not to say you must stay positive, you are being courageous, or acting tough. Continue Reading →

Patient Advocacy in San Antonio

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I am sitting in my office looking out the window at softly falling snow. The cold temperatures of winter have settled in. It is a great day to reflect while sipping on a cup of warm tea after a week at the conference followed by a week spent with family. It is a strong finish wrapping up 2022 and patient advocacy in San Antonio. Patient Advocacy Focus at SABCS The hashtag #SABCS2022 was seen on Instagram, Twitter, and LinkedIn during the first week of December. This was my third time attending the San Antonio Breast Cancer Symposium conference. I was an active part of the Alamo Breast Cancer Foundation (ABCF) Patient Advocacy Program this year. It required a great deal of planning and preparation. The first year I attended in 2016 I was a newbie. I wasn’t even sure if I should be attending after just opening my nonprofit organization, Continue Reading →