Category: Breast Reconstruction

Episode 9: Optimal Flat Closure in Breast Surgery

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It is important for patients considering any kind of breast reconstruction to be informed and educated  about all your options. My guest on the DiepCJourney podcast are two microsurgeons from Midwest Breast and Aesthetic Surgery in Columbus, Ohio. Dr. Pankaj Tiwari and Dr. Ergun Kocak worked and trained together at Ohio State. “All things in Columbus come back to THE Ohio State University” as Dr. Tiwari states. They are two ideal surgeons to discuss the topic on episode 9, optimal flat closure. The Change in Breast Surgery Terms I stated in the podcast during my surgical consultation in 2002, correction, I meant to say 2014, I was not given the options for optimal flat closure. There is a reason I was not. The procedure, closure after mastectomy, has been around for an exceptionally long time. The change that has taken place recently is in the terminology used with emphasis on Continue Reading →

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 →

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 →

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 →

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 →

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 →

Episode 16: Options for Breast Reconstruction after Mastectomy

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When a person faces a mastectomy due to breast cancer, they have options to reconstruct their breasts. The options include using an implant, using the patients own tissue, or choosing to remain flat with aesthetic flat closure. Dr. Steven Pisano of PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio, Texas discusses all the options for breast reconstruction after mastectomy in Episode 16 of the DiepCJourney podcast. The Voice of an Expert in Breast Reconstruction after Mastectomy Dr. Pisano is one of the original founders of PRMA in San Antonio. He started the practice in 1994 with partner Dr. Peter Ledoux to serve the San Antonio area with general breast reconstruction surgery. Since that time, they will be on track by the end of 2021 to perform over ten thousand flap breast reconstruction surgeries for patients from all over the world. They now have a team of eight highly skilled microsurgeons Continue Reading →

A Home for the Breast Cancer Quilt

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I first encountered DiepC Journey ~ Breast Reconstruction after Mastectomy Facebook group when researching my options for prophylactic measures due to carrying a BRCA1 gene mutation. I instantly connected with the vibe of the group. What a wealth of information! If you know the founder of DiepC Foundation and the accompanying Facebook group, Terri Coutee, you will know just how welcoming, no-nonsense, and warm she is in all her advice and education pieces. She works to give each member a personalized experience when interacting with her foundation and page and she has helped countless woman and men dealing with breast cancer or breast cancer risk. Terri and I clicked, we’re both in the Pacific Northwest, shared a mutual friend, and both chose the same reconstruction—DIEP flap (using tissue from the belly.) We even made a video together. My Breast Cancer Journey to a Twist But! Here’s where the twist comes Continue Reading →

Global Collaboration and Learning on the Topic of Breast Reconstruction

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Collaboration is defined as an action working together with someone to produce or create something. My chosen profession is education. Working with my team in school districts to share ideas exhilarated me. Now, as a nonprofit leader and Founder of DiepCFoundation, I frequently experience global collaboration and learning on the topic of breast reconstruction. Developing a Community of Collaboration Our geographic world is expansive but our ability to collaborate is only an email, text, or message away. When I opened the DiepCJourney private Facebook page, often referred to by members as “The Journey” in the summer of 2015, I had no idea the global relationships that would develop on this page, let alone the other social media accounts I use for the Foundation. The need for education, support, and resources for all options of breast reconstruction after mastectomy continues. I witness this every day on “The Journey”. I set the Continue Reading →

Twenty Years: My Memories of 9/11 and What I Didn’t Know

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When dates in your life approach on the calendar emotions arise. The events of 9/11 still have great impact on the world. While speaking to friends this week, on the twentieth anniversary of 9/11, we recall exactly where we were and what we were doing the morning we heard the news. Twenty years, my memories of 9/11, and what I didn’t know are told in this blog. Where Were You When You Heard the News on 9/11? September of 2001 brought exciting new beginnings for us. We were new residents to Texas having moved from Seattle to a town north of Houston in the summer of that year. It was a beautiful, warm, fall morning in Texas. Our youngest son was a few blocks away safely tucked in his classes at middle school. My husband was an hour’s drive away in Houston, a large city where the oil and gas Continue Reading →