Category: Breast Cancer Diagnosis

Episode 7: Newly Diagnosed with Breast Cancer? What are Next Steps?

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Have you been overwhelmed with emotion and information when newly diagnosed with breast cancer? My guest, Dr. Deanna Attai, is an Associate Clinical Professor of Surgery at the David Geffen School of Medicine at the University of California Los Angeles. Episode 7 takes us from being newly diagnosis with breast cancer to the clinical visit and what are next steps. As past president of the American Society of Breast Surgeons I have leaned on Dr. Attai since I first met her in May of 2019 at the ASBrS annual conference. Breast cancer is not one disease and patients bring to their consult with a wide variety of knowledge regarding their diagnosis. Tumor biology, stage, grade, and family history are some of the factors discussed after being newly diagnosed with breast cancer. Step 1: Knowing the Type of Breast Cancer She guides us through how she helps patients who are confused Continue Reading →

What Patients Can Teach You About Breast Cancer PTSD

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I wrote a blog on this topic regarding my own experience with PTSD after a breast cancer diagnosis. In fact, it was after my second breast cancer diagnosis. There are times when blogs are inspired in ways I did not see coming. After sharing it in my closed Facebook group my heart dropped reading the comments from others about their experience. I was amazed at what patients can teach you about breast cancer PTSD. I asked them how they deal with PTSD after breast cancer. They provided honest answers, some heart wrenching and some with resources to share within the group. Here is some what some patients shared about their own struggles. Sleep Deprivation and PTSD after Breast Cancer Sleep seemed to be illusive to some. They reported crying all day exhausting themselves into a nap. But then they did not sleep at night. This became a vicious cycle. One Continue Reading →

Episode 4: Coordinated Care in Breast Cancer

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Have you been diagnosed with breast cancer or at high risk of getting breast cancer due to a genetic mutation? Do you remember the day you heard those words and got the news? How many healthcare providers did you have on your team? In Episode 4 we discuss the importance of coordinated care in breast cancer. My guest is an educator, microsurgeon and Director for MedStar Plastic and Reconstruction surgery and Academic Chair for the Department of Plastic Surgery at Georgetown University Medical Center, Dr. David H. Song. He chairs the BC3 Conference in Washington, D. C. The purpose of the conference as stated from the website: Breast cancer is the most common cancer affecting women. Diagnosis and treatments are part of the practice of a wide number of medical specialists and there are national initiatives calling for a multidisciplinary approach to the care of breast cancer patients. The multiple Continue Reading →

Episode 3: Breast Reconstruction and Breast Sensation

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In Episode 3 of the DiepCJourney podcast I discuss breast reconstruction and breast sensation with two surgeons who have performed this procedure together in their practice. Dr. Anne Peled and Dr. Ziv Peled work in tandem in the operating room to preserve and restore sensation to the breast for those affected by breast cancer. The paper published by Dr. Anne and Ziv Peled can be found in the PRS Global Open under the title, Nerve Preservation and Allografting for Sensory Innervation Following Immediate Implant Breast Reconstruction PRS Global Open Dr. Anne Peled, who was diagnosed with breast cancer herself, was torn about what surgical option to choose for her own diagnosis; a lumpectomy, oncoplastic surgery or mastectomy. She was aware, due to standard training of breast surgeons, a mastectomy would mean the likelihood of losing sensation to her breasts. Most patients who undergo mastectomy are left numb and as she Continue Reading →

Sexual Health after Breast surgery and Breast Cancer Treatment

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The words, “You have breast cancer” can be very difficult to come to terms with for women and men. Added to this and what follows is the aftermath from treatment, surgeries, and loss of body parts. Our bodies are physiologically designed for sex with nerves to sexual organs in both male and female bodies. Sex is often associated with an emotional experience for many. For those affected by breast cancer living with scars, loss of body parts, debilitating changes to sexual function, self-image, fatigue, vaginal dryness, loss of libido, to name a few, changes in sexual health after breast surgery and breast cancer treatment are often left to the patient to grapple with. Our guest, Liz O’Riordan, is a breast surgeon, breast cancer survivor, and author who discusses and writes about the topic of sexual health. We invited her for an interview. Liz tells us her medical background and shares Continue Reading →

Episode 1: Breast Reconstruction Advocacy

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Have you ever been excited and nervous at the same time? I was on January 3,2021. It was an exciting day to publish the first episode of the DiepCJourney Podcast with guest, Dr. Minas Chrysopoulo. A few days in advance of the first published episode, I sent a message telling him I was as nervous as a long-tailed cat in a room full of rocking chairs. Hitting the published button felt scary and exhilarating at the same time. We hope you’ll follow and listen to Episode 1: Breast Reconstruction Advocacy. After a second breast cancer diagnosis in 2014, Dr. C performed my DIEPflap breast reconstruction in December after a double mastectomy in April of the same year. He not only was the microsurgeon I chose, but he has also become a mentor to me, the voice in the corner, always cheering me on to “keep the momentum going, Terri”. The Continue Reading →

Perfusion Monitor: Flap Monitoring in Microsurgical Breast Reconstruction

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Plastic surgeons use medical devices in reconstructive surgery to optimize patient outcomes in breast reconstruction. I receive a number of inquiries from ladies asking how a flap is monitored after tissue-based breast reconstruction. This is a concerning topic for patients who know the intricacies of microsurgery but do not always think to put it on their list of questions to ask their surgeon during their consult. I would like to present this information about a perfusion monitor used for flap monitoring in microsurgical breast reconstruction. I reached out to Dr. Minas Chrysopoulo of PRMA in San Antonio who performed my DIEP flap breast reconstruction to tell me about the monitoring system they find great success with. The information I was given about flap monitoring at my consult gave me and my husband a great deal of comfort. We felt having Dr. C being able to monitor the flap all evening Continue Reading →

FDA Approval of Breast Cancer Vaccine

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The FDA recently opened the door for a phase 1 of a particular type of breast cancer vaccine to begin this spring. This Phase 1 clinical trial of the vaccine was approved for use in humans with triple negative breast cancer, considered to be one of the most difficult types of breast cancers to treat. As a patient advocate, the FDA approval of the phase 1 clinical trial for this breast cancer vaccine comes as good news. There are various types of breast cancer. A majority, around 80%, are estrogen receptor positive often referred as ER+. This means the cancer cells grow in response to the hormone estrogen. Women and men who have breast cancers that are ER/PR+ are prescribed medication that blocks the hormone receptors, preventing hormones from binding to them thus helping the breast cancer from coming back. A pathology report for what type of breast cancer you Continue Reading →

Breast Reconstruction and Lessons Learned from 2020

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We have come to the end of a historic year, the year of poignant moments far too many to mention. There are stories to tell and a whole lot of reflection to do this year from patients and physicians. In my corner of the universe, I will reflect on breast reconstruction and lessons learned from 2020. Breast cancer, for many, brings a sense of complete loss of control, feelings of helplessness, and something you have little control over. Sound familiar to the events of 2020? There is a lot to understand about the disease of breast cancer, how it challenges scientist spending their lifetime finding a cure, and as we close out 2020, some uplifting news about a new clinical trial for a vaccine focusing on a certain type of breast cancer. A lesson we learned from 2020 and one we marveled at, scientist putting into practice the methodology they Continue Reading →

Breast Reconstruction: A Reflection of my Journey

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Significant birthdays deserve to be celebrated with meaningful moments. This was one of those birthdays for me, a side road but very much a part of my Journey. I knew it was time to do  something that had been on my radar even before I heard those four frightening words for the second time, “You have breast cancer”. This story is about my breast reconstruction, a reflection of my Journey. Late in 2013 I decided to register for a M.Ed. program in Teacher Leadership. I shared the news with my husband knowing it would jump start his clock. So, I looked at him and said, “When I finish, I’m going to get a shamrock tattoo on my ass.” Van Morrison is one of our favorite musical artists, an Irish storyteller and musician. Someone once asked him during an interview what his favorite kind of music is. He replied, “Anything that Continue Reading →