Category: Breast Cancer Diagnosis

Should You be Telling Someone What Kind of Reconstruction to Have?

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There are a few layers to peel back when answering this question. It goes without saying I am referring to those affected by breast cancer and are facing a mastectomy. Whether you are a surgeon, patient, family member, or friend, should you be telling someone what kind of reconstruction to have? Understanding the Overwhelming Shock I see some differences but more similarities when I speak to women who are at high risk of getting breast cancer than those with an active diagnosis. Those who are at high risk of getting breast cancer are a those who have a genetic mutation. The first step is knowing your family history. This will be followed by a visit to a genetic counselor or oncologist to begin formulating a plan that might include: People who have just received the news they have a breast cancer diagnosis have considerations for planning their treatment that can Continue Reading →

The Value of the Co-Surgeon Model in Breast Reconstruction

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This episode of the DiepCJourney podcast covers two very important topics. It includes the value of the co-surgeon model in microvascular breast reconstruction. We will also tackle a subject matter I am not an expert on but have a great deal of experience in. I will admit it is an uncomfortable topic for me because I am not an expert. The topic is insurance coverage in breast reconstruction. I want to say that I have NOT come to understand the complexities of insurance but have gained a great deal of empathy for those in the breast cancer community who deal with these complexities, and that includes patients and surgeons. My guest, Dr. Minas Chrysopoulo, discusses the value of the co-surgeon model in breast reconstruction and insurance coverage concerns. Why this Topic and Why Now? I have chosen this topic not to appear to be controversial. It is a topic that Continue Reading →

Can the Emotional Toll of Breast Cancer be Measured?

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Measured how you might ask. In number of years, you survived? Perhaps it is the impact of the treatment and how you are called to endure discomfort, pain, and loss you did not know you would experience? Measured by the times you survived breast cancer? Can the emotional toll of breast cancer be measured? 2002: The Emotional Toll I had breast cancer in 2002 for the first time. The simple description: left breast lobular carcinoma with no lymph node involvement. The emotional toll kicked in for me on three strong fronts: There is no way to describe the moment you hear the words, “You have breast cancer,” or for that matter any kind of cancer. Telling your immediate family and beginning phones calls to extended family and friends caused me to cry endlessly. I lost weight without even trying. Sitting in an oncology office in front of a stranger listening Continue Reading →

Challenges, Accomplishments, and Understanding the Worth of Being A Caregiver

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A guest blog by Richard A. Coutee I asked our oldest son to write a guest blog about his experience with both my breast cancer diagnosis and my recovery through DIEP flap surgery. I cried when I read it. He hit the mark on the challenges, accomplishments, and understanding the worth of being a caregiver. In his words… My First Challenge as a Caregiver In 2001, I was a freshman at Washington State University. I remember a chilly day in January, I was in class shortly after returning from Christmas break. The professor teaching the class that day paused when a teaching assistant came in and handed her a note. “Richard Coutee? You need to call home as soon as you can.”  I was embarrassed that I was called out in front of everyone and wondered what news was so important that it couldn’t wait for me. That’s when I Continue Reading →

Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients

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March 1, 2024, was the first day of lymphedema awareness month. We hope you will share this information with the embedded podcast in your community for breast cancer patients affected by lymphedema providing them with the resources needed to treat this condition and let them know there are specialists in surgical treatment options as well. I am pleased to provide this summary of Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients. A Specialist in the Field of Lymphedema Treatment My guest is Dr. Charles Anton Fries, Chief of Plastic Surgery and faculty surgeon at UT Health San Antonio and works as a microsurgeon with the team at PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio. The management of lymphedema has seen significant improvement in the past few years. We will educate, dispel some fears surrounding the possible occurrence of lymphedema, and bring you some resources for care. The Continue Reading →

How to Host a Breast Reconstruction Community Gathering

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I want to extend a note of gratitude to the members of the DiepCJourney private Facebook page for their inspiration writing this blog, how to host a breast reconstruction community gathering. For the readers, this is a community of learning, support, and sharing. I began “The Journey” Facebook group in 2015 before starting my nonprofit, DiepCFoundation. Now, this community has become an integral part of the Foundation work. I am inspired daily by their curiosity about breast reconstruction surgery, support for each other, and the friendships made along the way. You can see on the Advocacy page I recently held a community gathering of local Journey members. I want to share some tips on how to host your own breast reconstruction community gathering. Tip #1 for you Breast Reconstruction Community Gathering Ask yourself why you are having it. What purpose do you want to accomplish? It might be for the Continue Reading →

Symptoms, Diagnosis, and Treatment of BIA/ALCL

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Any surgery is not without risks. Using a medical device like a breast implant is no different. This is the focus of our discussion in a summary of the DiepCJourney podcast, Symptoms, Diagnosis, and Treatment of BIA/ALCL. Four million women across the globe have undergone breast augmentation using a medical device called a breast implant. This is done for reasons such as cosmesis or enhancement of the breast, trauma to the chest wall or for oncological reasons, meaning for breast cancer and the breast implant is used to replace breast tissue affected by or lost due to these two reasons, breast cancer or chest wall trauma. Meet A Leading Expert in the Field I talked to a leading expert in the field about the medical definition of breast implant associated (BIA) anaplastic large cell lymphoma, an uncommon form of ALCL. I interviewed Mark Clemens, MD, MBA, FACS. After receiving his Continue Reading →

Tapping into Resilience in the New Year

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We can write down, talk about, and make all the New Year’s resolutions we want. However, what will sustain us throughout the year is our resilience and responding to situations that set us back or cause us to change direction in our lives unexpectedly. How are you going to be tapping into resilience in the New Year? When Life Events Become a Catalyst to Tap into Resilience There are distinct types of events in life that can cause us to pivot, adjust, and do our best to move forward. I am speaking about health events. A sporting accident, a catastrophic car accident, or finding you have a disease that could either take your life sooner than expected or change your life forever. These are only a few examples of life events that cause one to reexamine how they are going to deal with things moving forward. My experience dealing with Continue Reading →

Achieving Symmetry and Understanding Fat Grafting in Breast Reconstruction

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This is a summary of the video and podcast interview with Dr. Tim Matatov of Southwest Breast and Aesthetics in the Phoenix, Scottsdale, Arizona area. When I see hundreds of views of a video and close to two hundred podcast downloads I also like to provide a written summary for readers to hit on all learning modalities and preferences. I will include the YouTube video of Achieving Symmetry and Understanding Fat Grafting in this blog post. You can listen to the podcast here: How Mastopexy Achieves Symmetry in Breast Reconstruction We begin with a topic that is often asked about in the breast cancer community served at DiepCFoundation, mastopexy in the setting of breast reconstruction. A mastopexy is a breast lift. Dr. Matatov points out that whether a person has a single breast reconstruction with their own tissue, and implant, or oncoplastic reconstruction, sometimes the contralateral breast will not match Continue Reading →

Episode 43: The Drain-Free DIEP Flap Concept

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DIEP flap breast reconstruction most often requires surgical drains for post operative care. Patients often mention to me they are awkward, can become infected at the suture site where they are attached, and are cumbersome to hide under clothing after surgery when going out in public. This is a summary of Episode 43: The Drain-Free DIEP flap Concept as it relates specifically to this type of autologous breast reconstruction. My guest on this episode of the DiepCJourney podcast has been in communication with me over the past year in anticipation of his published paper, Are Surgical Drains Needed in DIEP Flap Surgery? The Drain-Free DIEP Flap Concept. Dr. Nanidis and the Motivation for the Drain-Free DIEP Mr. Theo Nanidis, is a Consultant Plastic and Reconstructive surgeon with the NHS and private practice at The Royal Marsden. He graduated with distinctions from University College London Medical School in 2003 and completed Continue Reading →