Why Should I Ask About Physical Therapy After Breast Surgery?

I feel extremely fortunate my breast surgeon and plastic surgeon both recommended physical therapy for me after the breast surgeries they performed on me. My breast surgeon, Dr. Michele Ley, prescribed it for me about six weeks after she completed a double mastectomy due to my second occurrence of breast cancer. Dr. Chrysopoulo, my plastic surgeon, prescribed it for me after my DIEP flap breast reconstruction. I hear from many women who have not had the same physical therapy opportunity I did. So, I encourage them to ask their surgeons, “Why Should I Ask About Physical Therapy After Breast Surgery?” Physical Therapy after Mastectomy Surgery I began experiencing shoulder pain about three to four weeks after my double mastectomy. I went in for a follow up appointment to my breast surgeon around the same time. The shoulder pain occurred mainly when I was on my computer. This was during a Continue Reading →

A Breast Reconstruction Tattoo Completes a Patient Journey

Connections made through the breast cancer community often become delightful friendships. So is the case with Sandra and me. We both had our DIEP flap breast reconstruction done in San Antonio at PRMA, Plastic Reconstructive Microsurgical Associates. Sandra is also a member of the Journey Facebook page. She volunteers her time when I make visits back to San Antonio for my Foundation work. I invited her to sit down and share her story. You can view the video in the blog of how a breast reconstruction tattoo completes a patient Journey. Sandra’s plastic surgeon informed her at her consult for her DIEP flap surgery that she would be losing her nipples. She felt comfortable with this decision for her best health and aesthetic outcomes knowing he would rebuild the nipples during the second phase of her breast reconstruction. The tattooing of the areola area could be done after healing from Continue Reading →

Breast Reconstruction Wounds and Management

I derive a great deal of information from the surgeons and patient members of the Journey Facebook group. The questions they ask are pertinent to the healing process as well as various aspects and the decision to have breast reconstruction. When I have an opportunity to visit our physician members, I schedule time to do videos to answer questions patient members are asking. Knowing how demanding the schedule of plastic surgeons can be, I am honored once again to sit with Dr. Minas Chrysopoulo of PRMA in San Antonio at the end of his long clinic day to talk about the topic of breast reconstruction wounds and management, dedication I am grateful for. Thanks Dr. C! Medical Comorbidities to Consider We begin our discussion with a patient inquiry about a medical comorbidity (condition) called Factor V Leiden. Dr. C clarifies this is a clotting problem not a wound healing issue. Continue Reading →

Breast Reconstruction Patients Sharing Their Journeys

A group of women joined each other for an evening of friendship and support. Sounds like great fun, doesn’t it? It went far deeper than that. Or perhaps I should say, it went far “DIEP-er” than that. Each of the women who gathered for the event were scheduled for or had DIEP flap breast reconstruction. They all belonged to the Facebook group, DiepCJourney, known simply as “The Journey” to many. These women were all breast reconstruction patients supporting each other and sharing their Journeys. Social Media Breast Reconstruction Group: The Journey Social media holds great value finding like-minded people you can connect with. But little compares to personal connections, meeting someone in person, sharing a hug, and lending special individual and emotional support. The group of women I met in San Antonio on a warm April evening shared stories they understood before they met in person. Most of us were Continue Reading →

Patient Advocacy at ASBrS

It was an honor to attend the American Society of Breast Surgeons meeting as a patient advocate. I felt welcome from the moment I arrived. The first breast surgeon I met was a past president of ASBrS, Dr. Deanna Attai. I have been interacting with Dr. Attai on Social Media through #bcsm tweet chats but never had the opportunity to meet her in person. We sat in the lobby of the hotel to share a cup of coffee. The first question she asked me was, “Terri, why did you attend the meeting?” I smiled at her because it was the question I wanted to be asked as a patient advocate attending ASBrS. I folded my arms on the table, leaned in as I smiled at Dr. Attai, and answered her question with a question, “Guess who told me about all my options for breast reconstruction?” The smile on her face Continue Reading →

Come with Me to my Breast Reconstruction Consult

Yes, that is correct. I’m inviting you along to my breast reconstruction consult. Why? Because I want you to learn what I learned. This was not an easy day leading up to my DIEP flap plastic surgery consult in early October of 2014. I prepared months in advance. It was important for me to find a microsurgeon who was going to know what my expectations were from pre-surgical planning, understanding the surgery, aesthetic outcomes, and how I would be after having this intricate surgery to replace my breasts lost to breast cancer. The Morning of my Breast Reconstruction Consult I traveled for my breast reconstruction, so my husband and I stayed in a hotel. We were both fairly quiet the morning of my consult. He watched me prepare physically for the consult; hair, make up, nice outfit. I suppose it was my way of putting forth the message to my Continue Reading →

Patients Share Tips on Finding a Breast Reconstruction Surgeon

I spent hours, days, and weeks searching for a plastic surgeon to perform my DIEP flap breast reconstruction. It was not an easy task. I learned a lot from three other patients, Whitney, Rene, and Tamara, who share with us their criterion and tips on finding a breast reconstruction surgeon to perform their DIEP flap surgery. Whitney’s Tips for Finding a Breast Reconstruction Surgeon She tells us she had time to look for a plastic surgeon because she chose to have a prophylactic bilateral mastectomy with DIEP flap breast reconstruction. Whitney carries a gene mutation putting her at high risk to develop breast cancer. Watching her own mother pass from breast cancer when Whitney was in her early twenties was instrumental in her decision to have breast reconstruction, especially with two young children at home. The first decision was the type of surgery to have. She chose DIEP flap. It Continue Reading →

Interested in Breast Reconstruction but don’t want Implants? You have Other Options!

I was given all my options for breast reconstruction the day my breast surgeon told me I would be facing a double mastectomy after my second breast cancer diagnosis. I was fortunate. However, I had to dig deep and spend hours of research to find the specifics of what type of reconstruction I felt was going to work best for me. At first, like many women, I thought implants were my only option. I ultimately decided I wanted to use my own tissue. But where could I find those alternative choices to implants for breast reconstruction? It took me time and asking a lot of questions. It was important to me to find medically backed information and evidence-based articles about alternatives to implants for breast reconstruction. I did not find all this information in one place nor did I have access to what many women have available today. What am Continue Reading →

El valor de una 2ª opinión para la reconstrucción mamaria

El valor de una segunda opinión para la reconstrucción mamaria es, afortunadamente, algo que tiene el potencial de dar esperanzas a las mujeres que han sido rechazadas en una consulta inicial para una reconstrucción mamaria autóloga. Tuve la fortuna de hablar con dos cirujanos certificados, el Dr. David Song de MedStar Georgetown y el Dr. Minas Chrysopoulo de PRMA en San Antonio. Ambos son cirujanos plásticos que rutinariamente realizan una variedad de cirugías reconstructivas de mama con tejidos de la propia paciente con gran éxito. ¿Qué es la reconstrucción mamaria autóloga? La reconstrucción mamaria autóloga consiste en utilizar el tejido y los vasos sanguíneos subyacentes de otra área del cuerpo de la propia paciente para crear un seno nuevo y suave después de una mastectomía. ¿Por qué a veces las mujeres son rechazadas por los cirujanos plásticos o se les dicen que no son buenas candidatas para la reconstrucción mamaria Continue Reading →

Whitney’s Story: Prophylactic Mastectomy and DIEP Flap Breast Reconstruction

Our Journey personal story takes place this week with my neighbor. It is Whitney’s story of prophylactic mastectomy and DIEP flap breast reconstruction. Whitney has the genetic mutation for ATM and CHEK2 putting her at very high risk for breast cancer. She is a young woman in her mid-thirties who very much wants to be a part of her children’s’ lives. She will be having her surgery when they are one and four years old.  Whitney was the tender age of 24 when she watched her own mother die of breast cancer. She was her caregiver so her decision to undergo prophylactic mastectomy and DIEP flap has not been easy. Here is her story. A Neighbor on the Journey from Mastectomy to Breast Reconstruction I am blessed. Each day I engage with an amazing group of women on the Facebook page I administer, The Journey. When I found out Whitney Continue Reading →