Category: Finding A Surgeon

Primary Care; Radiologist; Breast Surgeon; Oncologist; Plastic Surgeon specializing in mircrosurgery

Waiting for a DIEP Flap Surgery Date

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Ruth is one of over 2,400 global members of DiepCJourney Facebook group. I am honored to share her story here. The wait for her DIEP flap breast reconstruction surgery has been challenging for Ruth on many levels. She tells us her personal story and what it means waiting for a DIEP flap surgery date. Delayed DIEP Flap: The Wait Begins It was October 2014 when I received my breast cancer diagnosis. I live in a small beautiful, city tucked away in the south east corner of British Columbia. Though I was able to have a mastectomy and chemotherapy locally, unfortunately our hospital does not have the facilities to offer either radiation or reconstructive surgery. It was decided having a mastectomy would be the first course in my treatment. Opting for immediate reconstructive surgery would have meant a delay as well as travelling over 500km to Kelowna or over 800km to Continue Reading →

How Difficult is the Decision to Have DIEP flap Breast Reconstruction?

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A Difficult Decision for Me to Have DIEP flap It is very difficult to make the decision to have DIEP flap breast reconstruction. I had this surgery in 2014 after a second breast cancer diagnosis and losing my breasts after a double mastectomy. I want to share what other women go through to have this amazing yet complex surgery. Who Might Consider Having DIEP flap Surgery? I listen to stories from basically two groups. The first group are women who have been diagnosed with breast cancer.  It is not always the case, but the hope is I hear these women are given all their options for breast reconstruction. Otherwise, how could they even make an informed decision about their choices to reconstruct their breasts? It is most important all options for breast reconstruction are presented after careful assessment of biopsies, various imaging procedures, that should include a shared decision-making conversation Continue Reading →

Medical Comorbidities in Breast Reconstruction

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Medical Comorbidities in Breast Reconstruction I discuss medical comorbidities and how they relate to healing and outcomes in breast reconstruction with ASPS board certified plastic reconstructive surgeon, Dr. Daniel Liu from Cancer Treatment Centers of America in Chicago. I would like to begin by giving you a definition of what medical comorbidities are from the interview with Dr. Liu. Definition of Medical Comorbidities Medical comorbidities are usually chronic health problems, often pre-existing, a person might have before the diagnosis of breast cancer. Dr. Liu points out for patients who have breast cancer, coming into the diagnosis does not always mean a patient will be without any other health issues, or comorbidities. When patients come to their plastic surgeon seeking medical advice for breast reconstruction Dr. Liu points out what is necessary during the patient consult in the video. Here is what he tells us. Review the patient’s medical history. Evaluate Continue Reading →

Breast Reconstruction Recovery and ERAS Protocol

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Breast Reconstruction Recovery and ERAS Protocol When I attend medical conferences, I take the opportunity to interview plastic surgeons about topics related to breast reconstruction. Breast reconstruction recovery and ERAS protocol is a topic I want readers to know about. Why? I feel it is an important part of a shared decision-making conversation with your plastic surgeon at the time of your consult. You simply ask, “Do you use the Enhanced Recovery after Surgery (ERAS) protocol in breast reconstruction?” Dr. Minas Chrysopoulo from PRMA in San Antonio was the plastic reconstructive microsurgeon who performed my DIEP flap surgery. Although ERAS was not in place at the time of my breast reconstruction, I am excited to let others know PRMA and others are using this protocol now. The interview unfolds as we make comparisons between my recovery without ERAS and what Dr. C and his practicing partners now use to improve Continue Reading →

How to Care for the Caregiver During Your Breast Reconstruction

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How did you care for your own caregiver during your breast reconstruction? Sound a bit strange when everyone is supposed to be caring for you? Whether you choose to have autologous (using your own tissue) or implant-based breast reconstruction, you will need caregivers to help with the following at the very least. Taking you to hospital and staying in communication with the surgical team until you are back in your room to recover. Driving you home, fixing meals, driving, and performing general household responsibilities. Patients voice concerns about their own caregivers for their breast reconstruction surgery. I want to share some tips from my own DIEP flap breast reconstruction surgery. I will also share suggestions discussed on The Journey Facebook group. These gals have some helpful hints based on their own experience. Should a Caregiver Remain at the Hospital All Day for Your DIEP Flap? Spending long hours waiting in Continue Reading →

The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community 

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The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community As a patient advocate for breast reconstruction I am often asked questions about recent findings and reports in the news. This week I was asked questions about the latest NBC News article, and the same topic reported in other media outlets. Theses stories were on the safety of breast implants and a rare disease, BIA-ALCL, Breast Implant-associated Anaplastic Large Cell Lymphoma. I listened attentively as I watched the nightly news and read articles across other media venues. I immediately thought to myself, this was going to understandably stir concern and controversy in my community. It did. I was asked questions about the reports presented this week in the news media from women who currently have implants or are planning to for breast reconstruction after breast cancer. My immediate concern was to calm their fears and share what I Continue Reading →

The Role of Caregiver in Breast Reconstruction: Expectations vs. Reality

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The Role of Caregiver in Breast Reconstruction: Expectations vs. Reality I am honored to present my son, Rich, and the plastic surgeon, Dr. Minas Chrysopoulo, who performed my DIEP flap breast reconstruction. The video in this blog is a great conversation between the two men. We sat down together recently at Plastic Surgery the Meeting 2018, in Chicago. The two men had never met before the conference. But, they felt they knew enough about each other to have a very comfortable conversation regarding the role of care giver in breast reconstruction. The Caregiver Meets the Surgeon I planned a surprise meeting of these two gentlemen the evening we arrived in Chicago for the conference. I walked into a restaurant we arranged to meet at for dinner and Rich waited around the corner in order to surprise Dr. C. I went in first to greet Dr. C and give him a Continue Reading →

Sharing the Emotional Night I Was Awarded Patient of Courage

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Some moments in life are forever etched in your memory. The evening of September 28, 2018, at the Navy Pier in Chicago is one of those moments for me. I want to share the emotional night I was one of three recipients awarded the Patient of Courage from the American Society of Plastic Surgeons at their annual meeting, PSTM18. The Anticipation Was Worth the Wait! I received news in the spring I was the 2018 recipient of the Patient of Courage Award. I was nominated by the plastic surgeon who performed my DIEP flap breast reconstruction, Dr. Minas Chrysopoulo of PRMA in San Antonio. The process was a bit like waiting for Christmas, keeping the secret, enjoying all the preparation, and finally celebrating the evening. The fantastic ASPS media crew scheduled a trip to my home in Arizona mid-August to film my story in a YouTube video. Until the video Continue Reading →

5 Things to Share: My Delayed DIEP Flap Breast Reconstruction

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I am often inspired to write while reading blogs from other sites, reading research papers, or after speaking to patients who ask questions about my experience having delayed DIEP flap breast reconstruction. This week is a mix of all three. I saw a post on the Facebook page from the plastic surgeon I chose for my surgery. The title of the blog post read: Patient Reported Outcomes After Immediate and Delayed DIEP Flap Breast Reconstruction. ~ PRMA Plastic Surgery The blog references an evidence-based study from Plastic and Reconstructive Surgery. It states: The BREAST-Q is an universally accepted tool for evaluation of quality of life and satisfaction in breast surgery. The aim of our study was to identify differences in patient-reported outcomes in immediate and delayed reconstruction with DIEP flap.  ~ Plastic Reconstructive Surgery  During conversations as a patient advocate, I speak to women who ask me to describe what my Continue Reading →

Who is Responsible? Aesthetic Outcomes of Breast Reconstruction Surgery

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It is an important topic to discuss. Who is responsible for the aesthetic outcomes of breast reconstruction surgery? The headline in the September 6, 2018, online article from Cosmopolitan reads: These Cancer Patients Wanted to Get Rid of Their Breasts for Good. Their Doctors Had Other Ideas. It is an emotionally filled article from women who chose to go flat. These women woke up after surgery with results that left them angered, saddened, disappointed, and fighting a battle to find out how to change things. In fact, on September 8, 2018, the article mentioned: … she’s organizing the first Not Putting On a Shirt Nationwide Walk in Cleveland, Ohio, in which women will join her to march topless and raise awareness around the issue. A sister march will be held in Los Angeles in the same day. The article speaks of women who chose to remain flat after their mastectomy Continue Reading →