Category: News

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 →

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 →

The Rewards and Risks of Traveling for Patient Advocacy

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Let’s dispense with the not so good news first. It is far less than the good news I will write about regarding the rewards and risks of traveling for patient advocacy. The Risks of Traveling for Patient Advocacy Patient advocates I know go into this work with their eyes wide open when they travel to conferences or events for their work. We know what can and sometimes does happen. I wanted to talk about these first because they are short-lived risks. The fallout from any of the above items passes in a brief time. We deal with them as they happen knowing we will return to our advocacy work in no time because of dealing with any of the above-mentioned events. The Rewards of Traveling for Patient Advocacy This is the real magic sauce of being a patient advocate and traveling on behalf of the communities we serve. My work 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 →

A Counterpoint to a Recent Breast Cancer News Article

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I want to begin by saying the overarching message of the article is hopeful and promising news in breast cancer survival. A recent report, October 23, 2023, in Penn Medicine News, announced that a research team from the Perelman School of Medicine at the University of Pennsylvania and the Abramson Cancer Center received a $10 million Department of Defense (DoD) grant. However, I would like to present a counterpoint to the opening statement of this recent breast cancer news article. Project LEAD Guides Me in This Counterpoint to the Article I attended NBCC’s Project LEAD in 2017 along with many other patient advocates. This program continues today training breast cancer advocates in the science, biology, and dissemination of information to the breast cancer communities we serve. I keep the well-organized, three-ring binder close at hand to this day to reference topics and sessions presented by world leading scientists and researchers Continue Reading →

Microsoft Give, Breast Cancer, Our True Outreach and Influence

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Five years ago, I began making yearly presentations at Microsoft in Redmond, Washington for their volunteer days known as Microsoft Give. Give days are part of their corporate responsibility when employees share time, donations, and skill. It was a sunny day in the Pacific Northwest as I rolled into the massive new parking lot of the Microsoft campus in Redmond in mid-October of 2023. My car was loaded with care package items the Microsoft team would be assembling after I presented my talk entitled, “Microsoft Give, Breast Cancer, Our True Outreach and Influence”. From their website this phrase could not have been more accurate the day I was there. Microsoft employees are passionate about giving time, money, and skills to address the issues facing our world. Microsoft Corporate Social Responsibility Breast Cancer Call to Action at Microsoft Give Day What is the issue facing our world attendees would be helping Continue Reading →

Episode 39 The London Breast Meeting Recap

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This podcast was recorded prior to The London Breast Meeting with the Rob Pupelis and Elizabeth Van Thillo of T-Stat along with Dr. Minas Chrysopoulo of PRMA. The meeting took place in early September at the Royal College of Physicians. Shortly after the recording this summer, Dr. C posted on his LinkedIn account. He stated, “Great way to kick off a Saturday! Looking forward to part two at the London Breast Meeting!” This blog summary of Episode 39 of the DiepCJourney podcast is the London Breast Meeting Recap and what took place those fantastic days during the conference. We will call it part three! Rob Shares His Thoughts on Discovery at the London Breast Meeting I invited my guests to share a realistic analysis of what they expected to get from the conference. Beyond the travel, there is a great amount of thought and preparation that goes into attending conferences optimizing Continue Reading →

“The Patient Voice Has Been Heard!”

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This was a huge week in the world of patient advocacy. Across social media airwaves, we learned that the S-codes for autologous breast reconstruction will be retained. It was a monumental accomplishment achieved because of the efforts of many organizations, surgeons, and breast cancer survivors across the United States. The title of this blog, “The Patient Voice Has Been Heard”, is a quote from someone who is a huge proponent of patient advocacy. I will reveal who the quote is from at the end of this blog. The Centers for Medicare and Medicaid (CMS) held a public hearing on June 1 of this year after a great deal of concern regarding news that S-codes covering autologous breast reconstruction would be sunset on December 31, 2024. The time frame alone struck fear in those planning reconstruction like DIEP flap. The victory hearing this decision was reversed by the voice of many Continue Reading →

We are Not Sleeping: Protect Women’s Health and Access to DIEP Flap

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The publish date of this blog is July 22, 2023. If you look at the 2023 Congressional Calendar, you will find a “white out” section in the month of August. The United States Senate and House will both be on summer recess. I wish to inform all of Congress that we are not sleeping and continue our work to protect women’s health and access to DIEP flap. When faced with breast cancer and loss of breasts, there are several decisions to make. One of the most important decisions is whether to reconstruct your breasts or remain flat. Either way, it is a women’s choice and right to do so after the effects of a breast cancer diagnosis. DIEP flap is the most advanced, and in fact the best medical choice for reconstruction for many women. It is in danger of not being available to many and we are concerned. Our Continue Reading →

Democratization in Microsurgery: The Proximie System

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Democratization is a noun. The meaning of democratization as it pertains to microsurgery is the action of making training and education available through technology, in this case, microsurgery in breast reconstruction. The chosen field of microsurgery requires hours of training and practice. Observing colleagues perform this sophisticated and complex surgery increases their own skill set with the primary goal being improving patient outcomes in breast reconstruction. My guests are going to discuss their cross-continental experience working live in the operating theater practicing democratization in microsurgery using the Proximie System. An Introduction of the Microsurgeons Using the Proximie System I invited back to the DiepCJourney podcast two internationally known microsurgeons. Dr. Joe Dusseldorp practices in Sydney, Australia and is a fellow of the Royal Australasian College of surgeons. He has a keen interest in microsurgery and did his training overseas to achieve this status. He is also trained to do robotic Continue Reading →