From Nipple Sparing Mastectomy to DIEP flap Breast Reconstruction

A nipple sparing mastectomy to DIEP flap breast reconstruction can be a very successful surgical process after being diagnosed with breast cancer. I want to share my success story and reference articles I have read about nipple sparing mastectomy (NSM). My NSM Experience: Breast Surgeon I credit my breast surgeon, Dr. Michele Boyce Ley, and my plastic surgeon, Dr. Minas Chrysopoulo, for the success of my nipple sparing mastectomy to DIEP flap breast reconstruction. My NSM process began in my breast surgeon’s office the day we consulted about next steps after my second breast cancer diagnosis. She was very hopeful but realistic about saving my nipples while performing my double mastectomy knowing I had plans for DIEP flap later. The MRI scan ordered prior to my mastectomy led her to make this pre-surgical assessment due to the tumor size and location from the nipple as well as techniques she was Continue Reading →

My #Tweet Story from Science Camp

This is my #Tweet Story from science camp, otherwise known as Project LEAD you will not believe what happened.  Before I get to that part of the story let me back up a little and fill in some details. Years ago, when I started my Twitter account I was attempting to bring more attention to a non-profit.  I was a board member and wanted to spread the word about what we did.  I mainly followed on local businesses with hopes of finding sponsors.  I soon learned Twitter was for more than finding sponsors. Twitter is a wealth of knowledge in 140 words or less, commercials of sorts that did not make noise.  I could browse and tweet without anyone knowing.  No noise and a cancer diagnosis brought me to the new reason I was on Twitter.  There were positive quotes and cancer information.  New resources emerged and I was no Continue Reading →

My Experience as a LEAD Graduate

I want to share my experience and what it means to be a Project LEAD Institute graduate and patient advocate. Application for scholarship and letters of recommendation must be submitted to be accepted into the program.  The Project LEAD Institute strongly supports the education and involvement of patient advocates in both research, action, and the education of the community they serve, locally and nationally. This is a portion of a statement from the web page giving you a sense and focus of the LEAD graduate program: The Project LEAD® Institute is a six-day intensive science course for breast cancer advocates covering the basics of cancer biology, genetics, epidemiology, research design and advocacy. I learned about the program through two fellow breast cancer survivors, Michael Singer, a male breast cancer survivor, and Terry Arnold, an advocate for the Inflammatory Breast Cancer Community.  I met them both at SABCS, San Antonio Breast Cancer Symposium 2016.  They Continue Reading →

International Day of Yoga

June 21 was proclaimed the International Day of Yoga by the United Nations in December of 2014.  I am certain there will be many celebrations across the globe practicing various levels and difficulties of this popular practice for mind, body, and spirit. The benefits of yoga are many for all ages.  I remember with great fondness the days I brought my kindergarten students in from recess when they were all wound up from being on the playground and practiced a bit of yoga with them before we would start a lesson.  We would sit quietly on the rug in circle, legs crossed, thumbs touching the middle finger as the back of the palm laid gently on the top of their knees.  I would ask them to close their eyes and take deep breaths and slowly breath out with a gentle, “Ohmmm”.  It refocused and quieted them down almost immediately. Yoga Continue Reading →

Honoring my Father During my DIEPflap Surgery

This is a perfect weekend to write a tribute honoring my Father and his support during my DIEPflap surgery.  My father is in his late 80’s now so watching me go through DIEPflap breast reconstruction two and half years ago was not an easy process for him.  He knew nothing about this type of surgery.  My Dad’s generation and friends who had radical mastectomies and survived breast cancer never knew of the options to rebuild one’s breasts after they had to be removed after a breast cancer diagnosis.  It was just assumed that the loss was part of the plan and how you would continue to live your life. I gently guided Dad and Mom through the process and why I chose to have DIEPflap breast reconstruction after my second breast cancer diagnosis.  I will admit, it was tough.  His main concern for me was the length of surgery and Continue Reading →

National Cancer Survivor Day Celebrating all Survivors

National Cancer Survivor Day is a movement in the fight against cancer.  How, might you ask, does that fit into my wheelhouse of educating about breast reconstruction options after mastectomy?  Yes, mastectomy!  And there is your answer.  Every person I engage with on social media, each patient I talk to about planning a course of action to reconstruct their breasts, the research and education I seek to understand and share revolves around those who have had or will be having a mastectomy because of breast cancer or a high likelihood of getting it due to a BRCA gene mutation.  My engagement through my Foundation work involves those individuals who have chosen the profession of plastic surgery, oncology, radiology, and breast surgery to serve those individuals affected by breast cancer.  Most importantly, is involves the community of survivors. How did this all happen for me and where has it evolved over Continue Reading →

The Importance of Shared Decision Making: Breast Reconstruction

What is the importance of shared decision making in breast reconstruction? A recent study published on the JAMA Network site stated this in the Conclusions and Relevance portion of the article: Shared decision making is needed to support decisions about breast reconstruction. Shared decision making is a daunting, yet attainable task, for both surgeon and patient when discussing the risks associated with breast reconstruction.  The article stated: Breast reconstruction has the potential to improve a person’s body image and quality of life but has important risks. Variations in who undergoes breast reconstruction have led to questions about the quality of patient decisions. My breast reconstruction experience was successful even though met with challenges that included out of pocket costs for travel, planning and recovery, calling on family and friends to help with recovery, and subsequent surgeries for scar revision and symmetry.  It also improved my body image and quality of Continue Reading →

The Story of Two Breast Cancer Survivors

This is a story of two breast cancer survivors who are connected by one song and a passion for dance.  This story is long overdue! I Hope you Dance (IHYD)! The story of two breast cancer survivors. My friend Susan and I met as young mothers.  She had three sweet and charming daughters.  I had two amazing and delightful sons.  We spent many hours watching our youngest children play together.  Time passed and Susan and I parted ways geographically but to this day we remain close friends. I received a dreaded phone call in November of 2000 I never expected to get.  Susan called from across the country to tell me she had breast cancer.  I began to cry on the phone.  What I wanted to do is be there to hug her.  I remember her words exactly.  She said, “Terri, I didn’t call to make you cry.”  This statement Continue Reading →

Quality of Life: DIEP Flap Breast Reconstruction

Do you ever consider how your quality of life has changed after DIEP flap breast reconstruction?  The study from the Plastic and Reconstructive Surgery Journal compares three groups of women; those who have undergone DIEP flap breast reconstruction, women who chose no reconstruction or a method other than DIEP flap, and those in the general population who did not have breast cancer or reconstruction.  The questionnaire studies long-term quality of life after DIEP flap. A statement from the study: The DIEP technique also provides better QOL than no breast reconstruction or reconstruction using other methods, according to the study by Dr. Vincent Hunsinger of Georges Pompidou European Hospital, Paris, and colleagues. They write, “Our results indicate that DIEP breast reconstruction allows patients with breast cancer to maintain a good QOL in the long-term.” The definition of quality from the English Oxford Living dictionary: The standard of something as measured against Continue Reading →

Finding a Breast Reconstruction Plastic Surgeon

Finding a Breast Reconstruction Plastic Surgeon How did you find your plastic surgeon?  This poll question was posted recently on the closed, private Facebook page supporting breast reconstruction patients.  These were the three response questions to choose from. Recommendation from another physician, if so, which one in comments please. Oncologist, breast surgeon, primary care or other? 64 respondents Online research? 20 respondents Recommendation from a friend? 17 respondents Question 1: Recommendation from another physician. Of the 64 respondents, not all listed the type of physician they received their recommendation from in the comments. Here are the results of the respondents who did comment. Breast surgeon: 37 Oncologist: 4 Primary Care 2 Other listed referrals included the following: Mammography technician Receptionist at an oncology office Nurse practitioner Breast cancer patient navigator Genetic oncologist It is interesting to note that most women got recommendations from their breast surgeons.  I was fortunate to Continue Reading →