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 →

#NationalDoctorsDay 2017

#NationalDoctorsDay 2017 Social media celebrates all number of fun holidays and today we celebrate #NationalDoctorsDay 2017.  The red carnation has become the symbol of this day to honor doctors. The challenges facing physicians today are worthy of setting aside one day a year to honor their dedication.  I have watched family members go through medical school.  The hours of training are long and arduous.  The personal sacrifice to self and family is admirable. Sub-specialties, like plastic surgery and particularly microsurgery, take even more training, more dedication, and immense skill.  The education is life-long and takes many more hours of study and exams to maintain board certification and learn the latest techniques in their chosen field.  There are long hours spent at hospitals, calls taken late into the evening, and likely some restless hours spent wondering how to solve tomorrow’s challenging medical issue with patients. We trust a physician to heal Continue Reading →

Psychological Benefits of Breast Reconstruction

There have been many articles written over the years regarding the psychological benefits of breast reconstruction.  When a person loses a body part to breast cancer it seems reasonable to expect one would experience upset and psychological trauma no less than any other amputee.  However, the decision to remedy the amputation of the body part through breast reconstruction is not an easy process.  It means more surgery, recovery, dealing with possible side effects and complications, time off work, support from loved ones, research, and acceptance there will be lifelong scars. My Personal Breast Reconstruction Decision One of the driving factors to move forward with my own breast reconstruction after my mastectomy was to remedy the “psychological distress”. I was experiencing distress from the loss of my breasts.  It took a full week after my mastectomy for the psychological anguish to hit home. This was my second diagnosis.  I had a Continue Reading →

Choosing Reconstructive Surgery after Breast Cancer

Choosing Reconstructive Surgery after Breast Cancer I am a two-time breast cancer survivor who chose reconstructive surgery using my own tissue after mastectomy, and I am disappointed and feel slighted by the unbalanced reporting with regard to options in breast reconstruction on CBS Sunday Morning on March 12, 2017. One segment reported by Erin Morarity, “Foregoing reconstructive surgery after breast cancer”, was of special interest to me.  Hearing the words, “you have breast cancer” is difficult enough.  When that is followed by a double mastectomy this often puts added mental anguish on the individual, woman, or man.  It did in my case. Like some of the women in the story I lost my hair during my first diagnosis due to chemotherapy.  My skin was compromised from radiation during my first diagnosis.  I lost both of my breast and lived as an amputee for seven months after my second diagnosis.  Then, Continue Reading →

ERAS ~ Enhanced Recovery After Surgery

ERAS ~ Enhanced Recovery After Surgery I love it when I can say, “I learned something new today” and last week it was about ERAS, Enhanced Recovery After Surgery.  I was having a conversation with the plastic surgeon who performed my DIEP flap breast reconstruction, Dr. Minas Chrysopoulo.  I asked him if there were new protocols or changes in patient care during recovery in the two years since my DIEP flap surgery.  A smile came across his face and I could tell he couldn’t wait to tell me about ERAS.  He eloquently told me about the philosophy and implementation of this protocol and I was captivated.  It must have been the look of complete amazement on my face because he smiled and said, “You should write a blog about it.”  Nothing like a little challenge from a world class micro-surgeon to bequeath a bit of pressure for my next writing Continue Reading →

Burns in Reconstructed Breasts after Mastectomy and Breast Reconstruction

Burns in Reconstructed Breasts after Mastectomy and Breast Reconstruction An article published in Medscape.com on burns in breasts after mastectomy which also included after breast reconstruction admittedly left me riveted.  Look at this statement from the article: Together with this case series, the literature suggests the most common heat sources responsible for the identified burns included: Heat conduction: using heating pads, hot liquids, and hyperthermia devices. Solar radiation: sunbathing with a dark swimsuit or using a sun lamp. Heat convection: using hair dryers. A close examination of this article and the above-mentioned items leads me to conclude that the most common culprits are household items and sunbathing.  I was given literature regarding post-surgical care from the plastic surgeon who performed my DIEP flap breast reconstruction to clearly avoid heat of any kind to my reconstructed breast, including standing with my back to the shower as well as sunbathing. I personally Continue Reading →

Restored Sensation: Breast Reconstruction

I am a patient who has restored breast sensation after breast reconstruction.  As a patient advocate who educates and speaks to hundreds of women and men about all options for breast reconstruction I am aware that many who choose breast reconstruction experience numbness and a variety of new sensations in their reconstructed breasts. I am referencing a recent article in the New York Times, After Mastectomies, An Unexpected Blow: Numb New Breasts. I respect but don’t fully understand the statements from patients experiencing numbness regarding their experience with their own reconstructed breasts.  Specifically, these: The statement under the photo taken from the article Re “Mastectomy, Then Shock: Lost Feeling” (front page, Jan. 30): Dane’e McCree with her daughters, Marleigh, left, and Brooklyn, in Grand Junction, Colo. “I can’t even feel it when my kids hug me,” Ms. McCree said after a breast reconstruction surgery. Credit Barton Glasser for The New Continue Reading →

Holiday Wishes on the Journey

This is the time of year to send holiday wishes on the Journey.  If I could wrap up in boxes all the stories shared, both happy and sad, those who have been on this Journey through breast reconstruction, I don’t think there would be a space large enough to place those wrapped boxes.  We have shared struggles, triumphs, waiting for results, preparation, anticipation of surgery, celebrating completion of the reconstructive process; the list goes on. Who are we here on the Journey? We are a global community that stretches beyond cultural borders and continents.  We are women and men who have heard those dreaded words, “You have breast cancer” or “You are BRCA positive”.  Through your research, a friend, or physician you found the Journey.  You told us your personal story.  Some are still in treatment waiting to go through the reconstructive process.  Others have completed phase one and are Continue Reading →