Episode 24: Sexual Health Program for Cancer Patients

Sharon Bober, PhD, Psychologist, Dana-Farber Cancer Institute, and Assistant Professor in the department of Psychiatry at Harvard Medical School, chats with us on this episode of the DiepCJourney podcast. I met Sharon through the Scientific Network on Female Sexual Health and Cancer where she is the current chair of this organization. Our topic in this blog summary of the podcast; sexual health program for cancer patients. Why Sexual Health is not Often Talked About I feel the intimate and sometimes uncomfortable nature of the topic, sexual health, is one of the major reasons it is not often talked about at consult for cancer patients. Dr. Bober points out very few medical professionals have formal training in sexual health. Further, she points out managing sexual disfunction remains outside the bounds of normal conversation. A noticeably clear statement she makes is, “We live in a culture that is suffused with images of Continue Reading →

Episode 14: Nipple Graft, an Innovation in Breast Reconstruction

New innovations are born out of passion, vision, clinical trials, and a scrupulous process of providing patient safety. In this episode of the DiepCJourney podcast, I speak to Billy Heim, COO of BioAesthetics. He is part of a team who developed an innovation in breast reconstruction, the NAC Graft, nipple areola complex graft. Here is the summary of Episode 14: Nipple Graft, an Innovation in Breast Reconstruction, of the DiepCJourney podcast. I am joined by Minas Chrysopoulo, MD, FACS, an internationally recognized expert in breast cancer reconstruction and shared decision making. He is president of PRMA (Plastic Reconstructive Microsurgical Associates). Dr. Chrysopoulo founded Toliman Health and is the creator of Toliman’s flagship app, Breast Advocate®, the world’s first shared decision-making app for breast cancer treatment and breast reconstruction. Saving the Nipple/Areola in Breast Surgery Dr. Chrysopoulo points out that a lot depends on the specific diagnosis. If there is an Continue Reading →

Episode 16: Options for Breast Reconstruction after Mastectomy

When a person faces a mastectomy due to breast cancer, they have options to reconstruct their breasts. The options include using an implant, using the patients own tissue, or choosing to remain flat with aesthetic flat closure. Dr. Steven Pisano of PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio, Texas discusses all the options for breast reconstruction after mastectomy in Episode 16 of the DiepCJourney podcast. The Voice of an Expert in Breast Reconstruction after Mastectomy Dr. Pisano is one of the original founders of PRMA in San Antonio. He started the practice in 1994 with partner Dr. Peter Ledoux to serve the San Antonio area with general breast reconstruction surgery. Since that time, they will be on track by the end of 2021 to perform over ten thousand flap breast reconstruction surgeries for patients from all over the world. They now have a team of eight highly skilled microsurgeons Continue Reading →

Episode 18: Breast Cancer, the Patient Voice in Social Media

Sharing your story as a breast cancer survivor on social media requires authenticity, creativity, vulnerability with keen knowledge of navigating the responsibility of telling stories that benefit the reader. I have learned a lot from my guest on episode 18, breast cancer, and the patient voice in social media with Marie Ennis O’Connor. She guides many breast cancer writers as a social media consultant, keynote speaker, and digital storyteller. Her creative work can be found at Journeying Beyond Breast Cancer. Marie’s work spans the globe, and her impact creating a cross continental family of writers is immeasurable. I am excited to share the summary of the DiepCJourney podcast for her presentation, The Weekly Roundup, on Twitter. How Marie Began to Use her Patient Voice Marie was diagnosed with breast cancer in her early thirties. The two myths she faced and shares with us are: She only knew breast cancer to Continue Reading →

Episode 15: Lymphedema Treatment and Surgery

Lymphedema. It is not a disease. It is a condition breast cancer patients can experience. Skill, knowledge, expertise, experience, and compassionate care all matter when you are seeking any treatment for lymphedema. Our guest, Dr. Ramon Garza III, is well-qualified to discuss the topic of lymphedema treatment and surgery and possesses all of those characteristics. This is Episode 15 of the DiepCJourney podcast. Dr. Garza is a board certified plastic surgeon in San Antonio who practices at PRMA (Plastic Reconstructive Microsurgical Associates) and performs both surgical and non-surgical treatment for those affected by lymphedema. We discuss the value of finding a certified lymphedema therapist. You can search the LANA website for one in your area.  Understanding the Lymphatic System When Considering Treatment and Surgery The function of the lymphatic system is to move excess fluid out of our bodies. It works in unison with the immune system. It is the mismanagement of fluid that causes lymphedema. Continue Reading →

Episode 11: Decorative and Restorative Tattoos for Breast Cancer Patients

Eric Eye is our guest on Episode 11 discussing decorative and restorative tattoos for breast cancer patients on the DiepCJourney podcast. He is a trained visual artist who performs 3D nipple and areola tattoos for patients who have had mastectomy and breast reconstruction after breast cancer. His work can be found on his Instagram account as well as his Facebook page. He is located in Seattle, Washington but Eric has traveled to other locations to provide services for breast cancer patients. Bringing Art to Life in Decorative and Restorative Tattoos The story of how he transitioned from years of experience in tattooing to providing restorative tattoos for breast cancer patients is a touching one. What are restorative tattoos? Eric’s work includes beautiful and artistic drawings covering a mastectomy or breast reconstruction scar. This can be across the breast area or an abdominal scar from DIEP flap surgery. They are most Continue Reading →

Episode 6: Living Flat after Breast Cancer

Juliet Fitzpatrick is a breast cancer survivor and patient advocate from the U.K. who chose aesthetic flat closure  after breast cancer. She writes about her experience at Blooming Cancer, Living Flat and Recovery after Breast Cancer. In Episode 6: Living Flat after Breast Cancer, on the DiepCJourney podcast Juliet and I chat about her decision to remain flat. She asked a lot of questions and did her research after her breast cancer diagnosis before making this choice. We chat about prosthesis, support groups, blogging, and of course, our combined interest in gardening. These are all on the list of things Juliet is doing since her diagnosis and through her continued recovery, finding the simple passions in life that are important to her. The Breast Cancer Diagnosis Juliet was diagnosed with breast cancer in her left breast after having the second routine mammogram she ever had in her life. She was Continue Reading →

Episode 10: Male Breast Cancer

Male breast cancer will be diagnosed in about 2,650 men this year according to Breast Cancer.org. A leading patient advocate for the Male Breast Cancer Coalition bringing awareness to male breast cancer is our guest on episode 10: Male Breast Cancer, of the DiepCJourney podcast. Michael Singer and his wife Patty share the poignant story of his sister’s death from metastatic breast cancer and how if formed his fierce work in patient advocacy. He has become a strong voice bringing awareness that breast cancer does not discriminate and touches the lives of men, too. The Breast Cancer Diagnosis In 2010, Michael felt a lump under his left nipple about the size of a tip of a pencil eraser. Patty advised him to tell his doctor at his routine annual physical exam. Did he? No. Patty asked Michael why he did not tell him. His answer, “Because I was embarrassed”. That Continue Reading →

Episode 12: Patient Advocacy and Health Disparities

Roberta Albany is a formidable breast cancer patient advocate and spokesperson for health disparities. Her work with Living Beyond Breast Cancer and in her own community at Cancer in the Know has gained her great respect and why I am excited to interview this friend and colleague in the breast cancer space for Episode 12: Patient Advocacy and Health Disparities for the DiepCJourney Podcast.  The Making of a Patient Advocate Roberta did not set out to be a spokesperson and patient advocate for the breast cancer community. Her diagnosis defined her role and lead her to this work. She describes her experience with the diagnosis she received in October of 2013. Bobbi found a lump while training for a half marathon with her running group, Black Girls Run. She could not remember if she had done her monthly self-breast exam. She recalls her breast had been bothering her, especially the left side. Upon doing her Continue Reading →

Episode 8: ERAS Protocol in Breast Reconstruction

Are fear of pain and time of recovery after breast reconstruction surgery some of your biggest concerns? If so, Episode 8: ERAS Protocol in Breast Reconstruction, with Dr. Minas Chrysopoulo will give you information about ERAS (Enhanced Recovery after Surgery) protocol many large volume centers are now using for DIEP flap and other types of breast reconstruction. Dr. C is the president of  PRMA in San Antonio and the developer of the Breast Advocate app. Both of these sites have more information about ERAS protocol as well as the DiepCJourney blog and  DiepC Foundation YouTube channel.  Why Use ERAS? There is a shared interest Dr. C and I share in having this conversation. He states it very clearly at the beginning of the podcast. The number one beneficiary is patient experience and patient outcomes. There are substantial data and evidence-based studies about results of using ERAS and the benefits it offers patients. In fact, follow the directions below and Continue Reading →