Lost Breast Sensation after Mastectomy Restored 10 Years Later

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Tara begins by telling us the painful story of losing her mother to breast cancer when she was only eighteen. In an ironic twist of fate, Tara’s mother lost her own mother, Tara’s grandmother, from breast cancer at the same age. Having experienced this, she describes it as a “dark cycle that would just keep happening”. This is Tara’s story of lost breast sensation after mastectomy restored 10 years later. With other family members who had a cancer diagnosis, Tara was encouraged to have genetic testing by her then partner. She had no idea at the time what having genetic testing would actually mean and how it would change her life if she tested positive. When the results came back that she was in fact a carrier of a BRCA gene mutation, she went to see a surgeon to discuss what her options were. She was given two options. She Continue Reading →

Benefits of Delayed DIEP Flap Breast Reconstruction after Radiation

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I take the opportunity to interview Dr. Minas Chrysopoulo of PRMA about the benefits of delayed DIEP flap breast reconstruction after radiation. It is always a pleasure to have him on the DiepCFoundation Channel to educate others about topics for those affected by breast cancer. What are the Effects of Radiation? Dr. C begins by explaining radiation often creates significant changes. Radiation is recommended to decrease the risk of breast cancer coming back locally in the chest area. He points out there is some data to suggest it can improve survival. For these two reasons alone, it is a very important part of breast cancer treatment to discuss with your health care team. Techniques have improved in recent years in radiation, both the kind of radiation and how radiation radiation is administered for treating breast cancer. However, like many treatments for cancer, there are still side effects. Will the side Continue Reading →

Dealing with the Aftermath of Breast Cancer and Surgery

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There is no instruction book for this. You are diagnosed with a potentially life-threatening disease. Yes, I know, our survivor rates and treatment have both improved over the years. But what those years mean to a person going through treatment or healing from surgery has an entirely different meaning. It is a difficult Journey dealing with the aftermath of breast cancer and surgery. Dealing with Breast Cancer Emotions Take a bag of rocks, all different sizes, colors, and shapes. Put them in a box and shake them. Shake them loud and hard. It is sometimes the internal noise, like shaking this bag of rocks, that gets to you after a breast cancer diagnosis and surgery. Anger, fear, unknowns, disbelief, shame, guilt. There is your bag of rocks. You feel all of these emotions, sometimes more. Were you equipped to deal with this? Did you expect this to happen in your Continue Reading →

WHISTalks Live: Shared Decision Making

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Gareth Presch is Founder and CEO of World Health Innovation Summit (WHIS). As part of his work he curates WHISTalks sharing a variety of topics to reach a global audience on various themes. He invited Dr. Minas Chrysopoulo, Founder of the Breast Advocate app, and me to the program for an interview.  The video can be viewed in this blog. Here is a summary and highlights of our WHISTalks Live on shared decision-making. The Importance of the Patient Voice in Shared Decision Making Dr. Chrysopoulo mentions that shared decision making provides opportunity across a variety of health specialties for patients to have a voice in their health care decisions. He points out that in breast cancer 40% of patients do not feel they have had a voice in their treatment decision making. In breast reconstruction 57% of patients do not feel they make a high-quality decision as they define it. Continue Reading →

Preguntas Contestadas Sobre la Reconstrucción Mamaria

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Questions Answered About Breast Reconstruction Spanish Traslation by Dra. Macarena Vizcay It is my honor to present a collaborative effort with Macarena Vizcay, M.D. and Dr. Minas Chrysopoulo, MD FACS. I am particularly grateful to Dr. Vizcay for reaching out to me to provide this Spanish translation of my interview with Dr. Chrysopoulo. Estoy encantado de trabajar con la Dra. Macarena Vizcay, residente de cirugía plástica y PRS Global Open Resident Ambassador, para tener un resumen en español del video anexado en este blog donde el Dr. Minas Chrysopoulo y yo respondemos preguntas sobre la reconstrucción mamaria.  La cirugía de reconstrucción mamaria con tejido autólogo es un hito muy importante en las pacientes con mastectomía, pero este es un proceso que requiere más de un procedimiento. Muchas veces se ha hablado de las fases previas y de la fase 1, pero el postoperatorio entre las fases es importante y también Continue Reading →

Shared Decision-Making Is Your Surgeon Practicing it, and Why Should You Care?

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By Terri Coutee and Minas Chrysopoulo, MD FACS I feel very passionate about opportunities to educate others on the topic of shared decision-making. Shared decision-making is when the patient and physician work as collaborative partners in deciding a treatment plan that is best for the patient. After recording a ZOOM interview with Dr. Minas Chrysopoulo recently, the topic came up as it often does. Dr. C said to me, “Let’s write about it together.” It took no time for me to agree to co-author this blog! What Shared Decision-Making is NOT… As a patient advocate for all options of breast reconstruction, I have the opportunity to speak to others who are planning or recovering from all types of reconstruction. I ask if they felt fully engaged in their decision process for their reconstruction. It is apparent to me that they were NOT when they tell me they were not presented Continue Reading →

What to Have for Recovery at Home after Breast Reconstruction

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Many women ask what the essentials are and what to have for recovery at home after breast reconstruction. Women share tips frequently. I would like to provide some of my favorite items and preparation combined with suggestions from others. The Recovery Care Basket after Breast Reconstruction This has to be at the top of my list. A dear friend of mine suggested it after she had her reconstruction. You will have a recovery spot the first week or two after you are home. It may be your recliner or favorite oversize chair with ottoman, as was the case for me. Find a large, pretty basket or storage bin to hold the following items. Just make sure they are within an easy arm’s length reach beside your chair, so you do not have to bend over. Food Preparation to Have Ready after Breast Reconstruction With so many available choices to order Continue Reading →

The Power of Patience in the Pandemic

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Do you feel like you are tapped out as we enter into the second half of 2020 continuing to adapt to a new kind of society since the coronavirus outbreak? I seem to have felt it more this week than any other. The common question starting most conversations seems to be, “How are you doing?” This is really asking, “How are you holding up through the pandemic?” How are you practicing the power of patience in the pandemic? A bit of Pandemic History The plague, a fatal infection arrived in Constantinople in 541 CE, Common Era, sometime used in place of AD. The plague spread across Europe, Asia, north Africa, and Arabia killing nearly 30 to 50 million people. This was half the world’s population.    The Black Death, a pandemic in Europe in 1347, took a shocking 200 million lives all in just four years. Science, not being as Continue Reading →

Telemedicine: Patient Care During COVID-19

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I recently interviewed a friend and patient advocate, Kirstin Litz, to find out how she successfully set up her first telemedicine appointment in the time of COVID-19. This was her oncology appointment for follow up breast cancer care. I also asked others for tips on how best to conduct telemedicine and optimize patient care in the time of COVID-19. Landline Vs. Mobile Phones for Messages Most of us use mobile phones for the bulk of our everyday communication with friends and businesses. However, home phones and landlines are sometimes a preferred number to reference when filling out contact forms for medical offices to use as an answering system. This was the case for Kirstin. She knew when her oncologist told her the appointment would be a video call, the landline number was not going to work. In addition to the message left on her landline, she received emails via the Continue Reading →

What Inspired You to Choose Plastic Surgery? A Father’s Day Tribute

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I have interviewed a number of notable plastic surgeons on the DiepC Foundation YouTube channel about topics related to breast reconstruction. This interview evokes a special, more personal feeling. I interviewed my own reconstructive plastic surgeon, Dr. Minas Chrysopoulo, for this special Father’s Day Tribute. He discusses the reason, inspiration, and why he chose plastic surgery. It was time spent with his father watching the history of plastic surgery on “the tellie” growing up as a young boy in London. His profession in life has truly become his passion and it is evident as the video conversation unfolds. What inspired you to choose plastic surgery? A Father’s Day Tribute. The History of Microsurgery Imagine a young lad spending time with his dad, “a massive history buff”, as Dr. C says, watching World War I and World War II programs. It was their bonding time. He points out plastic surgical procedures Continue Reading →