Is Age a Factor in Breast Reconstruction?

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You might be surprised to hear the answer to this question and how those who have been through or are waiting for reconstruction feel about this. I tackled the question with a notable microsurgeon from MedStar Georgetown Health, Dr. David Song. I also reached out to the Facebook group, DiepCJourney, and asked them, is age a factor in breast reconstruction? Chronological Age is not the Strong Consideration Dr Song explains, chronological age is not the strong consideration in breast reconstruction, especially autologous (using your own tissue) reconstruction. The more important factor is overall health and body habitus. Amazingly, Dr. Song tells us the youngest patient he performed a DIEP flap on was 20, and the oldest was 89! Surprisingly, the 89-year-old when home post-op, day one. This woman was in otherwise good health. However, is important to talk to your breast reconstruction surgeon about heart, lung, or kidney issues to Continue Reading →

A Paradigm Shift: Looking at the World Through a New Lens

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2020. A year like no other. I have been on the planet Earth for six decades. I have spoken to those who lived through World Wars, polio, and the Great Depression. My own children lived through the shock and trauma of 911. Nothing, nothing, has compared to what we have experienced in the six months of the year 2020. There has been a rare paradigm shift and now we are looking at the world through a different lens. A Shift in our Daily Emotions We have experienced a global pandemic, political unrest, loss of jobs, loss of lives, racial injustice, and social isolation. There seems to be so much blame. With all that has happened I have witnessed quick judgement. People are judged if they say too much or remain silent. Emotions are shattered. People may express gratitude one moment and by the end of the day after watching the Continue Reading →

What are the Surgical Stages of Breast Reconstruction?

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A question frequently asked in the breast reconstruction community for those planning any type of breast reconstruction is, what are the surgical stages of breast reconstruction? I reached out to the experts to do a video. Dr. Minas Chrysopoulo of PRMA answers the question. I summarize the conversation with Dr. C in this blog. You can watch the entirety of the conversation in the at the end. Dr. C begins with a very important statement, “Breast reconstruction should really be considered a process rather than as one procedure. For most people it is going to take more than one surgery to get the best results.” Breast Reconstruction: Stage 1 It is preferable to have both the mastectomy and reconstruction done at the same time, known as immediate reconstruction. This often yields better results because there is less scarring and looks more natural. Sometimes, because of the diagnosis, stage of the Continue Reading →

Please Do not Tell Me Not to Worry

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You arrive for your yearly mammogram, CT scan, ultrasound, or blood work. It could be any number of medical tests to determine if you have breast cancer, your breast cancer has metastasized, you are called back to have further testing, the list goes on. The appointment can elicit worry days before when you view it on your calendar knowing it is coming up. Then you wait for results. Or you wait a few more days for a recall on a mammogram when they “find something suspicious” that was not there a year ago. What do you say to someone who shares this news with you? Did you tell them not to worry? They are probably thinking, “please don’t tell me not to worry”. Mammograms can Cause Worry There are those who are having their first mammogram ever. Whether you are 24, 40 or 84 is really does not matter. The Continue Reading →

Happy Mother’s Day Mom with a Grateful Heart

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I asked my Mom a pretty big favor in a recent phone call to her. “Mom, I would like to interview you for my Mother’s Day blog.”  There was a pause at the other end of the line. Knowing how important her privacy is to her, I reminded her I had written a couple of blogs about Dad. Mom remembered and found them in a file. She reminded me she kept a file about all the things I do in my patient advocacy work. I had no idea she had a file. We scheduled a time for me to interview her over the phone. This blog is for you Mom. Happy Mother’s Day with a grateful heart. When Emotions Run High Mom endured hearing, watching, and caring for me through two breast cancer diagnosis. The first diagnosis we lived close enough for her and Dad to drive and make more Continue Reading →

How Do You Maintain Your Health After Breast Cancer?

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Exercise has been part of my routine throughout my life. I am a middle child of three daughters. Dad always called me the tomboy in the family. I was the one he would throw the football to across the yard when I was growing up. He taught me how to throw a pretty good spiral. My family attended my high school track meets. When I was on a collegiate rowing team, they cheered on the sidelines of the river when I had a regatta in our hometown. But as an adult, I have been diagnosed with breast cancer twice. It stopped me in my tracks during various surgeries, chemotherapy, and radiation treatments. Now a healthy Nanna with all of that behind me, it is even more important for me to exercise and maintain my health after breast cancer. My Formula for Maintaining Health after Breast Cancer There are so many Continue Reading →

Learning Together During the Coronavirus

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I am an educator by profession. Although I switched from classroom teaching to becoming a patient advocate after a second breast cancer diagnosis and successful DIEP flap breast reconstruction, I am always energized when I can learn something new. Living through the global pandemic of 2020 has been one adjustment after the other for everyone across the world. It has been downright frustrating for me some days. This week, I felt uplifted. Some new tools and ideas opened up for me. I am grateful a world pandemic can also result in learning together during the coronavirus. Using Instagram LIVE During the Coronavirus Instagram has been a busy platform during the past few weeks. Those little circles at the top of your Instagram feed have been highlighted in red more than I have ever noticed. Notifications of IG LIVE have been frequently lighting up my phone. What is up? I turned Continue Reading →

Nerve Graft: Restoring Sensation to the Breast

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Sensation to the breast is important to most women. Nerves in the breast provide this sensation. This feeling provides protection from heat and cold temperatures. The breast is an erogenous zone for several women providing sexual sensation, especially in the nipple and areola area. Nerves are cut at the time of mastectomy when cancerous tissue is removed leaving numbness to the chest. During breast reconstruction, some surgeons perform a procedure using a nerve graft restoring sensation to the breast. Location of the Nerves Restoring Sensation to the Breast The breast is comprised of an intricate web of nerves running through the breast tissue. Surgeons tend to speak about the two sides of the breast looking at it from the front. Draw an imaginary line from the arm pit area running down the side. This is the area of the chest referred to as the lateral area. The area at the Continue Reading →

The Aesthetics of the Donor Site: DIEP Flap Breast Reconstruction

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At the 2019 annual conference of the American Society of Plastic Surgeons, I interviewed Dr. Minas Chrysopoulo of PRMA in San Antonio.  Dr. C points out we often talk about the results of the breast in breast reconstruction. After all, it is why the patient is having the procedure, to replace the breasts affected by breast cancer. I agree with his statement, “The conversation about the belly is well overdue.” This blog will focus on the aesthetics of the donor site in DIEP flap breast reconstruction. As microsurgeons, skill and technique are often discussed in published papers and at medical conferences. Plastic surgery, of any kind, is about form and function. The donor site for DIEP flap, the belly, is as important to the patient. What it is going to feel and look like after surgery is essential to the physical and psychological healing for the patient. Dr. Chrysopoulo says, Continue Reading →

The Woman Behind the Mask: Coronavirus

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This is the third week I am writing my weekly blog on the topic of the coronavirus. The rapidly evolving events of this global pandemic have caused staggering changes in statistics. We seem to grapple daily with how to deal with the spread of the virus. Wearing a face mask was the most visible symbol coming out of Wuhan, China where the coronavirus began in late December. At the beginning of March here in America, the consensus was not to wear a mask in public. Now in the first days of April, a month later, we are seeing a flood of masks being worn in America. A movement has begun to make homemade masks. This blog is dedicated to a friend, the woman behind the mask, and why she began making them during the coronavirus. Why We Transitioned from No Mask to Wearing Masks During the Coronovirus The growth of Continue Reading →