Medical Comorbidities in Breast Reconstruction

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Medical Comorbidities in Breast Reconstruction I discuss medical comorbidities and how they relate to healing and outcomes in breast reconstruction with ASPS board certified plastic reconstructive surgeon, Dr. Daniel Liu from Cancer Treatment Centers of America in Chicago. I would like to begin by giving you a definition of what medical comorbidities are from the interview with Dr. Liu. Definition of Medical Comorbidities Medical comorbidities are usually chronic health problems, often pre-existing, a person might have before the diagnosis of breast cancer. Dr. Liu points out for patients who have breast cancer, coming into the diagnosis does not always mean a patient will be without any other health issues, or comorbidities. When patients come to their plastic surgeon seeking medical advice for breast reconstruction Dr. Liu points out what is necessary during the patient consult in the video. Here is what he tells us. Review the patient’s medical history. Evaluate Continue Reading →

Breast Reconstruction Recovery and ERAS Protocol

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Breast Reconstruction Recovery and ERAS Protocol When I attend medical conferences, I take the opportunity to interview plastic surgeons about topics related to breast reconstruction. Breast reconstruction recovery and ERAS protocol is a topic I want readers to know about. Why? I feel it is an important part of a shared decision-making conversation with your plastic surgeon at the time of your consult. You simply ask, “Do you use the Enhanced Recovery after Surgery (ERAS) protocol in breast reconstruction?” Dr. Minas Chrysopoulo from PRMA in San Antonio was the plastic reconstructive microsurgeon who performed my DIEP flap surgery. Although ERAS was not in place at the time of my breast reconstruction, I am excited to let others know PRMA and others are using this protocol now. The interview unfolds as we make comparisons between my recovery without ERAS and what Dr. C and his practicing partners now use to improve Continue Reading →

Five of My Favorite Gift Ideas from a Patient Advocate

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There are a variety of celebrations across the globe as the year ends. Holidays, giving, tangible gifts! We love to wrap packages in pretty bows and paper to give to family and friends. I want to talk about the intangible gifts of the holidays. The gifts that are in our hearts. Gifts not always easy to find or give. Perhaps this is my reflection on the gifts I have received from so many this past year. What are my five favorite gift ideas from a patient advocate? The Gift of Compassion Whether you have been newly diagnosed with breast cancer or are considering breast reconstruction after mastectomy, the gift of compassion is priceless. The most well-meaning friends and family can say comments we don’t always appreciate. The truth is, friends and family do not always know what to say. What can you do? Hold a hand if you are with Continue Reading →

Managing Breast Reconstruction and Breast Surgery During the Holidays

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Many of us are preparing our homes and making travel plans in December. It is a gathering time for friends and family for many of us. However, there are those who will be managing breast reconstruction and breast surgery during the holidays. I had my DIEP flap breast reconstruction in early December and was one of those patients. Here are my tips on managing breast reconstruction and breast surgery during the holidays. Breast Cancer does not take a Holiday I do not think anyone intentionally plans to have any type of breast reconstruction and breast surgery, especially this time of year. I certainly did not. Breast cancer does not take a holiday, nor does it take anyone’s plans into consideration. In fact, it disrupts the lives of those diagnosed and going through treatments and surgery during this time of year. Recently diagnosed breast cancer patients have doctors’ appointments, pre-surgical tests, and Continue Reading →

How to Care for the Caregiver During Your Breast Reconstruction

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How did you care for your own caregiver during your breast reconstruction? Sound a bit strange when everyone is supposed to be caring for you? Whether you choose to have autologous (using your own tissue) or implant-based breast reconstruction, you will need caregivers to help with the following at the very least. Taking you to hospital and staying in communication with the surgical team until you are back in your room to recover. Driving you home, fixing meals, driving, and performing general household responsibilities. Patients voice concerns about their own caregivers for their breast reconstruction surgery. I want to share some tips from my own DIEP flap breast reconstruction surgery. I will also share suggestions discussed on The Journey Facebook group. These gals have some helpful hints based on their own experience. Should a Caregiver Remain at the Hospital All Day for Your DIEP Flap? Spending long hours waiting in Continue Reading →

The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community 

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The Latest on BIA-ALCL and What A Patient Advocate Reports to Her Community As a patient advocate for breast reconstruction I am often asked questions about recent findings and reports in the news. This week I was asked questions about the latest NBC News article, and the same topic reported in other media outlets. Theses stories were on the safety of breast implants and a rare disease, BIA-ALCL, Breast Implant-associated Anaplastic Large Cell Lymphoma. I listened attentively as I watched the nightly news and read articles across other media venues. I immediately thought to myself, this was going to understandably stir concern and controversy in my community. It did. I was asked questions about the reports presented this week in the news media from women who currently have implants or are planning to for breast reconstruction after breast cancer. My immediate concern was to calm their fears and share what I Continue Reading →

Going Home: A Breast Reconstruction Advocate’s Story of Love and Loss

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Fall has been a roller coaster of emotions for me from love to loss. There are times in our lives when we seem to be floating through events, whether good or bad, simply putting one foot in front of the other and moving forward. I garner strength surrounding myself with the love of friends and family during these times. This is the account of my Journey and the symbolism behind the phrase, “Going Home”. The moving van pulled up to our home in late October to load and pack our household goods. We packed our car with as much as we could cram into it for the 1650 miles road trip to our new home. The evening before we left, I received a phone call from my Mom. I choked back tears as I talked to her about Dad. The hospice nurse assessed his vitals and we knew he had Continue Reading →

The Role of Caregiver in Breast Reconstruction: Expectations vs. Reality

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The Role of Caregiver in Breast Reconstruction: Expectations vs. Reality I am honored to present my son, Rich, and the plastic surgeon, Dr. Minas Chrysopoulo, who performed my DIEP flap breast reconstruction. The video in this blog is a great conversation between the two men. We sat down together recently at Plastic Surgery the Meeting 2018, in Chicago. The two men had never met before the conference. But, they felt they knew enough about each other to have a very comfortable conversation regarding the role of care giver in breast reconstruction. The Caregiver Meets the Surgeon I planned a surprise meeting of these two gentlemen the evening we arrived in Chicago for the conference. I walked into a restaurant we arranged to meet at for dinner and Rich waited around the corner in order to surprise Dr. C. I went in first to greet Dr. C and give him a Continue Reading →

Sharing the Emotional Night I Was Awarded Patient of Courage

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Some moments in life are forever etched in your memory. The evening of September 28, 2018, at the Navy Pier in Chicago is one of those moments for me. I want to share the emotional night I was one of three recipients awarded the Patient of Courage from the American Society of Plastic Surgeons at their annual meeting, PSTM18. The Anticipation Was Worth the Wait! I received news in the spring I was the 2018 recipient of the Patient of Courage Award. I was nominated by the plastic surgeon who performed my DIEP flap breast reconstruction, Dr. Minas Chrysopoulo of PRMA in San Antonio. The process was a bit like waiting for Christmas, keeping the secret, enjoying all the preparation, and finally celebrating the evening. The fantastic ASPS media crew scheduled a trip to my home in Arizona mid-August to film my story in a YouTube video. Until the video Continue Reading →

Reflecting on the Pink of October and Breast Cancer

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October and the color pink have been symbolic of breast cancer for many years. It is a color both embraced for its meaning and at the same time despised by what many consider over use and misuse. I understand since I have survived breast cancer twice myself. This year brings me to a personal point of reflection on the pink of October and breast cancer. It has been one of the most rigorous months I’ve experienced in quite some time; mixed with emotions of gratitude, anticipation, new friendships, farewells, sadness, and letting go. The Shared Decision Making Panel at #PSTM18 It began with one of the proudest moments of my professional career as I sat on a panel with my breast reconstruction surgeon, Dr. Minas Chrysopoulo, a dear friend and patient advocate colleague, Kirstin Litz, and a new friend Dr. Hani Sbitany speaking about the importance of shared decision making Continue Reading →