DIEP flap Patient Advocate Prepares for PSTM17

I am a DIEP flap patient advocate currently doing final tweaks and changes in preparation for Plastic Surgery the Meeting, PSTM17.  Wheels will be off the ground early Thursday morning to fly out to Orlando. PSTM17 will be held at the Orange County Convention Center for a five-day event full of education sprinkled with a bit of fun around the Walt Disney World theme park. Last year at PSTM16 in Los Angeles, I walked into the LA Convention Center amazed and overwhelmed, feeling like a little girl walking into Disney World for the first time. I wondered around both wide-eyed and a bit frightened at times since that was my first medical conference. Everyone was welcoming and friendly from staff, vendors, to all the plastic surgeons I was finally able to meet after “knowing” them only through social media. The classes I attended were so beneficial to my mission of Continue Reading →

DEXA Scan after Breast Cancer & DIEP flap

It is important for many breast cancer patients to monitor their bone density health. One monitoring test is the DEXA scan after breast cancer and DIEP flap. This is a segment of a comprehensive article from the National Institute of Health. Women who have had breast cancer treatment may be at increased risk for osteoporosis and fracture. Estrogen has a protective effect on bone, and reduced levels of the hormone trigger bone loss. Because of treatment medications or surgery, many breast cancer survivors experience a loss of ovarian function and, consequently, a drop in estrogen levels. Women who were premenopausal before their cancer treatment may go through menopause earlier than those who have not had breast cancer. Results from the NIH-supported Women’s Health Initiative Observational Study (WHI-OS) found an increase in fracture risk among breast cancer survivors. I recently had a DEXA scan and I was pleased with my results.  Continue Reading →

LIVESTRONG Class Assessment: Ready to Roll

Last week at our Livestrong class we had personal assessments and now we’re ready to roll.  We broke into groups to assess endurance, balance, flexibility, and strength.  This was a baseline assessment to track our progress through the three-month class. Since we divided into small groups with one trainer for each group, it was great to see the support and comradeship among class members.  We are all at different levels of treatment, recovery, and survivorship. There is breast cancer, lung cancer, melanoma, and brain cancer survivors. Some are using walkers or a cane for balance while others are former marathon runners who inspire me with their desire to push their physical limits at the YMCA program. Our trainers carefully watch each participant to keep us all safe within our own personal goals and boundaries. Endurance was tested with a timed three-minute walk around cones.  You could go as fast or Continue Reading →

New Game Changer App for Anyone Impacted by Breast Cancer

I am a breast cancer survivor.  I have had breast cancer twice.  I had two lumpectomies my first diagnosis.  I relied on the visits to my oncologist and breast surgeon to inform me of my options and what the treatment, side effects, and recovery would be like including chemotherapy and radiation.  That was in 2002.  My second diagnosis in 2014 resulted in double mastectomy.  I wore prosthesis for seven months before I decided on DIEP flap breast reconstruction. Many patients complain their surgeons essentially just told them what their treatment would involve without much discussion.  What if someone said you can be actively involved in deciding your breast cancer treatment plan?  Many of us use a variety of apps on our mobile devices and computers every day. Those apps serve many different purposes to suit our individual needs. Would having an app for shared decision making in your breast cancer Continue Reading →

Livestrong First Class: Exercise after DIEP flap Breast Reconstruction

Today was the first class of the Livestrong program.  I am a patient advocate for DIEP flap breast reconstruction and decided to document various points during this three-month program to give others in my community an idea of what to expect.  I do know each program is set up a bit differently and not all YMCAs across the country have the program.  I was told today it is worth calling the Livestrong Program to see if there is another facility in the area other than the YMCA.  They might be doing something similar. Today’s agenda at my YMCA: Meet and greet: Introduce yourself by saying something positive that has made you smile and happy in the past six months. My response: “My grandson, because he always makes me smile!” Filling out forms: The forms will help the trainers assess our various levels and abilities once we begin personalized training. T-shirts: Continue Reading →

Summer Blogging Challenge!

Summer Blogging Challenge! Summer blogging challenge accepted fellow blogger, Nancy!  I have had a whirlwind week but after reading three responses from fellow bloggers, you, Rebecca Hogue, and Britt Lee, how could I not chime in? I have another fellow breast cancer and breast reconstruction pal coming to visit this weekend so my answers are going to be short and well…. hopefully sweet! Share anything you want about your cancer diagnosis (or your loved one’s). Share your age, cancer type, stage, when you were diagnosed, family history (if any), your reaction, how you learned the news, or whatever you’re comfortable sharing.  Diagnosis #1: 2002 included two lumpectomies; 18 weeks of chemotherapy including the “red devil” that landed my Irish ass in the hospital with low blood counts; 6 weeks of daily radiation; 5 years of Tamoxifen Early stage; No family history… yep, I’m the designated family poster child…. That’ll do Continue Reading →

Delayed DIEP flap vs. Immediate Breast Reconstruction

Having delayed DIEP flap breast reconstruction and waking up with breast after being a breast amputee following a mastectomy is different for those who have immediate breast reconstruction. Having breast reconstruction of any kind due to breast cancer or a gene mutation is a fierce undertaking.  The women I speak to planning and recovering from surgery go through a range of emotions from diagnosis, finding they carry a gene mutation putting them at high risk for breast cancer and finalizing the decision to move forward with breast reconstruction. Let’s discuss some differences between delayed DIEP flap vs. immediate breast reconstruction. Those Range of Emotions Vary Here is a list I often hear as I discuss and speak to those planning reconstruction: sadness in losing your original breasts fear of surgery anxiety in the aesthetic outcomes worry about the new feeling of reconstructed breasts concern about their sexuality after breast reconstruction Continue Reading →

Livestrong: Exercise after DIEP flap Breast Reconstruction

Yesterday I began my Journey with the Livestrong program as a breast cancer survivor and to increase exercise after DIEP flap breast reconstruction.  I found out about the program when I switched oncologists in early April this year.  My oncologist discussed my overall health. I expressed my concerns about being on an AI (aromatase inhibitor) and the side effects it can have including bone loss. I told her I wanted to remain strong and fit and do what I could to maintain or increase my bone density and overall strength. She handed me a pamphlet and with a smile on her face expressed her support of the Livestrong program at the local YMCA.  I called Annemarie, the Vice President of Corporate and Community Partnerships, at our local facility to get on the list to start the program. It took a couple of months of waiting before the next class started Continue Reading →

From Nipple Sparing Mastectomy to DIEP flap Breast Reconstruction

A nipple sparing mastectomy to DIEP flap breast reconstruction can be a very successful surgical process after being diagnosed with breast cancer. I want to share my success story and reference articles I have read about nipple sparing mastectomy (NSM). My NSM Experience: Breast Surgeon I credit my breast surgeon, Dr. Michele Boyce Ley, and my plastic surgeon, Dr. Minas Chrysopoulo, for the success of my nipple sparing mastectomy to DIEP flap breast reconstruction. My NSM process began in my breast surgeon’s office the day we consulted about next steps after my second breast cancer diagnosis. She was very hopeful but realistic about saving my nipples while performing my double mastectomy knowing I had plans for DIEP flap later. The MRI scan ordered prior to my mastectomy led her to make this pre-surgical assessment due to the tumor size and location from the nipple as well as techniques she was Continue Reading →

My #Tweet Story from Science Camp

This is my #Tweet Story from science camp, otherwise known as Project LEAD you will not believe what happened.  Before I get to that part of the story let me back up a little and fill in some details. Years ago, when I started my Twitter account I was attempting to bring more attention to a non-profit.  I was a board member and wanted to spread the word about what we did.  I mainly followed on local businesses with hopes of finding sponsors.  I soon learned Twitter was for more than finding sponsors. Twitter is a wealth of knowledge in 140 words or less, commercials of sorts that did not make noise.  I could browse and tweet without anyone knowing.  No noise and a cancer diagnosis brought me to the new reason I was on Twitter.  There were positive quotes and cancer information.  New resources emerged and I was no Continue Reading →