Maintaining Health Records during a Cancer Diagnosis

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Maintaining Health Records during a Cancer Diagnosis This is a post about the importance of maintaining accurate health records during a cancer diagnosis. But, today is probably one of the most difficult posts I have written in a while because of the events listed in this post that happened withing a month’s time to me and my family in 2014 during the time of my second breast cancer diagnosis. Why I do What I do I am an educator for all options of breast reconstruction after mastectomy.  After much research on my part to find a skilled, compassionate and qualified plastic surgeon; I had a very positive experience.   I know that all women are not told about their choices for reconstruction like I was.  Additionally, some have not had the powerful and positive experience that I did. I share my experience through outreach and  I educate others in hope of Continue Reading →

Breast Cancer, Breast Reconstruction & New Challenges

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Breast Cancer, Breast Reconstruction & New Challenges What new challenges have you taken on since being diagnosed with breast cancer?  What have you had to deal with after losing your breasts to cancer, or finding out that you are a BRCA gene carrier? I was inspired to write this blog based on an article seen on social media from Living Beyond Breast Cancer. I include my BRCA friends in this post because I advocate for all choices of breast reconstruction and we have all had the perspective of experiencing some difficult decisions regarding our health. Events in life, good or bad, change us. They catapult us into decisions that we likely would not have come to based on the event. Being diagnosed with cancer for the second time in 2014, facing a mastectomy and then delayed DIEP flap reconstruction later that year, reset my compass. A Side Trip on my Continue Reading →

DIEP Flap Post Surgical Garments

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The type of DIEP flap post surgical garments you will wear may very depending on your plastic surgeon. This is a photo I took on my computer. Keep in mind this is from my surgery in 2015 and what they give patients now may be updated. But it is a page taken directly out of the Breast Reconstruction Planner from my surgical group, PRMA in San Antonio. They are very comprehensive helping you plan every step of the way but I wanted you to hear an experience from a patient’s standpoint and the type of DIEP flap post surgical garments I wore. Are they glamorous? No, but you learn to conceal their bulkiness with accessorizing! Here is a picture with my nurse Denise. You can visibly see the outline of my drains but you don’t see any of my post DIEP flap surgical garments.  Are they comfortable? They’re not uncomfortable Continue Reading →

Length of Hospital Stay : DIEP flap Breast Reconstruction

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Length of Hospital Stay: DIEP flap Breast Reconstruction The length of  your hospital stay after DIEP flap breast reconstruction will likely be four to five days. My surgery was on a Monday morning, I was in my room by 10 pm that evening, and I left the hospital on Saturday morning. Although my surgeon came in to ask if I was ready to leave on Friday, I stayed one extra day only because I didn’t feel strong enough to go back to the vacation rental. He gave me the option to stay another night based on how I was feeling. Remember, I flew in from out-of-town, 800 miles out of town! I had to be 100% positive in my mind that going back to a foreign environment, the vacation rental, was going to be conducive to my healing process for the week I would be there following my release from Continue Reading →

Postoperative DIEP flap Recovery

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Postoperative DIEP flap Recovery Postoperative DIEP flap recovery, pain management, and progress with movement and activity, are some of the most common questions, concerns, and fears women ask me about. I wanted to share my photos in this blog to give women visual of progress I made during my recover from DIEP flap surgery. This was my recovery time and everyone will be different to some degree. I had very few “hiccups” in my recovery and it went as expected. The most difficult part for me was not pain, which was controlled quite well. My challenge came in lying still for five days. But as I frequently tell interested candidates, you have just been re-sculpted by an artist, your plastic surgeon. Treat your piece of art, your newly built breasts, with respect and nurture it back to health with patience and care. All good art work takes time! My First Continue Reading →

Body Image After Mastectomy

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Body Image After a Mastectomy Body image after mastectomy is difficult for many women. I went through this myself after a bilateral double mastectomy. It is my own definition but I define women who live with mastectomies, “hidden amputees”. No one sees you are missing body parts when you wear prosthesis. No one feels what you feel each time you see a reflection of yourself in the mirror or try to pick out something to make you look feminine or sexy when you want to step out for a social event. Nor does anyone truly understand the desire to just magically want the clock to turn back before you had to have your breasts removed due to cancer; no one except you. What was your personal choice? How did a mastectomy change your body image and how have you dealt with it? Did you decide to have reconstruction, wear prosthesis, Continue Reading →

History of DIEP Flap Breast Reconstruction

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  The history of DIEP flap breast reconstruction, as with most medicine and surgery, has certainly evolved over the years. Patient recovery and healing, post operative outcomes and efficacy of the surgery has likely played a significant part in that evolution. The first attempts at flap reconstruction date back as far the 1800s. The advantage of using the deep inferior epigastric perforators (DIEP) as a means of breast reconstruction was primarily promoted by two surgeons in the mid 1990’s. Dr. Phillip Blondeel of Belgium and Dr. Robert Allen of the U.S. were the two surgeons who convinced their fellow plastic surgeons of the advantages of DIEP flap over TRAM flap as it did not use the rectus abdominis muscles thereby giving patients a more desirable outcome by not sacrificing their “sit-up” muscle. Many Must Travel to Find a Qualified Micro-Surgeon DIEP flap surgery is complex and involved.  It takes specialized Continue Reading →

Scar Healing: Post DIEP flap Surgery

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Scar Healing: Post DIEP flap Surgery Scars, scar healing, and scar therapy  after breast reconstruction surgery is a frequent topic of discussion on DiepCJourney support group page. I can share with you what I have learned about these topics after phase 1 & 2 of my DIEP flap surgeries. What Forms the Scar? You may have heard of collagen. Collagen is a structural protein occurring in our bodies. Collagen goes to work and is produced by your body, in simplest form, after skin is disrupted through a surgical incision. It repairs and heals the wound because of its fibrous, connective properties. It is what forms the scar when your body goes through its natural healing process. Healing is Individual but Maintaining Health is Important! We are all unique and individual when it comes to healing. Your skin color, genetics, and overall health are important factors in the individual outcomes and Continue Reading →

Exercise After Breast Reconstruction Surgery

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Going in DIEP! Exercise after breast reconstruction surgery is a tricky game. You must clear it with your plastic surgeon. Your incisions must be completely healed so that you do not compromise the healing process. One question I asked my PS, Dr. Minas Chrysopoulo of PRMA at my pre-op appointment before the final phase of my reconstruction was when I could get back to swimming. We have a pool in our backyard and I felt it would be good rehab as a post-surgical exercise. His answer, “When you are ready and when the wounds are all healed”. New Sensations and Healing I’ve been working up to this moment today. I emailed the nurse at my plastic surgeon’s office a couple of weeks ago and told her I was feeling some interesting and strange new sensations in my breasts. I couldn’t really put the feelings into words but I think she Continue Reading →

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon

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DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon DIEPflap breast reconstruction & aesthetic questions to ask your plastic surgeon involves more than  you may have given much thought to.  You have had a mastectomy due to breast cancer. You have tested positive for the BRCA gene and are facing the decision to have a prophylactic bilateral mastectomy to significantly decrease your chances of getting breast cancer. Perhaps you are even going in for a consult to repair damage done at another practice and are looking for better results.  Now you’re researching and thinking about breast reconstruction options. You found a board certified plastic surgeon with great skill and a high rate of success. The consult appointment has been set up. You write down as many questions as you can and hope beyond hope you will be given the time to have all of them answered.  Your main concern Continue Reading →