Patience and Persistence: Pregnancy Post-DIEP – Part 1

When I found out in September 2014 my cousin had been diagnosed with breast cancer and subsequently found out in January 2015 that I am positive for the BRCA1 gene mutation, I felt like time was not on my side.  At the time my daughter was four years old and I had dreams of a second child.  However, my husband and I didn’t feel it was the right time to try.  Fast forward to early 2016, the time was finally right, and we began to try for baby number two.  We tried for two years with no success.  We even saw a fertility specialist and confirmed that we had all the right parts in all the right quantities to have another baby, we just needed more patience and persistence: pregnancy post-DIEP – part 1. By Spring 2018 I was wrapping up a Master’s degree and decided I just couldn’t wait Continue Reading →

Laura’s Journey Through Breast Reconstruction

I am honored to share another one of our Personal Stories featuring Laura’s Journey through breast reconstruction. On September 25th, 2017 I had two biopsies on calcifications in my right breast.  I had a biopsy on that same breast 5 years ago and it was negative for cancer.  It was a very unpleasant experience and I was quite aggravated that there was nothing wrong and I had such a bad time recovering that the whole event went into my book as awful.  But my OB-GYN called me the next afternoon after this biopsy and said “Well we weren’t so lucky this time.  They found cancer in both samples.”  But wait!  I have zero risk!  I have no family history!  I nursed all my babies for a year after they were born!  I don’t smoke! This can’t be right!! On September 28th, Hollis and I met with a wonderful surgeon named Richard Continue Reading →

Whitney’s Story: Prophylactic Mastectomy and DIEP Flap Breast Reconstruction

Our Journey personal story takes place this week with my neighbor. It is Whitney’s story of prophylactic mastectomy and DIEP flap breast reconstruction. Whitney has the genetic mutation for ATM and CHEK2 putting her at very high risk for breast cancer. She is a young woman in her mid-thirties who very much wants to be a part of her children’s’ lives. She will be having her surgery when they are one and four years old.  Whitney was the tender age of 24 when she watched her own mother die of breast cancer. She was her caregiver so her decision to undergo prophylactic mastectomy and DIEP flap has not been easy. Here is her story. A Neighbor on the Journey from Mastectomy to Breast Reconstruction I am blessed. Each day I engage with an amazing group of women on the Facebook page I administer, The Journey. When I found out Whitney Continue Reading →

How Difficult is the Decision to Have DIEP flap Breast Reconstruction?

A Difficult Decision for Me to Have DIEP flap It is very difficult to make the decision to have DIEP flap breast reconstruction. I had this surgery in 2014 after a second breast cancer diagnosis and losing my breasts after a double mastectomy. I want to share what other women go through to have this amazing yet complex surgery. Who Might Consider Having DIEP flap Surgery? I listen to stories from basically two groups. The first group are women who have been diagnosed with breast cancer.  It is not always the case, but the hope is I hear these women are given all their options for breast reconstruction. Otherwise, how could they even make an informed decision about their choices to reconstruct their breasts? It is most important all options for breast reconstruction are presented after careful assessment of biopsies, various imaging procedures, that should include a shared decision-making conversation Continue Reading →

ERAS Protocol Breast Reconstruction

A little over a year ago I learned about ERAS protocol as it pertains to breast reconstruction from the plastic surgeon who performed my DIEP flap. ERAS, Enhanced Recovery after Surgery, protocol was not in place at the time I had breast reconstruction in December of 2014.  I wrote a blog about our conversation and what I learned. I have been reading several social media posts about ERAS and the benefits to patients. One study shared recently on Twitter states in the conclusion of the study: Conclusion: Enhanced recovery pathway program implementation should be considered as the standard approach for perioperative care in autologous tissue-based breast reconstruction because it does not affect morbidity and is associated with accelerated recovery with reduced postoperative opiate use and decreased length of hospital stay, leading to downstream health care cost savings.  ~ Journal of the American Society of Plastic Surgeons ERAS Protocol Benefits Observed I Continue Reading →

How Long Does DIEP flap Breast Reconstruction Surgery Take?

This is a question I wanted to write about after attending PSTM17 in Orlando as a patient advocate. Speaking to ASPS board certified plastic surgeons at the meeting afforded me the opportunity to understand the answer to, how long does a DIEP flap breast reconstruction surgery take? It is an intricate, microsurgical procedure that includes incisions and work on both the abdominal area and the breast area. The assumption is, the surgery is long. In fact, when assessing my own DIEP flap, I often report my DIEP flap lasted nine hours. What we don’t often take into consideration is what the surgery entails from start to finish. I reviewed my own surgical report to write this blog. I also spoke with plastic surgeons at PSTM17 and wanted to share some important points of discussion. I gathered information from my sister, a nurse, who also shared some pre-op and post op data Continue Reading →

#WorldTeacherDay: A Teacher’s Journey through DIEP Flap Breast Reconstruction

Today is #WorldTeacherDay. This quote is taken from one website explaining the purpose behind this day. The United Nations’ (UN) World Teachers’ Day celebrates the role teachers play in providing quality education at all levels.  This enables children and adults of all ages to learn to take part in and contribute to their local community and global society. That is why I signed up for this profession. I was certain my years in the classroom would continue after I completed my M.Ed. by mentoring new teachers into this vocation.  I wanted classrooms to be filled with passionate, well-trained educators providing quality education. A second breast cancer occurrence in 2014 changed my course a bit. I began a Journey through DIEP flap breast reconstruction. I put my education on hold after a double mastectomy and breast reconstruction seven months later. Little did I know the Journey would continue. I knew today Continue Reading →

Intimacy ~ Touching your breasts after DIEP flap surgery

This blog has been sitting in my archives for quite some time.  Intimacy and touching your breast after DIEP flap surgery seems like an unabashed topic to write about. The intimacy of the content and the shared photos delayed my writing. Respect for my fellow DIEP flap sisters and touching your breasts after this surgery is not something every woman wants to do. I know this to be true because I talk to women who feel this way. I fully respect all the complexities that surround the new sensation of your DIEP flap breasts.  The purpose of my blog is to share my experience and in some way, empower breast reconstruction patients to embrace their new breasts after they have healed from surgery and to feel comfortable touching their newly reconstructed breasts. If my suggestions and story work for you, I am happy.  If they do not, I get it, Continue Reading →

Honoring my Father During my DIEPflap Surgery

This is a perfect weekend to write a tribute honoring my Father and his support during my DIEPflap surgery.  My father is in his late 80’s now so watching me go through DIEPflap breast reconstruction two and half years ago was not an easy process for him.  He knew nothing about this type of surgery.  My Dad’s generation and friends who had radical mastectomies and survived breast cancer never knew of the options to rebuild one’s breasts after they had to be removed after a breast cancer diagnosis.  It was just assumed that the loss was part of the plan and how you would continue to live your life. I gently guided Dad and Mom through the process and why I chose to have DIEPflap breast reconstruction after my second breast cancer diagnosis.  I will admit, it was tough.  His main concern for me was the length of surgery and Continue Reading →

Choosing Reconstructive Surgery after Breast Cancer

Choosing Reconstructive Surgery after Breast Cancer I am a two-time breast cancer survivor who chose reconstructive surgery using my own tissue after mastectomy, and I am disappointed and feel slighted by the unbalanced reporting with regard to options in breast reconstruction on CBS Sunday Morning on March 12, 2017. One segment reported by Erin Morarity, “Foregoing reconstructive surgery after breast cancer”, was of special interest to me.  Hearing the words, “you have breast cancer” is difficult enough.  When that is followed by a double mastectomy this often puts added mental anguish on the individual, woman, or man.  It did in my case. Like some of the women in the story I lost my hair during my first diagnosis due to chemotherapy.  My skin was compromised from radiation during my first diagnosis.  I lost both of my breast and lived as an amputee for seven months after my second diagnosis.  Then, Continue Reading →