Tag: mastectomy

I Had DIEP Flap. Do You Know What That Is?

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I Had DIEP Flap. Do You Know What That Is? Picture this scenario. You walk into a physician or health care provider’s office after having DIEP flap breast reconstruction. They ask you to discuss your current health and why you came into the office for a visit. A standard question, right?  You are in a gown sitting on the exam table with only your underwear on under the gown. You know they are going to do a full exam and ask you to open the gown. Before they begin the exam, you say, “I had DIEP flap. Do you know what that is?” The answer is often one of two replies, “Oh yes, I see. You had a TRAM Flap.” Or, “No, I have no idea what a DIEP flap is.” This is when the education begins. The physician says, “Well, let’s take a look.” I open my gown and Continue Reading →

How Breast Reconstruction Changed Me

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How breast reconstruction changed me is one survivor’s story. It is the topic of a recent video that was added to the DiepCFounation.org YouTube video channel. It was such an honor to meet and talk to Jan about her thoughts after being diagnosed with breast cancer and how choosing DIEP flap breast reconstruction allowed her to “conquer cancer”. Jan and I were Facebook friends for a while but never met in person. We finally had the opportunity after attending a fundraiser with other breast cancer survivors. We decided to spend the following day together getting to know each other. We met for coffee and the conversation began as it does with so many other women I meet who have been diagnosed with breast cancer. She spoke about her fears after being diagnosed and the impact it had on her life. We shared our stories and the conversation flowed easily. Jan Continue Reading →

Sensory Nerve Reconstruction During DIEP Flap after a Mastectomy

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DiepCFoundation interviews Dr. Minas Chrysopoulo from PRMA in San Antonio about sensory nerve reconstruction during DIEP flap after mastectomy to restore sensation to the breasts. The procedure is called microneurorrhaphy (micro-ner-ar-o-fee) A real mouth full! Dr. C points out that this is a complex topic to describe at a consult. A plastic surgeon may say that your breasts will “feel” more natural but “to whom”? The reality is that the patient will not feel the same that they did before mastectomy. I am the Founder and Director of DiepCFoundation and was fortunate to have this interview with Dr. Chrysopoulo. I am also a patient who has had successful sensory nerve repair performed by Dr. C. It is truly better than the alternative, which is NO sensation in the breasts at all. I’m quite used to this “new” sensation now and I like it. I feel very fortunate to have found Continue Reading →

Study of Body Mass Index post DIEP Flap Breast Reconstruction: A Patient Perspective

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I rely on research from evidence based journals I read to understand and share the latest information about breast reconstruction and breast cancer to the community I serve. One of the journals I utilize is Plastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons. January is a month many of us focus on health, weight loss, and losing those extra holiday pounds. As a patient advocate who has had autologous, DIEP flap breast reconstruction, I wanted to share my thoughts and perspective from a study of body mass index post DIEP flap breast reconstruction from the December 2017 issue of the Journal : The Impact of Autologous Breast Reconstruction on Body Mass Index Patterns in Breast Cancer Patients: A Propensity-Matched Analysis.  I appreciate the focus of the article. It can be read here from the final statement in the conclusion of the paper: Our findings can be used to Continue Reading →

Collaboration in Educating about Breast Reconstruction

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My favorite word throughout my education career has always been “collaboration”. So is the case now in my role as Founder of DiepCFoundation.org. I couldn’t feel any stronger about collaboration in educating about breast reconstruction. The change leaders I have met in the past three years on my own personal quest to educate more women and men about options in breast reconstruction motivate me daily to do more, explore new avenues to educate, support them in their mission, and stand beside them collaboratively to continue this work. This week on my social media feeds I have seen an announcement by Patricia Anstett that her book, Breast Cancer Surgery and Reconstruction, What’s Right for You, is now out on paperback on Amazon. Congratulations are in order as this was a professional labor of love for Pat. Full disclosure: Yes! I’m featured in the book and proud of it. However, I have Continue Reading →

DIEP flap Breast Reconstruction: Did I make the right choice?

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YES! I did make the right choice having DIEP flap breast reconstruction! Each December marks another year and anniversary of my DIEP flap surgery. I remember so much about the dark, cool, morning we left for the hospital, feeling calm, prepared, and ready on December 1, 2014. The time between my double mastectomy in mid-May of 2014 and my breast reconstruction were some of the most trying days of my life. In 2002, after my first breast cancer diagnosis, I had been through 2 surgeries, eighteen weeks of chemotherapy followed by six weeks of daily radiation. This was physically demanding because I was so sick and felt so weak. Fast forward twelve years to 2014. Waiting for my breast reconstruction was psychologically trying. Each month that passed after my double mastectomy only decreased my self-image as a woman due to the loss of my breasts and seeing myself in the Continue Reading →

New Game Changer App for Anyone Impacted by Breast Cancer

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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 →

Breast Reconstruction ~ Concealing Scars After Mastectomy

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Breast reconstruction and concealing scars after mastectomy is a certainty for patients post surgery.  There are those who bravely bare their scars as a symbol of strength and what they have been through.  But for many, hiding the scars of breast reconstruction is a skill and becomes a sort of creative art. Various Surgeries ~ Various Scars There are abdominal scars and breast scars if you have had DIEP flap breast reconstruction.  LAT flap will leave you with scars on your back and breasts.  TUG flap will leave you with breasts and inner thigh scars.  PAP and GAP flap will leave scars at the breasts and buttocks areas.  Those who have immediate breast reconstruction will likely have the least amount of scars on their breasts, but scars nonetheless. Placement of scars is a topic that should definitely be brought up in the initial consult with your plastic surgeon.  A skilled Continue Reading →

Managing Surgical Drains with Drain IQ

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Managing Surgical Drains with Drain IQ Managing surgical drains post mastectomy and post breast reconstruction is one of the biggest grievances I hear when I speak to women about their surgery after breast cancer.  I was in that club after my own DIEP flap breast reconstruction.  I used the paper recording sheet provided by the hospital to track drain output.  Keeping track of that piece of paper and diligently recording drain output each and every time I stripped those drains was a necessary evil and part of the process for the duration they were stitched to my body. Let’s talk about managing surgical drains with Drain IQ. Managing Output Using your Phone? But, how many of us today have our phones with us almost as an appendage?  I am surprised to hear from ladies while still in hospital after their surgery, texting and posting on social media that they are Continue Reading →

Breast Cancer Patient Education Act of 2015

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The Breast Cancer Patient Education Act of 2015:  Re-introduced May 5, 2015. As stated on the Congress.Gov website: Amends the Public Health Service Act to direct the Department of Health and Human Services to provide for the planning and implementation of an education campaign to inform breast cancer patients anticipating surgery about the availability and coverage of breast reconstruction, prostheses, and other options, with a focus on informing patients who are members of racial and ethnic minority groups. To the Members of the 114th Congress of the United States: Close to 12% of women will develop invasive breast cancer over the course of her lifetime. 2015 alone will bring an estimated 231,840 new cases of invasive breast cancer. According to statistics from Breast cancer.org 60,290 new cases of non-invasive breast cancer will be diagnosed. Surprisingly, and a little known fact, there will be approximately 2,350 new cases of invasive breast Continue Reading →