Tag: shared decision making

Traveling to the Center For Natural Breast Reconstruction

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For patients exploring their options for breast reconstruction and learning they must travel, the very thought of a long car trip or airline travel can seem like an overwhelming task. It is important at DiepCFoundation then that we provide those practices who support patients who will be traveling for their breast reconstruction surgery. On this episode of the DiepCJourney® podcast, I talk to Dr. Richard Kline and his team to learn how they support patients who travel to their practice at The Center for Natural Breast Reconstruction in Mt. Pleasant, South Carolina. Please go over to the DiepCFoundation YouTube channel and look for this episode soon! If you have questions after you listen to the interview whether you listen to the podcast or watch the video, let us know and we’ll try to answer them. The Team Approach in Breast Reconstruction Dr. Kline collaborates with a team in the operating Continue Reading →

Episode 88: PRMA’s TruSense® in Breast Reconstruction for Sensate Breasts

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I sat down with Dr. Chet Nastala of PRMA Plastic Reconstructive Microsurgical Associates while visiting their practice in San Antonio for BRA Day 2025. We discuss TruSense® and sensate breasts, the PRMA service mark and surgical method they use to reconstruct nerves to improve sensation to the breast. The following is a summary of our discussion that you can listen to on the DiepCJourney® podcast. We have included the entirety of the interview below from episode 88: PRMA’s TruSense® in Breast Reconstruction for Sensate Breasts. Dr. Nastala’s Training and Background Dr. Nastala began his training in the northeast and attended Harvard for his undergraduate degree. He attended Duke for medical school and did his surgical training at the University of Pittsburg. There he completed training combining plastic surgery, general surgery, some surgical oncology, and research. He has been at PRMA plastic surgery for twenty-five years. He is particularly interested in Continue Reading →

Kindness, Gratitude, Courage: My Compass for 2026

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As I step into 2026, I find myself returning again and again to three simple words. Those words are kindness, gratitude, and courage. They aren’t new concepts. They aren’t complicated. But they have become the compass points guiding how I want to show up in the world, how I want to lead, and how I want to serve the breast cancer community that has shaped my life in ways I never could have imagined. These three words have carried me through seasons of uncertainty, moments of profound connection, and the quiet, steady work of advocacy. They have grounded me when the world felt heavy and lifted me when I needed reminding that hope is not naïve. Hope is necessary. And as I look toward the year ahead, they feel more necessary than ever. Kindness: The Quiet Energy that is Transformative and Contagious Kindness is often underestimated because it’s gentle. It Continue Reading →

Empowering Voices: My Experience as a Patient Advocate at the Binaytara Northwest Women’s Cancer Conference

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On September 27, 2025, I had the privilege of attending the Binaytara Northwest Women’s Cancer Conference in Portland as a patient advocate, accompanied by my dear friend and fellow advocate, Nikki McCoy. This experience was not just an opportunity to connect with medical professionals; it was a chance to amplify the lived experiences of patients navigating the complexities of cancer diagnoses, treatment, and survivorship. As I reflect on our day at the conference, I am filled with gratitude and a renewed sense of purpose in my advocacy journey. The Power of Presence: Representing Patients Walking into the conference venue that morning, I was acutely aware of the significance of my role. Patient advocates hold a unique position: we are the bridge between patients and providers, amplifying voices that might otherwise go unheard. Nikki and I were determined to represent not just ourselves, but the countless people and families affected by Continue Reading →

Education about DIEP Flap: One Simple Rule

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Can we assign one simple rule regarding education about DIEP flap breast reconstruction? Yes, this one simple rule is to listen. This is where it begins. I have learned from patients and surgeons that listening is the first action required to educate. It reveals what is important for patients and what they desire to understand about the process and decision to have DIEP flap. I have learned from surgeons it is important for patients to take the time to listen to surgeons to understand what they can achieve for a patient in a DIEP flap consultation.   My Introduction and Education about DIEP Flap I was a student in April of 2014 during my second diagnosis of breast cancer. In the months following my double mastectomy I did what I now tell others to do. “Do your homework to find the right plastic surgeon”. I listened to all breast reconstruction Continue Reading →

Oncoplastic Surgery after a Breast Cancer Diagnosis

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Dr. Lashan Peiris, an oncoplastic and reconstructive breast and general surgeon in Edmonton, Alberta, Canada, discusses oncoplastic surgery after a breast cancer diagnosis. He defines the term oncoplastic breast surgery, describes the type of conversation he has with his patients, and who might be a candidate for this type of surgery after a breast cancer diagnosis. Shared Decision-Making in Oncoplastic Surgery When a person is diagnosed with breast cancer the healthcare team should work together to coordinate patient care to determine the best long-term survival and quality of life choices in treatment and surgery. Dr. Peiris makes a profound statement, “Gone are the days where we as breast surgeons walk into a room, tell a lady she’s got breast cancer, and walk out five minutes later.” Dr. Peiris continues his discussion by describing the shared decision-making process in breast cancer and breast surgery care. All aspects of the patient’s life Continue Reading →

A Celebration of 10K Breast Reconstruction Flaps

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On May 21, 2022, I will be back in San Antonio, Texas for a celebration of 10K breast reconstruction flaps. This event is put together by the plastic surgery group who did my DIEP flap surgery in December of 2014. This day holds great significance for me. I am grateful to PRMA for their fantastic efforts and support putting this 10K race together to celebrate the 10K flap surgeries they have performed for those affected by breast cancer. Thank you to the sponsors who are generously supporting this race. Honoring All the Patients Who Have Chosen Flap Surgery The 10K breast reconstruction flaps race is being held in San Antonio. The real honor goes to ladies across the world who have chosen or are planning flap surgery after being affected by breast cancer and losing their breasts to the disease. Over the years since I started my nonprofit organization, DiepCFoundation, Continue Reading →

How to Prepare for and Have a Shared Decision-Making Conversation

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Terri Coutee and Minas Chrysopoulo, MD FACS Shared decision-making occurs when your doctor (or any healthcare professional) collaborates with you to make the best healthcare decision. The optimal decision takes into account evidence-based information about the available treatment options, the clinicians’ knowledge and experience, and any factors you value in your decision-making. The patient brings their preferences, goals, lifestyle, support structure, …whatever they feel is important to them in making a decision. The physician brings evidence-based information and their expertise. Together, they find the “sweet spot” in the middle. Our aim is to offer recommendations for patient and healthcare professionals to prepare for and have a shared decision-making conversation. Most patients prefer this collaborative approach over deferring treatment decisions completely to their doctor. Unfortunately, in many cases patients may be reticent to initiate this type of conversation or simply don’t appreciate that they can. In reality, if the clinician doesn’t Continue Reading →

How Digital Health Can Enhance your Breast Reconstruction Decision

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Patients become unintended experts on a topic they likely had no intention of being an authority on. When you receive a diagnosis of breast cancer one of the biggest challenges is understanding the medical information you have to digest and make sense of for your own future health. How will these decisions affect your body, lifestyle, and long-term survival? If you are facing loss of breast due to a mastectomy, things can become a step more complex when digesting and understanding your options. Luckily, we live in an era where we have access to digital tools to assist with these decision processes. Digital health can improve your breast reconstruction decision. Defining Digital Health First let’s define what digital health is. It encompasses many platforms. Digital health can but is not limited to entities such as virtual consultations via your computer or phone and apps specific to a topic you need Continue Reading →

DiepCJourney Private Facebook Group: A Safe Place to Land

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Social Media is a way for others to connect in communities to discuss like-minded topics. I began the private Facebook group, DiepCJourney: Breast Reconstruction after mastectomy, in May of 2015. The purpose of the group is to inform those who are facing or have had a mastectomy about all their breast reconstruction options and choices. This includes the surgical option for no reconstruction, aesthetic flat closure. We are a global community. We want DiepCJourney Facebook group to be your safe place to land. DiepCJourney Facebook Discusses all Options The chest wall is the scaffold of the surgeon. The decision to reconstruct after a mastectomy is supported  whether you choose implants, use your own tissue (autologous reconstruction), a combination of both, a lumpectomy, or no reconstruction, referred to as aesthetic flat closure. This requires decision making. On DiepCJourney and at the Founding organization, DiepCFoundation, we promote the idea of shared decision-making. Continue Reading →