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Episode 12: Shared Decision-Making in Digital Health Apps

DiepCJourney Podcast

Release Date: 06/15/2022

Episode 54: Lymphedema Treatment and Surgery from London show art Episode 54: Lymphedema Treatment and Surgery from London

DiepCJourney Podcast

I have been fortunate to have discussions with surgeons in the U.S. on lymphedema. This is a topic I feel should be discussed with international surgeons as well. As part of my work with I am fortunate to meet surgeons from around the world at various plastic and microsurgical conferences. I will be talking to one of these microsurgeons on the We need to know all we can about lymphedema, lymphedema surgery, how microsurgeons across the world are treating breast cancer patients for this condition, and so, this is our topic of discussion from a guest in London, in the United Kingdom. is a...

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Episode 53: The Value of the Co-Surgeon Model In Breast Reconstruction and Insurance Coverage Concerns show art Episode 53: The Value of the Co-Surgeon Model In Breast Reconstruction and Insurance Coverage Concerns

DiepCJourney Podcast

The two-surgeon model in microvascular breast reconstruction and concerns about insurance coverage is a topic we are tackling on the . I have NOT come to understand the complexities of insurance but have gained a great deal of empathy for those in the breast cancer community who deal with these complexities, and that includes patients and surgeons. I was certain I needed to invite a guest I was completely comfortable discussing this topic with. We go back a bit. I have built trust in his principles over time and his focused passion on patient education. You have heard him on the podcast...

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Episode 52: A Patient Story: Transitioning from Implants to DIEP Flap show art Episode 52: A Patient Story: Transitioning from Implants to DIEP Flap

DiepCJourney Podcast

Whether you have had a breast cancer diagnosis, have a genetic mutation placing you at high risk of getting breast cancer, have had or are facing a mastectomy due to either of these situations you will want to listen to this episode of the . The time has come to share a personal story of a woman I interviewed twice about her decision to have a prophylactic mastectomy and implant reconstruction. This is the continuation of her Journey. She came to a decision to exchange the implants she never quite felt comfortable in and transition to DIEP flap breast reconstruction and use her own tissue this...

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Episode 51: The Many Facets of Microsurgery show art Episode 51: The Many Facets of Microsurgery

DiepCJourney Podcast

Have ever been you curious about the networking, conversations, and education that happens among colleagues at medical conferences? Or are there topics you see online but are not aware of the stories behind the social media posts from these conferences? I invite a returning guest to give you a behind the scenes look at one such conference, the annual conference of . We chose a few highlights and topics from the conference to share our experience so you can learn more about these rich learning events. Here to share the highpoints and a few of our favorite topics is one of the presenters at the...

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Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients show art Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients

DiepCJourney Podcast

This episode of the t is well-timed to publish on March 1, 2024, the first day of lymphedema awareness month. We hope you will share this in your community for breast cancer patients affected by lymphedema to provide them with the resources needed to treat this condition and let them know there are specialists in surgical treatment options as well. My guest is one such specialist. is Chief of Plastic Surgery and faculty surgeon at and works as a microsurgeon with , , in San Antonio. It is important for listeners to understand the function and importance of the lymphatic system. Dr. Fries...

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Episode 50: A Young Nurse and Her DIEP Flap Story show art Episode 50: A Young Nurse and Her DIEP Flap Story

DiepCJourney Podcast

This episode of the shares a fascinating story of a young woman who graciously and professionally takes us through her Journey from being diagnosed with breast cancer, cold capping, the affect on her family and young daughters, and to the story of her DIEP flap breast reconstruction.   She never felt a lump. She was enrolled in a high-risk program based on her family history. Because of this, she found the cancer early.   My guest is Lacey Terpstra-Reid. She is a registered nurse residing in Guthrie Oklahoma. In November 2022 she was diagnosed with triple positive breast cancer at...

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Episode 49: Fat Necrosis: What to Know and Look for in Breast Reconstruction show art Episode 49: Fat Necrosis: What to Know and Look for in Breast Reconstruction

DiepCJourney Podcast

With any type of surgery there are risks and possible complications. We are tackling a topic on this episode of the that is frequently discussed in the community served at DiepCFoundation. I reached out to an expert in the field for our discussion on fat grafting in breast reconstruction. founded in Spokane Washington in 2010 after completing her surgical training at the prestigious University of Washington Plastic Surgery Residency. She works with a group of five other surgeons performing various aesthetic and plastic surgery procedures including like DIEP flap. Preoperative patient...

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Episode 48: NAPBC Standards in Exercise Oncology show art Episode 48: NAPBC Standards in Exercise Oncology

DiepCJourney Podcast

There is hard science to support the benefits of exercise for those who are affected by cancer of any kind. We will discuss this on this episode of the . The good news is that now the  introduced new standards in January of 2024 for exercise oncology. Supporting this initiative is . Nationally there are around sixty-five hospitals and locations Maple Tree Cancer Alliance is partnering with to help patients and the medical community implement these changes to improve the lives of those affected by cancer. I am speaking to the Founder and CEO of Maple Tree Cancer Alliance, , PhD, and their...

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Episode 47: BIA/ALCL Symptoms, Diagnosis, and Treatment show art Episode 47: BIA/ALCL Symptoms, Diagnosis, and Treatment

DiepCJourney Podcast

Millions of women across the globe have undergone breast augmentation using a medical device called a breast implant. This is done for reasons such as cosmesis, sometimes called enhancement of the breast, but also for trauma to the chest wall or for oncological reasons meaning breast cancer. Any surgery is not without risks. Using a medical device like a breast implant is not different. This is the focus of our discussion on this episode of the . My guest is a leading expert in the field. We are going to discuss the medical definition, symptoms, diagnosis, and treatment BIA/ALCL. This stands...

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Episode 46: DIEP Flap and the London Breast Meeting show art Episode 46: DIEP Flap and the London Breast Meeting

DiepCJourney Podcast

I feel twice fortunate to be speaking to my guest on this episode of the on two topics, her specialty of performing DIEP Flap breast reconstruction and her role as conference scientific chair for the . It was a phenomenal experience for me to meet her in person at the London Breast Meeting where I learned a great deal from the game-changers in breast surgery, oncology, and breast reconstruction. This gives me the ability to bring more in-depth information to the listeners and breast cancer community we serve at . I am speaking with , a consultant in plastic and reconstructive plastic surgery...

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When you are making a healthcare decision the words shared decision-making are valuable. Understanding the term shared decision-making and putting it into practice can present challenges for those who are not aware of the phrase. It can be an effective tool and method of communication in healthcare decisions. Shared decision making is when the patient and their healthcare team work as collaborative partners in determining the best care for the patient based on the patients’ personal preferences, lifestyle, support, and values.

On this episode of the DiepCJourney podcast I invite two guests who have developed digital healthcare apps specifically focused on the shared decision-making concept and practice. Both of my guests are recognized internationally for work in their respective fields. Michael Fergusson is the CEO and Founder of Ayogo Health, a Canadian Healthcare Technology company based in Vancouver, British Columbia. Dr. Minas Chrysopoulo, MD FACS, is a recognized expert in breast cancer reconstruction and the Founder of the Breast Advocate® app. He is the President of PRMA in San Antonio, Texas.

Michael recognizes the complexities of human beings. The inspiration for his company, Ayogo, respects this complexity valuing the full participation of patients. Asymmetry can occur between patients and physicians when the process of shared decision-making takes place. This all takes time, reflection, and learning. His app, based on the shared decision-making model, allows patients the ability to invest in all three. Ayogo has twice been named on of the most innovative mobile health companies in the world and is consistently recognized by the industry as standard-setting for quality and innovation.

Similarly, Dr. C’s app guides a breast cancer patient from diagnosis through to the decisional process of surgical treatment. Co-created by patient advocates, healthcare professionals and specialists who treat breast cancer patients, the Breast Advocate® app is designed as a customizable shared decision-making tool to give patients the ability to understand what their full range of options are. Dr. Chrysopoulo will be presenting his work at the eleventh session of the World Urban Forum (WUF) in Katowice, Poland in June of 2022. He will meet with Mayors from around the world discussing sustainable solutions to the challenges in tackling breast cancer, particularly following the COVID-19 pandemic.

You can learn more about Michael’s work at the website Ayogo. Learn more about Dr. Minas Chrysopoulo’s work at Breast Advocate® app website. Both apps are available through the app store.