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Episode 25: Flap Monitoring in Breast Reconstruction and the History of the Guinea Pig Club in Plastic Surgery

DiepCJourney Podcast

Release Date: 01/11/2023

Episode 84: FEEL Project: Focus on Educating Everyone about Sensation Loss and Pain show art Episode 84: FEEL Project: Focus on Educating Everyone about Sensation Loss and Pain

DiepCJourney Podcast

We are discussing a topic today that is very important in the breast cancer community, breast sensation. It is important for me as Founder and Director of to learn about and understand the latest innovations to improve patient outcomes and quality of life after a breast cancer diagnosis and surgery. This will be available to watch on the DiepCFoundation YouTube channel. This interview is for patients and surgeons. Please let us know in the comment section of the podcast and video if you have any questions that arise from the interview. I am speaking with who specializes in . She is an...

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Episode 83: Traveling to The Center for Natural Breast Reconstruction show art Episode 83: Traveling to The Center for Natural Breast Reconstruction

DiepCJourney Podcast

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 , I talk to and his team to learn how they support patients who travel to their practice at in Mt. Pleasant, South Carolina. Please go over to the and look for this episode soon! If you have questions after you listen to the interview...

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Episode 82: Nerve Tape® Connecting Nerves in Implant-Based Breast Reconstruction show art Episode 82: Nerve Tape® Connecting Nerves in Implant-Based Breast Reconstruction

DiepCJourney Podcast

It’s great to be back at the microphone after a summer break from podcasting and focusing our efforts on the inaugural . We have a crisp, clean new look to our podcast cover with a few important changes! Thanks so much for joining us and remember this will also be available on the under our podcast and video tabs. We are going to be talking about surgical technology that is used to connect nerves, a suture-less device for nerve repair. At a medical conference I attended I passed by the table in the exhibit hall. After an invitation from the team at then vendor table I sat down to give it a...

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Episode 81: Delay Procedure, SIEA, and TDAP in Breast Reconstruction show art Episode 81: Delay Procedure, SIEA, and TDAP in Breast Reconstruction

DiepCJourney Podcast

There are many acronyms, terms, and procedures patients hear either in consultation with their plastic surgeon or online through various social media groups and platforms. Our guest on this edition of the is a board-certified microsurgeon who will help us sort out three of those terms today. The delay procedure, SIEA, and TDAP in breast reconstruction surgery. We appreciate everyone who is utilizing the resources. Be sure to for the video interview with my guest at the channel. I am joined by , who specializes and is trained in microsurgery. The primary focus at his practice at in Mt....

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Episode 80: Completion of DIEP Flap Surgery: Going Forth with Confidence show art Episode 80: Completion of DIEP Flap Surgery: Going Forth with Confidence

DiepCJourney Podcast

This is a follow up of who I spoke to after her phase one DIEP flap surgery at in San Antonio in January of 2024. I invited her back to the to share  details of the completion of her breast reconstruction after phase two. She traveled back to San Antonio seven months after phase one for her phase two surgery. We talk about the following: ·       Communication and discussion with about your phase via a ZOOM call. ·       What did she pack for phase 2. ·       Who she traveled with for this...

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Episode 79: Medical Tattoo Artists: The Alliance of Medical Tattooing show art Episode 79: Medical Tattoo Artists: The Alliance of Medical Tattooing

DiepCJourney Podcast

This interview on the is with three nationally known medical tattoo artist. It will also be available on the for viewing. Our conversation today is on medical tattooing with three of the leading medical tattoo artists in the United States. I begin with the President and founder of , , a licensed and I speak to her about her vision and why she created AMT. Next is who is a registered nurse and licensed tattoo artist and is the vice-president of AMT. Last and certainly not least, is the medical tattoo artist in our beautiful city of Seattle, WA., Mr. . Eric and I are both of AMT. As a...

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Episode 78: Managing Scars Through Surgical Techniques at PRMA show art Episode 78: Managing Scars Through Surgical Techniques at PRMA

DiepCJourney Podcast

We are going to discuss the topic of scars and cover several topics related to scars on this edition of the . It is understood, anyone who has surgery will have scars of some kind. There is a mechanism to how scars heal. In plastic surgery, if you think of the Greek word, plastikós (πλᾰστῐκός it means to shape or mold. Scars are a significant consideration in plastic surgery then. I invited an expert in the field to share his expertise on the topic. My guest is joined in San Antonio, Texas in 2021. Dr. Gassman completed his plastic and reconstructive surgery residency at UCLA...

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Episode 77: Nipple Reconstruction at PRMA show art Episode 77: Nipple Reconstruction at PRMA

DiepCJourney Podcast

Do most people who have nipple reconstruction have breast reconstruction? Not necessarily. Do you think about nipple reconstruction if you’ve had breast cancer and are in a consultation for breast reconstruction? We are going to answer these questions and others on this episode of the . My guest is of in San Antonio, Texas. Dr. Carpenter is passionate about utilizing her extensive expertise and experience to help transform lives through reconstructive plastic surgery. I want to point out that PRMA uses the co-surgeon model in breast reconstruction, meaning there are two...

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Episode 76: Robotic Surgery and DIEP Flap in Hawaii show art Episode 76: Robotic Surgery and DIEP Flap in Hawaii

DiepCJourney Podcast

How much do you know about robotic surgery for DIEP flap breast reconstruction? What areas in the U.S. are performing these types of robotic surgery for those affected by breast cancer? What if I told you robotic DIEP flaps are being performed in Hawaii? It is important to share with you surgeons I meet to provide access to care for those affected by breast cancer. Thank you for listening to the podcast to find out who these surgeons are. We are going to discuss robotic surgery and DIEP flap being performed in Hawaii with my guests on this edition of the . Be sure to watch our conversation on...

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Episode 75: Diastasis Recti and Why to Repair it During DIEP Flap show art Episode 75: Diastasis Recti and Why to Repair it During DIEP Flap

DiepCJourney Podcast

This interview is another resource provided by DiepCFoundation.org specifically providing access to care for those affected by breast cancer. The slide presentation and interview are available on the Foundation educational channel for our listeners and followers who would like to access it at . We are discussing a topic that is often discussed in my community so I reached out to my guest to share her expertise on the repair of diastasis and recognizing what a hernia or bulge might look like after autologous breast reconstruction, specifically DIEP flaps. My guest is who practices with a team...

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More Episodes

Since having DIEP flap, a plastic reconstructive surgery technique performed to rebuild breasts after a mastectomy, I have been fascinated with the field of plastic surgery and topics related specifically to breast reconstruction.

I interview Rob Pupelis, CEO, of Spectros for the first episode of season three of the DiepCJourney podcast. Rob shares the story of his visit to the Queen Victory hospital (QVH) in England. He was able to visit Queen Victoria while attending the London Breast Meeting in late 2022. While at the conference, Rob demonstrated the T-Stat tissue oximetry system developed by Spectros. T-Stat is used to monitor flaps in breast reconstruction and in our conversation, we discuss the efficacy of the T-Stat system and why it improves the surgeon’s success rate of flap procedures like the DIEP flap.

We begin our conversation with the history of the Queen Victory Hospital treating burn victims during WWII. A surgeon from New Zealand, Archibald McIndoe, came to the Queen Victory hospital via a chance meeting with his cousin, Sir Harold Gillies, often considered the father of plastic surgery. Seeing the severe burn injuries sustained by pilots in WWII, McIndoe saw what his cousin, Sir Harold Gillies did using tube pedicles to rebuild the faces of WWI soldiers and expanded on this technique by treating the soldiers at Queen Victoria. He took healthy, unburnt tissue from other sites on the soldiers to reconstruct burnt tissue.

He nurtured this community, and these airmen were considered “guinea pigs” as part of his pioneering work in reconstructive burn surgery. These young airmen treated by Archibald McIndoe became known as the Guinea Pig club. He took them under his care not only during their physical healing but also treating the psychological impact of having disfigurement from these burns. There were over 600 of these airmen. Rob shared some of the photos hanging in the halls of QVH taken during his visit listing the members of The Guinea Pig Club, Archibald McIndoe, and the operating theater.

We go on to discuss modern day techniques used in microsurgery and how Rob became the CEO of Spectros. Flap monitoring is an important question many patients ask about. The T-Stat monitoring system is at the bedside of the patient after DIEP flap breast reconstruction to ensure that the blood flowing into the breast and out of the breast is monitored.

The physician performing the DIEP flap has 24-hour access to real time data provided by the monitoring system via a small sensor placed on the flap to monitor it while the patient is in hospital after surgery. We went on to discuss how T-Stat can be used regardless of the coloration of skin.

I hope this educational podcast discussion will encourage patients to ask about the type of tissue monitoring system their surgeon uses to monitor flaps during their initial consult for breast reconstruction. Many thanks to Rob for educating us about the benefits of the T-Stat system by Spectros.

List of Guinea Pig Club Members at QVH

Archibald McIndoe

Operating Theater at QVH with Archibald McIndoe