DiepCJourney Podcast
Two-time breast cancer survivor, Terri Coutee, will share first hand knowledge of her personal Journey through successful breast reconstruction. She chose DIEP flap but will talk about all options for surgery for those affected by breast cancer and facing a mastectomy. She will talk to surgeons, patients, and other health care workers to help the listener navigate their own personal Journey to make their best informed decsion.
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Episode 70: The Gift of Patient Advocate Wisdom
12/11/2024
Episode 70: The Gift of Patient Advocate Wisdom
This episode of the is our final edition in 2024. I share a discussion across continents with two women leaders I admire who engage in patient advocacy and the patient story. is well known for “” a platform where she gathers writers and bloggers sharing their stories across social media platforms. Her journey in patient advocacy began twenty years ago with a diagnosis of breast cancer. Marie poignantly tells us in the interview that, "We find when we are diagnosed with a serious illness, something is missing. We look around and see who can fix this. I discovered the person who could fix it was me." , whose patient experience started with a breast cancer diagnosis, has focused her healthcare advocacy based on her son, Erin’s down syndrome. Like Marie, her healthcare advocacy began about twenty years ago. She is a Senior Partner and Patient Consultant at . I call them both my friends and they grace us with rich information in the realm of storytelling and patient engagement. We take a deep dive and share firsthand experiences, good and bad, about conference attendance, invitations to speak, and how important we feel it is to pass on the wisdom we have learned to the next generation of advocates. We are filled with nostalgic hope of meeting in person some day in Ireland, Marie’s home country, on the Wild Atlantic Way, the western side of Ireland. It was my favorite area when I visited there in the fall of 2023 and was able to meet Marie in person in Dublin. Enjoy the final 2024 episode and I look forward to seeing you on the DiepCJourney podcast in 2025 with more exciting guests and topics!! Connect with Marie across these platforms: LinkedIn: Facebook: Instagram: Connect with Sue across these platforms: LinkedIn: Facebook: Instagram: Books:
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Episode 69: A Decade of Collaboration: Celebrating a Mentor
11/30/2024
Episode 69: A Decade of Collaboration: Celebrating a Mentor
Ten years ago, on December 1, 2014, I was in the trusted hands of a skilled microsurgeon who took tissue from my tummy area along with the skin and blood vessels, and rebuilt what cancer had taken away from me. I lost my breasts to a double mastectomy. For those of us who have been affected by breast cancer, a mastectomy is an amputation. The skilled microsurgeon is my guest on this episode of the . , president of in San Antonio, Texas, reconstructed my breasts using the training, skill, and compassion that makes him who he is as a breast reconstruction surgeon and is one of the finest human beings I know. This podcast is a celebration of our work together over the past ten years and the work we will continue to do for the breast cancer community. This podcast is about mentorship, past, present, and future. Join us as we take a walk down memory lane to hear about his own journey becoming who he is today and those who inspired him to chose microsurgery. If you have been in plastic surgery for any time, many of the names he mentions as his own mentors will be familiar to you. This interview is quiet, thoughtful, and a couple of times catches me off guard emotionally with a mentor and friend. Thank you for listening with us. Connect with Dr. Chrysopoulo on Social Media: Facebook: Instagram and Threads: Twitter/X: LinkedIn:
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Episode 68: Pathways to Care Due to Secondary Issues from Breast Cancer Treatment
11/14/2024
Episode 68: Pathways to Care Due to Secondary Issues from Breast Cancer Treatment
Solutions often begin with a conversation. When faced with the task of planning your surgery, it is the goal of the to provide for those affected by breast cancer. My guest is , an international expert in advanced reconstruction and a highly skilled microsurgeon. Dr. Elkwood is the founder of The Plastic Surgery Center and in New Jersey. You can also visit or call 954-218-5137 to schedule a consultation with a surgeon on these advanced and specialty conditions. The surgeons in the IFAR network perform breast reconstruction surgery due to loss of breast after mastectomy from breast cancer. They also perform the following surgery addressing conditions that arise due , many of which are nerve related. · · · · Watch the interview on YouTube: Follow IFAR on Social Media:
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Episode 67: The Role of Social Media in the Breast Cancer Community
10/24/2024
Episode 67: The Role of Social Media in the Breast Cancer Community
What is it about social media that draws the breast cancer community together? We are going to explore this question with my guest, , consultant breast cancer surgeon and medical educator on social media under the name, @DrTashaG. We will look at the benefits, downfalls, information, and disinformation provided by various social media platforms on this episode of the . How can you find the right community that supports both your emotional and educational needs when each person is unique and there are distinct types of breast cancer? Why is it important for physicians to interact and be active on social media? Is it necessary for them to be on social media? I have the distinct honor of being listed as an author on a published paper with her that we will discuss in our conversation. The paper is open access and is entitled, I acknowledge our fellow colleagues and authors on the paper: · , author, and patient advocate · , dual-trained breast cancer and plastic surgeon. · of the UK, consultant oncoplastic breast surgeon and host of the series. Patients who are newly diagnosed with breast cancer often absorb a small percentage of the information they are flooded with at their first consultation. Dr. Tasha tells us how she gently navigates patients through this journey by providing resources to explore while at home and making decisions about next steps. Dr. Tasha tells us social media can provide a complementary resource for patients to feel connected to a like-minded community to share similar experiences. But there can be limitations and challenges finding the right community. We focus on exploring communities that provide evidence-based information, so patients get the right information and tamp down the misinformation that is found on social media. Where is the future of information for the breast cancer community? We explore the value and impact of AI and how we feel it is our responsibility as curators of content to guide the breast cancer community in the use and value of AI in finding information. Dr. Tasha social media accounts:
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Episode 66: Wildfire Community: The Power of Story Telling in Breast Cancer
09/25/2024
Episode 66: Wildfire Community: The Power of Story Telling in Breast Cancer
In this episode of the I interview . She is the founder and Editor-in-Chief of . April has an extensive background in writing and landed her first memoir-based magazine cover story at 16. She worked for her college newspaper and then the local newspaper in Santa Cruz, The Sentinel, following graduation. During the tech boom of the early 2000s April worked “over the hill” from Santa Cruz in Silicon Valley. However, in 2012, in the midst of this career, April was diagnosed with Stage 3 breast cancer at age 35. Four years later, while struggling to “go back to normal” and find others in similar circumstances, April launched WILDFIRE Magazine & Writing Community as a way for younger people to tell and read breast cancer stories. Since 2016, April has guided hundreds of writers through the Wildfire writing workshops and published more than forty-five issues of Wildfire Magazine. April shares the passion behind the magazine and her work with the young breast cancer community inspiring them to share their stories. She hosts her own podcast where she interviews writers in the Wildfire community. Connect with April and the Wildfire Community: Facebook: Instagram & Threads: Twitter: Email: [email protected]
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Episode 65: Breast Reconstruction at Tucson Plastic Surgery
09/12/2024
Episode 65: Breast Reconstruction at Tucson Plastic Surgery
Are you aware of the value of the two-surgeon model in reconstructive microsurgery? Have you heard about the benefits to patients of ERAS (Enhanced Recovery after Surgery) protocol? I spoke with two board-certified plastic reconstructive surgeons who practice at to answer these questions and others on this episode of the . My guests are and . They met at the , a well-known yearly gathering of microsurgical specialists from around the world who present the latest techniques in flap surgeries. Their combined training in breast reconstruction microsurgery and aesthetic plastic surgery offers their patients affected by breast cancer skilled and compassionate care. We shared personal stories, our combined interested in the shared decision-making model in breast reconstruction, and how surgeons and patient advocates can work together to educate patients on all options and aspects of the breast reconstruction decision making process. Dr. Kurtovic gives us her personal approach to caring for patients before and after surgery in a holistic manner to enhance emotional and physical recovery from DIEP flap surgery. This dynamic team in Tucson, Arizona, who started as surgical colleagues at Duke University, share their personal story from the start to their present-day life. Not only are they changing the lives of breast cancer patients in their region, but you will hear about the beautiful family life they have created in this desert landscape I called home at the time of my second diagnosis. Although they were not in Tucson at the time of my second diagnosis, I am happy for those patients who are there now for this access to care with Dr Kurtovic and Dr. Mahabir. Be sure to watch our interview on the Connect with Dr. Mahabir and Dr. Kurtovic: Facebook: Instagram: LinkedIn: Dr. Kurtovic: Dr. Mahabir:
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Episode 64: Microsurgery and Fat Grafting in Breast Reconstruction
08/28/2024
Episode 64: Microsurgery and Fat Grafting in Breast Reconstruction
When you think about breast reconstruction do you only think about breast implants? If so, it is because many people are still choosing this option for reconstructing their breast after mastectomy. However, there are options. Using your own tissue is an option and the tissue, along with a blood source, can come from various parts of the body. Fat grafting to shape and form the breast is also an option many ask about but not all know about. This is our topic on this episode of the . My guest, , is a board-certified plastic and reconstructive surgeon practicing in Hopewell, New Jersey at the . He is part of the network of surgeons across the U.S. Dr. Wimmers has unique training in microsurgery and immunology. Although he operates on the entire body, his special interests are breast reconstruction, abdominal wall reconstruction, and peripheral nerve repair. His pathway to his current practice as a microsurgeon developed over time. Dr. Wimmers shares his personal journey with us from beginning as an emergency room physician to a surgeon. Once he had exposure to the scope of plastic surgery, restoring form and function to the human body affected by trauma and disease he never looked back. Dr. Wimmers shares the value of his surgical practice being part of the IFAR network. He points out that they are grouping up with other like-minded microsurgeons across the U.S. to tackle problems and issues patients face when they have been told there is no hope or fix. Combined resources and talent within the are providing greater access to care for patients. We continue our discussion with an explanation of the types of breast reconstruction available. Dr. Wimmers utilizes the tummy tissue most often to perform DIEP flap breast reconstruction. However, he points out not all patients have the excess tissue in their own body in the right places to do autologous reconstruction, meaning using the patients own tissue. He does get inquiries about fat grafting only. Patients are interested in it for a variety of reasons. It might be that they have already had a tummy tuck. It may be that their fat distribution is in other places other than the abdomen. Most of his patients requesting fat grafting only tend to be on the smaller side and prefer a smaller size breast. He explains the fat grafting only procedure in detail in our interview. Dr. Wimmers tells us fat grafting only is a series of procedures done over time. Fat grafting is a very technique driven procedure. Be sure to watch our interview on the Connect with Dr. Eric Wimmers: Facebook: Connect with The Institute for Advanced Reconstruction: Facebook: Instagram: X/Twitter:
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Episode 63: Sensation and Sensibility in Breast Reconstruction
08/14/2024
Episode 63: Sensation and Sensibility in Breast Reconstruction
Breast sensation, “sensibility,” is a topic I personally cannot talk enough about. Breast cancer patients want to be protected from burns. They want to feel the hugs from their children, grandchildren, partners, friends, and family. Sensibility refers to awareness, emotional response, and feeling so it makes perfect sense to use this word in our conversation on this episode of the . To be honest, the feeling of numbness that many feel after a mastectomy just feels odd. I speak from experience, and I listen to other survivors who tell me this. It felt odd for me, but I was fortunate to have at the time of my DIEP flap and now have sensate breasts, thankfully. I feel that my breasts are part of my body. I feel so fortunate today to be speaking to a world leader in breast sensation/sensibility. You will learn so much from her in our discussion. I first met her at the in September of 2023. This is one of the leading breast meetings in the world. Her talk absolutely mesmerized me. I saw her again in January of this year, 2024, at the microsurgery meeting and we said, this podcast needs to happen. She is approachable, warm, and accessible. performs complex microsurgical breast reconstruction at the in the Netherlands. Dr. Tuinder has published multiple papers on this topic. I was inspired by a mutual friend, , who mentioned Dr. Tuinder and her work with sensibility and neurotized breasts on his podcast, . Sensation and sensibility are something women talk about and deal with after autologous breast reconstruction. I’m fascinated with neuroplasticity and how are brains can adjust to these new sensations. Links to papers published by Dr. Tuinder: Connect with Dr. Tuinder: Email: LinkedIn: Instagram:
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Episode 62: Flap Neurotization in Autologous Breast Reconstruction - A Systematic Review
08/01/2024
Episode 62: Flap Neurotization in Autologous Breast Reconstruction - A Systematic Review
This edition of the highlights a recently published paper in , an International Journal of Surgical Reconstruction. The title of the paper is: To our listeners, who may be patients, surgeons, or medical professionals we are going to explore the elements and details of this research paper and how it can be of benefit to you. I am pleased to have two returning guests who have collaborated across continents from Australia to the U.S. sharing their combined microsurgical skills to improve patient outcomes in sensate breasts. is an author of the paper and an internationally trained microsurgeon who practices in Sydney, Australia. He works alongside oncologists to perform innovative treatments for breast reconstruction, which includes DIEP flap. He is a , a fellow of the , Australian Society of Plastic Surgeons, Faculty of Medicine at University of Sydney, and affiliated with the . My second guest, , is the current president of PRMA, Plastic Reconstructive Microsurgical Associates, in San Antonio, Texas. Dr. C is a board-certified plastic surgeon, breast reconstruction surgeon and microsurgeon who like Dr. Joe, performs autologous based breast reconstruction. Raised and educated in London, England he has earned and received many academic achievements throughout his career. He continued his microsurgical training after moving to the U.S. and has authored and co-authored several book chapters and scientific articles in peer-reviewed journals. He is the developer of the award-winning free app that provides anyone with breast cancer a much-needed voice in their breast cancer surgery decision making. Connect with Dr. Joe Dusseldorp: LinkedIn: Instagram: Facebook: X: Links to find the work of Dr. Minas Chrysopoulo: LinkedIn: Instagram: Facebook: X:
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Episode 61: Microsurgery, Lymphedema, Neurotized Breasts, and Robotics
07/17/2024
Episode 61: Microsurgery, Lymphedema, Neurotized Breasts, and Robotics
In this episode of the I am joined by another podcaster. What I am most excited about is that he is one of our international guests this year. We have known each other for some time. Not trying to age either one of us but I have enjoyed knowing him, having robust conversations, and learning so much about the world of plastic surgery and microsurgery from him. We will talk about these topics in the podcast in a cross-continental discussion with my guest . Notice I said, “Mister.” That is because he is a well-respected microsurgeon in the UK and rather than Dr. as we refer to physicians in the U.S. they are bestowed the honor and title “Mr..” Mr. Gokani is a consultant plastic reconstructive surgeon at with expertise in: · Lymphoedema surgery · Skin cancer surgery · reconstructive surgery following breast cancer and other types of cancer. · body contouring following weight loss. · abdominal wall reconstruction and… · aesthetic surgery of the breast, body, and face. We are going to find out in this interview how he became interested in plastic surgery, and we will discuss some of my preferred topics to talk about: · Diep Flap · Lymphedema treatment service and surgery · Neurotized breast… restoring sensation to the breast. · And robotics surgery… where are we and what does the future look like in robotics. Please be sure to go to Spotify and check out his podcast: where he interviews notable colleagues in his field. Mr. Gokani Social Media Links: LinkedIn: Instagram:
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Episode 60: Credibility in the Noise - Social Media, Breast Reconstruction, and Your Experience
07/03/2024
Episode 60: Credibility in the Noise - Social Media, Breast Reconstruction, and Your Experience
Consider a young person who has been newly diagnosed with breast cancer. Add to the mix they are facing a mastectomy and exploring options for breast reconstruction. Let’s say they are someone who has grown up in the world of social media. The question arises, where do they connect and get their credible information? Breast reconstruction is a complex decisional process. Do they use a platform like TikTok based in thirty second increments or a more community-based platform like Meta/Facebook where patients can engage in more of a discussion about what they are facing after a horrible diagnosis? What are other platforms being utilized? It is our topic of discussion on this episode of the with my guest, , a board-certified microsurgeon who sees this population of women in his practice each day. He collaborates with a team of microsurgical specialists at in San Antonio, Texas. Their primary practice focuses on those affected by breast cancer, are facing mastectomy, and are exploring options for breast reconstruction. PRMA practices the co-surgeon model where each patient has two skilled microsurgeons in the OR for their autologous breast reconstruction surgery. We ask our listeners to share the platform they use to find credible information on social media when newly diagnosed and considering breast reconstruction. Please share your comments after listening to the podcast. We do not feel that one platform or channel is more important than another. It is our aim to share our thoughts, but we want to hear from you. We honor your choice in social media selection. Another way of sharing your thoughts with us is by reaching out on either one of our social media accounts. Dr. Gassman Social Media Accounts: Facebook: n Instagram: Terri Coutee Social Media for DiepCFoundation: Facebook: Instagram: Twitter/X: LinkedIn:
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Episode 59: A Breast Cancer Patient Intent on Finding Access to a DIEP Flap Surgeon
06/19/2024
Episode 59: A Breast Cancer Patient Intent on Finding Access to a DIEP Flap Surgeon
Access to medical care for those affected by breast cancer is crucial, and often life transformative. This personal story will give emphasis to the voice of an advocate, a woman of strength, and determined to find the best care available for her during her personal journey from diagnosis to recovery from reconstructive surgery. My guest on this episode of the is Dana Brown, a 54-year-old wife, mother, and educator. She has been married to her best friend and soulmate for 35 years. She was intent on finding a well-qualified microsurgeon to perform her DIEP flap breast reconstruction after enduring multiple surgeries, chemotherapy, and radiation. It turned out to be a formidable task but one she tackled head on. After researching other practices around the country, she was able to find one in her state. She found to perform her breast reconstruction. Dana's voice waivers when she tells us the words Dr. Kania spoke to her at their initial consult, "I can fix that." Together, they wrote appeals to state insurance to obtain the best possible care for Donna. She is now in recovery from her successful DIEP flap with Dr. Kania. The lesson to be learned is one of perseverance and stopping at nothing until one finds the best surgeon to perform what is for many a life-changing surgery after loss of breasts due to breast cancer. Dana’s story is not unique. There are many who must fight to gain access to care. It can be emotionally and physically exhausting but with Dana’s determination and the combined efforts and support of her family and surgeon, she made it happen. The listener will draw many lessons and tips from my guest. It was a touching interview and I value the honest account of Dana’s experience helping others. Dana’s social media account: Instagram: Dr. Kasia Kania’s social media accounts and information: Instagram: Instagram: LinkedIn: Facebook:
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Special Episode 58: Fathers, Mentors, and Microsurgery
06/10/2024
Special Episode 58: Fathers, Mentors, and Microsurgery
This is a special episode of the DiepCJourney podcast. It is one of the most touching interviews I have done to date. Originally recorded during the pandemic as a , I searched through my audio archives hoping I might find it to repurpose the interview. Thankfully, you can now listen to the interview as a podcast. I added a special tribute at the beginning of the podcast to honor my own Father and share the intrinsic value and meaning of the necklace I wear. Next, I honor the mentor, , who changed the trajectory of my work in 2016 encouraging me to open . The interview is a tribute to his own dad, the inspiration and story of why he chose microsurgery as his profession. Dr. C weaves in the history of microsurgery, riveted by the stories of soldiers during WWI and WWII that he watched on the “telly” with his dad during his childhood. You must listen to his account of Howard Gillies, the pioneering surgeon who treated facial injuries and pioneered the use of skin flaps in plastic surgery. The pauses in his voice, the reflection in his words, parallel the ethos of my dad. These conversations in life are important to reflect upon and what brought us to choose our purpose in life. Mentors are leaders. They guide us, teach us, and counsel us. This quote from Steven Spielberg summarizes it beautifully. Thank you for being that mentor in my life Dr. C, and I feel it reflects the feeling we both have for our dads and one I am certain your children feel about you. "The delicate balance of mentoring someone is not creating them in your own image but giving them the opportunity to create themselves." ~ Steven Spielberg More on the history of microsurgery: Dr. Chrysopoulo social media accounts: Instagram: Facebook: LinkedIn: Twitter: Dr. C’s FREE breast cancer health app:
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Episode 57: Proximie, Augmented Reality in Surgical Education
06/05/2024
Episode 57: Proximie, Augmented Reality in Surgical Education
Imagine a world where a specialist surgeon on one continent could be virtually transported into any operating room of another surgeon specialist, anywhere in the world, to collaborate with one another visually and practically. That is now a reality with the system, an augmented reality telehealth platform and innovation in education and global surgery. if the Founder of Proximie. She shares the story of her childhood and the events that made a lasting imprint on her memory growing up in Lebanon. She learned a lot about community, people coming together and sharing and supporting each other. Seeing the resulting injuries of war and the effects it had on friends who experienced injuries led her to understand the importance and role of doctors. Her family had a profound influence on her trajectory into medicine, innovation and narrowing the gap in access to care. This became of great interest to Nadine as her own career in plastic surgery progressed. We discuss the collection of knowledge in the library database of the Proximie system and the ongoing value it has in surgical education and learning. I mention to Nadine the honor I had speaking to and about their experience during a DIEP flap procedure. It was seamless connectivity for these two surgeons and delightful to share their experience using Proximie across continents. At the heart of this it is patients for access and quality of care. Nadine has accomplished this by reimagining the future of healthcare through the Proximie system. Our thoughts conclude the podcast sharing the importance of leaving a legacy of your work and what inspired me to invite Nadine to be interviewed on the . I am grateful! Learn more about Nadine’s work and the topics I reference in the podcast: Nadine’s Ted Talk: LinkedIn: Instagram: Instagram: with and
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Episode 56: Cancer: Nutrition and Managing Food Anxiety
05/22/2024
Episode 56: Cancer: Nutrition and Managing Food Anxiety
Are you feeling anxious or confused about what to eat if you have had or currently have breast cancer? My returning guest on this episode of the is Cathy Leman. She is a dietician, nutrition therapist, and a certified personal trainer, who herself has had hormone positive breast cancer. Cathy developed the , a nutrition education and coaching program. She shares her personal experience being diagnosed with breast cancer. We are discussing how to mange the anxiety that can plague many who have had breast cancer and what to put in our bodies in the form of food to optimize our health. We will chat about the food choices we can make to maintain a healthy lifestyle just as exercise choices are made to maintain our health. Cathy dives into reasons for emotional eating, weight gain from breast cancer treatment, questions around soy consumption, how much protein we should consider consuming and what healthy protein options there are. She shares portion control amounts, and we discuss how much fiber we should consider consuming per day. Cathy and I discuss realistic expectations regarding exercise for those in treatment and post treatment in survivorship. Movement in all forms is the key adjusted accordingly to your current health status. We hope this episode will encourage and inspire you to enjoy what you eat before, during, and after breast cancer! Podcast Episode with Cathy: Cathy Leman Social Media Accounts: Instagram: Facebook: LinkedIn:
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Episode 55: Breast Reconstruction Surgery in New Orleans at CRBS
05/08/2024
Episode 55: Breast Reconstruction Surgery in New Orleans at CRBS
Have you searched endlessly for days and weeks for a microsurgeon to perform breast reconstruction? Access to care is a real concern for patients who are affected by breast cancer. Finding a plastic surgeon who specializes in tissue reconstruction in the area you live in is not always a service afforded to all patients. Traveling for breast reconstruction is not out of the ordinary. It was something I did myself for my DIEP flap. I want to bring awareness to microsurgical services in various geographic areas and interview surgeons to help patients who are looking for a reconstructive surgeon. I am introducing a new surgeon to our listeners. I hope this helps streamline the time you are taking during an already challenging time in your life. is a double board-certified microsurgeon in plastic and reconstructive surgery and general surgery. She specializes in the most advanced methods of breast reconstruction, complex reconstruction, and microsurgery. Dr. Zafar joined the Center for Restorative Breast Surgery and the St. Charles Surgical Hospital in 2021. She practices in the state of Louisianna but takes patients from across the U.S. and the world. Dr. Zafar shares why she chose the field of plastic and reconstructive breast surgery. She tells us the services provided at CRBS highlighting the value of the co-surgeon model in breast reconstruction surgery. Dr. Zafar shares the pathways to find her services both at CRBS and ), part of the ) network of surgeons. Her compassionate comment at the end of the podcast will benefit patients listening. “If patients have any questions, never hesitate. That would be my number one message. Always ask. Always ask us for clarification. It can be a very confusing, intimidating process, but that’s what we’re here for to help figure everything out and help you get the best outcome that we can.” Links to find Dr. Sarosh Zafar: (CBRS) (IFAR) (IFAR) Patient Portal to Schedule an appointment: tel: Social Media Links for Dr. Sarosh Zafar: Facebook: Instagram:
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Episode 54: Lymphedema Treatment and Surgery from London
04/24/2024
Episode 54: Lymphedema Treatment and Surgery from London
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 Consultant Plastic & Reconstructive Surgeon at . She specializes in Breast cancer reconstruction, Head and Neck cancer reconstruction and lymphedema surgery. Ms. Mughal shares a personal story and why she made the decision to choose plastic reconstructive surgery as her profession. She describes the type of lymphedema she treats, the type related to cancer. We discuss the causes, treatment, and surgical options for a condition that is not curable but treatable. One of the most important points in our discussion is early treatment and what symptoms to watch for. The sooner lymphedema is treated, the better the management of the conditions related to lymphedema. Lymphedema can affect a person's quality of life and ability to perform daily tasks and work. Links to Important Resources and Ms. Mughal’s LinkedIn Account. : A Research and Support Charity in the UK
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Episode 53: The Value of the Co-Surgeon Model In Breast Reconstruction and Insurance Coverage Concerns
04/10/2024
Episode 53: The Value of the Co-Surgeon Model In Breast Reconstruction and Insurance Coverage Concerns
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 before, but he has gained a great deal of respect in the global community of microvascular breast reconstruction. I honor our listeners by introducing a friend, a patient-advocate champion, and someone I know will help me feel more comfortable tackling the subject matter and discussion of the podcast. is the current president of in San Antonio Texas. He knows a thing of two about microvascular breast reconstruction having performed over twelve thousand various breast reconstruction flap procedures with his at his practice. He is the Founder and Developer of the award-winning , a free breast cancer healthcare app providing the user with all your surgical options, a plethora of evidence-based resources, and a customizable and adaptable patient experience through the wizard, along with a community feature of like-minded users to share information with. I have chosen this topic not to appear to be controversial. It is a topic that can stir emotions, and I have seen it presented in what I can only describe as a dramatic way. That will not be the type of presentation on this podcast today. I am discussing this topic now because of a heightened sense of concern regarding insurance coverage using the two-surgeon model, sometimes referred to as co-surgeon model in DIEP flap and microvascular breast reconstruction. Studies on the Co-Surgeon Model: 1. 2. Links to other topics we discuss in the podcast: DiepCFoundation Video: S-code issue of 2023: ERAS Protocol: Dr. Chrysopoulo Social Media Accounts: Instagram: Facebook: LinkedIn: Twitter:
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Episode 52: A Patient Story: Transitioning from Implants to DIEP Flap
03/27/2024
Episode 52: A Patient Story: Transitioning from Implants to DIEP Flap
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 time around. Margaret Tueller Proffitt has a delightful Instagram account and describes herself as a lover of books, learning and travel. She is a Mom to four, wife to one, and friend to all. I am honored to have my friend Margaret on the podcast. On a recent trip to San Antonio to do advocacy work for DiepCFoundation, I visited where I had my own reconstruction. I received a text from Margaret mentioning her desire to transition from implants to DIEP flap. More importantly, she told me she was considering PRMA and wanted to know who I would recommend. Knowing Margaret as I do, I gently guided her to contact . In the weeks following that text, I watched and waited until her surgery date, answering more questions, and guiding her through a very familiar experience to me, traveling for DIEP flap. There are so many similarities to our story. We had the same breast surgeon perform our mastectomy in Tucson where both of us lived at the time and Margaret still does. The similarities grew when I found out who would be the co-surgeon with Dr. Whipple the day of Margaret’s DIEP flap. , the surgeon who performed my DIEP flap, would be working alongside Dr. Whipple that day. PRMA uses the two-surgeon model for all their patients that have autologous breast reconstruction. I am delighted to share Margaret’s story with the listeners. She discusses preparations, traveling to and from her surgery, her support, and caregivers, where she stayed, recovery, and what she is looking for to for phase two surgery. Learn more about resources mentioned and topics related to the podcast: First video with Margaret: . Second video with Margaret: . Connect with those mentioned in the Podcast:
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Episode 51: The Many Facets of Microsurgery
03/13/2024
Episode 51: The Many Facets of Microsurgery
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 conference himself, . He is the current president of in San Antonio, Texas who works with a that perform primarily tissue-based breast reconstruction for those affected by breast cancer. He is a welcome returning guest to the . In addition to his microsurgical prowess, he is . Dr. Chrysopoulo founded and is the creator of Toliman’s flagship award winning app, , the first shared decision-making app for breast cancer surgery and breast reconstruction. He begins by highlighting the diversity of global skill represented at the conference sharing the moving moment when the “Best Case/Best Save” presentations were made. This is the most attended session at the meeting. It is a packed room. This year’s winner was an especially inspiring case of a young Ukrainian woman whose lower face was reconstructed due to a horrific shrapnel injury and repaired by Dr. Adam Maciejewski of Poland. We touch on the keynote address from CEO and Founder of the Proximie Surgical Learning Platform System, Nadine Hachach-Haram. Dr. C points out the mission of the Proximie system is to expand surgical education and improve patient access to surgical expertise. We revisit other topics like breast sensation, shared decision-making, and patient advocacy. Links to these topics can be found below. Dr. C congratulates the ASRM team for putting together another impressive conference from global leaders in microsurgery. We are happy to share our experience. Learn more about resources mentioned and topics related to the Podcast: Connect with those mentioned in the Podcast:
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Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients
03/01/2024
Episode 51: Lymphedema Treatment and Surgery for Breast Cancer Patients
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 begins by explaining this and what can happen during breast surgery of any kind. He describes how the pumping mechanism that is the lymphatic system is compromised with patients who present with lymphedema. Anything that damages or interrupts the lymph circulation can cause lymphedema as in axillary dissection and breast cancer surgery. Radiation adversely affects the muscle of the lymphatic system and can also cause lymphedema. Dr. Fries tells us some of the symptoms at the beginning are heaviness and swelling from the accumulation of fluid. This is the time to start intervening with treatments to prevent progression. Lymphedema is incurable and progressive. He shares with us that compression, massage, and pumps are affective in managing the progression of lymphedema and the burden of fluid that can accumulate. He points out the importance of patients taking a holistic approach to the management of lymphedema including maintaining a healthy weight. there is a real correlation between obesity and severity of lymphedema. We continue our discussion with surgical options both in the office and in the surgical theater. Dr. Fries and I touch on issues with insurance coverage, and he proudly shares that one of his own patients was an advocate working for insurance coverage for the treatment of lymphedema. Links we discussed in the podcast: PRMA lymphedema measurement chart: YouTube video of the Podcast with Dr. Fries: Dr. Fries Social Media Accounts: Instagram: Facebook: LinkedIn: Twitter (X):
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Episode 50: A Young Nurse and Her DIEP Flap Story
02/14/2024
Episode 50: A Young Nurse and Her DIEP Flap Story
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 age 33. Lacey has over 10 years of bedside experience as a nurse from working in a cardiac ICU where she cared for countless ECMO patients to her current role as an outpatient surgery recovery RN. She is a young mom to 3- and 2-year-old girls. She has spent this past year navigating her cancer treatments while chasing toddlers. Lacey was familiar with the science behind the In her work as an ECMO nurse she understands the parralels and how the oxygenation and blood flow that the T-Stat monitor used to monitor her flaps. Links to other topics we discuss in the podcast: with
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Episode 49: Fat Necrosis: What to Know and Look for in Breast Reconstruction
01/31/2024
Episode 49: Fat Necrosis: What to Know and Look for in Breast Reconstruction
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 education and counseling is imperative to minimize fears about fat grafting. Dr. Williams discusses how a skilled surgeon minimizes the occurrence of fat necrosis for both implant-based and autologous breast reconstruction. She describes how fat is utilized to achieve symmetry but also signs and symptoms of fat necrosis and what can be done for patients who develop this after a fat grafting procedure. Recent study from France: Article from the Cleveland Clinic: Social Media Links for Dr. Emily A. Williamson: Facebook: Instagram:
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Episode 48: NAPBC Standards in Exercise Oncology
01/19/2024
Episode 48: NAPBC Standards in Exercise Oncology
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 Chief Medical Officer, . They discuss the origins of Maple Tree and how it has grown internationally to provide free exercise training to thousands of cancer survivors. Their program is based on science and evidence with more than seventy peer reviewed manuscripts on the topic of exercise and cancer recovery. Leading organizations across the world are supporting these efforts. We discuss the following organizations in our conversation: You can reach out to Dr. Wonders an Dr. Harness on LinkedIn here:
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Episode 47: BIA/ALCL Symptoms, Diagnosis, and Treatment
01/03/2024
Episode 47: BIA/ALCL Symptoms, Diagnosis, and Treatment
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 for breast implant associated anaplastic large cell lymphoma. It is an uncommon form of ALCL. I am speaking to . After receiving his Medical Doctorate from Pennsylvania State College of Medicine, Dr. Clemens completed his Plastic Surgery residency at Georgetown University. In 2010, he came to the in Houston, Texas where he completed a fellowship in Microvascular Reconstructive Surgery. Dr. Clemens is an active researcher whose interests include BIA-ALCL, long term implant outcomes, robotic-assisted, microvascular, and reconstructive surgery of the breast. He is the author of the book, . I am honored to list this book on the tab under Books. Links to Dr. Clemens social media links can be found here: LinkedIn: Facebook: Instagram: Twitter:
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Episode 46: DIEP Flap and the London Breast Meeting
12/20/2023
Episode 46: DIEP Flap and the London Breast Meeting
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 at , part of the NHS Foundation Trust in London. Marlene’s specialists interests are breasts and microsurgical breast reconstruction. She trained in London at East Grinstead before embarking on her plastic surgery training. She completed her training in microsurgery at Guys and St. Thomas Hospital. Marlene is a published author on the topic of breast reconstruction, facial analysis, and lower limb reconstruction. Marlene shares with us the history of when DIEP flaps were introduced in microsurgery. She outlines the reason it is often called the “gold standard” in breast reconstruction, and what area of the body microsurgeons use to reconstruct the breast for those affected by breast cancer. Who is a candidate for DIEP flap and what concerns do patients have about recovery for this surgery? She shares with us the importance of using ERAS protocol to enhance recovery. We then switch topics and discuss the origins of the London Breast Meeting. Marlene and I glimpse into the celebration of the tenth anniversary of the conference and what the focus will be. It all began ten years ago with an invitation from colleague and friend Jian Farhadi while she was completing her microsurgical fellowship. Jian wanted to begin a conference on breast cancer treatment, breast surgery, breast reconstruction, and aesthetic breast surgery. It has evolved into one of the premier breast meetings to attend and be part throughout the world. With that, I invite you to listen to the podcast as Marlene shares the goals and theme of the London Breast Meeting 2024. You can find Marlene See and her colleague Jian Farhadi on Social Media accounts here: Marlene See: Instagram: LinkedIn: Jian Farhadi: Instagram: LinkedIn:
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Episode 45: A Wife and Husband's Journey Through Breast Cancer
12/07/2023
Episode 45: A Wife and Husband's Journey Through Breast Cancer
In this episode of the I speak to Nikki and Sean, a married couple who share the poignant story of going through Nikki’s discovery of a genetic mutation and facing the shocking news of breast cancer. It is who we meet through our own breast cancer Journey that has a profound impact on a person’s personal life. Nikki and Sean are two of those people in my life. We experience a range of emotions together throughout the podcast because we have known each other for some time. This story needs to be shared in as much as it was difficult at times for us all. Nikki and Sean give us an honest, raw, touching account of not only learning she had a genetic mutation putting her at high risk of getting breast cancer but also finding out after prophylactic DIEP flap breast reconstruction she found her own breast cancer. What is it like as a couple to hear the news, share it with two young sons, find the humor in life while facing breast cancer, and how they pulled each other through it all. They talk about surgery, chemotherapy, radiation, and recovery and survivorship. There are valuable resources we wish to share with you that we spoke about in the podcast. You can gain access to all of them in the following links.
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Episode 44: Fingertip Smears Breakthrough in Breast Cancer Detection
11/22/2023
Episode 44: Fingertip Smears Breakthrough in Breast Cancer Detection
Mammograms are known to be the most common form of breast imaging to screen for breast cancer. This form of breast imaging is known to some to be uncomfortable and for some women culturally unacceptable. So, this interview sparked great interest in the work my guest is doing. , Professor of Forensic and Bioanalytical Mass Spectrometry at is my guest. Her work and interest in forensic science lead her to a serendipitous discovery published in a paper she authored with others entitled, “. Professor Francese and I met at the this year where she opened the conference with her presentation on this topic. I was keen to follow up on an interview with her. This interview along with slides she shares on the study can be viewed on the . Research requires funding. As one who has had numerous mammograms, I am taking it upon myself to share information to reach out to Professor Francese for anyone interested in contacting her to bring financing to this project. It is a favor I am happy to do for her and to the breast cancer community I serve. Simona Francese Biomolecular Sciences Research Centre, Sheffield Hallam University Howard Street S1 1WB, Sheffield, UK Email: [email protected] Tel: 0044 114 2256165 You can find links to her social media accounts here: Instagram: LinkedIn:
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Episode 43: The Drain-Free DIEP Flap Concept
11/08/2023
Episode 43: The Drain-Free DIEP Flap Concept
DIEP flap breast reconstruction most often requires surgical drains for post operative care. Patients often mention to me they are awkward, can become infected at the suture site where they are attached to the skin, and are cumbersome to hide under clothing after surgery when going out in public. My guest on this episode of the has been in communication with me over the past year in anticipation of his recently published paper, . , is a Consultant Plastic and Reconstructive surgeon with the NHS and private practice at . He graduated with distinctions from University College London Medical School in 2003 and completed his general surgical and higher plastic surgery training in London. Mr. Nanidis was awarded specialist fellowships at the Royal Marden and Queen Victoria Hospitals, where he spent two years specializing in microsurgery with a focus on breast reconstruction. He has a special interest in surgical innovation and was awarded The Life Sciences Entrepreneur of the Year Award from Cambridge University in 2013. His research interests include meta-analytical outcomes research, volumetric analysis of flaps and patient enhanced recovery pathways. He has published and presented his work nationally and internationally. We reference a paper by , . This was the impetus for further work and the recently published paper by Mr. Nanidis. You can find his work on the following social media channels: LinkedIn: Twitter: Instagram: Facebook:
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Episode 42: Clips, Mesh, and Sutures in Breast Reconstruction
10/18/2023
Episode 42: Clips, Mesh, and Sutures in Breast Reconstruction
from in Charleston, South Carolina, discusses the use of clips, mesh, and sutures used in breast reconstruction surgery on this episode of the . Many patients ask about these tools and devices. The information Dr. Craigies provides helps the listener understand their use and function in procedures like . This podcast cast is a remake of the . We want to present platforms to watch and listen for patients as they reserach options for surgery after mastectomy. Our aim is to provide this information so the listener can takes notes, pause, rewind and replay the episode to prepare questions in order to have a shared decision-making conversation at their surgical consult for breast reconstruction for those affected by breast cancer and facing mastectomy. You can reach out to their office on the account of their COO (chief operating officer):
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