>>>
>>> WELCOME BACK. FOR SOME THAT HAVE HAD BREAST
CANCER TREATMENT MAY HAVE BEEN
BEING BREAST TISSUE AND SOME
WANT TO GO FURTHER FOR
RECONSTRUCTIVE SURGERY.
RECONSTRUCTIVE SURGERY. GOOD MORNING, LADIES.
AS A GENERAL SURGEON OFTEN
TIMES WHEN A WOMAN IS DIAGNOSED
WITH BREAST CANCER THE FIRST
THING SHE'S THINKING AS I HAVE
TO SAVE MY LIFE.
AFTER YOU GET THROUGH THE
INITIAL MOMENT YOU SUGGEST AND
THIS IS WHAT WAS GREAT ABOUT
YOU ALL THERE IS YOU HAVE A
TEAM APPROACH OF TAKING A LOOK
AT THE BIG PICTURE ALL THE WAY
THROUGH.
THROUGH.
THROUGH. >> FOR SURE PRODUCTIVELY CAN
SPEAK TO THE DIAGNOSIS.
>> AT THE BEGINNING WITH WOMEN
GETTING THEIR SCREENING WE WANT
TO MAKE SURE WOMEN ARE GETTING
REGULAR CHECK FOR THE REGULAR
MAMMOGRAPHY.
MAMMOGRAPHY. THERE ARE SEVERAL GUIDELINES
OUT THERE BUT THE CONSENSUS IS
STILL THE WOMAN OF AVERAGE RISK
WHICH MEANS YOU DON'T HAVE A
HISTORY OF RADIATION TO YOUR
CHEST, FAMILY HISTORY OR OTHER
THINGS THAT MAKE YOU HIGH RISK
THEY SHOULD START AT AGE 40.
>> WITH THAT SAID IF YOU FEEL
SOMETHING SOFT OR DIFFERENT
COMING.
COMING.
COMING. >> I CAN'T TELL YOU HOW MANY
WOMEN I KNOW WHO HAVE DETECTED
IT BECAUSE IT REALLY DID FIND
OUT WHOMP.
OUT WHOMP. SHE KNEW.
SHE KNEW.
SHE KNEW. >> A SCREENING MAMMOGRAM IS
ONLY PERFORMED ONCE A YEAR.
THAT'S WHY SO BREAST EXAMS ARE
SO IMPORTANT.
SO IMPORTANT. THEY ARE TAUGHT TO WOMEN
BECAUSE THEY CAN DO A SELF
BREAST EXAM EVERY MONTH AT
HOME.
HOME.
HOME. THEY COULD PICK UP THE CANCER
IN BETWEEN THE SCREENING
PERIOD.
PERIOD.
PERIOD. >> THINGS LIKE DISCHARGE OR YOU
FEEL SOMETHING SUPERHARD.
MY FRIEND SAID IT WAS
UNDENIABLE.
UNDENIABLE. IT WAS A REALLY HARD LUMP NOT A
CYST OR ANYTHING.
WHEN IT COMES TO TREATMENT IT'S
NOT ONE-SIZE-FITS-ALL.
NOT ONE-SIZE-FITS-ALL. >> FOR BREAST CANCER TREATMENT
IT IS A TEAM APPROACH.
THERE IS USUALLY THE BREAST
SURGEON, RADIATION, AND PLASTIC
SURGEON.
SURGEON.
SURGEON. WHEN A PATIENT GETS A DIAGNOSIS
WE HAVE THEM SEE EVERYONE ON
THE TEAM.
THE TEAM.
THE TEAM. IN TERMS OF THE SURGERY THERE
ARE TWO OPTIONS.
WE CAN REMOVE THE CANCER WITH
NORMAL TISSUE AROUND IT OR THE
ENTIRE BREAST.
ENTIRE BREAST. >> HOW DO YOU KNOW WHICH IS
BEST?
BEST?
BEST? >>
BEST? >> IT DEPENDS ON SEVERAL
DIFFERENT BACK ERRORS.
THIS STAGE OF THE CANCER
INCLUDING THE SIZE OF THE
TUMOR, LOCATION, AND HAVING A
DISCUSSION WITH THE PATIENT
ABOUT RISKS AND BENEFITS OF
BOTH PROCEDURES.
BOTH PROCEDURES. >> WE ALL HEARD ABOUT ANGELINA
JOLIE JUST TAKE IT ALL.
>> SHE HAD A GENETIC
PREDISPOSITION.
PREDISPOSITION. THAT'S WAY YOU ARE SAYING WHEN
WOMEN ARE DIAGNOSED THE FIRST
CONCERN IS LET ME TAKE CARE OF
THIS CANCER.
THIS CANCER. WE WORK IN A TEAM APPROACH WITH
PLASTIC SURGEONS AND
ONCOLOGISTS IT'S IMPORTANT TO
SEE A PLASTIC OR RECONSTRUCTIVE
SURGEON EARLY IN THE PROCESS.
EVEN IF YOU DON'T THINK YOU'LL
HAVE YOUR RECONSTRUCTION DONE
IMMEDIATELY IT'S IMPORTANT TO
DO IT IMMEDIATELY AND AT THE
TIME OF DIAGNOSIS BECAUSE WHAT
YOU MAY DISCUSS WITH THE
SURGEON MAY CHANGE WHETHER YOU
GET A LUMPECTOMY OR MASTECTOMY.
THAT'S IMPORTANT TO HAVE DONE
BEFORE BECAUSE OF ITS DONE
AFTER YOUR TREATMENT IS ARTIE
DONE AND NOW YOU ONLY HAVE A
FEW OPTIONS.
FEW OPTIONS. >> SOME HAVE THEIR BREAST AND
TISSUE REMOVED AND THEN GO
ABOUT THEIR BUSINESS.
OTHER WOMEN WANT TO GET THE
SYMMETRY BACK.
SYMMETRY BACK. >> THE SYMMETRY IS REALLY
IMPORTANT.
IMPORTANT. IN 1998, IT'S IMPORTANT FOR ALL
WOMEN TO KNOW THIS THERE WAS AN
ACT PASSED.
ACT PASSED. IT SAID ALL WOMEN HAVE THE
RIGHT TO BREAST CANCER
RECONSTRUCTION.
RECONSTRUCTION. EVERYBODY.
EVERYBODY. THE SITE THEY HAVE A CANCER ON
AND ALSO THE OTHER SIDE THAT
WASN'T AFFECTED OR SYMMETRY.
>> YOU COULD DO BREAST IMPLANTS
IF YOU WANT.
>> THERE ARE TWO MAJOR TYPES OF
RECONSTRUCTION AND THIS ALSO IS
REALLY IMPORTANT TO DO THIS
WITH YOUR BREAST SURGEON AND
PATIENT.
PATIENT.
PATIENT. THE ONE TYPE IS THROUGH BREAST
IMPLANT AND THE SECOND TIME IS
USING YOUR OWN TISSUE.
MOST COMMONLY YOUR ABDOMINAL
TISSUE.
TISSUE.
TISSUE. A
TISSUE. A LOT OF WOMEN TALK ABOUT THIS.
MOST WOMEN DIAGNOSED WITH
BREAST CANCER HAVE ALREADY HAD
CHILDREN SO THEY BOND THROUGH
CHILDBEARING THEY HAVE EXCESS
TISSUE IN THEIR ABDOMEN AND
THAT COULD BE UTILIZED TO
RECONSTRUCT THE BREAST.
>> TALK ABOUT WHAT IT'S LIKE TO
BE ABLE TO HAVE A TEAM AND A
PLAN GOING IN.
I WOULD IMAGINE AS A DOCTOR
ALONE YOU ARE TRYING TO CONNECT
SOMEBODY WITH SOMEBODY ELSE AND
YOU HAVE -- FOR THE PATIENT
THEMSELVES TO GO TO SO MANY
DIFFERENT OFFICES AND PEOPLE
THAT AREN'T CONNECTED AT
STRESS.
STRESS.
STRESS. >> WE HAVE A NURSE NAVIGATOR
WHO COORDINATES APPOINTMENTS
FOR PATIENTS TO MAKE SURE THEY
GET SCHEDULED TO SEE EVERYONE
ON THE TEAM. WE ALL COMMUNICATE
VERY WELL WITH EACH OTHER TO
ENSURE THAT PRIOR TO THE SURGERY
WE ARE ON THE SAME PAGE IN
TERMS OF OUR FIRST GOAL GETTING
THE CANCER OUT AND THEN THE
PATIENT HAVING RECONSTRUCTION,
AND THEN WHAT THEY ARE GOING TO
NEED AFTER WEATHER RADIATION OR
CHEMOTHERAPY.
CHEMOTHERAPY. IT'S GREAT FOR THE PATIENT,
IT'S GREAT FOR US, TO MAKE SURE
WE HAVE ALL OF OUR BASES
COVERED AND I REALLY THINK.
>> I COULD HAVE A PATIENT IN MY
OFFICE AND I COULD CALL HER.
I AM A MORAL PLASTIC SURGERY
AND I HAVE A TEAM OF PLASTIC
SURGEONS.
SURGEONS.
SURGEONS. WE WORK ON THE RECONSTRUCTION
TOGETHER.
TOGETHER.
TOGETHER. WE DID A CASE TOGETHER LAST WEEK
.
.
. >>
. >> IT'S
. >> IT'S GREAT FOR THE PATIENT
TO HAVE A TEAM WORKING FOR
THEM.
THEM.
THEM. THANK YOU, VERY MUCH.
FOR MORE INFORMATION ON YOUR
OPTIONS AT MEMORIAL GREATER
HEIGHT 713222 CARE. IT WORKS
OUT TO BE