| The following is the real-life story
of Wendy, a Gap Flap Reconstruction
patient.
I was diagnosed with breast cancer at age thirty-nine in September
of 1996. One of my earliest concerns was the thought of being single,
young, and disfigured. The day after my lumpectomy which had been
performed on an out-patient basis, I found myself in the office
of Dr. Robert J. Allen. I knew that a modified radical mastectomy
and lymph node removal would be performed one week later, because
the cancer had spread beyond the lump. My breasts were small to
begin with, so the lumpectomy had dramatically altered the appearance
of my left breast. It reminded me of the photographs of "natives"
that my cousins and I had discovered in the pages of my great aunts
copies of National Geographic during childhood; however, the sight
of a drooping breast was not a laughing matter at my present age!
I opted to have reconstructive surgery at the same time as the mastectomy.
Breast cancer is a shocking diagnosis to receive, and it meant that
a lot of decisions had to be made quickly on matters about which
I had little first-hand knowledge. While waiting to see Dr. Allen,
I read a brochure that explained the procedures he employed. I immediately
liked the idea that my own tissue would be used in the reconstructive
process. Dr. Allen and his staff were extremely compassionate, as
well as encouraging. I still refer to his office as "the happy
place", because I truly felt that the reconstructive surgery
was a positive step. My entourage at the first appointments included
my parents and sister-in-law. Sandy, the receptionist, welcomed
us with a bowl of assorted candies in brightly colored wrappers
and gave my mother the T.L.C. she needed, as she watched her child
face a life-threatening illness. Clare, who is Dr. Allens
surgical tech nurse, was always present to answer my questions and
offer genuine moral support. By the time I met Dr. Allen, I knew
that I was in the right place. He spent two and a half hours with
my family and me at the initial appointment for which I am forever
grateful. His calm manner eased our numerous apprehensions. I was
and continue to be impressed by his knowledge and ongoing education
in the area of reconstructive breast surgery. It instills tremendous
confidence which is a vital part of a patients successful
recovery.
The best results occur, when reconstruction is performed at the
time of the mastectomy. Also, I knew that I would feel better psychologically,
if I woke up with a breast as opposed to waiting to have plastic
surgery at a later date. It is a long operation, but I would make
the same choice again. The various nurses and doctors who cared
for me during my hospital stay constantly commented on a job well
done which lifted my spirits. Because I did not have enough abdominal
tissue, mine came from my left buttocks (the GAP Flap). The incision
was well above the point at which the upper thigh and buttocks come
together, so I never experienced a lot of pain while sitting. The
other benefit is that I do not see the scar, unless I twist my head
around to view it. I wore my most abbreviated pair of panties to
my appointment with Dr. Allen the day before the surgery; thus,
his careful markings meant that no one sees the "war wounds",
when I wear bathing suits. My other scar is around the nipple which
enables me to sport any neckline without worry. While swimming or
participating in other physical activities, there is no concern
that a prosthesis will suddenly float past me or fly out of clothing!
I have nothing but exultations for Dr. Allen and his staff. On
a weekly consultation with a radiologist during the treatment phase
(my doctor was not in that day due to an emergency) the attending
physician asked me, if my nipple had been saved which I consider
to be the ultimate compliment to Dr. Allens and Clares
expertise with nipple reconstruction and the tattoo. A subsequent
remark by a different doctor was, "Jesus, its amazing
what they can do!"
Perhaps, these comments seem a bit crude to an outsider, but they
make me feel like my body is a work of art as aptly expressed by
Dr. Allen and his staff at our first meeting.
Another service extended by this office which was highly beneficial
was the introduction to another patient who had gone through a similar
experience at about the same age. Initially, I declined Clares
offer, but I am thankful that common sense returned between Friday
and Monday, propelling me to request a mentor. The night before
my surgery, I phoned a young woman who soon alleviated my fears
and who kept in touch with me throughout all phases of my treatments.
We remain friends to this day. The chain continues unbroken, as
I now enthusiastically help patients who are referred to me.
by Wendy K.
03/22/98
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