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>>> HELLO AND WELCOME TO 12 TO
YOUR HEALTH.
COMING UP IN TODAY'S SHOW, WE'LL
TALK ABOUT FERTILITY ISSUES.
BUT FIRST ANOTHER ISSUE THAT
AFFECTS MANY WOMEN AND THAT IS
BREAST CANCER.
AS WITH ANY CANCER FINDING THE
BEST TREATMENT TO ELIMINATE TRUE
MORS IS FIRST AND FOREMOST.
FOR BREAST CANCER PATIENTS IT'S
IMPORTANT THAT COSMETIC CONCERNS
ARE NOT FORGOTTEN IN THE
PROCESS.
SO A TEAM OF DOCTORS WITH
DIFFERENT SPECIALTIES WORKING IN
TANDEM CAN BE PARTICULARLY
VALUABLE.
MY NEXT TWO GUESTS ARE JUST SUCH
A TEAM.
WE HAVE A BOARD CERTIFICATE
BREAST SURGEON.
AND A BOARD CERTIFIED PLASTIC
SURGEON WHO SPECIALIZES IN
BREAST RECONSTRUCTION SURGERY
ALSO AT MORRIS TOWN MEDICAL
CENTER.
BOTH OF YOU WELCOME TO THE
PROGRAM.
>> THANK YOU.
>> GREAT TO HAVE YOU HERE.
THE WHOLE IDEA OF A TEAM WORKING
TOGETHER IN ANY CANCER IS I
THINK IMPERATIVE.
BUT I THINK PROBABLY MORE
IMPORTANT IN BREAST DISEASE.
TALK TO ME ABOUT THAT.
>> THERE ARE SO MANY DIFFERENT
SPECIALTIES INVOLVED IN THE
DREAM OF BREAST CANCER AND WHEN
A WOMAN IS FIRST DIAGNOSED EVERY
ONE WEIGHS ON ON WHAT WILL BE
HER BEST THERAPY.
THEY INCLUDE MEDICAL
ONCOLOGISTS, RAID YOLSS,
PATHOLOGISTS AND THE DIFFERENT
TYPES OF SURGEONS INVOLVED BOTH
BREAST AND PLASTICS.
>> TALK TO ME ABOUT THAT.
WHY IS IT SO IMPORTANT THAT A
BREAST SURGEON AND A PLASTIC
SURGEON AGAIN SEEMS OBVIOUS, BUT
SOMETIMES THE OBVIOUS IS NOT SO
OBVIOUS.
WHY IS IT SO IMPORTANT THAT YOU
GUYS WORK TOGETHER?
>> THE GOLD STANDARD TODAY IS TO
TRY TO PERFORM BREAST
RECONSTRUCTION IMMEDIATELY AT
THE TIME OF THE MASTECTOMY.
IN ORDER TO GET THAT DONE
PROPERLY AND TIMED RIGHT
EVERYTHING NEEDS TO BE SET UP IN
ADVANCE.
ONCE SHE DETERMINEDS THAT
SOMEONE MAY BENEFIT FROM BREAST
RECONSTRUCTION.
SHE'LL TYPICALLY SEND THEM TO A
PLASTIC SURJOB SUCH AS MYSELF TO
PLAN A RECONSTRUCTION TO BE DONE
TAME.
SO EVERYTHING IS LINED UP TO BE
DONE AT ONCE.
>> WHY IS IT IMPORTANT -- IS IT
IMPORTANT?
AND HAS THE STUDY SHOWN IF WE DO
THE MASTECTOMY ALONG WITH THE
REINSTRUCTION AT THE SAME TIME
THE OUTCOME'S BETTER?
WHY IS IT BETTER TO BE DONE
TOGETHER?
>> THERE'S NO DIFFERENCE IN THE
OUTCOME REGARDING LOCAL
RECURRENCE OR OVERALL SURVIVAL.
BUT TO BE ABLE TO LEAVE AN
OPERATING ROOM WITH A RECOVERY
BREAST OFFERS ENORMOUS BENEFITS
IN THE SALUD MENTAL OF SURVIVING
THE BREAST CANCER AND BEING
HEALTHY OVERALL.
>> NOT ONLY A PHYSICAL BENEFIT,
BUT A PSYCHO SOCIAL ONE AS WELL.
>> I THINK THAT'S A VERY
IMPORTANT PIECE TO COME OUT OF
THE SURGERY AND TO MAKE SURE
ANATOMICALLY THAT EVERYTHING IS
THERE.
LET'S TALK QUICKLY ABOUT SOME OF
THE SYMPTOMS THAT WE NEED TO
LOOK AT WHEN IT COMES TO BREAST
CANCER.
THE FIRST ONE IS A LUMP IN THE
BREAST.
COULD YOU COMMENT ON THAT?
>> WOMEN DO NEED TO BE
PERFORMING THEIR OWN BREAST
SELF-EXAM MONTHLY AND A DOCTOR
NEEDS TO EXAMINE THEM ONCE A
YEAR.
MAMMOGRAMS ARE STARTED ANNUALLY
AT AGE 40 AND THOSE CAN DETECT A
LUMP.
ANY ABNORMALITY NEEDS TO BE
BROUGHT TO THE ATTENTION OF A
PHYSICIAN.
>> THE OTHER ONE IS SWELLING OF
ALL OR PART OF THE BREAST.
>> RIGHT.
SO SOMETIMES A BREAST WILL SWELL
AND ALMOST LOOK LIKE THE SKIN OF
AN ORANGE AND THAT CAN BE
INDICATIVE THAT CANCER IS IN THE
SKIN OR BLOCKING THE LYMPH NODES
UNDERNEATH THE ARM.
>> THAT'S WHAT YOU MENTIONED
SKIN IRRITATION OR DIMPLING.
>> CORRECT.
>> WHAT ABOUT *** DISCHARGE,
*** PAIN.
>> WHEN DISCHARGE IS SPON
STAINOUS, BLOODY THAT'S A
CONCERN.
BLOODSTAIN IS NOT AS LIKELY TO
BE ASSOCIATED WITH BREAST
CANCER.
>> WHY IS THAT?
CANCER DOESN'T HEART IN THE
BREAST?
>> VERY RARELY DOES IT HURT.
THE HORMONES ARE RESPONDING AND
THE CHANGES CAN CAUSE
TENDERNESS.
>> AND THEN BREAST DISCHARGE AS
YOU SAID IF IT'S FLOODY, THEN
WE'VE GOT A PROBLEM.
>> CORRECT.
>> THAT NEEDS TO BE LOOKED AT
IMMEDIATELY.
WHAT ABOUT A LUMP UNDER THE ARM?
>> A LUMP UNDER THE ARM IS
IMPORTANT TO RECOGNIZE AS WELL.
WHEN A WOMAN IS PERFORMING HER
OWN BREAST EXAM SHE SHOULD FEEL
UNDER THE ARM.
CANCER IN THE BREAST CAN SPREAD
TO THE LYMPH NODES THAT'S A WAY
IT CAN BE DETECTED.
>> ARE WOMEN DOING BREAST EXAMS
EVERY MONTH?
>> NO.
THEY'RE AFRAID OF WHAT THEY
FIND.
*** ARE DRIFT TO EXAM.
THEY ARE LUMPY AND BUMPY AND
THEY ARE AFRAID OF WHAT THEY'RE
FEELING.
IN A SENSE THEY NEED TO DO THE
EXAM WITH THE PHYSICIAN
UNDERSTAND WHAT'S THEIR NORMAL
AND THEN PROCEED INTO THE FUTURE
RECOGNIZES ANY CHANGE.
>> SO THE WOMAN HAS BEEN
DIAGNOSED WITH BREAST CANCER.
YOU RECOMMENDED THAT THE PATIENT
HAVE A MASTECTOMY.
WHAT ARE THE OPTIONS HERE WITH
REGARD TO RECONSTRUCTION?
WHAT DO WE DO?
HOW DO WE GO ABOUT DETERMINING
THAT?
>> THAT'S A GREAT QUESTION.
IT REALLY DIFFERS BY PATIENT.
I TROY TO TAKE THE TOTALITY OF
THE PATIENT INTO CONSIDERATION
WHEN DERLING WHAT MIGHT BE THE
BEST COURSE FOR SOMEONE.
THERE'S THREE WAYS TO MAKE A
BREAST.
THERE'S ARTIFICIAL WAYS, USING
YOUR OWN TISSUE AND METHODS THAT
UTILIZE BOTH.
TAKING INTO ACCOUNT THE
PATIENT'S ANATOMY, PHYSICALLY
WHAT IS GOING ON, PERHAPS THEIR
FAMILY LIFE, WHAT KIND OF
SUPPORT SYSTEM THEY HAVE IN
PLACE.
EVERYTHING, DO THEY SMOKE,
WHAT'S THEIR GENERAL HEALTH.
ALL THOSE THINGS COME TOGETHER
TO HELP DETERMINE WHAT MIGHT BE
THE BEST METHOD FOR THEM ALSO
CONSIDERING WHAT THEY PREFER
THEMSELVES.
>> I THINK THAT'S WHERE THE
INDIVIDUALIZATION COMES IN.
LUMPECTOMY RK MASTECTOMY,
RECONSTRUCTION.
CAN YOU TALK ABOUT ALL THAT,
WHAT ARE WE LOOKING AT RIGHT
HERE?
>> THOSE ARE THE MOST STATE OF
THE ART FORMED, STABLE COHESIVE
SILICONE GEL IMPLANTS.
THEY ARE MADE EXACTLY THE SAME.
THE ONE TOWARDS THE TOP IS THE
MOST PROJECTING.
GIVEN A CERTAIN DIAMETER, A
WIDTH THAT'S THE MOST PROJECTING
TYPE OF IMPLANT MADE.
VERY SUITED FOR A BREAST CANCER
RECONTRIBUTION PATIENT AS THEY
DON'T HAVE A BREAST ANYMORE.
ON THE BOTTOM A LITTLE LESS
PROJECTING MORE COMMONLY USED IN
A KMOZ ETICING A MEN TAGS.
THEY DON'T REQUIRE AS MUCH
PROJECTION BECAUSE THERE'S A
BREAST IN PLACE.
THE ONES TOWARDS THE TOP ARE
MORE FOR A BREAST CANCER.
>> THE OTHER QUESTION THAT I GET
ALL THE TIME IS SILICONE VERSUS
SOME OF THE SALINE.
WHAT'S YOUR CHOICE AND WHERE ARE
WE ON THAT?
>> I SAY 99 PLUS PER CENT OF
PATIENTS TEND TO GO WITH
SILICONE GEL FILLED GEL
IMPLANTS.
I DON'T EVER RECOMMEND ANYTHING
TO A PATIENT.
MY JOB IS REALLY TO EDUCATE MY
PATIENTS TO THE MAX MALL EFFECT
TO MAKE A GOOD DECISION FOR
THEMSELVES.
GIVEN ALL THAT, THE SAFETY OF
SILICONE HAS BEEN WELL PROVEN
THROUGH THE YEARS.
ALMOST EVERY PATIENT DOES CHOOSE
TO GO TO SILICONE.
>> BY THE WAY, YOU HAVE AN EVENT
COMING UP, IT'S THE STARRY NIGHT
GALA SPONSORED BY THE AMERICAN
CANCER SOCIETY HON NORG OUR
GUESTS TODAY.
IT'S SATURDAY, MAY 12th AT THE
HAMILTON GOLF CLUB IN GLADSTONE.
PLEASURE TO HAVE YOU HERE.
STAY WITH US, LATER IN THE SHOW
I'LL ANSWER SOME VIEWER EMAIL
QUESTIONS.
AFTER THE BREAK WE'LL TALK ABOUT
INFERTILITY.
WHAT CAUSES IT AND WHAT YOU CAN
DO ABOUT IT.
FIRST YOUR HEALTH FIGHT.
FOR MOMS AND DADS WHO ARE
OVERWORKED AND OVERTIRED TAKE A