DiepCJourney Podcast

Terri Coutee

Breast Reconstruction options after mastectomy, healthy lifestyle factors after breast cancer, survivorship, shared decision-making, and supporting SDG3.

  1. Episode 99: Breast Cancer Rehabilitation Therapy

    2d ago

    Episode 99: Breast Cancer Rehabilitation Therapy

    Part of my work as Founder/Director of DiepCFoundation is traveling to medical conferences. In April of this year, at the ARSA Summit, Advanced Reconstructive Surgery Alliance 2026, I met Alina and Carolyn who both work in cancer rehabilitation. Their booth at the conference intrigued me and we started a robust conversation on the value of their work especially as it relates to breast cancer and breast reconstruction surgery. This episode of the DiepCJourney® podcast is on the topic of Breast Cancer Rehabilitation Therapy at ReVital Cancer Foundation. It will be available on the DiepCFoundation YouTube channel when published. Alina Hedaya, PT, DPT, OCS, Cert MDT is a Doctor of Physical Therapy. Her current focus is bringing rehabilitation to the forefront of cancer care. Alina is actively involved in training clinicians all around the nation so that cancer rehabilitation services are available for people right in their own communities. She serves on the board of the International Cancer Rehabilitation Foundation. Carolyn Kalpas, PT, MSPT, is a cancer rehabilitation advocate and Specialist & Director for ReVital Cancer Rehabilitation at NovaCare Rehabilitation. She works as the liaison to healthcare in the oncology world. Carolyn believes that cancer rehab is an amazing part of what can be done for patients in supporting them throughout their cancer care and beyond. We begin by discussing some of the most common physical challenges for breast cancer patients. Alina describes a few of the challenges. ·       Pain ·       Fatigue ·       Limited shoulder mobility ·       Scar tissue issues ·       Lymphedema ·       Being able to be independent after surgery. We discussed the different considerations for rehabilitation following breast reconstruction and breast surgery. They emphasized the importance of looking at each patient on an individual basis, assessing their needs, and meeting them where they are in the recovery process. Surgical precautions are taken depending on what type of surgery a patient has. Alina shares an important statement that summarizes the value of a rehabilitation specialist. "You have someone by your side understanding what's safe." We discuss lymphedema awareness, the importance of movement and its benefits in lymphedema treatment, and how they communicate with patient providers to maximize patient outcomes. They both share lifestyle modifications including aerobic activity, strength training for major muscle groups, skin care, getting proper fluid intake, aligning with surgical protocols during recovery, and we mention the value of a food diary to track optimal nutrition for patients. I want to announce that June is Cancer Rehabilitation Month. As part of our efforts in working with the International Cancer Rehabilitation Foundation this interview is DiepCFoundation's program contribution for the community to learn more. To learn more about their work follow the following links to find out more. Website: Selectmedical.com/ReVital LinkedIn – Carolyn Kalpas: https://www.linkedin.com/in/carolyn-kalpas-pt-mspt-0bb6a5172/ LinkedIn – Alina Hedaya: https://www.linkedin.com/in/alina-hedaya-pt-dpt-ocs-603856/ Instagram – Kessler Rehab: https://www.instagram.com/kesslerrehabilitationcenter/ Instagram – International Cancer Rehab Foundation: https://www.instagram.com/intcancerrehabfoundation/

    34 min
  2. Episode 98: Am I Being Told All My Options for Breast Reconstruction?

    May 12

    Episode 98: Am I Being Told All My Options for Breast Reconstruction?

    How can you help today? After listening to this DiepCJourney® podcast interview with a highly skilled microsurgeon, Dr. Richard Kline of The Center for Natural Breast Reconstruction, share it with someone who is newly diagnosed, has a genetic mutation putting them at high risk, and is facing a mastectomy but wants to reconstruct their breasts.  Since opening DiepCFoundation in 2016, our intent has been to empower patients with information about all breast reconstruction options. There are three options: Implant-based reconstruction used a medical device surgically placed in the body after a mastectomy to replace the breast tissue that has been removed. A plastic surgeon can do this. Autologous reconstruction. This procedure uses the patient's own tissue to reconstruct the breasts after a mastectomy. This type of reconstruction requires a microsurgeon who has received training beyond standard plastic surgery.  Hybrid reconstruction combines autologous tissue and an implant to achieve volume and or projection. Performing autologous breast reconstruction is a far more complex task. Because of the additional training required, it is a chosen profession beyond standard plastic surgery for those passionate about what I consider an extraordinary task. This task includes tissue transfer and the anastomosis, suturing together tiny blood vessels, to create a warm breast using only the patient's own tissue. What does this mean for patients? Because there are fewer microsurgeons than general plastic surgeons, access to care becomes an issue. A patient may go to a well-qualified plastic surgeon and be told implants are their best option because that is what the surgeon is skilled at. A well-intended, skilled plastic surgeon may also tell patients that a procedure like the DIEP flap is complex and lengthy. Where does this leave the patient? Patients owe it to themselves to understand all options for reconstruction, but we know they often do not. How do we change this? Education and outreach. When a skilled microsurgeon isn't available in a patient's area, it's a very valid reason for them to travel. To learn more connect with Dr. Kline and his practice on these platforms: LinkedIn: https://www.linkedin.com/company/the-center-for-natural-breast-reconstruction/?viewAsMember=true Instagram: https://www.instagram.com/natural.breast.reconstruction/ Facebook: https://www.facebook.com/naturalbreastreconstruction

    27 min
  3. Episode 97: Exercise That Supports Healing

    Apr 8

    Episode 97: Exercise That Supports Healing

    We know from evidence-based studies that exercise improves patient recovery before and after breast cancer treatment and surgery. It improves quality of life and strengthens physical function. In this episode of the DiepCJourney® podcast we explore the benefits with Chris Fitzmaurice, a Clinical Exercise Physiologist at the University of Miami Health System. He is passionate about helping people achieve their health goals through evidence-based exercise programs and personalized guidance. He is a Certified Cancer Exercise Trainer (CET); and Certified Strength & Conditioning Specialist (CSCS) and Health Coach. I reached out to Chris to talk to him specifically about breast cancer prehab, exercise for those currently in breast cancer treatment, but also to speak to him about getting back to exercise after breast surgery, whether from breast cancer or breast reconstruction. Chris and I discuss how important it is for anyone to incorporate exercise into their life. We have a common connection and friend, Dr. Jay Harness. Don't miss Chris's interview on the Cancer Fitness YouTube channel on "Exercise as a Molecular Medicine." Chris has a robust presence on LinkedIn and Instagram with interactive videos and graphics explaining the benefits of exercise and demonstrating exercise you can do at home. Connect with Chris Fitzmaurice on the platform: LinkedIn: Christopher Fitzmaurice, MS CEP, CSCS, CET Instagram: https://www.instagram.com/exercisebeatdiseases/ Facebook: https://www.facebook.com/chris.fitzmaurice.58

    24 min
  4. Episode 96: Breast Sensibility: The Mind/Body Connection

    Mar 25

    Episode 96: Breast Sensibility: The Mind/Body Connection

    On this episode of the DiepCJourney® podcast my guest is Dr. Stefania Tuinder, a notable global expert in breast sensation for those undergoing mastectomy and breast reconstruction. Originally from Italy, she is now located in Maastricht in the south of the Netherlands and works at an academic hospital. Her main work there is microsurgery, not only breasts but for sure breasts is where she does the majority of her work. Dr. Tuinder does only autologous breast reconstruction using all kinds of flaps. She has an active research interest in breast sensibility. The word sensibility is often referred to as sensation in the U.S. As Dr. Tuinder tells us, function is as important as aesthetics, and one cannot exist without the other. In addition to her work in the Netherlands, she works one week each month at the European Institute of Oncology doing breast reconstruction building a microsurgery team and center there. Dr. Tuinder walks us through the information on her Breast Reconstruction and Sensibility webpage and all it has to offer. She welcomes your feedback and wants to hear from you. The link to contact her is: https://www.breastsensibility.com/contact One statement from her webpage states: "After amputation or reconstruction, the nerve connections between the breast and brain change." This is a valuable episode for patients, clinicians, medical students, and trainees, as well as caregivers for those going through breast surgery. Be sure to check out the video episode on the DiepCFoundation YouTube channel to watch the presentation. As we wrapped up, Dr. Tuinder left us with a message that resonated deeply: "All of you are beautiful. All of you don't need to be perfect, but to feel well with yourself and that would be enough. Don't let someone else decide for you. Decide by yourself what is really important to feel good. Because when you feel good you are beautiful." Connect with Dr. Tuinder on the following platforms: LinkedIn: Stefania (Plastic Surgeon) Tuinder LinkedIn: Breast Sensibility Instagram: https://www.instagram.com/stefania_tuinder/ Instagram: https://www.instagram.com/breast.sensibility/ Facebook: Breast Sensibility

    37 min
  5. Episode 95: Where Passion Meets Surgical Precision

    Mar 11

    Episode 95: Where Passion Meets Surgical Precision

    As part of my work at DiepCFoundation, I am able to meet in person, well-known board-certified surgeons across the world. My guest is one such surgeon I know. I have been anxious to interview her. Two words I find myself choosing to describe her are: Adaptable and compassionate. Each time I see her at a conference, the conversation is so easy and comfortable. I can't think it would be any different with her patients. Dr. Andrea Moreira is a plastic surgeon at the University of Pittsburg and Chief of Plastic Surgery at Magee Women's Hospital. Topics she covers in our interview include: ·       How she developed her passion for plastic surgery. ·       The services she provides at Magee Women's Hospital. ·       Dr. Moreira's interest in robotic-assisted DIEP flap. ·       The importance of providing a shared decision-making conversation about sensate breasts with her patients. Connect with Dr. Moreira on the following platform: Instagram: https://www.instagram.com/andrea_moreiramd/

    33 min
  6. Episode 94: A Breast Reconstruction Journey Toward Clarity & Confidence

    Feb 25

    Episode 94: A Breast Reconstruction Journey Toward Clarity & Confidence

    Deciding which breast reconstruction path to take is rarely simple. Whether facing an active breast cancer diagnosis, navigating a high‑risk genetic mutation, or having a strong family history of cancer, the process demands research, planning, trust, and a strong circle of support. In this episode of the DiepCJourney® podcast, we sit down with Marcy Goodman who is a wife, mother, and dedicated professional. She opens up about the many layers of her decision to pursue autologous (using her own tissue) breast reconstruction. Marcy shares how she evaluated her options, found the right surgical team, and ultimately traveled from Washington State to PRMA in Texas to receive the care she felt aligned with her needs and values. She walks us through the logistics that so many patients quietly shoulder: arranging time away from work, securing childcare, and finding a safe, restorative place to heal like Rose's House in San Antonio, which became her sanctuary during recovery. With honesty and warmth, Marcy reflects on the physical and emotional journey that shaped her choice, offering insights, tips, and encouragement for anyone navigating their own reconstruction decisions. Her story is a reminder that while the path can be overwhelming, no one has to walk it alone. Connect with Marcy on the following platforms: Instagram: https://www.instagram.com/marcygoodman/ LinkedIn: https://www.linkedin.com/in/marcy-goodman-b2471a87/ Facebook: https://www.facebook.com/marcy.goodman.3

    40 min
  7. Episode 93: Navigating Healthcare as a Patient Advocate

    Feb 11

    Episode 93: Navigating Healthcare as a Patient Advocate

    Patient advocacy shows up in so many meaningful ways, and my guest on this episode of the DiepCJourney® podcast has been part of my own journey since the very beginning. We first connected back in 2015, when I was just starting to write my blog. She offered guidance, encouragement, and wisdom at a time when I was still finding my footing. I've followed her story ever since, and her voice has continued to inspire me and so many others. As a valued member of the DiepCJourney® community, it felt only natural to invite her to share her experience with all of you. I'm delighted to welcome Rebecca Hogue, Becky to her friends. She shares her many life transitions from professional work, moving from the U.S. and back to Canada, two breast cancer diagnoses, and the value of being your own best advocate in your healthcare. Navigating two healthcare systems and transferring records was not always an easy task for Becky. She shares what challenges she faced and what she did to optimize her own healthcare in two different countries. She is a published author and is diving into the world of podcasting. I highly recommend you reach out to Becky on the following websites. She is always willing to help when she is not clearing snow and driving a snowplow for her city in Nova Scotia. Websites to find Becky: https://rebeccahogue.com/ https://bcbecky.com/ Find her book on Amazon by Rebecca J. Hogue: Never Knew I Wanted to be a Breast Cancer Survivor Check out more about her podcasts: https://definitelynotfamous.com/ https://bcbecky.com/podcast/ Connect with Becky on the following platforms: LinkedIn: https://www.linkedin.com/in/rjhogue/ Facebook: https://www.facebook.com/rhogue Instagram: https://www.instagram.com/hogue.rebecca/

    42 min
  8. Episode 92: Completion of Prophylactic Surgeries

    Jan 28

    Episode 92: Completion of Prophylactic Surgeries

    Facing a genetic mutation that significantly increases the risk of breast cancer means making decisions that truly feel life‑defining. Today's guest on the DiepCJourney® podcast, Emily Koellner, knows this experience intimately. With a strong family history of cancer, a mutation inherited from her father's side, and the unwavering support of her two sisters and loved ones, Emily navigated her choices with courage and clarity. Many of you will remember my earlier interview with her sisters about their own prophylactic DIEP flap journeys. Now it's Emily's turn to share her perspective, her strength, and the path she chose. We begin with a recap of her decision to have reconstructive surgery. Emily shares valuable information with our listeners about surveillance vs. the decision to have prophylactic reconstructive surgery to reduce her risk of getting breast cancer. We recall the two stories Emily wrote for the DiepCJourney® blog about her decision to have a child after her DIEP flap and the planning and discussion she had with Dr. Ledoux, her surgeon at PRMA about this decision. You can read Part 1 here: Patience and Persistence: Pregnancy Post-DIEP Read Part 2 here: Wonder and Happiness: pregnancy Post-DIEP One of the most poignant statements from one of these blog posts from Emily is: "I'm celebrating the proactive decision I made to take my health and future into my own hands." She continues to be a strong advocate in the community and shares a very recent encounter with another patient who reached out to her in a message on social media asking about having a child after DIEP flap. You won't want to miss what she shares. Emily continued her risk reducing surgeries by having a robotic assisted salpingo-oophorectomy at the request of her gynecological oncologist. She tells us about her recovery and how she is doing now. Be sure to listen to the podcast with Emily and her sisters Elaine and Eleanor: Episode 38: Sisters, BRCA 1, Three DIEP flap Stories Connect with Emily on the following platforms: Instagram: https://www.instagram.com/emilymkoellner/ Facebook: https://www.facebook.com/emkoellner LinkedIn: https://www.linkedin.com/in/emilykoellner/

    28 min
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Ratings & Reviews

5
out of 5
8 Ratings

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Breast Reconstruction options after mastectomy, healthy lifestyle factors after breast cancer, survivorship, shared decision-making, and supporting SDG3.

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