In June you did my Stage 1 delayed bilateral DIEP/APEX flap reconstruction--wow. As you said then, I was a "riddle," but you and Dr. O. both "bet all your money" on the right plan for me and we all won--thank you! Even more, you respected my wishes for what I did and did not want. I am deeply grateful.
In early November I'll be back for Stage 2. In addition to the Stage 2 reconstruction, Dr. Von Almen will take ovaries and tubes. Almost 2 years on tamoxifen and I have developed superficial blood clots--2 of the clots were 2 weeks post Stage 1. Resolved now, we think. My local docs feel it's time to get off tamox and try an AI while also reducing new cancer risk since I have an extensive family history.
The big questions now are: 1) Should I have a hysterectomy as well as the ooph?
2) How do these GYN surgeries affect Stage 2 breast reconstruction goals/surgery from your perspective?
3) Do these GYN surgeries affect the integrity of the DIEP (abdominal incision)done in Stage 1?
4) Wouldn't it be better to do ooph and hyster in Stage 2 at NOLA rather than leaving the hyster for a year or 5 years down the road for a local GYN surgeon who may never have had a DIEP patient before?
5) Do you have many patients who choose to do ooph +/- hyster at Stage 2?
6) Would it make sense to have Dr. O. weigh in on the GYN decisions? I see it as you, Dr. Von Almen, and Dr. O. all have different and valuable perspectives I trust.
I hope you never get tired of hearing thank you from those of us that owe you so much. So again and again, thank you!