Category Archives: Breast Reconstruction

#79 Surgeon Found

Since my last blog in December, my family and I sought out surgeons on the west coast repair my herniated colon. Unfortunately we were unsuccessful, apparently my situation is very rare and to quote one surgeon from UC Irvine, “this is not with-in my scope”, “you need a complex hernia specialist”. The City of Hope Surgeon, consulted with his colleagues, and said he could approach it like a “Flank Hernia”, however he was honest in telling us that he had never done this type of repair…no thanks (I appreciated that he consulted with his colleagues about this case).

Surgeon found, New York here I come! Yes New York!……The surgery will happen at The Mount Sinai Hospital in New York, New York. Dr. Mark Reiner with the Laparoscopic Surgical Center Of New York will be doing the repair on Wednesday February 28th. This surgery is being coordinated with a Colonoscopy first on Monday the 27th.

During my virtual surgical consultation with Dr. Reiner, the fact that I have a mutated gene for both colorectal cancer and breast cancer came up and he asked when my last colonoscopy was. He was not pleased with my answer when I told him 2018 was my last colonoscopy. In 2018, the recommendation was repeat in 3 years. Well, with the pandemic and my 2023 breast reconstruction, we were planning on getting that done in 2024. Dr. Reiner was a bit stern ( in a good way) in saying that he could do the repair, but would not do it without a colonoscopy first. And, since the colon will have to be prepped for the Hernia repair, he arranged for a G.I. doctor to do the colonoscopy.

( I went whale watching yesterday, thought I would share)

When having surgery on the mainland, a lot goes into prepping for it. We have our flights, booked our accommodations. I have had to purchase cold weather clothes, because living in Hawaii what do I need a jacket for? Pre-op lab work was just completed ( can not be done more than 30 days prior to surgery) I have an appointment for my EKG on February 12, my PCP will also perform a pre-op physical requested by the New York surgeon. All results will be forwarded to New York.

This picture was posted on my last blog, the New York surgeon said that with out surgery the opening where the colon has looped out would only get bigger. Due to the trunk (opening) being measured up to 4.7 cm, incarceration is unlikely. This was a huge relief, I am just thankful that we found a surgeon that looked at my images and said “YES” I can repair this.

Please mark your calendars and send prayers and good vibes all the way to New York when I am having this hernia repaired.

Mahalo for reading

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Filed under Breast Reconstruction, Lumbar Hernia

#76 Second Phase

This blog has been on my mind, I had intended to blog the week that the Lahaina fires happened also the fires in upcountry. Blogging took a back seat, as our beautiful island recovered and continues to recover from the tragedy that happened here. The picture above was taken April 2008, on one of our wedding anniversary trips to Maui. The Lahaina Banyan Tree turned 150 on April 24 of this year. The tree might recover and live…however so many people have lost their loved ones, families gone. I pray that the survivors of Lahaina will be able to recover from this tragedy.

The second phase: I am off to Louisiana for the second phase of my SGAP breast reconstruction. This surgery was supposed to happen the first week of June, however the complications pushed the surgery out. I am really happy with the way the left breast is healing. I still continue to wear a bandage under the fold of the breast that is still healing.

The plan for this surgery is to make the breast more symmetrical. Currently the right breast is quite a bit larger than the left. The left breast will not be manipulated, we plan on leaving it alone. I have always been told by the plastic surgeon that the breast would no longer be twins, that they will be sisters! Well currently they are not twins, nor sisters…they are more like distant cousins! The right side will be reduced and lifted to match the left.

I am going to stop here, I just wanted to touch base with all whom have subscribed to my blog and have been reading my blogs.

Mahalo for the well wishes and prayers for the people affected by the fires.

Pina (Josefina)

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Filed under Breast Reconstruction

Recovering From Surgery

I have been wanting to blog for a couple of days now. I was discharged from The St. Charles Surgical Hospital on Saturday March 4th. My husband Jack stayed with me the whole time as each room is private and has a Murphy Bed for you significant other. Each day nutritional services takes down your order for breakfast/lunch and dinner for both patient and family member.

I remember when I was taken back to pre-op shortly after arriving at 6am, Jack was told that he can wait for me in my room (more like a suite), Suite 217. After changing into the gown the Physical Therapist came in and wrapped my left arm, which stayed wrapped for several hours after the surgery. It was challenging for the team to find a vein for I.V. access, one of the Anesthesiologist is the one who was able to get it after they placed my arm in a heated blanket. With that being said they did not have multiple nurses attempting to access my vein. They immediately let the Anesthesiologist know that they were unable to start my I.V. After the I.V. was successfully started I was taken to the O.R. I remember getting wheeled out of pre-op and that’s it!

The operation was over eight hours long, I do not know the exact length. I was brought to my suite between 7-7:30pm, making the surgery 12 hours, but I do not know how long I was in post-op. Either way , it was long. My incision is 360 degrees around my waist line. Bilateral SGAP and they harvestesd veins from abdominal area, hence the incision across the belly. I knew going in that, that was going to be a possibility if the veins from the back side were not long enough, they would harvest veins from abdomen. Drains were a total of six. Right side; Breast, Abdomen, Hip. Left side; Breast, Abdomen, Hip. I was up and walking the next day (March 2nd) and was going to be released on Friday the 3rd. However because I threw up my breakfast they opted to keep me till Saturday the 4th. Jack then took over my care, keeping track of pain medication times, draining the tubes, documenting the fluid for each individual drain, helping me shower, shampooing my hair and redressing the incisions, putting back on the compression girdle and compression bra.

My post-op was on the 8th, four drains were removed, I still have both hip drains. Everything is looking really good. Challenging for me is that for the next four weeks I have to sleep on my back, can not sleep on my side (I am a side sleeper) or tummy. Also the compression garment that I have to wear. My next post-op appointment is Monday the 12th, I should be released to travel back after that.

I am really trying to make these blogs short, one last thing. Thank you for all the prayers and get well wishes thru this blog and social media.

Aloha Pina

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Filed under Breast Reconstruction, Uncategorized

Surgery Number 9, But Who’s Counting?

Tomorrow is the day! Over a year in planning, the day has come. I’m excited for the end result. I am emotionally ready, SPIRITUALLY READY, physically ready and with the love and support of my husband, family, friends and medical teams both here in Louisiana and on Maui I know this will be it! Since the beginning of this year every Friday I have had countless appointments leading up to this. Labs, urinalysis, physical therapy, dental cleaning, EKG, wellness therapy appointments have been non stop. Surgery number 9, but who’s counting! The day has finally arrived!

Todays appointments consisted of Physical Therapy, went over lymphedema of the left arm. My left arm will be wrapped from fingers to just above the elbow. My upper body strength and range of motion was documented, and we went over post-op therapy. I was then taken to radiology to have a Cat Scan and sat with nurse to discuss what would happen once I arrive at The St. Charles Surgical Hospital tomorrow morning at 6am. The pre-op nurse went over all the pre-op instructions, and gave us (my husband and myself) plenty of opportunities to ask questions. The Anesthesiologist also sat with us and went over everything. My final appointment was with the Surgeon and his clinic with one of the facilities P.A’.s. To say that this hospital is well organized, kind, empathetic and know how to place one at ease is an understatement. My body has been marked with the purple pen mapping out the plan. I have been given the Hibiclens (very familiar with that). The challenge for me will be NO products on my body, hair etc. after my shower this evening and tomorrow morning. It going on 9pm here in Louisiana, time to start prepping for tomorrow.

Mahalo for all the well wishes and prayers (KEEP THEM COMING)…Aloha Pina

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Filed under Breast Reconstruction