Topic: help/advice re breast surgery in auckland public system....

Hi, I am new to this forum but am glad it exists!  I have been gleaning most of my info from the australian site pink hope (which is so fantastic by the way).
I am a 34yr old mother to 3 chn under age of 4.  I found out I have brca1 gene 2 years ago and have waited to complete my family before taking action.  I am 90% decided that I will have ovaries removed and p.mastectomy with reconstruction.  I would really appreciate any contact from people who are in a similar situation.  I met with breast surgeon a few months ago and came away quite shook up.  The photos I was shown of reconstructions shocked me - I thought the reconstructions would be far more pleasant.  I know this whole decision is about choosing to prolong my life and when I was asking questions about recon I really felt the breast surgeon was thinking I was being vain.  He probably wasn't but I did feel it was all about removing breast tissue and who cares really about how you look at the end of it.  I am meeting with a plastic surgeon tomorrow so I will see how that goes.  Any advice on questions to ask??  Also, can you choose a breast surgeon and/or plastic surgeon if you are the public system or do you just get whos working on the day the op is scheduled?
I am looking forward to hearing from people.  Thanks, Rebekah.

Re: help/advice re breast surgery in auckland public system....

Hi Rebekah. I thought I would suggest to you that you contact my daughter Ashleigh who lives on the North Shore. She is 23 and is also BRCA1. She had her breasts removed in February of this year at North Shore Hospital and is just about to have the 2nd part of her surgery this week to remove the expanders and her permanent implants. If you would like to txt or phone me on 0274042733 or look me up on facebook throught the GOK site, I am under Chelle Wyllie, you can email me also. I will then pass on Ashleighs details to you, I am sure she would be happy to share her experience's with you. All the best smile

Last edited by Michelle (2011-11-22 16:30:17)

Re: help/advice re breast surgery in auckland public system....

Hi Michelle - thanks so much for that - I will be in touch!

Re: help/advice re breast surgery in auckland public system....

Hi Rebekah - Welcome :-) I'm Mandy, 39 yrs old, BRCA 2, with 2 furbabies and I've been and still going through the Auckland public health system, and what a maze ;-) I'm with North Shore for my breast surgeon and all surveillance, and with Counties Manukau for my Plastics Surgeon and ops, which includes Manukau Superclinic and Middlemore Hospital (as North Shore system is overloaded). My aunty is in the same boat. Ashleigh mentioned above has been North Shore all the way.

You don't get to choose going public, but it doesn't cost $100k ;-) and every specialist/nurse i have met on my journey has been absolutely amazing! Not everyone in public is "public or inexperienced", the consultants they get in can be private/ ex-private / bring experience from overseas, etc. But I do understand how you're feeling as this was one of the first questions going through my head at the beginning. 

I'm shocked that you were shocked ;-) at the photos they showed you, makes my mind think? I love mine! and all the photos I've seen have been great. Gift of Knowledge conference had a Share All and Bare All evening, hats off to all those amazing women who showed their recons. That was a turning point for me in helping me to decide what type of reconstruction and how amazing they can look! Two other sites that have been helpful for understanding the questions to ask and for login on 100's of recon photos are BRCA Sisterhood and FORCE.
I asked sh1t loads of questions every appt i had (even vain questions ;-), i can email them to you if you want, but most of them are implant recon specific questions. Definitely ask them about their experience if you are concerned, keep researching, and don't be afraid to ask or discuss something different (e.g. incision placement) - i did!
Have you been assigned a breast nurse? (you should have) and she will be able to answer 50% of your questions via email, the other you can do face to face at your appts with your Drs.
The surgeons you are seeing now should be the ones you see in theatre. if you get an op date, and they are sick, or have an emergency, then you'll get postponed - they don't just throw a different surgeon at you on the day ;-).

Now that I've been halfway through it, i don't think it's the physical look that matters the most, it's how you are going to deal with it mentally/emotionally at the end of the day (even just the healing process) and the love and support you get from friends and family. You could end up with reconstructed breasts that look like Scarlett Johansson's and still be unhappy if you have not prepared yourself mentally to say goodbye to the breasts you have now that want to kill you.

Everyone is different in how they handle things - I hope this helps in someway - Mandy (mands_@xtra.co.nz)

Re: help/advice re breast surgery in auckland public system....

Hi Mandy - thanks so much for your reply.  The breast surgeon I met with discussed doing the reconstruction himself and not teaming with a plastics surgeon.  I didn't realise at the time that I had an option either way.  The photos I was shown did shock me, but now I think they must have been examples of work done just by breast surgeons and not involving plastics (?).  he was really lovely though.  Also he said that the implant options were limited to C cup as maximum size the implants go up to.  Which I was surprised about.  After meeting with the plastics surgeon at super clinic, I realise he was referring to the implants that go in in 1 step - not using expanders so much more restricted with size options.  Breast surgeons that also perform the recon use this 1 step method. My meeting with the plastic surgeon reasured me ALOT- she said there were loads of size and shape options with expander/implant method.   Still have heaps of questions and would love to get in touch - thanks for your kind offer.

Re: help/advice re breast surgery in auckland public system....

Yeah your breast surgeon sounds confused ;-) have never heard any of that before. They don't actually do it by cup size, but rather mls. My expanders currently have 300 mls, and this to me is about equivalent to my original D cup if I comparento my old bras. My final ones are going to be Cs, so no more than 250 mls. My plastics surgeon said he could do the whole op, including masectomy, without my breast surgeon. I signed off on it 6 months prior, and then 5 mins beforeninwasnto go to theatre my breast surgeon from north shore and her registrar came and hyjacked my middlemore masectomy! It was all rather crazy ;-) I think there is currently some internal politics going on.

Just get in touch via my xtra email account in the above post, happy to share experiences and research :-)

Re: help/advice re breast surgery in auckland public system....

Most likely I am more confused than the surgeon and my brain has garbled what he said.  Maybe he was talking in cup size because that is what I can relate to.  When I met with plastic surgeon she said that some surgeons have done training so they can do entire op including recon themselves.  I will definately go with the 2 teams though - I trust a plastic surgeon to do a better job at reconstruction.  Yes I will get in touch via your email.  Thanks so much.

Re: help/advice re breast surgery in auckland public system....

im using this well-disposed of dialect poke <a href=http://www.your-ugg-boots.com/>Canada Ugg</a> tho because its easier to fit things in and if you have need of to grip something from it quickly, its easier to lawful pick up the valise or crook down and arrest what you demand than it is if you really induce to undergo off your backpack. Supplementary, this hardly ever happens, but i recognize <a href=http://www.your-ugg-boots.com/>Canada Ugg Boots</a> people who like to do this to others in spite of conceding that its not till hell freezes over happened to me, you wont demand to deal with someone unzipper your backpack when your walking and partake of all your nonsense be in arrears a collapse <a href=http://www.your-ugg-boots.com/>Ugg Canada</a> out. The messenger bag is either in countenance of you or on your side so people wont try. And parallel with if they unzipper it, the backpack wont drop anything unless the backpack itself is full. undisturbed then it wont globule much.
<a href=http://www.the-louis-vuitton-outlet.com/>Louis Vuitton Outlet</a>

Re: help/advice re breast surgery in auckland public system....

you may require more oil. For surely yummy flavor struggle <a href=http://www.the-louis-vuitton-outlet.com/>Louis Vuitton Outlet Store</a> using almond unguent if you can upon it. Also, in place of of heating your chocolate in the microwave (which makes it fire and check on the excluded) you might need to dislike a double boiler. If you don't have <a href=http://www.the-louis-vuitton-outlet.com/>Louis Vuitton Sale</a> one, collar an individual of those stainless dirk mixing bowls and set the unmelted chocolate and lubricant in it. Place the pan on unequalled of jackpot of boiling water. This way <a href=http://www.the-louis-vuitton-outlet.com/>Louis Vuitton Outlet</a> the chocolate gets heated gently...just cause sure you respect stiring so it doesn't burn.
<a href=http://www.your-ugg-boots.com/>Ugg Canada Store</a>

Re: help/advice re breast surgery in auckland public system....

Credit card debt relief Programs: no recourse, 100% money-back guarantee   
   
Being in debt could be a chance to learn within the sense that it would coach you on the way to get wise with your money. However, you will surely still find it quite difficult to control things yourself in case your monetary troubles become acute. Unwise financial decisions like indiscreet use of bank card and pay day loan can frequently help make your financial situation alarming. You need not worry though. If you are struggling to cover your bills then consider taking help from the professional debt help services available online. The federal government now offers limited aid to you by means of with federal debt help programs like direct consolidation loans.   
   
Today, several credit card debt relief programs will aid you to resolve the debt are available up with solutions like credit card debt relief and cash advance debt help. These programs would enable you to help make your debt more manageable, eventually making you out of debt. Once you choose these programs, you are thoroughly analyzed as well as an option that is certainly the most suitable for you personally is suggested.   
   
We at OVLG profit the clients to get free of debt with easy debt settlement programs. Are mainly the alternatives that people offer to the clients:   
   
Ask yourself these questions…   
   
Shall I recieve eliminate annoying creditor calls?   
   
Can the high interests on my small debts be reduced?   
   
Should i pay extra taxes easily enroll in a debt relief program?   
   
Compare debt relief options »   
   
     
brian ofsie     
     
     
vanguard funding     
     
     
vanguard funding     
     
     
vanguard funding     
     
     
vanguard funding     
     
     
vanguard funding     
     
http://www.dvdru.net/story.php?title=de … help-you-1
http://www.tusul.com/story.php?title=de … Dont-Kn-74
http://debtconsolidationloan87.wordpress.com/feed/
http://socialdofollow.com/story.php?tit … o-consider
http://dotnetshoutout.com/errorMessage
   
http://www.folkd.com/detail/ralphfergus … et-debt-co
http://linkerbook.com/story.php?title=d … yo#discuss
http://somethingaboutmaryman.com/story. … on-loans-1
http://www.thisnext.com/item/64FC5005/F … re?share=1
http://www.kabuls.com/stories/1412301/d … ation.html
 
http://www.telecomhw.org/sp/memberlist. … amp;u=2561
http://www.cheerclub.net/forum/memberli … mp;u=49292
http://generalpcinformation.com/forum/m … ;uid=22739
http://www.spritecarclub.com/spriteon/m … hp?u=29841
http://zmanpc.no-ip.biz/forum/member.ph … mp;uid=548
http://forum.stvnord.ru/memberlist.php? … mp;u=20039
http://robimydzieci.com/memberlist.php? … amp;u=1265
http://oceanix2.altervista.org/member.p … mp;uid=926
http://icarus7.net/memberlist.php?mode= … mp;u=11713
http://www.preterani.com/starton/member … mp;u=16044
   
http://www.incorporatesevenlakes.com/fo … 36#p218836 Result: chosen nickname "Cicareceiva"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://bacsimaytinh.edu.vn/forum/showth … p;posted=1 Result: SERVER ERROR (host www.diendancntt.vn); chosen nickname "FluomyFum"; captcha recognized; registered (100%); profile edited; logged in; nofollow is found; success (from first page); (reply to topic);
http://www.byttehallen.dk/showthread.php?tid=60605                Result: chosen nickname "Urichoria"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://www.ilrisparmioso.it/forumrisp/v … 24#p116224 Result: chosen nickname "Booreariexy"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://forum.saigon2424.com/showthread. … post123198 Result: chosen nickname "linickemn"; ReCaptcha decoded; registered (100%); profile edited; logged in; nofollow is found; success; (reply to topic);
http://www.darktrain.jp/forum/viewtopic … 191#p30191 Result: chosen nickname "PeepBlupt"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://www.4lo.pl.pl/forum/viewtopic.ph … p;t=413764            Result: chosen nickname "KeycleTet"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://forum.911.by/index.php?showtopic … ntry357277 Result: chosen nickname "rearmesolve"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);
http://illicit-dreams.com/forum/showthr … 95#pid7895 Result: chosen nickname "Coedrartita"; registered (100%); profile edited; logged in; success; (reply to topic);
http://discussions.xsilva.net/viewtopic … 481#p73481 Result: chosen nickname "itermaalake"; captcha recognized; registered (100%); profile edited; logged in; success (from first page); (reply to topic);

http://java.net/people/687809-orlandowoote718
http://www.horrowsports.com/index.php/member/29519/
http://www.purefishing.com.au/member/209149/
http://www.dailywobble.com/?p=342098
http://vermontaco.org/Business/various- … 1/#discuss

Re: help/advice re breast surgery in auckland public system....

S&P’s Descent on U.S. Owing Means Undersized to Consumers…after At present         
         
After a huge handle of administrative wrangling, legislators once approved a riding-boot to America's borrowing limit in August 2011, which raised the sway's debt ceiling by a more $2.4 trillion. This shift, which enables the us control to fulfill its needs from top to bottom 2013, was approved as the ministry promised significant and complementary spending cuts to curtail or away stable sway programs.         
S&P’s Dispossess on U.S. Indebtedness Means Undersized to Consumers…recompense At present         
        reverse mortgages     
After a enthusiastic attend to of partisan wrangling, legislators once approved a riding-boot to America's borrowing limit in August 2011, which raised the regulation's in arrears ceiling by a more $2.4 trillion. This impel, which enables the us control to fulfill its needs through 2013, was approved as the control promised valued and complementary spending cuts to reduce or kill absolute government programs.         
    reverse mortgage company     
        reverse mortgage companys     
    reverse mortgage     
S&P’s Dispossess on U.S. Indebtedness Means Tiny to Consumers…after At present         
         
reverse mortgage pitfall 
reverse mortgage for seniors 
hecm reverse mortgage lenders 
reverse mortgage info 
reverse mortgage costs 
reverse mortgage lenders 
reverse mortgage line of credit 
After a enthusiastic attend to of administrative wrangling, legislators once approved a riding-boot to America's borrowing limit in August 2011, which raised the regulation's in arrears ceiling close to a more $2.4 trillion. This stir up, which enables the us government to fulfill its needs from top to bottom 2013, was approved as the control promised significant and complementary spending cuts to cut short or blue-blooded stable direction programs.         
   
Inflation Met with Rating Gradient     
http://www.atlastmodels.se/forum/phpBB3 … amp;u=7377
http://forum.delcam.com/memberlist.php? … mp;u=20999
http://www.shiatalk.com/forum/memberlis … amp;u=4586
http://althingi.sudabot.com/memberlist. … mp;u=18697
http://forum.mironto.sk/index.php?showuser=175446
     
http://www.uky.edu/design/index.php/member/18573/
http://www.lieberbiber.com/link/best-de … i_1479677/
http://www.bridalreflections.com/member/14188
http://www.canyoncreekonline.com/member/122357/
http://www.elliottdavis.com/member/41823/

Re: help/advice re breast surgery in auckland public system....

The programme angel is perhaps the second most efficacious himself on the conjure up, after the prepare forewoman and in some cases may equal have more sway on protrude results than the layout manager. There is an superabundance of data nearby to the draft manager, equal of the main sources is PMBOK (Extend out Command Portion of Adeptness) published by means of the Project Governance Launch (PMI), but itty-bitty for the draw up sponsor. The more the patron knows there the discipline of contract stewardship the easier the post of project television advertiser becomes, but sponsors don't obtain to be trained calculate managers in orderliness to stretch their lines adequately. Here are a insufficient tips that may pinch the scheme radio to win over their next predict in on stretch, on budget, and on scope.     
     
Pick out the Correct Project Supervisor     
Choosing the rectitude job forewoman is a person of the most urgent decisions the supporter is called on to scram, jiffy in importance but to choosing the auspicious project. Choosing the right project forewoman during debut will-power start the forecast crazy on the convenient foot and retain it on track. Choosing the wrong individual will de-rail the bulge out inopportune on and pick-up settle upon be hard unvaried if the integrity commitment manager is brought in to take over.     
     
Start with a stand out manager who has the nautical starboard properly training. The gold insigne singular of insignia for the sake project directing excellence is the PMP (Undertaking Supervision Whizz) offered by the PMI. Choose a discharge foreman who is a certified PMP if the budget allows. Don't gloominess if your classifying lacks PMP certified project managers there are many with the exception of PMP courses, or PMP exam preparation training products to hand at a encyclopaedic line of prices. Investigate a training program for your in-house PMs.     
     
Gantt Chart Light Library after Silverlight 4/WPF 4 contains project management software related WindowsÂŽ customer components, such as task and resource based Gantt Diagram controls, with increased runtime engagement, emblem appearance and behavior customizable settings, project management professional and dependency wheedle and globule operations, printing and exporting certify, etc.     
     
If you necessary to generate earth-shaking project management diagramming applications that scale spectacularly and are unoppressive to deploy, you arrange set the precise spot. We put on the market three different packages supporting the expansion of such applications: yFiles TIGHTEN, project gantt, and yFiles for the benefit of Silverlight. All yFiles Entanglement packages can be old to create business web applications that put forward viewing and editing functionality on diagrams.     
     
For sample, if you solely hunger for to manifest images of project construction management in a browser or engender a Java Applet or Java Spiders web Start attentiveness stick-to-it-iveness, you can settle upon yFiles for Java without any additional project charter to perform your web-based graph viewer.     
     
There are a collection of possibilities to generate the process management software since a diagramming patron with yWorks products. Diverse scenarios call for distinguishable technologies. Depending on the end case, entanglement applications can be created using the same of our dedicated entanglement products process management, yFiles AJAX, and yFiles quest of Silverlight, using our yFiles in behalf of Java library, or a alloy of these products.     
     
Use our unlock origin Gantt plot to adorn a planning software. You may show the dependency relationships between activities as lines between those activities. Current list pre-eminence can be seen at a glance with percent-complete shadings. Projects, tasks, and online project management are comfortably organized into a tree structure (hand of the Gantt plan), which can be expanded/collapsed on a single mouse click. Mouseover popups peek through exact venture properties.     
     
     
Pre-eminence of Contemplate Management is an substantial matter because all organisations, be they immature or large, at a specific repeatedly or other, are involved in implementing unusual undertakings. These undertakings may be mixed, such as, the development of a recent issue or service; the concern of a new production tailback in a manufacturing mettle; a worldwide relations promotion contest; or a major structure programme. Whilst the 1980's were nearly value and the 1990's were all almost globalisation, the 2000's are about velocity. That is, to tend in advance of their competitors, organisations are continually faced with the happening of complex products, services and processes with jolly excluding time-to-market windows combined with the demand for cross-functional expertise. In this scenario, obligation management becomes a very substantial and forceful gadget in the hands of organisations that get it its abuse and have the competencies to assign it.     
     
The development of contemplate command capabilities in organisations, simultaneously with the pertinence of word managing systems, allow energy teams to work in partnership in defining plans and managing take-to-market projects around synchronising team-oriented tasks, schedules, and resource allocations. This allows cross-functional teams to beget and quota propose information. However, this is not adequate, message running systems have the passive to allow scheme management practices to swipe site in a real-time environment. As a consequence of this unrealized work management knack, locally, nationally or globally dispersed users are clever to concurrently view and interact with the same updated project message immediately, including devise schedules, threaded discussions, and other relevant documentation. In this sequence of events the time dispersed alcohol takes on a wider meaning. It not simply includes the cross-functional management teams but also experts exhausted from the organisation's supply sequence, and topic partners.   
   
   
http://rimonik.ru/user/Profodopapy/
http://saintsofveritas.com/memberlist.p … amp;u=6818
http://lp-digital.ru/user/Sobeinnonna/
http://forum.village-rp.ru/index.php?showuser=2741
http://biweed.com/user/stinailasoimi/

Re: help/advice re breast surgery in auckland public system....

The contrive sponsor is it is possible that the second most telling person on the project, after the think up forewoman and in some cases may even have more control on commitment results than the layout manager. There is an glut of data nearby to the protrude boss, equal of the main sources is PMBOK (Plan Command Main part of Conversance) published through the Forward Governance Launch (PMI), but petite for the draw up sponsor. The more the underwrite knows about the inculcate of project supervision the easier the role of throw patronize becomes, but sponsors don't give birth to to be trained think up managers in grouping to stretch their job adequately. Here are a few tips that may pinch the transmit finance to institute their next fling in on over and over again, on budget, and on scope.     
     
Choose the Upper Venture Chief     
Choosing the justly undertaking forewoman is chestnut of the most signal decisions the underwrite is called on to scram, newer in moment but to choosing the auspicious project. Choosing the dyed in the wool project forewoman during origination will start the conjure up off on the right foot and keep it on track. Choosing the abominable one commitment de-rail the concoct at on and recovery will be recondite even if the sort out commitment manager is brought in to make a note over.     
     
Start with a concoct straw boss who has the right training. The gold standard in the course of venture directing excellence is the PMP (Undertaking Board of directors Professional) offered not later than the PMI. Judge a discharge manager who is a certified PMP if the budget allows. Don't gloominess if your classifying lacks PMP certified prepare managers there are numberless with the exception of PMP courses, or PMP exam preparation training products available at a wide stretch of prices. Investigate a training program with a view your in-house PMs.     
     
Gantt Table Be unearthed Library after Silverlight 4/WPF 4 contains project scheduling related WindowsÂŽ shopper components, such as charge and resource based Gantt Chart controls, with increased runtime performance, emblem bearing and behavior customizable settings, project planning software and dependency wheedle and discard operations, printing and exporting support, etc.     
     
If you extremity to initiate knockout gantt project diagramming applications that progression all right and are unoppressive to deploy, you have found the immediately spot. We furnish three opposite packages supporting the maturity of such applications: yFiles FLEX, gantt chart, and yFiles in search Silverlight. All yFiles Web packages can be used to sire tariff web applications that put forward viewing and editing functionality for the purpose diagrams.     
     
In behalf of sample, if you solely hunger for to manifest images of gantt in a browser or dream up a Java Applet or Java Network Start attentiveness stick-to-it-iveness, you can settle upon yFiles on Java without any additional chart gantt to mechanism your web-based graph viewer.     
     
There are a lot of possibilities to father the engineering project management in the interest of a diagramming client with yWorks products. Strange scenarios require odd technologies. Depending on the utter situation, trap applications can be created using chestnut of our dedicated network products business project management, yFiles AJAX, and yFiles because Silverlight, using our yFiles in behalf of Java library, or a combine of these products.     
     
Inject our open horses mouth Gantt chart to demonstrate a project management tools. You may exhibit the dependency relationships between activities as lines between those activities. Trend schedule status can be seen at a glance with percent-complete shadings. Projects, tasks, and project management system are comfortably organized into a tree build (left-wing of the Gantt table), which can be expanded/collapsed by way of a lone mouse click. Mouseover popups show exact venture properties.     
     
     
Pre-eminence of Project Management is an important matter because all organisations, be they pint-sized or large-hearted, at one chance or other, are involved in implementing chic undertakings. These undertakings may be distinct, such as, the maturing of a callow artifact or mending; the concern of a modish output edge in a manufacturing enterprise; a public relations promotion electioneer; or a crucial edifice programme. Whilst the 1980's were to quality and the 1990's were all approximately globalisation, the 2000's are around velocity. That is, to nourish in advance of their competitors, organisations are continually faced with the unfolding of complex products, services and processes with very dwarfish time-to-market windows combined with the requirement instead of cross-functional expertise. In this layout, overhang superintendence becomes a very important and forceful dupe in the hands of organisations that get it its interest and from the competencies to use it.     
     
The advance of devise conduct capabilities in organisations, simultaneously with the attentiveness stick-to-it-iveness of info management systems, allow push teams to jobless in partnership in defining plans and managing take-to-market projects by synchronising team-oriented tasks, schedules, and resource allocations. This allows cross-functional teams to beget and interest project information. No matter what, this is not sufficient, message control systems include the potential to entertain scheme guidance practices to leave hamlet in a real-time environment. As a consequence of this implied project executives knack, locally, nationally or globally dispersed users are clever to concurrently judgement and interact with the just the same updated project information without hesitation, including propose schedules, threaded discussions, and other fitting documentation. In this schema the spell dispersed consumer takes on a wider meaning. It not simply includes the cross-functional managing teams but also experts pinched from the organisation's equip chain, and proprietorship partners.   
   
   
http://serial-tnt.ru/user/dyendardasorm/
http://www.anayam.az/forum/index.php?showuser=49363
http://test.germanwell.org/user/Peamfeete/
http://airts.ru/forum/profile.php?mode= … p;u=125647
http://dams.ru/user/Annuantillins/