Dr. Obaid Blog
December 19, 2008
Inspiring the Next Generation

There are a handful of days in your life that you will never forget and that change your life forever.  For me, one of those days occurred during my first year at Harvard Medical School.  Harvard sponsored a lecture series where leaders in various fields of medicine came and lectured to us regarding their life’s work.  One of those lectures featured the chairman of plastic surgery at the Massachusetts General Hospital.  He showed us pictures of patients that he had cared for throughout the years.  Many of them, I remember to this day.  There was a young mother of three who had developed breast cancer in her early thirties, for whom the surgeon had reconstructed her breasts using her tummy fat.  There was also a  construction worker who had a steal beam dropped on his head whose skull and face had to be completely reconstructed.  Finally, there was a gentleman who had lost his thumb in an accident at work, that had a new one made for him using his big toe!  After I saw this lecture, I knew that plastic surgery was my calling. 

I received a call a couple of weeks ago asking me if I had any interest in talking to the students at the Westlake Academy about my work in plastic surgery and craniofacial surgery.  I thought back to that day that had changed my life so many years ago, and I became excited to share my experiences with these young minds.  I put together a talk for the students that showed them some of the exciting work that we do.  I showed them the pictures of some of the children born with cleft lip, cleft palate, small jaws, misshapen faces and skulls and how we have transformed their lives.  I also showed them some pictures of challenging cases that hopefully one day, one of them will find the answer for. 

I never told that doctor how the hour out of his day changed my life.  I hope one day that the same can be said for my time.

November 3, 2008
Cleft Palate Online Support Group

The longer that I have been in practice, the more I realize that I often learn as much from my patients as they learn from me.  The mother of one of our cleft lip and cleft palate babies recently sent me this link to a great support group for parents of children who have cleft  lip and palate.  Another mother of one of my patients recently logged on, and found a nipple that really helped her with feeding her cleft palate baby. Please feel free to follow the link below to share your story and to read and learn from other parents’ experiences.
http://www.cafemom.com/group/988/

October 31, 2008
Breast Cancer Battles
As seen on The Oprah Winfrey Show, Christina Applegate shares her battle with breast cancer.

As seen on The Oprah Winfrey Show, Christina Applegate shares her battle with breast cancer.

As seen on The Oprah Winfrey Show, Christina Applegate shares her battle with breast cancer.

For more than 20 years, actress Christina Applegate has kept audiences laughing. During her teenage years, she lit up the small screen as Kelly Bundy on the hit sitcom Married with Children. After 11 hilarious seasons, Christina’s career branched out to the big screen and Broadway.

In 2007, Christina landed the starring role on Samantha Who?, an acclaimed comedy series. After receiving Emmy and Golden Globe nominations for her performance, it seemed that nothing could stop Christina’s triumphant return to TV.

Then, in April 2008, shocking news silenced the laughter. At 36 years old, Christina was diagnosed with breast cancer. At first, Christina says she lived quietly with the disease. “It’s hard to live quietly,” she says. “I went through five weeks of work without telling anyone that this was going on in my life.”

Now, Christina is going public with her personal battle to raise awareness among young women who may not think they’re at risk.

As the daughter of a breast cancer survivor, Christina says she’s been vigilant about getting regular mammograms since she was 30 years old. In 2007, doctors recommended extra precautions. “My doctor said that the mammograms weren’t enough for me because of the denseness of my breasts,” she says. “He suggested that I get an MRI.”

Christina went in for her first MRI screening, which produced disturbing results. “They found some funky things going on [in one breast],” she says. Doctors told her they needed to perform a biopsy. Then, the excruciating waiting game began.

Christina continued to work and promote her sitcom, but the impending results were never far from her mind. A week later she says she got the phone call every woman dreads. “[The doctor said], ‘It came back positive,’” she says. “Right now I’m sitting here shaking remembering that moment.”

Doctors explained that the cancer was only in her left breast, and thankfully, they caught it at an early stage. Christina says she held back her tears and immediately went into survival mode.
The day after her diagnosis, Christina says she went in to see an oncologist and a surgeon. “I’m a Sagittarius,” she says. “We need things done now. So, for me, I had to get in now, and I wanted to have my surgery now.”

Within a week, Christina had her first lumpectomy. Doctors also did a biopsy of her lymph nodes to make sure the cancer hadn’t spread. Since the cancer was caught early on, Christina was told she’d need six weeks of radiation instead of chemotherapy.

Then, she received more life-changing news. A test for the BRCA gene—also known as the “breast cancer gene”—came back positive. “That sort of changed everything for me,” she says. “Radiation was something temporary, and it wasn’t addressing the issue of this coming back or the chance of it coming back in my left breast. I sort of had to kind of weigh all my options at that point.”

Christina was given two options…go forward with the radiation treatments and continue testing for the rest of her life or have both breasts removed.

Christina made the dramatic decision to have a bilateral mastectomy. “It came on really fast. It was one of those things that I woke up and it felt so right,” she says. “It just seemed like, ‘I don’t want to have to deal with this again. I don’t want to keep putting that stuff in my body. I just want to be done with this.’ … I was just going to let them go.”

Before she went in for her surgery, Christina says she staged her first—and last—nude photo shoot. “I made sure that I have close-up photographs of them from every angle so I can kind of remember them,” she says.

Christina’s tears finally spilled over the day she met her surgeon. “I met with my doctor, and I told him that was my decision,” she says. “He brought the surgeon in, and it was like it was the floodgates just opened up and I lost it.”

In July 2008, Christina went through with the surgery, which has left physical and emotional scars. “It can be very painful,” she says. “It’s also a part of you that’s gone, so you go through a grieving process and a mourning process.”

Before she went under the knife, Christina says the only mastectomy she’d ever seen was the one her mother received. “[Her surgery] was in the ’70s, and they didn’t do a very good job back then,” she says. “So in my own mind I’m thinking, ‘My God, I’m going to be butchered, and it’s going to be horrible. I’m never going to love that part of me again.’ … But I did a lot of research, and they can make some pretty boobies.”

Currently, Christina says she has saline expanders in her body, which will make way for the new implants. Though she’s proud of her proactive decision, she says she’s reminded of her loss every day.

“It doesn’t feel the same, and it’s hard to carry your purse,” she says. “I cry at least once a day about it because it’s hard to overlook it when you’re standing there in the mirror. When you look down, it’s the first thing you see. … So you’re reminded constantly of this thing—this cancer thing that you had.”

On the bright side, Christina says she won’t have to wear a bra ever again. She also feels victorious in the fight against breast cancer. “I have taken a very progressive stance in the rest of my life,” she says. “For that, I’m really grateful.”

Days after her diagnosis, Christina says she reached out to family and friends, including Melissa Etheridge, a Grammy winner and breast cancer survivor. Melissa shared the lessons she learned during the fight for her own life.

“The first thing she said to me is: ‘Christina, this is a blessing that’s happened to you in your life. Right now, you get to start over, and right now you get to change everything—the way that you deal with things in life, the way that you react to things. Fear can hurt you. Stress can hurt you. This is the time that you have this opportunity to change the way you eat…everything you do,’” Christina says.

Christina now looks at her health scare as a blessing. “I am a 36-year-old person with breast cancer, and not many people know that that happens to women my age or women in their 20s,” she says. “This is my opportunity now to go out and fight as hard as I can for early detection.”

As she’s learned, early detection may not come from a mammogram. Christina says she will fight for women to have access to MRIs and genetic testing, which many insurance companies won’t pay for.

Christina says her health scare has shifted her priorities completely. “[There's] this need and this desire to make every single day count,” she says. “I used to say … ‘Don’t sweat the small stuff—not even the big stuff.’ At the end of the day, none of it matters but your own joy, your own spiritual journey that you go on, God, your loved ones, your friends, your animals. These are the things you’ve got to cherish and love and embrace.”
Christina’s oncologist, Dr. Philomena McAndrew, an attending physician at Cedars-Sinai Medical Center in Los Angeles. Dr. McAndrew explains the role that the BRCA1 and BRCA2 genes play in breast cancer.

The BRCA genes are genes that ordinarily help prevent breast and ovarian cancers. When someone tests positive for a BRCA gene mutation, it means there is a slight change in her BRCA gene that inhibits it from carrying out its job of prevention.

If you happen to have a gene mutation, your chances of developing breast cancer are significantly greater. But that does not mean you will definitely develop the disease. “In people that have the BRCA gene mutation, the chance [in their] lifetime of getting breast cancer is up to 87 percent,” Dr. McAndrew says.

A simple blood test can determine if you carry a BRCA gene mutation. Dr. McAndrew recommends getting tested if you:

  • Were diagnosed with breast cancer before you turned 50
  • Had ovarian cancer
  • Had a male family member with breast cancer
  • Had breast cancer in one breast and then again in the other breast
  • Have lost family members to breast cancer before they turned 50

If you test positive for a BRCA gene mutation, Dr. McAndrew suggests three options for you to consider:

  • Practice surveillance—have a mammogram and MRI every six months
  • Preventative chemotherapy
  • Preventative double mastectomy

As a reminder, always consult your doctor for medical advice and treatment.

One factor that can affect the accuracy of a mammogram is the density of your breasts. According to Dr. McAndrew, the density of a breast is determined by the amount of glandular tissue you have. In a mammogram, the glandular tissues are displayed as very dark areas. These areas make it difficult to see smaller changes in your breasts from year to year. “A very dense breast is like you’re looking through a snowstorm,” Dr. McAndrew says. “Only your radiologist can tell you [the density of your breasts].”

When seeing your physician, Dr. McAndrew says you should be your own advocate. Ask your doctor if you have dense breasts. If you learn your mammogram is “normal,” find out what “normal” really means. “We really have to use all of the different treatment options that we have—breast self-examination. We need to mammogram,” Dr. McAndrew says. “Possibly MRI, possibly ultrasound.”

Growing up, sisters Suzy and Nancy were as close as two people could be. They were practically inseparable, singing, dancing and playing their way through childhood. As adults, they remained best friends and had a bond others would envy.

In 1978, when Suzy was just 33, she was diagnosed with breast cancer. “Back in 1978, nobody talked about [breast cancer]. Doctors barely knew how to treat it,” Nancy says. “There wasn’t an Internet, there were no 1-800 numbers to call. There were no support groups for young patients.”

After an exhausting battle, Suzy lost her fight with the disease. Shortly before she died, she asked Nancy if they could work together to ensure that other women suffering would be able to get the support and information they so desperately needed. “She said, ‘Nannie, when I get better, I want you to promise me that we’re going to work to make sure that this doesn’t happen to other families,’” Nancy says. Four years after Suzy passed away, Nancy was also diagnosed with the disease.

Nancy promised that if it took the rest of her life, she would raise awareness of breast cancer. “It’s been almost 30 years,” Nancy says. “And still there’s not a day that goes by that I don’t miss Suzy.”

In 1982, Nancy Brinker founded Susan G. Koman for the Cure in honor of her beloved sister. The goal of the foundation is to create a network for survivors to help raise awareness, raise money through events like the Susan G. Komen Race for the Cure® to help fund research, and most importantly, give hope to those struggling with the disease. To date, the foundation has raised more than $1 billion for breast cancer research.

“I love our organization,” Nancy says. “It is my sister to me.”

When Suzy was diagnosed, Nancy says people talked about it as if it were a automatic death sentence. She says people would cross the street when they saw her sister because they believed Suzy was contagious. It was this type of ignorance that Nancy was determined to change. In 1983, Nancy organized the first Susan G. Komen Race for the Cure®.

Nancy’s dream was that the race would give people hope. “I was so disturbed at the way people talked about breast cancer. … We’ve got to put hope in this thing. We’ve got to lighten up the landscape somehow. We’ve got to educate people,” Nancy says. “First there must be awareness. Then there can be change.”

Nancy says people told her the race wouldn’t work because nobody wanted to talk about breast cancer. “It was drizzling that day,” she says. “Everything was against us, but the people came.” In all, 800 people attended the first race.

October 17, 2008
Welcome to North Texas Plastic Surgery!

I would like to welcome everyone reading this page to the official blog of Dr. Sacha Obaid, founder of North Texas Plastic Surgery.  This blog is dedicated to providing the latest information on plastic surgery, breast reconstruction, and craniofacial surgery to all those who are interested.  I encourage you to read it and post comments as you see fit.  I hope that all of you who live in the Southlake area or the surrounding communities such as Westlake, Grapevine, Keller, Trophy Club, Flower Mound, North Richland Hills, Hurst, Euless, Bedford, Las Colinas, Irving, Dallas and Fort Worth will all make time in your busy schedules to pay us a visit in person in our office across from the Southlake Town Square!

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