HEALTH
ALMOST A YEAR AFTER THE TRAM FLAP SURGERY
MY THOUGHTS AFTER MY TRAM FLAP BREAST RECONSTRUCTION SURGERY
Its been nearly a year since I had my breast reconstructed. The TRAM FLAP SURGERY procedure is the method I opted for and generally speaking, I’m pleased. I ended up having a free TRAM flap which is a complicated and intense procedure.
I chose this procedure because it used my own body tissue and because I felt that in the long-term, it would be better for me. It would have been easier and faster to have an implant, but after all of the breast cancer treatments, I was really leery about having anything foreign in my body.
When I speak to other survivors who have gone through breast reconstruction, I still wonder whether I made the right choice — or rather, was there an easier choice to make. But, it’s fine now and I really have few complaints.
Flatter tummy… but still no abs.
My tummy is somewhat flat. It isn’t as flat as I expected it to be. I thought it would be just ridiculously flat but a better descriptor would be smooth. I guess in order to get it to flat, I will have to do some work. (laughs) I expected to wake up with abs of steel and well, its not that.
My breast is amazing. I still don’t have a nipple yet, but I will have one soon. Surprisingly, I’m actually okay without it right now. The reconstructed breast looks wonderful in my clothes. And it’s nice and perky (as is my other breast which was reduced to match in size). I often run around without a bra on… and that is really cool.
Hmm… I didn’t realize what I was missing all those years I carried those super-large breasts around..
The downsides are few…
I still have limited feeling in my tummy area. The numb area is much smaller than it was immediately following the surgery. But all of the feeling has not returned to my tummy area.
My abdomen muscles are stronger but still not completely strong. Every now and then I’ll do something that reminds me that I had major surgery and had some of my abdominal muscles removed. But it doesn’t happen often and when it does happen, the cramps don’t last too long.
My posture is still rather poor. It is better than it was after my mastectomy, but I am truly a work-in-progress in this area.
The tightness of my abdomen causes me to involuntarily curl at the shoulders to avoid pulling those muscles too hard. Hard to be sexy with rounded shoulders. (laughs) But I’m working on that too.
Lymphedema woes
The additional surgery around my underarm area totally aggravated my lymphedema. It was very mild prior to the TRAM procedure… now, it is the bane of my life.
I am so sick of the fat arm… ugh.
But, I can still move it around and I’m just forced to constantly stretch and exercise and massage it. And wear my compression sleeve constantly. I am hoping that as I start to lose weight (I’m changing my food habits now) and start to work out more (planning to incorporate some very light weight lifting into my exercise plan), the lymphedema will get better.
This is what a cancer patient looks like after TRAM Flap surgery. |
I know that for the longest time doctors have been telling breast cancer patients with lymphedema risks not to over-exert the affected arm, not to lift heavy objects and all that. But that seems so off to me (and yes, I have no medical training whatsoever but so what).
I’m just going to do what I think is best and hope for the best
My new breast is really quite different
The other downside of the procedure is that while my new breast is nice… it doesn’t actually look like a real breast. And there are times when that matters to me.
Also, there’s no feeling in it. I can feel around it… but I cannot feel the actual breast. If someone brushes against me, or even reaches out to grab me… I won’t notice it unless I see it happen. That is not very sexy.
But, all things considered, I’m more happy with my reconstructed breast than I was without it
The pain after the surgery is really a dim memory.
I recall that it was the most painful thing I’d ever experienced in my life. I absolutely hated the recuperation period. But, despite all of that… I am generally pretty happy.
I chose the TRAM flap because implants require regular surgical maintenance and I did not want to do that. However, implants are easier to get initially, take much less time in the operating room, cost significantly less and your recuperation time is far shorter. So they are truly a good option.
You can only TRAM once though… gotta add that to the equation
TRAM flaps are one-time options though. Once they take the flesh from your tummy, they cannot go back and do that procedure again. My plastic surgeon was trying to convince me to have both breasts removed so that she could do the TRAM flap for both breasts at the same time. I just refused to do that. I am hoping that I don’t regret the decision to keep my natural breast.
I don’t particularly like my scars (on either breast) but they don’t make me as crazy as they used to when I look at them. I am becoming more and more comfortable wearing low-cut things that show off my cleavage and my scars. I am less concerned with people noticing my scars and asking me crazy questions.
The scars on my hips and across my lower belly have healed well. They haven’t disappeared which is what I had hoped for, but they are okay. It really looks a lot like a cesarean scar except it stretches from hip to hip.
Now that I think about it though, I have slacked off with my vitamin E oil/shea butter massages on my scars. Hmm… need to get back on that. It was definitely helping the scars to look better, my skin to look better and also to soften up the tissue underneath the scars.
Just about a year now… and I’m content
I am about 11 months from the surgery and its been a good recuperation. I am confident that I will continue to make progress and feel sexier every day. I do not regret making this choice at all.
Also Read: HOW TO KNOW IF YOU HAVE BREAST CANCER
HEALTH
Keune Hair Care Products: Your Guide to Luxurious Hair
Hair care is more than just a routine—it’s a way to invest in your confidence and personal style. With Keune hair care products, you don’t just take care of your hair; you elevate it. As a globally trusted brand with decades of expertise, Keune is synonymous with premium-quality hair solutions tailored for all hair types and needs.
In this blog, we’ll explore why Keune stands out, the range of its offerings, and how its products can transform your hair care regimen.
Why Choose Keune Hair Care Products?
Keune isn’t just another name in the beauty aisle; it’s a brand rooted in innovation, sustainability, and quality. But what sets Keune apart?
- Proven Expertise: Established in 1922, Keune has been at the forefront of professional hair care, trusted by stylists worldwide.
- High-Quality Ingredients: The brand prioritizes safe, effective ingredients that nourish hair from the root to the tip.
- Tailored Solutions: Keune offers products for diverse hair textures and concerns, from dryness to frizz.
- Sustainability Focus: With environmentally friendly practices, Keune delivers beauty solutions you can feel good about using.
Top Features of Keune Hair Care Products
Nourishing Formulas for Healthier Hair
Keune’s products focus on restoring and maintaining hair health. Whether it’s their shampoos enriched with essential oils or their deeply conditioning treatments, every product is designed to enhance your hair’s natural beauty.
Color Preservation Technology
For color-treated hair, Keune’s specialized formulas prevent fading and keep your locks vibrant. Their UV filters and advanced ingredients provide long-lasting protection against environmental damage.
Diverse Product Range
From gentle cleansing to intensive treatments, Keune offers:
- Shampoos: Sulfate-free options for all hair types.
- Conditioners: Deeply hydrating for soft, manageable hair.
- Styling Products: For sleek finishes and long-lasting hold.
Popular Keune Hair Care Lines
Care Line: For Overall Hair Health
The Keune Care Line is ideal for those seeking balanced care for their hair and scalp. With options like Keratin Smooth and Vital Nutrition, it’s perfect for strengthening and repairing damaged hair.
Blend Line: Versatile Styling Solutions
If you love experimenting with your look, Keune’s Blend Line offers a range of products to shape, texturize, and style your hair effortlessly.
So Pure Line: Natural and Organic
For those who prefer chemical-free options, the So Pure Line combines the power of nature with science. Infused with organic essential oils, this line caters to eco-conscious individuals.
Benefits of Using Keune Hair Care Products
Improved Hair Texture and Shine
Keune’s advanced formulations smooth frizz and restore shine, leaving your hair visibly healthier.
Moisture Retention
Dry hair? Not anymore. Keune products are designed to lock in moisture, preventing breakage and split ends.
Scalp Care
Healthy hair starts with a healthy scalp. Keune’s scalp care solutions tackle issues like dandruff and irritation, promoting overall wellness.
How to Build a Routine with Keune Hair Care Products
Creating a hair care routine tailored to your needs is key to achieving your dream hair. Follow this simple guide:
- Cleanse with Keune Shampoo
Start with a shampoo that suits your hair type. For instance, use the Keratin Smooth Shampoo for frizz control or the Color Brillianz Shampoo for color-treated hair. - Condition with Care
Apply a Keune conditioner to hydrate and detangle your strands. Leave it on for 2-3 minutes for maximum absorption. - Treat with Masks or Serums
For extra care, incorporate a weekly hair mask like the Keune Care Vital Nutrition Mask or a serum to protect your hair from heat and damage. - Style Smartly
Use Keune styling products like mousse, wax, or gel to define your look while maintaining your hair’s natural texture.
Keune Products for Different Hair Types
For Dry Hair
The Vital Nutrition series replenishes moisture, leaving dry hair silky and manageable.
For Fine Hair
Keune’s Volume Line adds body without weighing hair down, perfect for a fuller look.
For Curly Hair
The Curl Control range enhances curl definition while fighting frizz.
Sustainability and Ethical Practices at Keune
Keune stands out for its commitment to sustainable beauty. Its environmentally friendly practices include:
- Recyclable Packaging: Reducing waste impact.
- Cruelty-Free Testing: Ethical, animal-friendly product development.
- Renewable Energy: Supporting green initiatives.
Tips for Maximizing the Benefits of Keune Hair Care Products
- Don’t Overwash: Washing your hair too frequently can strip it of natural oils.
- Use a Wide-Tooth Comb: Prevent breakage when detangling wet hair.
- Apply Products Evenly: Distribute conditioner and treatments thoroughly for consistent results.
- Invest in Regular Trims: Pair Keune’s care with a healthy trim schedule to maintain hair health.
Customer Favorites: Top Keune Products to Try
- Keune Care Satin Oil Shampoo
- Perfect for dry, dull hair needing extra nourishment.
- Keune Blend Salt Mousse
- Adds volume and texture effortlessly.
- Keune Tinta Color Care Conditioner
- Enhances and preserves hair color.
FAQs
What makes Keune hair care products unique?
Keune combines premium-quality ingredients with cutting-edge technology to offer effective, tailored solutions for various hair needs.
Are Keune products safe for color-treated hair?
Yes, Keune offers a range of products specifically formulated to preserve and enhance hair color.
Can I use Keune products daily?
Absolutely! Keune products are gentle enough for regular use, but always choose the right formula for your hair type.
Is Keune environmentally friendly?
Yes, Keune emphasizes sustainability with recyclable packaging and cruelty-free practices.
Which Keune line is best for damaged hair?
The Care Line, particularly the Vital Nutrition series, is excellent for repairing and strengthening damaged hair.
How do I find the right Keune product for my hair?
Consult Keune’s product descriptions or your hairstylist to match the right products to your hair’s needs.
see also Luvme Hair Clip-In Hair Extensions Review – 100% Brazilian Hair
Conclusion
Keune hair care products represent the perfect blend of luxury and effectiveness. Whether you’re battling dryness, maintaining your color, or seeking eco-conscious options, Keune has something for everyone. With consistent use, you’ll experience stronger, shinier, and healthier hair that turns heads.
HEALTH
Corneal transplants
When the cornea becomes irreversibly opaque, irregular, or at risk of perforation, and less invasive treatments fail, the best clinics in Turkey may recommend a surgical procedure called keratoplasty, or corneal grafting, to replace the damaged tissue.
What is a corneal transplant?
The operation involves replacing the cornea, or part of it, with that of a donor. Unlike until recently, when the only possible intervention was to replace the entire thickness of the tissue, it is now possible to decide to replace only the affected part of the tissue, leaving the other layers of the cornea intact. This has been shown to reduce surgical aggressiveness and the risk of rejection, as well as speeding up functional recovery. Based on the damaged corneal layer (stroma, endothelium), it is possible to plan a selective graft of pathological tissue, deep anterior lamellar (DALC – Deep Anterior Lamellar Keratoplasty), in which only the anterior part of the cornea is replaced, without perforation. the eyeball or a graft of corneal endothelium only (DSAEK – Descemet Stripping Automated Endothelial Keratoplasty) leaving the most superficial healthy part intact.
Full-thickness corneal transplantation ( PK or perforating keratoplasty) is now reserved for cases in which corneal damage has occurred at all levels, or has caused tissue damage making the other two techniques impractical. In extreme cases, its sole purpose may be to avoid imminent perforation, or to remedy the situation as a matter of urgency in order to eliminate continuity between the internal ocular structures and the outside world (tectonic transplantation).
The ophthalmologist decides which technique is best suited to the case, after assessing the patient’s overall clinical picture. The donated corneas are taken from carefully selected cadavers, preserved in culture media and sent to the hospital on request from CORNAL BANKS, which certify the quality of the tissue sent. This enables operations to be planned in advance, and guarantees the high quality of the tissue to be transplanted.
The primary aim of corneal transplant procedure is to restore the corneal anatomy and improve visual function impaired by reduced tissue transparency and/or regularity.
How are corneal transplants performed?
The operation can be planned well in advance, but depends on the availability of corneal bank tissue. The operation is performed under local or general anaesthetic, depending on the surgeon’s and anaesthetist’s indications, with hospitalization. If the operation is imminent, the patient is checked for any contraindications. Once the operation has been performed, and in the absence of complications, the patient stays in hospital for 1 to 3 days, to check on post-operative progress in a protected environment and under safe conditions.
What are the advantages of corneal transplants?
Although corneal transplant surgery is standardized and followed by satisfactory results, it does not escape the general rule that there is no such thing as risk-free surgery. It is therefore impossible to formally guarantee the success of the operation or the absence of complications, the incidence of which also depends on the type and degree of progression of the disease. For these reasons, the decision to transplant the cornea must be taken in the absence of less invasive medical or surgical therapies that are just as effective.
Is a corneal transplant painful or dangerous?
The operation is painless and is generally performed under general anaesthetic. After the operation, the affected eye will be more or less red and painful. You may experience sensations of a foreign body, burning, discomfort, tearing, visual fluctuations and halos, all of which will gradually subside. Since this is a surgical procedure, complications are possible before, during and after the operation itself. There is a high risk of infection, which can only be significantly reduced by careful attention to personal and ocular hygiene.
Corneal transplantation carries a risk of lifelong rejection. This phenomenon, the frequency of which is considerably reduced after the first 5 years, can lead to severe and irreversible inflammation of the ocular surface and, in the absence of timely treatment or due to the severity of its manifestation, to the use of a new cornea transplant.
Which patients are eligible for a corneal transplant?
Patients of any age, suffering from pathologies that do not allow less invasive therapeutic options with the same efficacy, and who have obtained surgical approval from the anesthesiology team, can undergo a corneal transplant.
Follow-up
Post-operative check-ups, initially more frequent, are necessary for a long period. If checks are not carried out as planned, the outcome of the operation may be compromised. After surgery, there is often residual astigmatism, and in order to reduce this, a new method of tensioning the suture under intraoperative topographic guidance has been developed which significantly reduces postoperative astigmatism within the first few days after surgery.
Approximately 1? years after the operation, the suture is removed, after which corneal rearrangement can lead to the appearance of unpredictable visual defects such as astigmatism, myopia or hyperopia.
Visual improvement is not immediate, but occurs slowly over several weeks, and is linked to the graft take and vitality of the grafted cornea, its transparency, the presence of residual astigmatism, and the health of other areas (retina, lens, etc.) of the operated eye. Indeed, the presence of other ocular lesions can limit vision recovery.
Are there any rules for preparing for the operation?
In preparation for the operation, it is necessary to check for the absence of diseases and/or infections affecting the eye or other parts of the body that could increase the surgical risk. The patient must arrive on the morning of the operation on an empty stomach.
HEALTH
Ambetter Health: Comprehensive and Affordable Health Coverage
Understanding Ambetter Health Insurance Plans
Ambetter Health offers plans across three coverage levels: Essential (Bronze), Balanced (Silver), and Secure (Gold). These tiers align with marketplace standards, where each level corresponds to the ratio of coverage costs paid by the insurer versus the member. Ambetter’s plans aim to keep healthcare affordable for a wide range of income levels while allowing flexibility in out-of-pocket costs and premiums.
1. Essential (Bronze) Plans: Balancing Cost and Coverage
Essential plans are Ambetter’s entry-level options, covering 60% of healthcare costs. These plans work well for generally healthy individuals who require minimal medical intervention. Essential plans have lower monthly premiums, though out-of-pocket costs are higher when accessing care. This plan may be ideal for individuals needing occasional doctor visits or prescription medications without anticipating frequent medical services.
2. Balanced (Silver) Plans: Optimal Value for Moderate Healthcare Needs
Balanced plans cover about 70% of healthcare expenses, making them a good middle ground for those with moderate healthcare needs.Plans offer a better balance between premium costs and out-of-pocket expenses, with additional discounts available for eligible low-income applicants.
3. Secure (Gold) Plans: High-Level Coverage for Frequent Care
Secure plans cover approximately 80% of healthcare costs, ensuring the lowest out-of-pocket expenses for members who frequently use healthcare services. While premiums for Secure plans are higher, they are an excellent choice for those with chronic conditions or requiring regular treatments.
Core Benefits of Ambetter Health Plans
Ambetter Health emphasizes comprehensive healthcare services with essential benefits in line with the Affordable Care Act (ACA). Here are some standout benefits:
Preventive and Wellness Care
One of Ambetter’s core focuses is on preventive and wellness care. All plans cover preventive services, including vaccinations, annual check-ups, screenings, and health education programs. Ambetter encourages members to prioritize their health through preventive measures, which is especially valuable for catching potential health issues early and avoiding high future costs.
Ambetter Telehealth Services
With advancements in virtual healthcare, Ambetter Health provides telehealth services to allow members remote access to healthcare providers for non-emergency medical issues. This convenient option is especially useful for members in rural or remote areas or those with busy schedules. Members can consult with physicians for minor illnesses, prescriptions, or follow-up care, saving time and potentially lowering healthcare costs.
My Health Pays® Rewards Program
A unique feature of Ambetter Health is the My Health Pays® rewards program. Members can earn rewards for engaging in healthy activities, such as annual check-ups, flu shots, and completing wellness questionnaires. These rewards are redeemable for various expenses, including health plan premiums, utilities, and transportation costs. This program incentivizes members to stay proactive about their health.
Extensive Network of Providers
Ambetter offers a robust network of healthcare providers, including primary care physicians, specialists, hospitals, and pharmacies. Members can access a diverse range of providers without sacrificing the quality of care. With a strong in-network system, Ambetter aims to make quality healthcare accessible and cost-effective, although out-of-network care may incur additional costs depending on the plan.
Prescription Drug Coverage
Ambetter Health plans include prescription drug coverage to ensure members can access necessary medications without facing significant financial challenges. Ambetter categorizes medications into tiers, where generic drugs are generally more affordable, and specialty medications may come at a higher cost. The program also supports members in finding lower-cost options and assists with generic alternatives, reducing medication expenses.
Ambetter Health and Marketplace Access
Ambetter Health’s participation in the health insurance marketplace makes it a popular choice for many Americans seeking affordable, ACA-compliant health coverage. Ambetter’s marketplace plans are available in numerous states, with options tailored to meet individual state healthcare requirements. Members can purchase these plans through the federal Health Insurance Marketplace or state-based exchanges.
Subsidies and Financial Assistance
As marketplace plans, Ambetter Health insurance options qualify for subsidies based on income.
Ambetter Enrollment Process
Ambetter Health plans are typically available for enrollment during the annual Open Enrollment Period (OEP).
Managing Healthcare Costs with Ambetter Health
Ambetter Health emphasizes financial transparency and offers members tools to manage their healthcare expenses effectively. From online cost estimators to dedicated customer support, Ambetter ensures members understand their costs before accessing services.
Member Dashboard and Cost Estimators
Ambetter Health’s member portal includes tools that allow members to view their plan details, track healthcare spending, and access digital ID cards. The cost estimator feature is particularly beneficial, helping members estimate out-of-pocket expenses for various treatments and services, thus avoiding unexpected costs.
Flexible Payment Options
To accommodate different financial situations, Ambetter offers multiple payment options. Members can choose to pay premiums online, by phone, or by mail. Additionally, Ambetter provides flexible payment schedules to avoid coverage lapses and reduce financial stress.
Comparing Ambetter Health with Competitors
Ambetter Health stands out for its affordability, wellness incentives, and preventive care focus. However, comparing it with other marketplace plans, such as those offered by Blue Cross Blue Shield or Cigna, reveals unique strengths and potential limitations.
Strengths of Ambetter Health Plans
- Affordable Monthly Premiums: Ambetter Health is known for offering some of the most competitively priced premiums on the marketplace, making it appealing to cost-conscious consumers.
- Reward Programs: The My Health Pays® program encourages members to lead healthier lifestyles, a unique benefit not commonly found in other marketplace plans.
- Telehealth Access: Ambetter’s telehealth services ensure convenience, particularly appealing in the post-pandemic era where virtual care is prioritized.
Potential Limitations
- Provider Network Restrictions: Ambetter plans may have limited provider networks in certain regions, which could restrict access to preferred healthcare providers.
- Out-of-Network Costs: Like many marketplace plans, Ambetter’s out-of-network coverage tends to incur higher costs, which may not be ideal for members who frequently require specialty care outside the in-network area.
Is Ambetter Health Right for You?
Ambetter Health is an excellent choice for individuals and families who prioritize preventive care, affordability, and flexibility in healthcare coverage. For those looking to lower their monthly premiums without sacrificing essential health benefits, Ambetter’s marketplace plans offer a balance between cost and coverage. Additionally, individuals who can benefit from telehealth services and enjoy incentives for healthy behaviors may find Ambetter a valuable option.
However, those with specific provider preferences or requiring extensive out-of-network coverage should consider whether Ambetter’s provider network meets their needs. Comparing multiple plans within the marketplace can help ensure the best fit based on individual healthcare requirements and financial circumstances.
Conclusion
Ambetter Health combines affordability, comprehensive preventive care, and flexible payment options to provide high-quality healthcare to a diverse population. Through various plans that cater to different healthcare needs, Ambetter serves as an accessible health insurance choice for individuals and families looking to maintain good health without high costs. Ambetter’s commitment to wellness incentives, telehealth access, and financial support through marketplace subsidies further enhances its value, making it a solid contender in today’s health insurance marketplace.
FAQs
What types of health plans does Ambetter offer?
Ambetter Health offers Essential, Balanced, and Secure plans, aligning with Bronze, Silver, and Gold levels on the marketplace. Each plan varies in premium and out-of-pocket costs, catering to different healthcare needs.
How does Ambetter’s My Health Pays® program work?
The My Health Pays® program rewards members for engaging in healthy behaviors, such as annual check-ups and preventive screenings. Rewards can be used to pay for healthcare expenses, utilities, and more.
Does Ambetter cover prescription drugs?
Yes, Ambetter Health includes prescription drug coverage in all its plans, with options for lower-cost generic drugs and assistance in finding affordable medication alternatives.
Can I access telehealth services with Ambetter?
Yes, Ambetter offers telehealth services, allowing members to consult healthcare providers remotely for non-emergency health concerns, which is convenient and cost-effective.
What is Ambetter’s provider network like?
Ambetter has a robust network of in-network providers, including doctors, specialists, and hospitals. However, out-of-network services may incur higher costs, depending on the plan.
Is financial assistance available for Ambetter Health plans?
Yes, Ambetter’s marketplace plans may qualify for federal subsidies based on income, making premiums and out-of-pocket costs more affordable for eligible members.
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