Dr Patricia Clugston—A Spirit of Determination

2020 ◽  
pp. 229255032093669
Author(s):  
Yaeesh Sardiwalla ◽  
Christina Weber ◽  
Steven F. Morris
Keyword(s):  
Breast Cancer ◽  
British Columbia ◽  
Medical Education ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
General Hospital ◽  
Residency Training ◽  
Treatment Options ◽  
Vancouver General Hospital ◽  
Intellectual Curiosity

Dr Patricia Clugston was a British Columbia native who completed her plastic surgery residency training in Vancouver in 1993 before pursuing a fellowship in Nashville with Dr Patrick Maxwell in 1994. When Dr Clugston returned to Vancouver, she helped to establish a comprehensive and renowned breast reconstruction program. She spent her career advocating for and working towards better treatment options for women seeking breast reconstruction. As a determined surgeon and accomplished athlete, Dr Clugston was truly a tour de force in all aspects of her life. Patty, as she was affectionately known by her colleagues, loved her job. Dr Clugston was an avid advocate for medical education and an outstanding clinical researcher and speaker that established her as a shining star in Canadian plastic surgery. Patty had always lived life to the fullest and was determined that scleroderma would not change this. Her sharp wit, intellectual curiosity, and pragmatism masked an incredible courage as she fought bravely against a cruel disease. Dr Clugston died on March 1, 2005, at the age of 46 surrounded by the loving company of her husband, friends, and family at the Vancouver General Hospital. The Dr Patricia Clugston Chair in Breast Reconstruction was established in her name to honour her legacy and continue to improve the care of patients with breast cancer.

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2020 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background: The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods: 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, also chose to undergo breast reconstruction surgery. For the purposes of evaluating a possible change in mental health status, we employed two assessment scales: the Young Cognitive Schema Questionnaire - Short Form 3 (YSQ-S3) and the Romanian version of the Depression Anxiety Stress Scale – 21 (DASS-21R). Results: Participants who underwent mastectomy and subsequent breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in women who refused reconstructive breast surgery were significantly correlated with the presence of anxiety-depressive symptoms.The cognitive schema domain of ‘disconnection and rejection' correlated uncertainly with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r= 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r= 0.647, p < 0.01). Negative emotional schemas were significantly correlated with the presence of anxiety-depressive symptoms (Spearman's r= 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion: A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan. Keywords: breast cancer, cognitive schemas, anxiety, depression, mastectomy, breast reconstruction

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2019 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background: The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods: 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, also chose to undergo breast reconstruction surgery. For the purposes of evaluating a possible change in mental health status, we employed two assessment scales: the Young Cognitive Schema Questionnaire - Short Form 3 (YSQ-S3) and the DASS-21R (Depression Anxiety Stress Scale - 21 Romanian version). Results: Participants who underwent mastectomy and subsequent breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in women who refused reconstructive breast surgery were significantly correlated with the presence of anxiety-depressive symptoms.The cognitive schema domain of ‘disconnection and rejection' correlated uncertainly with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r= 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r= 0.647, p < 0.01). Negative emotional schemas were significantly correlated with the presence of anxiety-depressive symptoms (Spearman's r= 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion:A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan. Keywords:breast cancer, cognitive schemas, anxiety, depression, mastectomy, breast reconstruction

scholarly journals Shaping Plastic Surgery in British Columbia—The Courtemanche Legacy

2019 ◽  
Vol 27 (2) ◽  
pp. 162-166
Author(s):  
Yaeesh Sardiwalla ◽  
Steven F. Morris
Keyword(s):  
Plastic Surgery ◽  
General Hospital ◽  
Royal College ◽  
Botanical Garden ◽  
Vancouver General Hospital ◽  
Plastic Surgeon ◽  
University Of Toronto ◽  
The United Kingdom ◽  
Sick Children ◽  
The University

Dr Albert Douglas Courtemanche was born in Gravenhurst, Ontario on November 16, 1929. In 1949, he was accepted to the University of Toronto Medical School, graduating in 1955. After completing his internship at the Toronto General Hospital and at the Hospital for Sick Children, he completed his surgical training in Vancouver and in the United Kingdom. When Dr Courtemanche returned from his training in 1962, he joined Dr Cowan on the surgical staff at the Vancouver General Hospital. He was responsible for establishing a new plastic surgery ward, a dedicated operating room (OR), an integrated burn unit and also starting the UBC plastic surgery training program. Dr Courtemanche became involved in working with the Royal College, first as an examiner and then as the Chairman of the Plastic Surgery Exam Board in 1981. He eventually became the first and only plastic surgeon to ever hold the position as President of the Royal College. Dr Courtemanche emphasized throughout his career the importance of teaching and role modeling. A very proud moment in Dr Courtemanche’s career was when his son Douglas became a pediatric plastic surgeon. After retiring Dr Courtemanche became a volunteer at the VanDusen Botanical Garden and completed their Master Gardeners Program.

scholarly journals MODERN METHODS OF BREAST RECONSTRUCTION. OWN EXPERIENCE

2020 ◽  
Vol 75 (3) ◽  
pp. 179-184
Author(s):  
S.V. Telichko ◽  
◽  
N.V. Kovalenko ◽  
V.V. Zhavoronkova ◽  
A.I. Ivanov ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Oncological Safety ◽  
Results Of Treatment ◽  
Modern Methods ◽  
Reconstructive Plastic Surgery ◽  
Reconstructive Plastic

The role and methods of reconstructive and plastic surgery in the treatment of patients with breast cancer are considered. Presented our own results of treatment patients taking into account the main requirements of the treatment: oncological safety and improving the quality of life when using reconstructive plastic surgery.

scholarly journals The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients

2019 ◽  
Author(s):  
Ana Cristina Bredicean ◽  
Zorin Crăiniceanu ◽  
Cristina Oprean ◽  
Ioana Alexandra Rivis ◽  
Ion Papavă ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Cancer Patients ◽  
Correct Identification ◽  
Cognitive Schema ◽  
Cognitive Schemas ◽  
Breast Cancer Patients ◽  
Reconstruction Surgery

Abstract Background The surgical treatment of breast cancer involves various psychological consequences, which differ according to individual characteristics. Our study aimed to identify the role that cognitive schemas had in triggering anxiety and depressive symptoms in patients diagnosed with breast cancer that underwent oncological and plastic surgery treatment. Methods 64 female patients, diagnosed with breast cancer from an Oncology and Plastic Surgery Hospital, were selected to participate in this study between March-June 2018. They were divided into two groups: I. 28 patients who underwent mastectomy surgery; II. 36 patients, who required mastectomy and, subsequently, chose to undergo breast reconstruction surgery. We employed two assessment scales: the YSQ-S3 Cognitive Schema Questionnaire and the DASS-21 Depression, Anxiety, and Stress Scale. Results We concluded that participants who underwent mastectomy and breast reconstruction surgery employed cognitive schemas that did not generate symptoms of depression or anxiety. In contrast, the cognitive schemas found in the group of women who refused reconstructive breast surgery significantly correlated with the presence of anxiety-depressive symptoms. The cognitive schema domain of ‘disconnection and rejection' did not correlate reliably with the presence of anxiety-depressive symptoms for the group with breast reconstruction (Spearman's r = 0.091, p = 0.644), while for the other group the correlation was moderate-strong (Spearman’s r = 0.647, p < 0.01). Negative emotional schemas correlated significantly with the presence of anxiety-depressive symptoms (Spearman's r = 0.598, p < 0.01) in the group of participants without reconstructive surgery. Conclusion A correct identification of dysfunctional cognitive schemas and coping mechanisms at the commencement of the combined treatment in breast cancer patients could serve as an indicator for the evolution of their mental health, therefore assisting professionals in establishing the most suitable psychological, psychotherapeutic and psychiatric intervention plan.

scholarly journals Modern possibilities of reconstructive plastic surgery of breast cancer

2018 ◽  
Vol 11 (2) ◽  
pp. 134-143
Author(s):  
Yury Viktorovich Ivanov ◽  
Valentin Ilyich Sharobaro ◽  
Dmitry Nikolaevich Panchenkov ◽  
Yuri Alekseevich Khabarov ◽  
Dmitry Anatolievich Astakhov
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Plastic Surgery ◽  
Radical Mastectomy ◽  
Single Step ◽  
Huge Number ◽  
Final Choice ◽  
Somatic Condition ◽  
Reconstructive Plastic Surgery ◽  
Reconstructive Plastic

SUMMARY The surgical stage of treatment remains the main one in the complex therapy of breast cancer. The review of modern reconstructive plastic surgery, performed by single-step and delayed after radical mastectomy. Against the background of a huge number of existing methods of breast reconstruction, three main types have become the most popular among surgeons to date: the use of own tissues, silicone endoprostheses and their combination. The final choice of the option of breast reconstruction depends on the volume of cancer surgery, plastic tissue, somatic condition of the patient and her desire. Reconstructive plastic surgery for breast cancer does not affect the course of the disease and are not an obstacle to chemotherapy.

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