Augusta Well being Breast Surgical procedure
Shannon N. Tierney, MD, MS, FACS gives an unique concentrate on the therapy of breast most cancers and benign breast illness at a brand new specialty follow within the Medical Workplace Constructing at Augusta Well being—Augusta Well being Breast Surgical procedure. She educated on the College of Virginia normally surgical procedure, after which at Memorial Sloan-Kettering Most cancers Heart in breast surgical procedure. Dr. Tierney additionally earned a Masters’ Diploma in well being analysis sciences. Earlier than returning to the Shenandoah Valley, she practiced for a number of years in Seattle, Washington.
“Once I inform people who I am a breast surgeon, many ask, ‘What precisely is a breast surgeon?'” says Dr. Tierney. “And I’ll admit, the title ‘breast surgeon’ is a bit deceptive as a result of my follow is way more than simply surgical procedure. After my normal surgical procedure coaching, I used to be fortunate sufficient to have the ability to prepare with a few of the finest breast surgeons on the earth on the Memorial Sloan-Kettering Most cancers Heart. Whereas there, I accomplished an extra 12 months of specialised coaching targeted on the most recent analysis and up-to-date strategies to analysis and handle breast illness.”
“With this unique focus, I’ve sturdy coaching in non-surgical approaches in addition to the surgical strategies,” she explains. “This can be a nice profit to our sufferers. Our aim is to offer one of the best final result attainable, and our skill to offer a number of choices for therapy is what leads us to these higher affected person outcomes.”
Sufferers is likely to be referred to Dr. Tierney by a major care doctor, a radiologist after an imaging research or an oncologist. Sufferers may self-refer to Dr. Tierney. “Most girls know their very own our bodies very properly,” she says, “so they’re usually the primary to note a distinction or have a priority. Working collectively, we are going to assess and consider the situation—and that may result in both working up a plan of care or the reassurance that each one is OK. Many sufferers are at first reluctant or fearful to see me with their issues as a result of they do not need to have radiation or surgical procedure. However that is truly a cause to be seen as quickly as attainable—early detection means extra therapy choices, together with non-surgical choices. So the sooner we are able to uncover and talk about the priority, the higher.”
Dr. Tierney sees all sufferers with breast issues, however jokes she has a particular curiosity in doing much less, no more. “With the therapy of breast most cancers and lesions, the principles have modified. Years in the past, the reply was to do a surgical procedure that took as a lot as attainable. Now, we’re all the time working to find out how we are able to take or do much less: Taking fewer lymph nodes, preserving as a lot breast tissue as attainable, saving nipples, creating smaller or hidden scars and even lowering hair loss. We need to treatment most cancers with the least uncomfortable side effects and difficulties attainable however with the identical good outcomes.”
“The affect of breast most cancers is not only on the affected person, it is on her total household,” she provides. “Like all cancers, it disrupts every little thing that’s regular about life. We work in hopes that most cancers can take a ‘again seat’ to the remainder of life. We work to be in a spot the place are sufferers are individuals or wives or mothers or workers first, after which are outlined as a most cancers affected person final.”
Plans for the Augusta Well being Breast Surgical procedure follow which have already been carried out or scheduled for the subsequent six to 12 months are ample and embrace:
Magnetic seed or magazine seed: A magazine seed is a small magnetic marker in regards to the measurement of a grain of rice that marks breast lesions for surgical procedure. It may be positioned as much as 30 days earlier than surgical procedure. It replaces an uncomfortable steel wire that needed to be positioned early the day of surgical procedure;
Hidden Scar: A sort of breast most cancers surgical procedure the place the scars aren’t seen after the incision heals;
Upgraded imaging expertise within the working room to enhance ‘margins’ in surgical procedure;
Veraform: a tissue marker that’s positioned within the tumor space after the lesion has been eliminated to mark it for follow-up imaging; and
Chilly capping: A chilly cap is a particular hat worn throughout chemotherapy to maintain the scalp cool and cut back hair loss.
“We need to present one of the best outcomes and finest expertise attainable for all our sufferers,” says Dr. Tierney. “A affected person doesn’t should journey to a giant educational middle to get educational stage care. They’ll get the identical high quality of care, in a extra responsive surroundings, proper right here in their very own group.”