Margaret's Grand Adventure: My first week at OHSU! (Day 3)

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Day 3:

Today we spent the day at the clinic for preop (pre-operation) and postop (post-operation) consultations. One of the patients had received a mastectomy and needed to reconstruct one or more of their breasts. Another patient had implants but needed an augmentation to fix existing complications with the breasts' appearances.

Interesting fact: saline implants can remain in place for life, while medical professionals recommend replacing silicone implants every 10 years or so.

Another patient had sustained a crush injury to their pointer finger and met with Dr Hansen during the recovery process to determine the best course of action as the finger continue to heal. The finger had sustained multiple fractures, as well as concentrated cell death and partial amputation.

Another patient in the clinic had battled a reoccurring type of cancer, which contributed to an infected open-leg wound with tissue damage, inflammation, and decay, as well as bone visibility. After a failed skin flap graft the options were limited to a transverse free muscle flap from the back area, or an amputation.

What surprises and inspires me most is the energy and passion that remains so vividly alive in these patients, despite the hardships they have had and will continue to endure. Their vibrant spirits are catching, and they give me hope; pure, sweet, hope.


This is fascinating; thanks

This is fascinating; thanks for the thoughtful and detailed posts! Given the longevity of saline, why would one choose silicone implants instead?

Saline vs. Silicone

That's a great question! I wondered the same thing when Dr. Hansen showed me the two different models, and she said that silicone feels more natural to patients. Silicone implants hang more naturally than saline implants, and the texture is different. There have been allegations that silicone is damaging, but the two implants are virtually the same, other than what i previously mentioned. Often times, it just comes down to patient-preference, but doctors usually suggest silicone.