Dr. Gorman, MD, FACS,of the Texas Breast Center in Waxahachie just completed her 100th SBRT surgery using Hologic’s BioZorb marker device. This new milestone puts her aheadof any other breast surgeon in this particular factor by over thirty percent.
Dr. Gorman is a breast surgeon whose primary focus is surgical oncology. She serves as the Chief of Surgery at Baylor Scott & White Medical Center in Waxahachie, Texas, as well as their Medical Director of Surgical Services. She has been using Hologic’s BioZorb surgical implants in her surgeries now for 100 operations and has seen how they can improve post-operation.
The BioZorb implant is a small coil structure that will, in time, be absorbed into the body. Until that time, it helps to support the breast tissue as it heals and fills in where some were removed. This prevents potential concave divots that can happen as healing tissue tries to fill in the empty space first.
The titanium clips remain even as the rest of the implant is absorbed, which helps for later radiation treatments or clinical imaging. They act as a pointer leading the radiation oncologist directly to the cancer site and minimizing potential radiation damage to the surrounding tissue. The clips also point out the exact site to any imaging that needs to be done so there is no guesswork.
Stereotactic Body Radiation Therapy, or SBRT, is another practice that Dr. Gorman has made intrinsic to her practice. She and Dr. Rufus Mark have worked together to co-author research on the5-day radiation treatment that can be performed 3-4 weeks after surgery. This varies from a traditional radiation treatment that lasts 30 days. With a higher dose of radiation in a more targeted beam, aimed through the BioZorb marker Dr. Gorman placed, Dr. Mark is able to more precisely and effectively hit any remaining cancer cells.
Dr. Valerie Gorman will continue with the BioZorb and SBRT surgeries in order to help more women heal and recover. If you would like to know more about Dr. Gorman’s history with BioZorb, SBRT, or either of these surgical processes, Dr. Gorman has published information online on these subjects. If you have questions about breast cancer care or are in need of treatment, you can contact the Texas Breast Center in Waxahachie to learn about your next steps. You can find all of their contact information and more information about Dr. Gorman on their website.
Valerie Gorman, MD, FACS released an article, “FAQs About Mastectomy”answering frequently asked questions about mastectomies. The purpose of this article is to help clear confusion on topics such as types of mastectomy, recovery after mastectomy, risks of mastectomy, and more to help patients with breast cancer.
Dr. Gorman and her team take a patient-centered approach, always taking care to answer their patients’ questions. Here she takes the chance to answer questions for more than just her own patients.
When asked about breast reconstruction, her article answers:
Not everyone has breast reconstruction after a mastectomy. For example, those having lumpectomies do not necessarily need one, because a majority of the breast tissue is left alone in the breast. With a mastectomy, reconstruction is more likely as all the tissue was removed. However, it really is up to the patient. Talk to your surgeon about your preferences so that they can be informed when discussing your options with you.
Dr. Gorman always encourages discussion and questions between doctor and patient to ensure full understanding on both sides. Another question she covers in her article is,“What do I ask my surgeon?” Rather than providing information, she provides a few questions to considers and encourages patients to come up with questions for themselves.
All patients should know what they are getting into, especially with breast cancer surgery, and “there really are no stupid questions. None. This is your surgery, you deserve to know about it […] Ask away”. If you have questions about mastectomies, Dr. Gorman may have answered them. But never be afraid to ask again.
Dr. Valerie J. Gorman serves at Baylor Scott and White Medical Center in Waxahachie as Chief of Surgery and Medical Directory of Surgical Services. She specializes in surgical oncology, specifically of the breast, and other surgical diseases. She is certified by the American Board of Surgery.
One of these factors is the kind of treatment, such as surgery, chemotherapy, radiation, or a combination. Another factor is the stage of cancer at the time of diagnosis. For example, “for those with stage 0 cancer, the average cost of treatment at twelve months after diagnosis was $60, 637…[while] at stage IV, the most difficult to treat, the average treatment costs were $134,682 at twelve months.”
Health insurance is another factor discussed. Having health insurance, Medicare, or Medicaid can affect the cost of medications, treatments, and even appointments.
Researchers in North Carolina found that patients who received a cancer diagnosis and did not have insurance or Medicare paid $6,711 for medication, while those with insurance paid $3,616 and those with Medicare paid $3,090 simply because they do not have the means to negotiate for a lower price.
All of these factors come together to cause an average cost of $85,772 per patient within their first year after being diagnosed with breast cancer. The number jumps to $103,735 after the second year. While breast cancer is not something anyone wants, it is something to be prepared for, at least financially, if possible. And your medical team is willing to work with you to meet your needs.
Dr. Valerie J. Gorman, MD, FACS, offers a personalized approach to breast cancer treatment, taking into account all the factors that will affect the cost and your ultimate recovery. She serves as the Chief of Surgery and Medical Director of Surgical Services at Baylor Scott & White Medical Center, and she is board certified by the American Board of Surgery.
Valerie Gorman, MD, FACS has just released an article on seromas, a potential side effect of breast cancer surgery. Dr. Gorman published the article to inform patients about the possible risks and lack thereof that accompany seroma.
Seroma, a collection of fluid where removed tissues once were, is a common side effect and can be harmless. In most cases,a seroma will take care of itself, as the body will reabsorb the fluids.
Doctor Gorman discusses treatment for the more stubborn seromas, which can require:
insert[ing] a needle into the seroma and then drain[ing] the excess fluid out of it. In some cases, this procedure may need to be repeated on more than two or three occasions. If the fluid continues to return even after numerous drainings, then some doctors may decide that a minor operation to remove the seroma entirely might be the best option, or to place a drain temporarily.
Some potential risk factors for seromas are age, breast size, previous biopsy surgery, use of certain medications, and history of seromas, though Dr. Gorman states that none of these factors ensure a seroma.
Valerie Gorman, MD, FACS has just released an article on the Hidden Scar technique with breast cancer surgery. Dr. Gorman released the article because patients are growingly concernedabout their appearance after breast cancer surgery.
Dr. Gormanand her team are trained in the Hidden Scar technique of Breast Cancer surgery to help patients by improving recovery time, reducing the surgical site, and increasing patient self-confidence.
By reducing the surgical site and reaching the cancerous cells by an out of the way route, scars can be kept small and tucked out of sight. Dr. Gorman explains that, using this method, scars can be hidden in areas like:
The Axilla, or under the armpit. The scar is usually hidden in a natural fold.
Around the edges of the areola. Many patients prefer this option, as the scaring is minimal and hidden even when wearing a petite bikini top.
The Inframammary fold – like the mastectomy.
With the logic of ‘out of sight, out of mind’, a patient can forget about not only the scars but the disease itself, especially now that the tumor has been removed. There are no traumatic scars continually acting as a reminder. The patient can move forward.