Archives for November 2011

How to Reduce Stress by Managing Your Time

time managementTime (or lack of) is a big stressor for many of us, and managing our time can reduce that stress significantly. Time management is something most of us lack, and just a few ideas can help you get a handle on your time and spend it wisely.

The following time management tips are simple but effective:

Get a planner.

Part of the reason we are so stressed is because everything we need to remember is scattered: sticky notes here, cell phone memos there—and then we try to commit important tasks and dates to memory. Everything needs to be in one place, preferably in something you can carry with you at all times.

A planner is the most efficient and easiest way to keep track of everything. It doesn’t have to be large or complicated—you’ll be surprised at how many different planners you’ll find once you make the decision to use one. Some planners are very low tech, while others will also update your computer or other electronic devices. Get whichever makes sense for you. The main goal is to use it.

Plan your day and prioritize your tasks.

Use the planner to decide what you’ll do each day, and determine which tasks have high priority. Those are the tasks you should be focusing on. This is not to say the low-priority tasks are not important, but those with high priority should take precedence. Track your progress each day so you can see how efficiently you’re working.

Quit trying to remember everything.

The planner will become a significant part of your brain once you start to use it. You’ll be amazed at how free you’ll feel when you don’t have to try to remember everything. Just consult your planner each morning, and live your life.

Learn to say no.

Here’s another great use for the planner—it’s a great way to tell someone no easily and gracefully. If you’re asked to do something you don’t want to do or don’t have time for, pull out your planner and consult it, and then tell that person you’re booked on that date.

Delegate when and where you can.

Do you really need to go to the store, or can you send your teenager?  Look at your to-do list and see who could take over some of your low-priority tasks. Maybe it’s time to teach others in your household to do some laundry, or to allow your assistant to help you with your work email. You don’t have to do it all.

Analyze how you’re doing.

At the end of each month, take 10 minutes to look back and see how well you managed your time. You’ll see where you have improved and where you still need help. Adjust accordingly.

Did you find these stress and time management tips effective? Is this a topic you’re interested in hearing about in the future?

Nerve Recovery and Breast Reconstructive Surgery

breast reconstructionThe below question is answered by the Charleston breast surgeons at The Center for Natural Breast Reconstruction.

How long does it take for nerves to recover and for full skin sensation to return after reconstructive surgery?

During any surgery, numerous sensory nerves, generally too small to have names, are invariably cut. Depending on the extent of the surgery, this can result in numbness of the skin or other areas. This is not typically regarded as a complication, but rather an essentially inescapable result of making an incision in the body. Most of the little divided nerves literally “wither away,” and other sensory nerves eventually grow in to take their place, restoring sensation once again. This process can take anywhere from a few months to 1 – 2 years. There is no limit on how late sensation can be regained, but the longer, beyond 1 – 2 years numbness, lasts, the less likely it is that sensation will spontaneously return. Occasionally, numbness can persist indefinitely, although this is uncommon.

In addition to numbness, other symptoms such as discomfort, hypersensitivity, or chronic pain can also result as a consequence of nerve damage following any surgery. Thankfully, these complications are much rarer then numbness. While it can be very difficult to ascertain exactly what mechanism is causing discomfort, some possibilities include traction or tethering of nerves by scar tissue, or formation of a “neuroma,” which is a painful little ball of tissue at the end of a regenerating nerve.

Nerves irritated by adjacent scarring may be helped by massage, injection of local anesthetics, or simply the passage of time. Neuromas, which are thankfully extremely rare following breast surgery, usually result in pain when pressure is applied to a very specific location, and can be much harder to treat. Surprisingly, additional surgery is often not effective in treating these rare cases of chronic pain, and referral to a Pain Therapist for injectable nerve blocks may be the most effective option.

If you want to learn more about breast reconstruction, visit us on Facebook.

Improving Your Self-Esteem after Mastectomy

breast reconstructionA mastectomy affects you not only physically, but also mentally and emotionally. Many women feel like a vital part of them has been taken away, and their self-esteem suffers as a result. If these feelings aren’t resolved, they can lead to depression and other issues. It’s important that if they surface, you recognize them and know you can find help.

Focus on the positive.

While the surgery itself may not be a positive thing, focusing on being optimistic helps your self-esteem. You may decide on breast reconstruction and feel excited about having new breasts, or you may be heartened by the fact that you’re now a breast cancer survivor and can move forward with your life. Often, mastectomy patients find that the smallest things, such as a drive in the mountains or a sunrise, bring them joy.

Allow yourself to grieve.

You’ve had a loss, and it’s likely to provoke the same feelings of grief as losing a loved one. You may feel denial or anger, which is perfectly normal. Allow yourself to experience those feelings instead of minimizing them or holding them inside. If you feel the need for a grief counselor, ask your doctor or religious professional for a referral. A hospice bereavement counselor may also be a good choice.

Talk it out before, during, and after.

Whether you feel relief that the cancer is gone, grief over losing a part of your body, or hesitation in allowing your partner to see you right after your mastectomy, talk it out with someone you trust. Many women confide in their partners first, while others may turn to a family member, fellow breast cancer survivor, or therapist.

Find someone you feel comfortable with, and don’t be afraid to express yourself. The more you bring out in the open, the better you’ll feel.

Consider breast reconstruction as soon as possible.

Many patients look at natural breast reconstruction as their chance to finally have the breasts they’ve always wanted. They become very involved in learning what the surgery entails and what their options are. In fact, reconstruction often improves our patients’ self-esteem because their new breasts signal a new beginning, which is exciting and empowering.

In fact, our happiest patients are those who choose to have reconstruction at the same time as mastectomy, which reduces self-esteem issues.

Treat yourself.

This is the time to celebrate the amazing, unique woman you are. Be kind to yourself, and treat yourself to what you desire as often as you can. Travel, go shopping, and pursue those dreams.

If you’re a survivor, what advice can you give?