5 Healthy and Delicious Breakfast Ideas

healthy breakfastAs Charleston breast surgeons, we’re always on the go, and breakfast is a meal we often overlook. Like you, we tend to grab something quick and run out the door or stop at Starbuck’s on the way to work for a quick pasty with our coffee. The old saying is true: a good breakfast is the start of a good day, so you don’t want to skip it.

Following are a few ideas we’ve found that don’t take long to prepare. They’re not only tasty but also good for you.

Breakfast casserole or quiche

You can prepare a quiche or breakfast casserole on the weekend and reheat it all week long, or you can prepare mini quiches for an even quicker bite. They’re delicious, and if you do it right, you’ll have at least one or two servings of vegetables and protein in each helping.

Fruit with peanut butter and cheese

Who can resist fruit with peanut butter and cheese? This breakfast is not only quick, but also mouthwatering and very healthy, especially if you use organic peanut butter or almond butter and low-fat cheese. Make sure the fruit is fresh!

Smoothie with fruit, protein powder, and yogurt

It doesn’t get much easier than this—throw some ice, protein powder, yogurt, and fruit or juice in a blender, turn it on, and drink your breakfast. A little research will turn up plenty of smoothie recipes you’ll love, and you’ll be amazed at how long you stay full if you add enough protein and fiber.

High-fiber English muffin or bagel with nut butter

Toast the bagel or English muffin and put your favorite nut butter or Nutella on top instead of butter or cream cheese. You could also add fresh or dried cranberries, strawberries, raisins, banana or apple chips, or sunflower seeds. You’re limited only by your imagination.

Your own GoGurt

You can make this great breakfast with any kind of cereal or granola you wish, along with your favorite flavor of yogurt. Grab a bowl or to-go cup and put some yogurt in the bottom. Add a layer of cereal or granola, and then add a second layer of yogurt and cereal. Fill the bowl and top it with your favorite fruit or nuts. There are literally a hundred and one ways to make this delicious breakfast.

What’s your favorite healthy, quick breakfast?

 

 

Top 5 Spas in Charleston

Charleston SpasIf you’re in Charleston for a consultation or breast reconstruction surgery, we recommend the following spas for a bit of pampering or relaxation.

The Spa at Charleston Place

With its beautiful views and airy rooms, The Spa at Charleston Place is one of our favorites. The massage therapy options themselves are incredible: Swedish, deep tissue, warm stone, reflexology, and Moroccan oil. Skin care treatments include a decadent 24-karat gold facial and a diamond facial. Peppermint rosemary body scrubs, spa manis and pedis, and yin and yang classes are only a few of the dozens of possibilities for pampering.

Treatments for men and children are available, and if you stay at the hotel, you have use of the state-of-the-art health club with salt-water pool and Jacuzzi.

Stella Nova

Stella Nova takes facials to the next level with their Rx Infusion facial, which provides results fast with medical-grade ingredients that reduce rosacea and fine lines. This facial includes a penetrating serum and soothing mask. The Micro Mini Peel helps combat aging and firms the skin, while the Purifying Complexion facial reduces blemishes and deep cleans pores. The Cure Carboxi-Express and O2 Awakening infuse pores with oxygen to detoxify the skin.

Full-body treatments include a head-to-toe massage and salt scrub, a lavender-scented body wrap, African Red Tea Body Cocktail, and a sweet, luxurious sugar scrub. If you’re visiting with friends, book the VIP Spa Suite to enjoy the butler service and choice of delicious food and drink while you’re being pampered.

Simply Your Spa

An intimate day spa and yoga studio, Simply Your Spa offers a variety of packages that give you the best of the best in spa services. The Simply Your Sampler includes a Swedish massage, Quick Results Facial, Express Manicure, and Express Pedicure. For the ultimate in spa, The Pleasure Seeker Package offers a Swedish massage, Herbology Body Treatment, Simply Your Signature Facial, and Sea Spa Manicure and Pedicure. The Ultimate Feet Treat Package pampers your feet with a shea butter reflexology foot massage, followed by a Sea Spa Pedicure.

Simply Your Spa also offers lash and brow tinting, spray tan, and yoga and Zumba classes, as well as professional skin care, makeup, and doggie bath products for sale. Men’s and couples’ packages are available, and Simply Your Spa caters to brides, grooms, and groups.

Urban Nirvana

With an invitation to come into your own, Urban Nirvana is a day spa with a difference: their treatments use luxurious products rarely seen anywhere else. In addition to prenatal and hot stone massages, they offer a spectacular hand and foot massage, a scalp and full-body massage with citrus extracts, a paraffin massage, a warm rubdown, and an aromatherapy massage with your choice of intoxicating scents such as oolong and mandarin.

Urban Nirvana’s reclined-seating hydrotherapy tub and seven-head Vichy Shower offer unsurpassed luxury and relaxation. Body treatments such as a seaweed detox, a coffee body mask, and cocoa shea-butter wrap are treats for the body, mind, and soul. A full-service salon provides hair care and waxing by seasoned professionals.

Seeking Indigo

Integrating holistic wellness and lifestyle, Seeking Indigo has a yoga studio, Pilates center, organic café, and detox center that offer biofeedback, yoga, massage, organic facials, and Ayurvedic treatments. In addition to reiki and pulsed electromagnetic field therapy, the spa has unique treatments not seen anywhere else. The Charleston Hyperbaric Chamber delivers oxygen to the body at the cellular level and allows the body to heal itself. Seeking Indigo’s far infrared sauna heats you from the inside out, reducing blood pressure and detoxifying the body.

The spa also offers fashion from local designers ranging from vintage to modern, jewelry of all types, books, music, art, and exotic treasures for sale.

Which spas appeal to you, and why?

 

Change is in the Air!

Goodbyes are often bittersweet. While we are sad to see Christina Hobgood Naugle PA-C leave our team, we are proud to welcome a new team member, Kim Kay PA-C! Please take a moment to read the special message from Christina below.

“I am very happy to introduce to you all, Kim Kay PA-C.  Kim will be taking my place at The Center for Natural Breast Reconstruction starting in March.  My husband and I have a good opportunity in South Florida, so I will be returning to my home town.  Kim was a student with Drs Craigie and Kline a couple years ago, so she is a familiar face to The Center for Natural Breast Reconstruction team.  I am very sorry that I am unable to hug each one of you prior to my move, but I could not leave without telling you all “Thank you”.  Thank you for the friendships, and thank you for the life lessons that each of you have provided in the past 3 ½ years.  This experience has been invaluable and the strength I have seen inspiring.  I will keep you all in my thoughts and prayers, and check in with Drs. Craigie and Kline occasionally.

I am leaving confident that Kim will be an excellent addition to The Center for Natural Breast Reconstruction family!
All my best!”

Christina Hobgood Naugle PA-C

Christina,  we wish you the best of luck in South Florida!

 

 

What Can You Do to Improve Your Surgical Experience?

We at the Center for Natural Breast Reconstruction are constantly finding breast reconstructive patients asking how they can have the most optimal surgical experience. We have decided to share with you some steps we have to help our patients have the best surgery experience possible!

Starting Immediately

Stop Smoking: Smoking reduces circulation to the skin and impedes healing.  (This includes avoiding rooms with smokers.)  You must be nicotine free for at least 1 month prior to the procedure and throughout the duration of the various stages (a minimum of around 10 months).  Note: nicotine in your system increases risk for wound healing complications, infections, cardiac complications, pulmonary complications, or flap loss/failure.

Get in Shape: While reconstruction process will help improve parts of your body, it is important to be in optimal shape prior to surgery.  A Body Mass Index between 19%-25% is an ideal goal.  We do not recommend “crash diets” or extreme lifestyle changes.  However, statistics have shown patients with a lower Body Mass Index have fewer wound healing complications, infections, pulmonary complications, and cardiac complications.

The Day before Surgery

Cleansing:  Purchase Hibiclens or Dial soap and wash all surgical areas with these products.  (The Hibiclens is provided with the other prescriptions given pre-operatively.) DO NOT use this after your surgery unless otherwise instructed.

Do not shave the day before your surgery. Open wounds can invite infection.

Eating and Drinking:  Do not eat or drink anything after 12:00 midnight the evening prior to surgery.  This includes water.  No breath mints, no chewing gum.

The Morning of Surgery

Eating and Drinking: Do not eat or drink anything!  If you take a daily medication, you may take it with a sip of water in the early morning unless the hospital has given you instructions otherwise.  No breath mints, no chewing gum.

Oral Hygiene:  You may brush your teeth but do not swallow the water.

Cleansing:  Shower and wash the surgical areas again with HIBICLENS or DIAL soap.

Make-up:  Please do not wear any moisturizers, creams, lotions, or make-up.

Clothing:  Wear only comfortable, loose fitting clothing that does not go over your head.  Remove hairpins, wigs, and jewelry.  Please do not bring valuables with you.

Check back next week as our team will share  tips and suggestions for improving healing and cutting down recovery time.
Do you have a question for our team at The Center for Natural Breast Reconstruction? We’d love to hear from you

 

 

 

 

 

Beating Psoriasis and Dry Skin this Winter

Dry SkinDuring the winter, we often see breast reconstructive surgery patients who suffer from dry skin and psoriasis. While dry skin is a common winter complaint, it doesn’t have to be your fate. Following are some tips to prevent dry skin and take care of psoriasis.

Eat plenty of good fats.

Your body needs essential oils to keep everything smooth, silky, and healthy. Be sure to eat healthy-fat foods every day, such as avocados, nuts, and salmon. Check with your doctor to see how much you need, and enjoy!

Drink plenty of water.

We tend to forget to drink plain water in the winter because we crave warm drinks such as cocoa and tea. If your body doesn’t get enough water, it won’t stay hydrated, and your skin shows it. Drink at least eight glasses of water a day, and more if you’re thirsty. If this doesn’t help, your home may need more moisture in the air. Try a humidifier.

Sunscreen is still vital.

Even though the sun may be hiding behind clouds during the winter, it doesn’t mean you can skip sunscreen. The sun can still damage your skin through the clouds and cause a psoriasis outbreak. If you love snow sports like skiing or snowshoeing, the glare can burn your skin and hurt your eyes—so don’t forget sunglasses! Be sure to carry sunscreen with you so you can reapply as necessary.

You may need a heavier moisturizer.

What worked well in the summer for moisturizing your face and body may not do the job during the winter months. If you love your moisturizer and don’t want to change, you may need to simply apply it more often during the day. Otherwise, look for a creamier moisturizer with more staying power. You might also consider using something like Bag Balm or coconut oil.

This tip will also help keep psoriasis flare-ups at bay, especially if you apply moisturizer liberally after baths and showers. Speaking of which . . .

Nix extra-hot showers and baths.

You love hot showers in the winter, but they’re actually doing more harm than good for your skin. The heat dissipates the oils in your skin, causing it to dry out and itch. If you do have itchy skin or a psoriasis outbreak, try a lukewarm oatmeal bath with plenty of non-allergenic moisturizer afterward.

Keep stress down.

Psoriasis, like most skin conditions, flares up when you’re under stress, and then the flare-up makes your stress worse. It’s a vicious cycle. Recognize your own early triggers of stress, and do what you can to reduce or prevent it, such as working out, meditating, or talking out your problems. If you’re facing breast reconstructive surgery, you’re already under stress, so you may experience a flare-up. If stress is an issue for you, contact your doctor for help.

What do you do to combat dry skin or psoriasis?

 

Dining Out on James Island

James Island has some of the most flavorful and enchanting dining experiences in the Charleston area. This post will discuss some of our favorite restaurants that we recommend to visitors and breast restoration patients:

J. Paul’z:

If you’re looking for a great place for your next party, whether with friends, family, or coworkers, try J. Paul’z. With mouthwatering food and unique cocktails, you and your friends will have a wonderful time. Their private lounge will hold up to 30 guests, and if you have a large party, you can enjoy their formal dining room.

The food ranges from vegetable eggrolls with sweet chili sauce to roasted salmon to bourbon-braised pork. The sushi menu is unforgettable, with almost 30 varieties, including Nigiri and the Big Sexy Roll, with crabmeat, eel, avocado, and cucumber.

Athens Restaurant and Grill:

With amazing Greek food, Athens Restaurant and Grill is one of our first choices when we’re on James Island. From appetizers such as stuffed grape leaves to classic Greek entrées like moussaka and desserts such as baklava, you’ll feel like you’re on the beach in Greece.

According to the website, dining choices include soups and salads, pasta, oven-baked parmigiana, a variety of meats cooked Greek style, and Greek pizza made from an Old World recipe. Athens offers a full wine and beer menu plus specialty cocktails and coffees, and it’s a perfect place for a first date or a dinner with the family.

Mustard Seed:

Sal Parco began this restaurant in 1994 on Sullivan’s Island and has expanded throughout the Charleston area. Named for the biblical parable, Sal truly did begin his restaurant from a small seed, and he’s grown it to nine locations. One taste of the food, and you’ll see why his restaurants are popular—Sal’s eclectic mix of different cuisine styles includes Asian beef satay, hummus plate, fettucine carbonara, and black bean cakes. No matter your taste, you’ll find something to please it at the Mustard Seed.

Boulevard Diner:

Part of Sal Parco’s group of fine restaurants, Boulevard Diner’s menu reminds one of the old-style diners: good, simple food you’ll love. For breakfast, you’ll find your old favorites, such as buttermilk pancakes, omelettes, and country fried steak and eggs. Lunch is the Big & Juicy Burger, roast turkey, and sautéed shrimp over cheddar grits. For dinner, dig into fried chicken, crab cakes, and Cajun-style meatloaf. Your only problem will be deciding what to order from the large menu full of favorites.

Med Bistro:

Open from 11 a.m. to 10 p.m., Med Bistro is another restaurant with an eclectic menu sure to please everyone—and the live music adds to the experience. The website regularly features specials such as half price wine and 3-course dinners for $30. For lunch, the menu features amazing salads, delicious deli sandwiches and wraps, and big ½-pound burgers. The sides are housemade and include coleslaw, macaroni salad, and onion rings. The classy dinner menu includes favorites such as crab cakes, ravioli, lamb chops, and swordfish. If you can, be sure to stop in for brunch on Sundays from 10 a.m. to 3 p.m. and enjoy omelets, Lowcountry specialties such as pecan and coconut stuffed French toast, and Monte Cristo sandwiches.

Our breast restoration patients love to come to Charleston and sample our spectacular cuisine. Which restaurant is your favorite?

 

How to Take a Healthier Shower

healthier showerWhile we don’t consider taking a shower an unhealthy activity, there are a few steps you can take to make your shower healthier and even more invigorating.

When you take a shower, the steam and hot water open the pores of your skin, so anything you use on it is absorbed into your skin. Following are a few tips to reduce the toxin load of your shower.

Filter your water.

Municipal water systems add chlorine to the water during the treatment process, and a certain amount of chlorine remains in the water. Many places have hard water, meaning the water contains minerals. Adding a home water filter reduces chlorine and other chemicals at the point water enters your home. If you prefer not to buy a whole house water filter, you can buy a filter for your shower head to reduce the chlorine, chemicals, and minerals you inhale and absorb.

Use organic or natural soap and shampoo.

If you read the ingredients of your soap and shampoo, you’ll find ingredients you can’t pronounce, and some of these are bad for your skin, such as sodium laureth sulfate. Why not try some goat’s milk or natural bath products? A Google search will bring up many websites for organic soaps and shampoos, and once you try them, you won’t return to the chemical-laden cleansers.

A side note: Several companies also sell natural toothpaste or tooth soap. You’ll be amazed at how clean your mouth feels without the chemicals in your regular toothpaste.

Leave the door open.

The chemicals in your water or in your cleansers give off fumes that become concentrated if you leave the bathroom door closed. Opening the door allows the steam and fumes to disperse outside the bathroom, giving you cleaner air to breathe.

Don’t flush the toilet right before you shower.

Flushing spews bacteria into the air, and those bacteria can linger in the bathroom if you shower right after flushing—especially if you leave the door closed. You can flush with the lid down, or wait to flush after your shower.

Change loofahs and washcloths regularly.

Be sure to let bath poufs, washcloths, and loofahs dry completely between showers. Bacteria thrive in moist environments, so do what you can to ensure that the entire washcloth surface is exposed to air. Change your bath accessories regularly—at least every few weeks—to reduce bacterial contamination.

Do you have any tips for a healthier shower?

 

What is a Breast MRI and How is it Done?

Unlike a mammogram, which uses x-rays to create images of the breast, breast MRI uses magnets and radio waves to produce detailed 3-dimensional images of the breast tissue. Before the test, you may need to have a contrast solution (dye) injected into your arm through an intravenous line. The solution will help any potentially cancerous breast tissue show up more clearly.

Cancers need to increase their blood supply in order to grow. On a breast MRI, the contrast tends to become more concentrated in areas of cancer growth, showing up as white areas on an otherwise dark background. This helps the radiologist determine which areas could possibly be cancerous. More tests may be needed after breast MRI to confirm whether or not any suspicious areas are actually cancer.

For the breast MRI, you lie on your stomach on a padded platform with cushioned openings for your breasts. Each opening is surrounded by a breast coil, which is a signal receiver that works with the MRI unit to create the images. The platform then slides into the center of the tube-shaped MRI machine. You won’t feel the magnetic field and radio waves around you, but you will hear a loud thumping sound. You will need to be very still during the test, which takes around 30 to 45 minutes.

Because the technology uses strong magnets, it is essential that you remove anything metal — jewelry, snaps, belts, earrings, zippers, etc. — before the test. The technologist also will ask you if you have any metal implanted in your body, such as a pacemaker or artificial joint.

Where to have breast MRI?

It’s important to have breast MRI done at a facility with:

  • MRI equipment designed specifically for imaging the breasts. Not all imaging centers have this; instead, many have MRIs used for scanning the head, chest, or abdomen.
  • The ability to perform MRI-guided breast biopsy. If the breast MRI reveals an abnormality, you’ll want to have an MRI-guided breast biopsy (a procedure to remove any suspicious tissue for examination) right away. Otherwise, you’ll need to have a breast MRI again at another facility that offers an immediate MRI-guided breast biopsy.

See the MRI at The Charleston Breast Center Below

 

Dining Out on Daniel Island

Daniel Island offers a wide variety of wonderful restaurants and eateries that cater to every taste. Following is just a small sample of the gourmet delights that await you.

Ali Baba

186 Seven Farms Drive, Suite 500, 843-377-8666

http://www.alibabacharleston.com/

According to their website, Ali Baba Mediterranean Deli & Catering gives the people of Charleston an opportunity to enjoy delicious cuisine from the Mediterranean region. Featured on the menu are Shawerma, Kebobs, Gyros, and Stuffed Grape Leaves. While many of the dishes contain lamb, beef, or chicken, Ali Baba has an extensive vegetarian menu, including a Grilled Veggie Pita, Tyropita (cheese puffs), and Greek Salad.

Et Cetera Gourmet Food Shoppe

245 Seven Farms Drive, 843-377-8510

http://www.etceteragourmet.com/

This amazing family-owned gourmet food shop offers hand painted chocolates, imported cheeses, homemade pastas and sauces, maple products, various types of meats, and artisan breads. It also serves lunch from 11 a.m. to 3 p.m. every day. The menu includes fresh, crisp salads such as a Smoked Chicken Caesar Salad, Sicilian Tuna Salad, and a delicious Pear and Apple Salad.

Sandwiches come on a baguette or multi-grain sliced bread, or you can choose to have a wrap. Some of the delightful choices include Eggplant Florentine, Pork Barbeque, and Mediterranean Turkey Melt.

Queen Anne’s Revenge

160 Fairchild Street, 843-216-6868

http://www.qarevenge.com/

If you want a truly gourmet dining experience, look no further than Queen Anne’s Revenge, Daniel Island’s original restaurant. The menu includes prime rib and steaks, fresh seafood, pasta, and delectable burgers. The kids will love the children’s menu. In addition to delicious cuisine, diners may choose craft ales, a wide selection of wines, and unique handmade cocktails.

What makes Queen Anne’s Revenge a truly magical place is its collection of historic pirate artifacts in its on-site museum. Treasures include weapons, grenades, booty chests, coins, and authentic art. The museum also features a re-creation of a ship’s hull and a custom model of the Queen Anne’s Revenge.

Vespa Pizzeria

224 Seven Farms Drive, 843-881-0101

http://vespapizzeria.com/

According to the website, Vespa Pizzeria uses traditional cooking methods to create the most authentic Neapolitan-style pizzas in the Charleston area. They use only locally sourced produce and hormone free meats. Pizzas are cooked in an Italian Mugiani wood-fired oven—the same type of oven that has been used in Italy for centuries. In addition to Prosciutto, Shrimp, and Margherita pizza, you’ll find plenty of salads, sandwiches, and pasta on the menu.

The owners have a passion for running their business as a sustainable venture, and to that end, they use recycled Vespa tires and recycled butcher-block dining tables as part of the décor.

Sermet’s Courtyard

115 River Landing Drive, 843-471-1777

http://sermetscourtyard.com/2101.html

Located just one block from the river, Sermet’s Courtyard is a beautiful place to enjoy a delicious meal with your family and friends. Each course is a Mediterranean delight, from Baked Artichoke Torta to Stuffed Breaded Eggplant and Shrimp Couscous. Sermet’s makes its own mozzarella cheese, dipping oil, vinaigrettes, and sauces and sells only locally made desserts.

Sermet’s opens for dinner every night at 5 pm, and reservations are recommended. During the non-winter months, Sermet’s has live music in its courtyard, and publishes a schedule on its website and Facebook page.

Have you tried any of these restaurants, and if so, which was your favorite?

 

Mastectomy and Breast Reconstruction Questions Answered

nipple sparing mastectomyThe below questions are answered by Dr. Richard M. Kline, Jr., Charleston breast surgeon for The Center of Natural Breast Reconstruction:

What kind of breast expander do you recommend and employ?

We usually use either Mentor contoured tissue expanders, which have more projection at the bottom than the top, or Mentor round expanders with a remote port. If patients are using tissue expanders only as a “bridge” during post-mastectomy radiation until they can receive a flap reconstruction, then we prefer the remote port model, because it won’t interfere with the MRI we like to get prior to flap surgery to look at the vessels. If the patient is planning on having a permanent implant reconstruction, then the contoured expander (which is not compatible with MRI) may produce a better initial shape.

If I choose immediate breast reconstruction, what happens if it is discovered I need radiation treatment during the mastectomy? What happens then?

It depends on what type of reconstruction you have chosen. If you choose implant reconstruction, radiation doesn’t hurt the tissue expander or implant, although it significantly decreases the chance of achieving an acceptable result. If you have had an immediate flap reconstruction, then learn (unexpectedly) that you need radiation, then the flap may be in serious jeopardy. Experienced oncologic breast surgeons are usually pretty good at anticipating whether a patient will need radiation or not. If significant doubt exists, however, and a flap reconstruction is planned, it is best either place temporary tissue expanders at the time of mastectomy, or delay all reconstruction until after radiation.

What are the disadvantages of postponing breast reconstruction after mastectomy? (scarring, skin sparing options, nipple options)

The only significant disadvantage to postponing reconstruction is potential contraction of skin if a skin-sparing or nipple-sparing mastectomy is used. Depending on the amount of skin present and the ultimate desired breast size, however, this may present a problem for some patients, but not others. The advantages of delaying reconstruction include a decreased incidence of complications, and shorter anesthetics.

For breast reconstruction, what are the options for nipples?

If nipple preservation can be successfully employed, then this may give the best outcome in some cases. Not all attempted nipple-sparing mastectomies are successful, however, and many nipples have failed to survive after this procedure. Nipple reconstruction using local skin flaps has proven to be highly reliable, and tattooing of the areolas can produce very realistic results.

Do you have a question for the Charleston breast surgeons at The Center for Natural Breast Reconstruction? We’d love to hear from you.