mastectomy – Midwest Transplant Network

Breast Reconstruction Awareness Story: Dawn Romano

October 18, 2023/in

Dawn Romano, LCSW, LSCSW, MTN Family Services Coordinator III, opened up about her breast reconstruction experience for Breast Reconstruction Awareness (BRA) Day.

Dawn Romano, MTN staff member and breast cancer survivor

Dawn Romano is a clinical social worker who works in organ and tissue donation as a Family Services Coordinator for Midwest Transplant Network. In April 2008, Dawn’s life changed when she was diagnosed with an early stage of breast cancer. After undergoing a lumpectomy and 33 rounds of radiation, Dawn believed she was cancer-free and continued on with her life.

Things changed in the summer 2015 when Dawn felt a lump on her breast. Later, while getting a mammogram and biopsies, doctors confirmed that they had found two tumors. The cancer had returned, this time more aggressive. “Tears streamed from my eyes,” she recalled. “Reality had slapped me in the face.”

Through four grueling months of chemotherapy treatment, hair loss and discouragement, Dawn found strength from her faith, friends and family to continue working in organ and tissue donation. After undergoing a double mastectomy, Dawn and her surgeon discussed the possibility of breast reconstruction. “Thankfully, from my work at Midwest Transplant Network, I knew enough to ask my surgeon whether they would use any human tissue during my surgery. He told me yes,” she shared.

Thanks to the gift of skin from two donor heroes, Dawn finally began to heal. Her experience has also helped her develop a deeper appreciation of her work, especially donor families. “We often hear that tissue donation is life-enhancing, but for many of us, it has saved our lives in many ways,” Dawn shared. “This gift has made a huge impact on my life. To all donor families, please accept my deepest and most sincere thank you. You and your loved ones have made a difference in so many people’s lives. And for that, they will always be remembered by people like me.”

Story courtesy of MTF Biologics

Breast Reconstruction Awareness Story: Lisa Cummins

October 18, 2023/in

/by Midwest Transplant Network

In honor of Breast Reconstruction Awareness (BRA) Day, MTN Quality Assurance Coordinator II Lisa Cummins, ASQ-CQIA, spoke about her journey with breast reconstruction.

Lisa Cummins, MTN staff member and breast cancer survivor

For over 40 years, Lisa Cummins has worked in organ and tissue donation at Midwest Transplant Network. Her story begins in 2001, when she was first diagnosed with a rare type of cancer found in her uterus. Following a hysterectomy and five rounds of chemo, Lisa celebrated being cancer-free, but not for long.

“I had just hit my five-year mark when they found my first breast cancer,” she recalled. Diagnosed with an early stage of DCIS, or ductal carcinoma in situ, Lisa again underwent intense radiation treatment and another major surgery — this time using donated tissue. For the second time, Lisa believed she was cancer-free before receiving terrible news.

“At my five-year anniversary appointment — the golden mark where cancer patients can consider themselves true survivors — they found my second breast cancer,” she shared. Doctors confirmed that the cancer had returned in the same breast, this time more aggressive. Surgeons presented Lisa with the option of a mastectomy — a decision she would take one step further. “I decided that I did not want to go through it all over again, so I opted to have a double mastectomy,” she explained. Afterwards, Lisa underwent breast reconstruction, becoming a tissue recipient for the second time.

Today, Lisa celebrates being 11, 16 and 21 years cancer-free! Thanks to the gift from her donor, she returns to helping others in organ and tissue donation with a deeper appreciation for her life and work. She even uses her story at local hospitals, video conferences and live events to aid others through their breast cancer journeys and share the positive impact of donation. “There is not a day that goes by that I do not think of my donor families and am thankful for their selfless act of donation,” Lisa said, smiling. “I do not know who they are, so at every chance I get, I tell donor families ‘THANK YOU!’ Without their gift of life, I wouldn’t have been able to have reconstructive surgery. I can now say I am a survivor!”

Story courtesy of MTF Biologics

MTN Tissue Services

July 23, 2021/in

/by Midwest Transplant Network

Some of MTN’s newest Tissue Services staff members with our Wednesday – Friday team

Most people are familiar with organ donation, yet many know less about tissue donation and transplantation. The life-enhancing — and sometimes lifesaving — gift of tissue donation can help grateful recipients heal from painful injuries, return to active lifestyles and more. We asked our Tissue Services Manager, Jeff Allison, CTBS, and Director of Tissue Services, Melissa Williams, MSW, CEBT, CTBS, to answer these questions to share the importance of this less commonly known type of donation.

Briefly describe types of donatable tissue and common uses associated with them.

We recover dermis, bone, veins, tendons, heart valves, pericardium and ocular tissue.

Dermis is used in skin grafts for burn victims, in dental surgeries, and for breast reconstruction post-mastectomy.
Bone can be used in many forms for replacement post-tumor resection, in spinal surgeries and to aid in the healing of complex fractures.
Saphenous veins and femoral veins are used for various types of vascular surgeries.
Aortoiliac arteries are used to replace infected synthetic grafts or to replace damaged aortoiliac arteries.
Tendons are used for various sports medicine and orthopedic surgeries.
Heart valves are used to replace infected or malfunctioning valves.
Corneas are used to replace damaged or diseased corneas.
Pericardium is used for scrotal surgeries.

What impact can a tissue transplant have on an individual? Can tissue transplants be lifesaving?

While tissue transplants are not usually seen as lifesaving, there are two tissues that MTN recovers that could be considered lifesaving: heart valves and aortoiliac arteries. While most tissue transplants are considered life-enhancing, most transplant patients see them as providing a new outlook on life.

What are the most common types of tissues recipients need?

Tendons
Bone
Dermis
Corneas
Heart valves

What is one misconception about tissue donation that you would like to address?

Many people think that if you are older or have cancer or diabetes, you can’t be a donor. We have a questionnaire that the family answers, and those answers determine if the patient will be or not be a donor. You can donate tissue up to age 100. Even those with cancer and diabetes can donate some tissues.

What is the one thing you’d want to tell someone who knows nothing about your work?

This job is very rewarding. It is very nice to see the letters that donor families and recipients exchange about the donor and the new life the recipient received.

What are some typical degrees and/or career paths staff members pursue before joining the Tissue Services department?

Surgical technician
Embalmer
Paramedic
Biology degree

At a high level, describe how tissue donation/transplantation varies from organ donation/transplantation.

Tissue donors have had a medical event that has caused their hearts to stop working; they have been pronounced cardiac deceased by a medical professional. Tissue recovery takes place up to 24 hours after cardiac death, whereas an organ donor must be hospitalized on ventilator and at or near brain death. During an organ recovery, a medical professional (surgeon or a highly trained preservationist) recovers the organs that have to be transplanted as quickly as six hours and as long as 24 hours after recovery. Tissue can be preserved for up to five years before being transplanted. Organ transplants save lives, and tissue transplants typically are life-enhancing.

Why should people say “yes” to tissue donation?

People should say “yes” to tissue donation because there is a great need for all tissue that we can recover, and by becoming a tissue donor, you can help on average 100 people have improved quality of life in your death.

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