Week 5 in the books - Brooke Filanoski

This week I worked in the clinic with Dr. Marti and we saw a variety of patients. We saw a pregnant woman with a concerning mass and nipple discharge. Due to the pregnancy, the women will receive a mammogram or MRI after the pregnancy to protect the baby and not cause stress. She may have to stop breastfeeding because of this. We also saw two patients that had received inconclusive biopsies so they were advised to go in for a lumpectomy. Some patients were asked to schedule 6-12 month follow-up appointments. 

In addition to office hours, I watched a thyroid tumor removal and a mastectomy. For the tumor, it was unclear if it had spread to the thyroid so the pathology will be determine if another surgery will be needed to remove the thyroid. For the mastectomy, the patient had a couple suspicious lumps in the breast so it was decided that the whole breast would be removed instead of just a portion. The patient did not opt for reconstruction but can at a later date. I was surprised by the removal of the breast tissue. I was surprised by the content of the tissue and what was needed to remove it. I also did not expect to see the pec muscle, but it makes sense since the breast tissue was removed all the way to the pec muscle. I was also surprised to see how the cuts were made so that the tissue could be stitched together at the end, making the scare as even as possible. 

Outside of the hospital, I went on some runs around the city. I made it over to Randalls Island at sunset and it was gorgeous and peaceful. 







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