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T*
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T*
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[(Another)-303.6(user)-304.8(reected:)]TJ
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[(It)-267.1(didnt)-254.7(bother)-263.6(me)-262(when)-264.4(people)-259.7(called)-266.1(me)-262(sir,)-260.5(what)-263.1(bothered)]TJ
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T*
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T*
[(the)-300.9(time.)]TJ
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[(users)-305.8(into)-298.4(receiving)-307.4(reconstruction.)]TJ
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[(Pressure)-442.5(from)-443.3(surgeons)-441.5(also)-443.2(seemed)-443.1(to)-440.1(represent)-445.3(hege-)]TJ
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T*
[(gery)-305(that)-299.6(was)-304.6(later)-301.8(regretted:)]TJ
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[(I)-457.4(went)-457.5(with)-455(immediate)-457.3(reconstruction)-458.3(based)-454.9(solely)-456.5(on)-451.2(the)]TJ
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T*
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T*
[(huge)-262.1(issue,)-265.6(I)-263(worried)-263.2(that)-259.6(might)-261.3(be)-264.5(the)-262(case)-262.9(this)-263.3(time)-263.6(as)-262.8(well.)]TJ
T*
[(Honestly,)-472([my)-465.6(reconstructed)-468.4(breasts])-465.1(have)-470.6(presented)-468.1(more)]TJ
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[(problems)-477.5(than)-474.7(not)-474.6(doing)-472.3([reconstruction])-472.6(could)-480(ever)-475.6(have)]TJ
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(caused.)Tj
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[(At)-233.6(other)-231.4(times)-8(,)-228.1(the)-235(pressure)-235.3(from)-230.2(surgeo)-7.5(ns)-226.6(took)-234.9(a)-232.6(more)-231.4(in-)]TJ
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T*
[(normal)-337.4(course)-331.3(I)-335.1(had)-332.8(to)-330.6(take.)46.2()-329.4(Forum)-334.9(users)-334.5(found)-333.8(that)-334.1(their)]TJ
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[(doctors)-279.5(were)-278.3(often)-271.7(surprised)-281.5(by)-272.9(their)-277.6(decisions)-277.1(not)-274.1(to)-273(recon-)]TJ
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[(struct)-290(and)-280.9(sometimes,)-288.7(surgeons)-286(would)-283(go)-284.4(as)-285.4(far)-286.6(as)-279.6(failing)-285.7(to)]TJ
T*
[(ackno)-7.8(wledge)-309.4(the)-309.9(option)-306.4(to)-307.6(decline)-311(reconstruction:)-314()50.8(When)-308.4(I)]TJ
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T*
[(possibility)-306.1(of)-301.7(going)-299.4(unreconstructed.)43.4()]TJ
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(Discussion)Tj
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[(Our)-246(thematic)-255.8(analysis)-247.2(of)-249.8(postings)-244.8(about)-248.7(breast)-250.7(reconstruc-)]TJ
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T*
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[(their)-271.8(body)-269.4(image,)-271.8(\(2\))-273.9(privileging)-267.2(sensation)-277.1(over)-270.5(appearance,)]TJ
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T*
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[(structive)-283.1(surgery.)-271.2(The)-276.4(rst)-274.9(three)-278.6(themes)-275(appear)-280.8(to)-273(be)-274.1(related)]TJ
T*
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[(lesbian-specic)-557.8(BC)-551.4(forum)-553.8(avoid)-548.2(dening)-556(themselves)-551.3(by)]TJ
T*
[(their)-358.2(body)-361.5(image)-354.8(is)-359.2(consistent)-358.9(with)-356.9(previous)-361.2(research)-358.8(nd-)]TJ
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[(the)-402(functionali)-9.2(ty)-399.7(of)-399.6(their)-404.3(bodies)-399.4(over)-403(appearance.)]TJ
7.3823 0 0 6.5614 515.962 115.9937 Tm
(9)Tj
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[(For)-400.5(in-)]TJ
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[(stance,)-439.7(those)-438.6(who)-430.4(espoused)-437(a)-440(preference)-437.2(for)-435.2(functionality)]TJ
T*
[(discuss)-8.4(ed)-366.2(declining)-364(breast)-371.7(reconstruction)-370.4(because)-369.3(of)-365(a)-365.1(fear)]TJ
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[(tion,)-434.3(some)-432.8(forum)-432.9(users)-438.2(discussed)-432.2(added)-434.1(benets)-436(of)-434.1(being)]TJ
T*
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(76)Tj
46.0181 0 TD
[(WANDREY)-305.7(ET)-300.7(AL.)]TJ
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[(sexual)-285.3(men)-276.4(and)-280.9(from)-276.3(potential)-277.7(partners)-281.7(who)-280.6(they)-276.4(deemed)-282(to)]TJ
T*
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1.0137 -1.1116 TD
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[(ceiving)-367.4(or)-365(forgoing)-366(breast)-365.9(reconstruction)-370.4(surgery.)-369.2(A)-364.8(desire)]TJ
T*
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T*
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[(tion,)-405.5(which)-399.3(is)-405.3(consistent)-405(with)-403(previous)-401.5(ndings.)]TJ
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(8,12)Tj
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[(breast)-486.9(reconstruction)-485.6(was)-483.2(presented)-485.6(as)-487(normative,)-483.7(and)-482.5(in)]TJ
T*
[(some)-311.9(cases,)-317.3(surgeons)-314.8(directly)-311(pressured)-317.1(their)-312.2(patients)-310.8(to)-313.3(re-)]TJ
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[(construct)-294.5(because)-300.2(they)-293.7(viewed)-292.2(reconstruction)-295.5(as)-291.2(in)-296.1(their)-289.1(pa-)]TJ
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[(tients)-291.3(best)-287.7(interests.)-286.3(In)-284.4(contrast,)-291.1(many)-283.3(users)-288.5(perceived)-291.1(their)]TJ
T*
[(lesbian)-332.6(communities)-333.9(to)-330.6(be)-331.7(supportive)-329(of)-330.5(nonreconstruction.)]TJ
T*
[(A)-284.2(prominent)-283.2(point)-276.5(of)-278.6(reference)-286.3(was)-281.6(the)-281.1(Michigan)-283(Womyns)]TJ
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[(Music)-399.2(Festival,)-394.7(which)-399.3(largely)-396.2(represented)-396.8(lesbian)-396(feminist)]TJ
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[(ideals,)-363.8(including)-362.8(a)-365.1(celebration)-362.7(of)-359.3(all)-361.8(bodies.)]TJ
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(13)Tj
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[(Thus,)-360.2(breast)]TJ
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[(reconstruction)-381.9(appears)-379.6(to)-376.7(be)-372(value)-376.6(laden,)-380(as)-377.5(has)-372.9(been)-375.3(sug-)]TJ
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[(gested)-302.6(by)-301.7(Boehmer)-306(et)-297.2(al.)]TJ
7.3823 0 0 6.5614 159.7039 499.7479 Tm
(9)Tj
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[(Our)-274.8(ndings)-272.4(have)-271.7(important)-277.6(implications)-276.4(for)-268.2(patient)-275.4(care.)]TJ
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[(Given)-215(the)-211.9(pervasiveness)-214.3(of)-215.3(postings)-210.3(that)-213.2(were)-214.9(against)-211.7(norma-)]TJ
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[(tive)-299.6(reconstruction,)-304.7(oncologists)-301.3(have)-300.5(a)-296(responsibility)-299(to)-301.8(rec-)]TJ
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[(ognize)-251(that)-247.7(breast)-250.7(reconstruction)-249.4(is)-244(value)-249.9(laden.)-247.5(They)-248.7(should)]TJ
T*
[(examine)-277.5(their)-271.8(biases)-273.6(and)-269.4(present)-274.9(multiple)-270.9(treatment)-279.9(options,)]TJ
0 -1.1174 TD
[(including)-247.6(those)-242.8(that)-247.7(do)-244.1(not)-239.6(involve)-245.3(reconstructive)-250.6(breast)-245(sur-)]TJ
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[(gery.)-233.6(Even)-237.2(within)-232.5(the)-229.2(consultation)-234.7(room,)-233.7(surgeons)-234.2(could)-231.4(dis-)]TJ
T*
[(play)-1025.2(photos)-1020.3(of)-1021.6(different)-1020.4(breasts)-1029.2(\(including)-1020.5(partial)]TJ
T*
[(mastectomies\))-482.2(to)-474.6(normalize)-475.6(the)-471.1(various)-475.3(choices)-477.7(a)-474.6(patient)]TJ
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[(could)-363.9(make.)-362.7(Although)-361.3(our)-360.4(suggestions)-358.5(are)-362.7(patient)-361.8(focused,)]TJ
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[(providers)-379.6(have)-381.1(much)-381.2(to)-376.7(gain)-374.3(from)-379.9(an)-377.7(orientation)-383.6(in)-376.7(which)]TJ
T*
[(she)-447.8(or)-445.7(he)-446.9(communicates)-452.4(openness)-448.5(with)-443.3(respect)-448.8(to)-445.8(patient)]TJ
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[(decision-making,)-520.2(given)-513.7(that)-512.7(patients)-512.4(who)-511(feel)-513.7(heard)-514.7(and)]TJ
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[(who)-269.1(make)-272.9(a)-267.2(decision)-270.4(that)-265(the)-269.5(provider)-269.2(supports)-267.7(and)-269.4(respects)]TJ
T*
[(will)-305.2(be)-297.1(more)-306.3(satised)-304.6(with)-299.3(their)-300.6(care.)]TJ
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(14)Tj
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[(To)-314.4(date,)-321.3(this)-315.5(study)-316.5(is)-318.9(one)-315.5(of)-318.9(three)-319(studies)-314(to)-319.1(explore)-315.4(per-)]TJ
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[(spectives)-474.1(on)-474.5(breast)-469.6(reconstruction)-474.1(among)-474.4(lesbian)-470.9(BC)-470.8(pa-)]TJ
T*
[(tients,)-541.3(and)-534.4(our)-533.2(methods)-534.2(have)-536.6(enabled)-541.2(us)-531.9(to)-538(gather)-533.2(data)]TJ
T*
[(from)-368.4(individuals)-370.7(who)-367(post)-367.2(to)-370.9(a)-365.1(public,)-368.6(lesbian-specic)-373.5(BC)]TJ
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[(survivor)-596.2(forum.)-586.1(Notably,)-595.2(our)-590.8(data)-588.6(represent)-595(discussions)]TJ
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[(that)-288.1(were)-289.8(self-initiated,)-293.6(rather)-291.2(than)-287.9(procured)-287.5(within)-290.1(the)-286.8(con-)]TJ
T*
[(text)-247.7(of)-244.1(in-person)-247.1(interviews.)-248.2(This)-241.7(is)-244(an)-245.3(important)-243.1(distinction,)]TJ
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T*
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T*
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T*
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T*
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T*
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T*
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