Breast health and the life-saving power of mammograms

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If you have boobs, you need to listen to this episode of Sarah has

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questions because we're talking about everybody's favorite

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medical test, the mammogram. Oh, yeah.

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Why do you need to get a mammogram? How often should you get a mammogram?

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And most about what happens when you get that scary callback for a follow-up.

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It's breast cancer awareness month, and we are talking about

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it right on time. Let's get into it. I'm Sarah King, and I

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have a lot of questions. What exactly happens when

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you orgasm physically? Will popping a knuckle or a joint give us

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arthritis? What can we learn from our poop? The size of your body doesn't

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necessarily indicate your measure of health. Yes. And what are your thoughts on

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that? Cleansing. Do we need to do anything special

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to our nether regions? In this show, I get to

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ask all these questions to WakeMed doctors who happen to

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know everything about everything. Sarah has questions is a

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production of Capital Broadcasting Company and NYX 101.5.

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It's presented by WakeMed. So today, I have 2

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professionals with me, Dana Knapp, who is an imaging man

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manager with WakeMed, and we have Adrienne Jackson. She's got a

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longer title, certified breast imaging patient navigator,

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which sounds very important. I won't have you, explain

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exactly what you do. I wanna jump right in because this is a very

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pertinent conversation. Let's start with prevention.

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Mhmm. I'm talking breast cancer. What are the guidelines on

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mammograms? Because I know they've changed recently. What are the how do they

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change? Where do they start, and where do they change? First of all, every woman

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should have a conversation with her medical provider about

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that. Talk about your breast health at every visit, but

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we, recommend annual screening mammography for women starting

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at the age of 40. From that, you go to if you are

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high risk, so which we'll get into more. Mhmm. But if you

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are deemed a high risk patient, that's a conversation with your

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provider, decide what screening program you're gonna follow. It

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could start at a much earlier age. It could involve MRI. It could involve

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ultrasound. Mhmm. So Well, you said talk about your breast health.

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What do you mean by that? Because I don't I mean, like, they're they're there.

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They seem good. They haven't fallen off yet. Right. So

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believe it or not, your breasts are always changing. They're a

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living organism. They're always changing. The breast density is gonna change,

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do you know the composition of your breast? You always wanna if you

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feel something that doesn't feel right or not being

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afraid to say to your doctor, hey. I mean, I I feel

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this lump under here. Okay. You know? It wasn't there a month

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ago, or I'm having some nipple discharge. They're gonna ask you questions

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about that, but that's so important because then they're gonna recommend

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what you do from there. Yeah. I'm sure I'm sure it's scary to people

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Yeah. To mention, like, especially if I had discharge coming out of my

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nipple, I'd be like, oh my gosh. It's scary. And you might not wanna mention

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it, but it's really important that you do. Yeah. Alright. Adrianne, I'm gonna ask you

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this. 3 I wanna make sure I say your name so people who are listening

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will can just sort of differentiate you. I was told when I got my first

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mammogram many moons ago, that I

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have dense Mhmm. Breasts. So and I was

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recommended to have a 3 d mammogram. Is that first of all, what does it

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mean to have a dense breast? And secondly, is that still the case that

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dense breast people should have a 3 d mammogram? Yes. That's

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correct. That all dense breasts and nondense breasts

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Everybody patients should have Everybody should have it. Should have it. It's like the

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gold standard now. It's it's our standard of care at WakeMed. We

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only do 3 d. Okay. Great. That's wonderful. In which it means it's like

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you have more fibroglandular tissue than fatty

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tissue. What does fibroglandual mean? Glandial Just the composition

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in your breast Okay. Shows in an image, it shows

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white. I see. Mhmm. That's what we call dense.

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And then fatty is kind of in the gray tones in a image. I

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see. So yeah. Yeah. And so that the the importance of the

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density is that that because it's like that cloudy

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Yeah. White, it makes it harder for the radiologist

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maybe to see something, especially a smaller cancer. But that's

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the great thing about 3 d. The beauty of 3 d is the 3 d

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technology for people that don't know. For the

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radiologist, it's almost like they're reading a book. They can flip the page

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and see each Interesting. In between rather than just looking at

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the side of a book. Or seeing, you know, if you wanna use an

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analogy or whatever. So they're able to see through those dense

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layers with 3 d I see. Much better. So while they

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developed this 3 d mammogram, did they decide to make

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mammograms less miserable? Because would

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be asking too much. I'm like, they run on par with copy

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machines, which they still break down and are massive. I mean, I

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feel like I've made sweet love to a machine, but it's not my legal

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mammogram. Yeah. Yeah. It is. But it's important to do. And, you know

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Right. You do the compression is a little less. Yes. It's a

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little less. Okay. Well, that's good. We're making progress. We are. Yep.

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So I've also heard, and especially when I was in college,

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that caffeine can affect your breasts. Is that true? Like

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because I was told that you should, that it can cause

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cysts. I was also told that, when you get a

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mammogram, it might be a good idea not to have caffeine. Right. Is this all

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myth or what? I mean, as far as the caffeine goes, I don't

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think it changes your breast composition. Okay. But if

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you do, like, an excessive amount of caffeine, it could create cysts

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or even pain. Right. But not everybody. Hormonal.

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It can change your hormones a little bit. But I mean, that's if you're, like,

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excessively drinking caffeine. I mean, one a day is not gonna affect anything. You're it's

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like drinking a pot. Right? But they do say that. Yeah. They do say

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they still do say, you know, limit your caffeine intake. You could take a Tylenol

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before a half hour before you get there. That might help Yeah. If

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you are very sensitive to the pain. Well and, also, I know that you're being

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on your period. You know, they they Oh, yeah. If you have pain prior to

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your cycle, you may wanna refrain from getting Yeah. I've only done that once.

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I didn't know, and I was like, holy cow. This is a totally different body.

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Yep. They usually wait, like, 3 year 3 to

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5. Like, just wait a week after your period to schedule

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your mammogram. That's gonna be the most comfortable.

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Yeah. I always feel bad because I have rather big big boobs,

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and, the women who don't have much. I mean, how do you even get enough

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skin to get to do a mammogram on a woman with smaller breasts? I just

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feel so bad for them. Yeah. It is it is a little harder.

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But but some women won't get their mammogram because they think, oh,

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I I have small breasts. You know? Is that true? Mhmm. Oh, that's not

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smart. No. They still need to have their mammogram. Should men because I know men

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can get breast cancer. Should men be getting mammograms? Only Yeah. If

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they feel something. Okay. Or pain, lump, or anything like

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that Mhmm. They should talk to their provider. And then from there, they usually get

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what they call a diagnostic mammogram. What does that mean? It's more in-depth

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as far as extra images. The radiologist will look at it that day. They may

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do ultrasound while they're there. Mhmm. So it's a little more comprehensive. But do they

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get squished? Yes. They do. We'll be right back because you

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know I have more questions.

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Okay. So let's talk about, what you see in a mammogram.

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Mhmm. What what exactly are you looking for? I know you're looking for cancer.

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What else can you find in a mammogram? I mean, you can see masses.

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Mhmm. You can see what they call calcifications. It looks like white little specks

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of, like, salt in there. They look for speculations.

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What is that? It's like a a webbing, I guess you could say, in an

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image. Mhmm. It it can start from, like, a mass and it webs out a

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little bit. They can see what else?

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Lymph nodes. They can see. Some people have pronounced lymph nodes. Some have

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lymph nodes that kinda reach further into the breast tissue.

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Vascular, a lot of vascular Yeah. Vascular. Can you diagnose

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other things besides cancer by looking at a mammogram? Not so much

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diagnose, but recommend for further Mhmm. Like what?

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Usually further imaging. I mean, if they see Like in our lymph nodes they're

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enlarged? Or they see something in a vessel Okay. Because they're

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calcified? Yep. Yeah. Then they can recommend you to follow-up with your

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provider and maybe get additional imaging. Okay.

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I know that in, health class, I was taught how to do a self

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breast exam. What do you tell your patients about or your clients

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about self exams? I mean, definitely, it's best doing in the shower.

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Well, probably prior to that, look in the mirror. Make sure you see

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your breasts. Make sure you don't see anything out of the ordinary just by looking

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at them. Okay. If one's starting to get bigger than the other or out of

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nowhere or an inverted nipple that just like all of a sudden happened or

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anything like that before you actually do like the manual exam. Okay.

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When you're in the shower, it's easier to kinda glide. That's what they tell you

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to do in the shower. It's to glide around either in circular motion and then,

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like, coming from the outer to the inner or through quadrants like

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like a pie. Yeah. Excess. Uh-huh. Outer inner.

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You're looking to feel like anything out of the ordinary tea. That's why you should

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do it every month to make sure, okay, that wasn't there before. Right. It's

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true. Now there's something there. So that's why it's good to to get to

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know your breast. Yeah. Well, you should. Yeah. It's like, oh, it's it's your

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body. You have to take care of it. No one knows it better than you

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do. What are some of the regular things we should be

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doing aside from mammograms and self checks? Is there anything?

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Your provider as well should do a clinical breast exam as well

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so they can feel But also, like, lifestyle is very

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important in the prevention of any cancer, not just breast cancer, but any

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cancer. You know, exercise, what we eat, you know, staying in a

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healthy weight, the amount of alcohol you consume.

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You like that? Is that not how I that? We say I I

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enjoy wine. My husband sells wine. So we have a lot There you go. I

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had, like, a $200 bottle of champagne in my fridge on a Tuesday last night.

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I am paid for it. Your house. You should. But you should. You

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know, everything in moderation. Yes. But, you know, exercising, all

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those all the same things that we would say you should

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do for for your overall health. Yeah. You

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wanna do they will affect your cancer risk as well. I see. Your breast cancer

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risk as well. Okay. Yeah. What about genetics?

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I know that there is a certain gene that people can have. Talk

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about genetics in breast cancer. Mhmm. Because I always amass. Do you have does

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your mom or your sister, which I don't have, but did do they have breast

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cancer? And my mind has always been no. But what do you tell people?

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If you have, like, primary or, like, close relation

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like, family that has breast cancer, mother, sister,

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maternal grandmother, then your provider will probably like, okay. Let's get some

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genetic testing to see if that's what's related or

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not. And they usually test, like, the most common ones are BRCA 1, BRCA

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2. Okay. No need to be. Yes. Okay.

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Mutations to see if you are positive or negative for that.

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And if you're positive for it, is it like a guarantee that you're gonna get

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breast cancer? No. Still no. No. Yeah. Okay. That's good. Yeah. You're

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considered now high risk but yeah. As far

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as the I don't know. Increase it. Yeah.

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You're you're at higher risk. Yeah. But it doesn't mean you're going to have breast

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cancer. Do you know why you're at higher risk when you have that mutated gene?

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Because it is a mutation that they've shown has

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is Correlated. Correlated to breast cancer. Mhmm. So that there

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again, that's then a discussion with the genetic counselor and your

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provider. Where do I go from here? Should I increase my

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surveillance? Yeah. Right? Should I have more testing more

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frequently? Do a risk assessment,

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which Adrianne performs those, you know, it's a

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series of questions, tells you what is your risk?

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Do you fall in a category where you need to start having those conversations and

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come up with a different strategy, game plan? You can follow

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the the guidelines for everyone. Right. Yeah. You're gonna have to follow a different

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set. After a mammogram, I've had and this has happened to me once, and it

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was terrifying. I got a phone call, and it was just like, we saw something

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in your mammogram. We need you to come back in. I know it happens, but

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I want you got you to tell everybody what's the next step when they think

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they may have seen something. Usually, I would contact the

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patient to schedule them, but I, they become

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a diagnostic mammogram at that point, which means you come back, you

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do additional imaging, extra pictures, and then the radiologist

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is there. They'll look at it, see if you need to do more pictures while

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you're there or ultrasound while you're there. They look

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at all those imaging that they had done that day and then they decide whether

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let's just follow it. I don't think they're deemed to be needing a

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biopsy yet or, everything looks fine. Just come

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back in a year. Or I think it needs to be biopsied.

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Yeah. And then a biopsy means going in, cutting out tissue, and then and then

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It's just more sampling. Yeah. They sample at this point. Yes. Yeah. Yes. And

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and and going back to the 3 d and, you

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know, because it's happened, when you get called back, you get very nervous right away.

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You think I have breast cancer. Yes. 100%. And so I think something,

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that women might not know is if they have never had a 3 d and

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now all of a sudden they were to come to WakeMed or and have a

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3 d mammogram, they're gonna see things they haven't seen

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before in your previous imaging. So they may call you

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back. That's good to know. Yeah. And so it's

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probably nothing. Yeah. It's just that a

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radiologist is always gonna call back anything that isn't seen in the previous

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imaging. Yeah. I was always being overly cautious Yeah. Which is good. Yeah. I

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want over cautious. Happen in that switch from 2 d to 3 d. So

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women should know that. Yeah. For me, it turned out to be just

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2 fat cells on top of each other. Right? Isn't it? Don't you love it?

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It's like, you know, when you have a a fat containing tumor. Yeah. It's lovely

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when you hear that as a woman. I was like, oh. You're like Every I've

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got fat everywhere. And same with baseline patients as well.

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Those don't have any priors. This is your first mammogram. We don't know what your

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breasts look like prior to. So too. More than likely, a lot of

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them get called back. Right. Yeah. And,

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with those callbacks, like, you know, the anxiety Oh, it's awful.

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All of it, that's where somebody like Adrian is great. So, like, any question

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that you have. Questions. Alleviate the fears. Really

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explain. And also the nagging phone calls maybe that women

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get saying we need your previous imaging. We need you to send those from say,

240
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you moved from California. Yeah. We really need to get those. We really Yeah.

241
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That's why it's so important. Yeah. We don't wanna have to call you back. And

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Yeah. Because you get the phone call. Like, oh god. I'm dying. Yeah. That's what

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you think. It's the first thing you think of. You see all the Yeah. You

244
00:15:00.240 --> 00:15:03.600
know, the pink ribbons and you hear the stories. You see the walks. You're like,

245
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I don't wanna be on that train. Exactly. Yeah. Yeah. Alright.

246
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Well, let's say you end up having breast cancer. Mhmm. What are the

247
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types that you can have? Oh, there are. Well

248
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Yeah. I guess what I mean, if there's how many? The not good type. Well,

249
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the most the most common that I have seen Uh-huh. Is

250
00:15:22.199 --> 00:15:25.799
ductal carcinoma in situ, which is DCIS Okay.

251
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Which in terms means is still confined within the duct.

252
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Okay. It's usually categorized like stage 0.

253
00:15:33.720 --> 00:15:37.425
Okay. But it is a cancer. I see. And then

254
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there's invasive ductal carcinoma Okay. That has

255
00:15:41.185 --> 00:15:44.625
invaded already outside the duct but there's different stages of that as

256
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well. And there's invasive lobular. It's within the

257
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lobe of the breast. Gotcha. And then I'm trying

258
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to think of the other ones that I've seen. What about metastatic I hear about?

259
00:15:55.450 --> 00:15:59.130
Yeah. Well, that's usually if there's some pronounced lymph node,

260
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they'll biopsy that as well if there's something seen in the breast and that could

261
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be metastatic. What does metastatic mean? It has

262
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spread. It has spread now through the lymphatic system. Which is

263
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very scary. Can be It can be. Yeah. Yeah.

264
00:16:13.865 --> 00:16:17.384
You can't say. You're like, these people are listening. And then It that's why it's

265
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so important to if you feel that lump, you have any concerns why you address

266
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it. The earlier it's detected, the less chance that it will spread to the lymph.

267
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Well, and it's it sounds like and correct me if I'm wrong

268
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here, but, like, with colon cancer,

269
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it's a very treatable cancer. Correct.

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Yeah. It used to be a death sentence. Exactly. In my lifetime, I can

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remember when I was young, if a friend of my mom's was

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diagnosed, you were like, oh, no. She's gonna be gone. Right?

273
00:16:47.639 --> 00:16:51.480
Now it's very rare to hear that somebody Mhmm.

274
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Passes away, which is wonderful. It is wonderful. There's so many new

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targeted therapies. Precision medicine has come into play.

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We now have better surgical techniques. There's robotic mastectomies

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in some places, 3 d imaging, what that's done.

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So the advances have really made this, like you say,

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like colon cancer. Yeah. It's it's so treatable, which is so great. And

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the earlier you catch it, the more treatable it is. That's key. That and

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that's how colon cancer works. Like, if they see it, they just cut it out,

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and boom. You're all you're all good to go. Yeah. Okay. Can you explain

283
00:17:25.828 --> 00:17:29.395
the different type of treatment options once you have cancer and you have to deal

284
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with it? What are your treatment options for the cancer?

285
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I'm sure it would vary with the type that you have. Yes. Yeah. There's

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what? Chemotherapy. Yeah. There's radiation therapy.

287
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There's surgical as far as you can get a lumpectomy or mastectomy.

288
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Mhmm. There's even hormonal based type of therapy depending on if

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your cancer is hormonal based, if it's estrogen, progesterone

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positive. If that means that it's feeding off of that

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hormone. So now there's therapy that kinda blocks those

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therapies to stop the growth of the cancer. So you

293
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cut out your estrogen and it stops feeding it. And you're what else does would

294
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a cancer feed on if it's not a hormone? Do you do we know the

295
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answer to that yet? There's

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I I would say that's not our wheelhouse as much, but but I will

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say once, you know, with treatments, Adrian will

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navigate a a patient who is diagnosed with cancer to our

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oncology surgery and oncology services, at

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WakeMed. And then, like before, like I was saying before, there's

301
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so many treatments now. There's so many clinical trials

302
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clinical trial? I hear that all the time. I'm really not sure what that means.

303
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Yeah. Clinical trials are when there is a new treatment or a drug,

304
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maybe even an imaging, technique, and yet

305
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it hasn't been FDA approved yet, or it could be FDA approved, but

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it hasn't been put into clinical practice. Mhmm.

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But they they have seen great results, and it's usually

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if other things aren't working. I see. Well, that actually segues

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me perfectly to my next question, which is, what are some

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latest developments that have happened for breast cancer, like, in

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treatment? There's so many

312
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all the time and, like I said, a lot of clinical trials, but it's more

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those, you know, breast cancer is very individual. Yeah. It it's

314
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you you and I could be diagnosed with the same we could both

315
00:19:25.525 --> 00:19:29.360
have invasive ductal carcinoma, but mine can be completely different

316
00:19:29.360 --> 00:19:32.820
than yours. That's so crazy. Mhmm. Yeah. So Different stages.

317
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Yeah. Different stages, different the the hormonality of it,

318
00:19:36.880 --> 00:19:40.100
the, who we are as a person, comorbidities,

319
00:19:40.640 --> 00:19:44.385
everything. What is Co sorry. Lifestyle. Like

320
00:19:44.385 --> 00:19:48.225
lifestyle. Or do you have other other, do you have

321
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diabetes? I see. Do you have, you know, anything else going on?

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So that's gonna dictate what your treatment plan is gonna be or what treatment

323
00:19:55.825 --> 00:19:59.230
will work for you. But now there's so much more with the targeted

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therapies that are, you know, they're they're,

325
00:20:03.230 --> 00:20:06.830
created to to you. They're I've been hearing about this. Developed for you

326
00:20:06.830 --> 00:20:10.210
individually Yeah. With your oncologist. So

327
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amazing. Yeah. Amazing outcomes. I keep hearing from numerous doctors,

328
00:20:14.524 --> 00:20:17.885
especially this season. This is the 3rd season of this podcast. Thank you,

329
00:20:17.885 --> 00:20:18.385
WakeMed.

330
00:20:21.565 --> 00:20:25.360
That personalized medicine is getting more and more Mhmm. It's

331
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they're just making more advances in that direction because everybody is so different. I

332
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think that's and so they're doing that breast cancer. It's awesome. Yeah. It's

333
00:20:32.559 --> 00:20:35.941
absolutely awesome. What resources are available to a woman who's diagnosed with breast cancer? Because

334
00:20:35.941 --> 00:20:38.803
I'm I mean, I know if I was diagnosed, I would freak out. What resources

335
00:20:38.803 --> 00:20:40.296
are available to a woman who's diagnosed with breast cancer? Because I I mean, I

336
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know if I was diagnosed, I would freak out. What are the re what what

337
00:20:43.155 --> 00:20:46.455
do you do to support a a woman who's going through breast cancer treatment?

338
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I mean, I can be one of their support Mhmm. Person.

339
00:20:51.289 --> 00:20:54.429
There's Susan G Komen website as well.

340
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The American Cancer Society as well. Even

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their provider, oncologist surgeon,

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they also have navigators as well that can also help

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with anything, whether it's I gotta say, when you're a navigator Insurance,

344
00:21:10.475 --> 00:21:14.235
transportation, anything like that. Any question, it doesn't matter. You have all

345
00:21:14.315 --> 00:21:17.035
you can help them. Yes. I'm like, if I don't have the answer right now,

346
00:21:17.035 --> 00:21:20.635
I will find it for you. That is awesome. Because that's especially in America, that

347
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is one of the worst things is thinking about navigating insurance and all that

348
00:21:24.450 --> 00:21:27.330
stuff. Yeah. And we're trying to, you know, get that away from them and let

349
00:21:27.330 --> 00:21:31.090
them focus on just their health and healing and have everything else kind of with

350
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the navigators to figure out. So if a woman comes to you like I would

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freaking out, what are some things that you would tell her?

352
00:21:39.675 --> 00:21:43.355
Well, I mean, when I because I'm the one that tells them whether they have

353
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cancer or not. I'm the bearer of bad news. Oh my god. I don't

354
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know. Of course, the first question they ask me is, okay. What stage am I

355
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and this and that and I tell them everybody's different.

356
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Everybody has their own type of treatment plan

357
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based on their pathology, their imaging and what

358
00:22:02.035 --> 00:22:05.875
the surgeon or oncologist feels is deemed as necessary for

359
00:22:05.875 --> 00:22:09.475
you. Okay. You hear it all the time, but, you know,

360
00:22:09.475 --> 00:22:13.315
advocating for your health, like, your oncologist, your surgeon, depending

361
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on what your cancer is, you know, ask the questions. They

362
00:22:17.149 --> 00:22:20.669
want you to know everything. They want you to be part of

363
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your, you know, our we have fantastic breast surgeons. We

364
00:22:24.350 --> 00:22:28.110
have fantastic oncologists, you know, they really want you to

365
00:22:28.110 --> 00:22:31.845
be part of every decision about your care and you should be. Yeah. It's

366
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your body. Yeah. And and they want you to feel

367
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completely confident and and assured and because the

368
00:22:39.205 --> 00:22:42.965
more, you know, knowledge is power. Right? The more the less

369
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stressful the whole process is gonna be, and stress is key, you know,

370
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to healing. And so really encourage people

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to, you know, talk to Adrianne and anybody in your community. There are community

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support groups. There are church support groups. There are neighborhood

373
00:22:57.660 --> 00:23:01.315
support groups of women who have had breast cancer. Reach out to somebody you

374
00:23:01.315 --> 00:23:05.154
know went through that. Yeah. Yeah. Alright. Let's get

375
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into our listener questions. I love these. Alright. First one,

376
00:23:09.315 --> 00:23:12.695
and I have heard this, does wearing underwire bras

377
00:23:12.835 --> 00:23:16.500
increase the risk of breast cancer? No. No. There's

378
00:23:16.500 --> 00:23:20.260
no scientific evidence that says that. It's

379
00:23:20.260 --> 00:23:23.940
probably something that they've heard somewhere and they just assume. Yeah. I

380
00:23:23.940 --> 00:23:27.620
mean, it may be uncomfortable. Yeah. Yeah. It may even cause some pain. Yeah. But

381
00:23:27.620 --> 00:23:31.400
but They won't cause cancer. It does not cause That's wonderful. No. How about deodorant?

382
00:23:32.715 --> 00:23:36.095
No. Well, they say aluminum. Mhmm. But,

383
00:23:36.235 --> 00:23:39.595
actually, for us, when we say no deodorant as far as for

384
00:23:39.595 --> 00:23:43.195
mammogram is because they can show up in the mammogram. Oh, because it's

385
00:23:43.195 --> 00:23:46.670
metal in it. Yeah. Yeah. That makes sense. But as far as the whole cause

386
00:23:46.670 --> 00:23:50.190
cancer There's no yeah. There's no evidence. Yeah. Got

387
00:23:50.190 --> 00:23:54.030
it. Alright. Next question. I typically think of people finding out

388
00:23:54.030 --> 00:23:57.390
they have breast cancer from a mammogram, but are there

389
00:23:57.390 --> 00:24:00.610
symptoms other than lumps we should be on the lookout for?

390
00:24:01.174 --> 00:24:04.934
Yes. Like Adrianne said, if you see a dimple in

391
00:24:04.934 --> 00:24:08.615
your skin, you know, your skin can all of a sudden invert or an

392
00:24:08.615 --> 00:24:12.375
inverted nipple or nipple discharge pain, like and the

393
00:24:12.375 --> 00:24:15.830
pain should be you can have pain in your breast,

394
00:24:16.210 --> 00:24:19.890
around your cycle, everything. Right? But this would be pain that's very

395
00:24:19.890 --> 00:24:23.730
focal. It's in the same Okay. Place and it's 2 and before.

396
00:24:23.970 --> 00:24:27.785
And it usually intensifies, and it's pretty constant. I

397
00:24:27.785 --> 00:24:30.745
see. That would be a pain that you would say, I better have this checked

398
00:24:30.745 --> 00:24:34.585
out. Okay. Yeah. So there are there are other things besides a

399
00:24:34.585 --> 00:24:38.425
lump for sure. Okay. Yeah. Alright. Do people with bigger boobs tend to

400
00:24:38.425 --> 00:24:42.070
get breast cancer more often than people with smaller boobs? No. No. It has

401
00:24:42.070 --> 00:24:45.909
nothing to do with size. Not at all. No. Okay. You would think that the

402
00:24:45.909 --> 00:24:49.669
bigger there would be more chance, but I'm not interested. No. No. You know,

403
00:24:49.669 --> 00:24:52.889
like, more real estate. No. Does breastfeeding

404
00:24:53.110 --> 00:24:56.685
help prevent breast cancer? So, yes,

405
00:24:57.305 --> 00:25:00.825
breastfeeding is good. Again, something that's great overall for

406
00:25:00.825 --> 00:25:04.365
everybody, but, there are studies that show that breastfeeding

407
00:25:04.905 --> 00:25:08.539
is beneficial for all things of

408
00:25:08.539 --> 00:25:12.380
health and Yeah. And just keeping all those hormone hormones doing what they

409
00:25:12.380 --> 00:25:15.740
should do. Yeah. Yeah. Okay. That makes sense. Yeah. But I don't I don't know

410
00:25:15.740 --> 00:25:19.120
if there's, like, a direct correlation. Yeah. Yeah.

411
00:25:19.740 --> 00:25:23.565
Alright. Last question. Is there a trend of younger

412
00:25:23.565 --> 00:25:27.325
women being diagnosed with breast cancer? It seems like I'm hearing about young

413
00:25:27.325 --> 00:25:31.085
women having it more often. Unfortunately, yes. Do you

414
00:25:31.085 --> 00:25:34.765
think it's because the detection is better? There's that. I

415
00:25:34.765 --> 00:25:38.419
think there's hormones. There's, environmental.

416
00:25:39.120 --> 00:25:42.960
A lot that could factor into it. Yeah. Yeah. That's the thing

417
00:25:42.960 --> 00:25:46.640
about Yeah. Cancers. Like, we don't really know what's causing it. Yeah.

418
00:25:46.640 --> 00:25:50.480
Alright. Yeah. Yeah. Well Sadly. It's this is a case of mostly good news

419
00:25:50.480 --> 00:25:54.285
though, and that's Yes. Fantastic. I was a little nervous doing this episode,

420
00:25:54.285 --> 00:25:57.965
you know, because it's breast cancer. Right. But, I mean, all these

421
00:25:57.965 --> 00:26:01.485
walks and all the all the effort we've put into getting more research really has

422
00:26:01.485 --> 00:26:04.705
come up with some great results. Oh, it has. Yeah.

423
00:26:05.450 --> 00:26:09.210
Alright, guys. Gotta schedule those mammograms. There's nothing to be afraid

424
00:26:09.210 --> 00:26:12.810
of. Even if you do get a callback for a follow-up, there's really no

425
00:26:12.810 --> 00:26:16.330
reason to panic. This is one of the best cancer screening tests we

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have. Knowledge is power. My guest today were

427
00:26:20.045 --> 00:26:23.725
Dana Knapp and Adrianne Jackson. You can find out about WakeMed's Breast

428
00:26:23.725 --> 00:26:27.245
Health Services at wakemed.org. Please share this

429
00:26:27.245 --> 00:26:30.845
episode with someone who needs to hear it. Hit that share button on your podcast

430
00:26:30.845 --> 00:26:33.425
player and pass it on. See you next time.