October 14, 2024 • 41 mins
In honor of Breast Cancer Awareness Month, Jana is educating herself on mammograms and self-checks with the help of Oncologist Dr. Amit Patel.
Dr. Patel shares crucial tips on how to do your own breast exam, and he discusses the truth about how to lower your risk for all cancers.
Plus, find out what happens when Allan texted Jana something she couldn’t predict!
See omnystudio.com/listener for privacy information.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
Wind Down with Janet Kramer and I'm Heart Radio podcast.
Hey girl, Hi, it's Fall break week. Yeah, so where
are you headed? Well? Will Will leaving today to go
to Chicago because I'm going to go do the pernuvo Okay,
because it's a full body mri scan. Oh that's right,
(00:22):
that's right. Yeah. I just have had things that I'm like,
I just want a peace of mind. Yeah yeah, I
just did this with blood work and feel so much better. Good. Yeah.
Uh yeah, so very excited for that. Okay, good. And
then then we come back and we go to Florida. Okay, yeah,
we feel good about that. We do. It was so
(00:46):
we had to change the Florida. The sweet girl from
Airbnb message me and said, hey, I'm so sorry, but
our place got destroyed in the hurricane. And I'm like, girl,
I'm so sorry. Remember don't worry about my fall trip.
I was like, I'm worried about your cottage, you know,
because it was like the cutest little cottage on the beach.
I just feel terrible for uh. And you know, I
(01:08):
was like, is there anything that I can help with
or do? And she said no, you know, it's just
it's really sad. So Then I started looking around at
other places around Tampa because I'm like, what I'd like
to not be changed the flights. Then I heard that
there's another hurricane coming in in the direction. So I'm like,
all right, I just I got to reroute us and
the kids were so excited about the beach. So I'm like, okay,
(01:29):
let's just go west and so but it's gonna be
chilly west. Oh yeah, yeah. So I'm like, yeah, it's
that time of the year where it starts to it's
like weird. So we're just doing now thirty A Okay,
so we have a you know, cute, little small little
condo right on the No. I don't want to see anybody, okay,
same human. Yeah, that's why I didn't even want to
(01:51):
say thirty A. Like I just we're going to the Panhandle. Yeah,
and here for people that don't know, like Nashville relocates
to yes, and I've I've only gone to thirty eight once.
But I'm not the person that's like I want to
go where everybody goes. I don't want to see anybody.
I just want my kids and us on a beach
like cost and that's it. Yeah. I love thirty eight.
(02:13):
It's really special because I feel like it's not a
bikini town like that strip isn't bikini towns. Yeah, it's
more like wear a pretty dresser, hooded sweatshirt, and it's
kind of like up our alley. I feel, yeah, a
little Michigan vibe in that way. Yes, yeah, so yeah,
I'm excited about that. And we're gonna just spend four
nights there, which is a perfect amount of time. Great,
(02:34):
and yeah, I'm looking forward to it. But Alan I
booked a a swim with the dolphins in the ocean,
and he's not excited about it Allan and I are
the same person, really, yeah, no way, even in the
little cove. No, nope, I'm not saying like in the
middle of like the ocean. Oh it doesn't matter, No,
really I would. I went to the keys and I
(02:55):
touched their little snouts or whatever those are called. When
I what are those called a dolphin? Their nose? I
suppose anything else that rhymes. Anyways, that was magical because
they were in their element and I was on land
in my element, and so I liked that we could
both respect our habitats and still see each other. But
(03:16):
I am not interested in being in the water with
them at all really like negative seven percent. Like I'm
not going to put the baby in there, but I'm
like Julie's really excited. Yeah, No, I love that. For
everybody that's excited, I'm just not that girl. Oh. I
love them. They're so sweet, aren't they. Yeah, they're also
like wildly intuitive. I mean, so the ones like horses,
(03:41):
why do I feel like we're just gonna get bashed
or with this? Are there though, aren't they? Like? Because
horses are very intuitive, Yeah, to your emotions and feelings.
That's why there's a lot of like therapy horses. Yeah,
this is wild. So I learned when we were in
the Keys, we stayed at this really awesome resort kind
of place. And I know people have their own opinions
about this, but this was like a dolphin rescue you.
And then they also would like you could swim with them.
(04:02):
But the dolphins were actually retired navy dolphins because they
used to go and like they would go and check
out if there was anything that was dangerous to their
people and come back and report in their dolphin ways.
And I just think that's really spectacular. That's really sweet.
And so I loved that I got to hang out
with some veterans. Yeah, we've so we've done the swim
(04:24):
with dolphins in Orlando when Jolie was like three, maybe,
And I get a lot of hate on that guy,
and I'm like, yeah, like I am a zoogoer. I like,
I know, you know what they do on the flip
side of things in their conservatory ship and yeah, helping
(04:45):
back animals and extinction extinctions and stuff like that, extinctions
and stuff. Yeah, And I also think it's worth noting
that a lot of those places bring in animals that
wouldn't otherwise survive probably out in the wild, yes, because
as they have whatever injuries. He is never going to
be my friend. No, that's fine, that's okay, But I'm
(05:06):
excited you should be. And then but you guys aren't
going anywhere. No, we just did like back to back trips.
So I feel really good about your saying yeah, and
we actually so. The other half of our duo lives
near Tampa, and Kate actually drove last night. She packed
up her house and her kids and her dog and
made her way. So she's making her way today. She
(05:29):
evacuated a little earlier to try to like beat the
rush and the craziness. It's just wild times right now,
really wild emotional times. And I'm an mpath so I
feel like I need a hotline. We spent yesterday gutting
our closets and our home for things like pantry and
(05:51):
all the things we could send over into the Western
Carolina's coats because it's going to start to get cold there.
So they're just sad. It is. It's it's actually it's
beyond like I don't I don't think. I know. It's
so widespread and the scope is so huge that I
think that we can't comprehend it yet. But now it's
like live feeds are coming in from people like boots
(06:12):
on the ground. It's really really devastating. I had such
a wide area. One of my girlfriends waspposed to be
getting married this past Saturday, and she texted me, and
you know, the wedding was in New York, and I
knew her family was from North Carolina. But she texted
me and she's like, Hey, just FYI, the wedding is
a no go because we were going to fly there
and obviously put to her wedding. She's like, we just
(06:34):
got in contact with my parents after five days because
they live in Asheville, and I was like, oh my god.
I was like I thought they lived on like not
that part of Carolina, but still so sad. Yeah, it's crazy.
I know what do we do sidebar? My My husband
just sent me a text message and said move Kristen's car?
Why is she blocking me? Would you please go on
a date with me tonight? And then sent me a
(06:56):
reservation confirmation. That's pretty cute and you ask him to
text Preston it's really sweet. Mind's driving mine in mine? Okay,
President and I have this game on the highway. Sounds dangerous,
I know when when we're passing each other, like we
know we're coming from opposite directions, so he'll move into
(07:16):
the fast lane and he waves his hand out the
window and honks from laughing me. It happened on the
way here. The bus just pulled in. So he was
driving home and he's like, maybe I think I'm going
to Patty such a Rednecks sweet But he's not texting
me dinner reservation. So how long do you think Preston's
going to be on the road for. I don't know.
Have you guys had that conversation like, this is because
(07:36):
you've been doing road life for five years? Ten ten years? Sorry,
hold his love? Yeah they had ten ten years. Wait,
but love's only nine. Yeah, but I met him while
he was on the road, got it gotta go. Yeah,
so that's a long time, so longer for him because
he's been doing it for twenty five right, So when
it comes to your marriage and long term of things,
(07:57):
have you guys had that conversation like how much longer
are are we living this? Yeah? We do often, and
the four of us actually do often because I think
our goal is the same. I think it's I think
for Preston and Chris they will always have to do
it just because that's who they are. The goal would
be higher paid shows, less shows, less shows. Yeah, and
(08:18):
then we could all be together more, which I think
is it. He's also moved into a really fun chapter
that you and I have been waiting for. We should
probably not do this on air, but that's kind of fun.
He is really excited for me to have a big career. Great, weird, amazing,
it's strange, it's great. I almost feel like there's times
(08:38):
where I want to like FaceTime you in and just
have you be quiet and just like this real life.
But He's like, I just really think you're good at
what you do. I think it's time for you to
like flourish. I want to help you do that. I
want to use my contacts and help you do that.
It's weird, foreign and great, great, yeah, good, slow and steady.
(09:00):
But I think the idea would be kind of like
handing the baton over. So maybe my work increases, his
work decreases, and maybe I can take it from here.
Not anytime soon, right, what do you think the future
timeline is? Like? Do you for you like? Is it
like I'd like it to be X? I don't know.
I mean I would like it in the next five years.
(09:21):
I just enjoy this so much that I would do
this all the time, not having like I would always
want to still homeschool I enjoy, Yeah, but like I
just enjoy the podcasting space so much. I would do
it all the time. But it's my radio heart. You know,
You've always kind of been that way. Speaking of podcasts,
you have your podcast, Kramer. You're always the supportive one.
(09:47):
You're the spouse that always has my back. What is
it's just launched again? You're a new Season, New Season.
It's called in Kristen we Breast and Christian we Breast
tell our listeners everything. I have a promo moment you are.
This season is called Homecoming, which I've said on wind
Down before, but I did a whole season dedicated to it.
(10:09):
So it's about coming home to yourself. It's about taking
time to know your intuition. I think we have a
really noisy world that distracts us from listening to what
God gave us, which is discernment. I think we all
know what we need to do. Sometimes we just don't
trust ourselves, whether that's because of generational trauma or relationships
you've been in, or your own self doubt, whatever. So
(10:31):
it's really just about This whole season is just about
ways to get back to yourself, coming home to yourself.
Where do you think you've abandoned yourself the most? I
think so I'm a solid two on Nyagraham. I don't
know who all believes in that. I know you and
I do. You're a solid two. You're a helper. I
got to yeah, but I have to redo it. Now
that I've had kids, I might have changed. Oh good.
(10:53):
I think there's definitely a lot of two in me,
but I think we're also just healthier right now with
like Aby and you know, I'm not a two to
fault anymore. No, I'm not a two to detriment. Yeah myself, Yeah,
I think I abandoned myself or had abandon myself and
just allowing people to mute me for a really long time.
(11:15):
It's tricky. In marrying into country music is tricky. Trying
to find your place in that is tricky, I think,
just trying to find your place anywhere, but specifically because
I didn't want to just I didn't want to fall
in solely being a wife and a mom, and that's
what a lot of country music wives do. I think
there's like a new revival, Like I feel this little
(11:37):
revolution happening right now where a lot of those women
are doing their own businesses and like taking charge of
their own lives again. And that's so great. But for
a while, it just was kind of like I didn't
know what to do. But you found me, Kramer, you did.
You found you, I know, but you also were like, hey,
so I'm gonna need you. I'm still waiting for open
(11:57):
mic night. You can do it. I mean, I don't know
it's too good. I just because I think you should
and then write a script and then I'll act in it.
You act in it. I totally will do that. More
fun when we're together, it's like a I can't even like, gosh,
(12:19):
what is it? It would just be fun. Oh, we
would have so much. It would be a lot of fun.
We're just I mean, we have fun. The thing that
I really enjoy about us though, is there's like a
safety that we have for each other, which makes us
feel like we can be vulnerable in those spaces. But
like I always know if I give you a look,
(12:39):
you will halt, and like everyone, I'll get fortressed in
which makes me feel comfortable to just be like, oh,
I think I'm gonna share something I shouldn't share, Like
right now, I probably talk too much. Well, everyone listened
to in Kristin we Breast be a guest, So I
actually was gonna ask you that I haven't been asked.
(13:01):
I actually am just bringing back the guest. So let's
do that, right. Christine actually just asked me about that.
She was like, what about Jane coming on? I was like, yeah,
would she do that? What I do that? Is that
across pollination? I know it is like a thing. But
then I also was like, well I heart be mad
at me. No. Anyways, speaking of October fall break, October
(13:25):
is also a breast cancer awareness month, and we have
doctor a Meet Patel. He's an oncologist in Jersey City,
and he is going to shed some light on things
that we as women need to look out for and
he's going to share all of his expertise. Let's take
a break and then get him on. Do you ever
(13:56):
be worried about breast cancer? Just now? The last couple
of weeks from Oh that's right, and you had like
a something they were not worried about, but not not
worried about. You had that appointment, which is why you
missed at one episode? What did they which I was
going to put off, which is what I would do, right,
And I was like, I just feel like I needed it.
Doesn't get there? And what do they say? They think
(14:17):
everything's fine?
Speaker 2 (14:18):
Right?
Speaker 1 (14:19):
Yeah, irony because I have dense breast tissue, which is
hysterical because they are flat. Stanley boobs, Doctor Patel, we
can't we can't see you yet.
Speaker 2 (14:27):
Oh you can't, Okay, let me take care.
Speaker 1 (14:28):
We're talking about dense boobies, and we really need your
help to finding you. Is dense boobies mean? Because I
don't believe she has dense boobies. I don't either believe
that I have dense breast tissue, doctor Batel, because I've
been like, I think, let these bad boys, baby. Yeah,
the perception in my brain of what dense breast tissue
is and the actual result of what I'm dealing with,
it feels the reality is not matching. You know. It's
(14:50):
like if guys could only get into our FaceTime because
she's like, look at these things after the third one
and I'm like, Jesus girl. And Shanna had her breast surgery,
she was like flashy on FaceTime. I'm like, there's a
million dudes that would pay to be on this anyways, Hello,
how are you? Hi?
Speaker 2 (15:07):
How are you?
Speaker 1 (15:08):
Thanks for adding credibility to this cast. No problem, We
needed you and your brain and degree in here quick.
Speaker 2 (15:14):
So, actually, dense breast tissue is very, very common in
young females, especially females under the age of forty. So
it's not that you are, you know, unique in that
regard to your unique in many aspects, but in terms
of having dense breast tissue. It's actually very common, and
it's so good. It's so good that you're bringing this
topic up because so many young women need to know
(15:36):
about it. They need to know that screening mammograms are
typically not the best when you have breast dense tissues.
So we don't even recommend that you get a mammogram
unless you have one at baseline. What we do want
to monitor and follow up with is ultrasounds of your breast,
so those are more precise when you have breast debts
(16:00):
tissue to really look at any even small abnormalities and
then based on that, if needed, we move on to
a breast MRI and so that's best under the age
of forty. So it's not uncommon that you know, it
doesn't have to do with size of breast. It doesn't
have to do with previous breast augmentation or any you know,
(16:22):
treatments that you may have had, for example, you know
people that use oral contraceptive pills or have had hormonal
treatments for whatever their other illnesses or conditions are. It
really is not dependent on that. In fact, it's a
better way of looking at breast tissue when you're younger.
Speaker 1 (16:38):
What if this person's above forty, what if you you
keep saying younger, and I gotta tell you my favorite
guests theo are He's like, well, that doesn't can that
would be an issue with you under forty? I'm like,
I really like this guy.
Speaker 2 (16:51):
Well if it's if you're above the age of forty, still,
even if you have gone through menopause, let's say women
in their fifties and our screening age is now decreased
to forty when mammogram should start, you can still have
breast debt tissue. It's more common in younger females, but
there are patients that past the age of fifty still
(17:12):
continue to have dense breast tissue. And that's not really
an anatomical term. It's more of what we see with
your breast tissue when we're imaging it with an ultrasound
or a mammogram. So still we continue to use ultrasounds
in those patients.
Speaker 1 (17:27):
Do you want to share what they kind of what
you're because do you want to?
Speaker 2 (17:31):
Or no?
Speaker 1 (17:31):
Because I don't want to know? Oway Yeah, So it's interesting.
So I had my regular ob yearly appointment, probably like
a month ago, and in doing that, breast exam. And
I've always had trouble with self breast exams because they
just I think, I don't know. I have to be
really honest with you. This is where this is really
good that he's on. I can't tell you the last
time I actually felt my boobs to even check myself.
(17:54):
And I'm forty and I haven't had a mammogram. So
if we're being really honest, yeah, I don't. I don't
do it well. Mine feel a little like uneven anyways.
And I just had a baby like sixteen months ago
and so, and they are my natural breast, So the
tissue has just always been a little tricky for me
to like feel and go like you know, like I
don't want to panic, but I also confuse, like it's
(18:16):
not did you find something or what I didn't find anything.
But in that visit, they were like, so there's something
that we feel that isn't concerning, but it isn't not
concerning and so, and they were like, we need a
baseline mammogram. And then they scheduled an ultrasound right after.
So I had back to back really well done.
Speaker 2 (18:34):
And yeah, yeah, and you and it sounds like they
move quickly, which is great, and so you know why
we encourage and why we definitely still want our patients
and everyone to continue your own clinical self breast exam
is you know, we as physicians.
Speaker 1 (18:49):
She's giving herself one right now.
Speaker 2 (18:50):
I see that.
Speaker 1 (18:53):
Would you like her to put on a paper napkin?
Does that make you feel more comfortable about what's happening
in front of us? I think it's good. She's going
to knock that out real quick off.
Speaker 2 (19:03):
And I'm glad you brought that up because that's a
whole different discussion, which is what we do when we
make you change into basically a paper towel.
Speaker 1 (19:10):
Yeah, it's really something what you guys make us do.
Speaker 2 (19:13):
You're in a vulnerable position and a vulnerable state, and
then we come in and we're poking and prodding at
your breasts. So that being said, when we encourage and
talk to patients about breast exams is because what we
want you to do is to be able to identify
the obvious.
Speaker 1 (19:32):
Right.
Speaker 2 (19:33):
We are trained, many many years of training to identify
those subtle abnormalities when we're moving from quadrant to quadrant,
and that's why we use both of our hands to
really poke and press into your breast tissue. The obvious
is what we want you to identify. If you feel
some sort of irregularity that is not your normal breast,
(19:54):
If you feel obviously some sort of mass, if you
feel something under your arm, A lot of patients for
it's not just your breast. We need you to feel
under your arms in the accilliary regions as well. Right,
But that being said, you won't know unless you're doing
it and you continue to do it at least on
a monthly basis. Right, So I always say the best
(20:16):
time to do it is, you know, either before your
shower or after your shower, because you're already you know,
you already have your bra off, and you know you're
already either drying yourself or you know, in the shower
itself with your body wash, et cetera. So that's the
best time that you can do it is it's already dedicated.
It's not like you have to make time to do it.
(20:36):
You're already in the bathroom showering. So that's when you
should be doing it at least once a month.
Speaker 1 (20:40):
Let's do this every wind down listener the first of
every month, because we're going to put ourselves first. Oh,
I like it toutch your babies in the shower. There
you're talking out the first of every month, and you
won't forget we do need to like raise our arm
when we're doing this.
Speaker 2 (20:53):
Correct, absolutely, And so what you want to do is
it's usually at about like a right angle you want
to put Oh, just the best thing you can do
is touch the back of your head with your hand
right okay, to the back of your head with your hand,
and make sure your arm is out right. You don't
want it forward or you don't want it too you know,
it too close to your head. You want it completely
out and that's when you're going to be able to
(21:15):
really feel it the best. And then I always say
you want to from the underarm, start in the mid
arm area here, like in your triceps, and then just
start poking and move down. And then when you really
get into the underarm area, you want to go in
a circular motion and really feel and then put your
(21:35):
arm down, keep your hand there and poke underneath as well,
and make sure you don't feel anything that way.
Speaker 1 (21:41):
I mean, it's so good. I just wish I knew more,
like I wish i'd I think my self doubt trumps
this or I'm like, I don't think I'm like I
am in my qualified enough to even notice a change
in my body. But I feel like most people in
your position would say you would know it would be
something you know.
Speaker 2 (21:58):
Your body best, right, Yeah, you can. You can tell
you just had a child, how your breasts have changed, right,
are you? May I ask are you breastfeeding or not?
Speaker 1 (22:07):
No? No? And you know it's tricky is because I
didn't also realize that after breastfeeding, it takes a really
long time for your breast to kind of like resume
like coat would be their new normal because there's still
all sorts of glands and things.
Speaker 2 (22:22):
Correct. Absolutely, there's all sorts of glands that have grown
and proliferated. Your breast tissue is very different and that
changes completely after you, you know, do breastfeed or your don't,
or just with pregnancy itself. Right, And so that's that's
the best example, is you know your breast the best, right,
there's yeah. And that's what I tell my patients is
(22:42):
if you notice anything besides doing a breast exam, you
come in and you say, you know what, Doc, my
nipple doesn't look right. Something is wrong, even though it
may still be the same size or you know, same location.
It looks like it's you know, indented a little bit,
or you know, there was a little bit of your drainage,
or my nippole aiola is very itchy. Things like that.
(23:05):
Those are not things that we want you to ignore
and just say, oh, it must have been that I
was sweating at the gym a little too much, or
I bought a new bra, or you know, something different
with my lotion or whatnot. Like you definitely want to
let us know and give us all of these.
Speaker 1 (23:20):
Details, right, Yeah, I do appreciate how quickly my doctor moved.
That's awesome. It wasn't panicked, but it was like start
under that. Yeah, doctor Barrett, Yeah, question for you, and
I already know your answer, But I guess I just
would love maybe like a little more insight on this
because I think the vast majority now, like kind of
(23:40):
a lot of what we're hearing is mammograms and ultrasounds
are just so much radiation and this can be detrimental
to people. And so what I mean, I know you're
obviously a well educated degree toating doctor with a lot
of years under your belt, so I know what you
would recommend But why what could you say that would
(24:01):
put that to rest? With the mammogram radiation, that's like
this whole new information that we're just getting like pushed.
Speaker 2 (24:08):
Of course. So you know, in terms of the relative
risk of radiation, ultrasounds carry the least amount. So that's
what's good to know, is that really you don't have
that extreme radiation exposure like you do with let's say
an MRI, because we do recommend breast MRIs, right, and
we have, of course, like you said, the scientific evidence.
We have many, many longitudinal studies that have shown someone's
(24:33):
relative risk of cancer development based on how many MRIs
or chest X rays or ultrasounds that they get.
Speaker 1 (24:42):
Done.
Speaker 2 (24:43):
What our newest technology has done, and this is where
I really reassure my patients is you should all be
getting three D tomo mammograms. That's the newest technology that
we have, and those are the types of mammograms that
carry the least amount of radiation risk. You know, over
the years, we change our technology, we change our radiation
(25:04):
exposure to our patients, because we know previously older machines
and older techniques that we had, let's say in the seventies,
you did you had cancer that developed because we kept
putting you through scans, and patients that underwent treatments, let's say,
for example, that had cancers continued to get scans. So
(25:25):
it's kind of counterintuitive that we're treating your cancer, but
we keep putting you through scans and that increases your
cancer risk, and in fact it did in the past.
So now our newest technologies are newest ways of developing
and looking at images through radiation exposure in terms of
(25:46):
MRIs or CAT scans, really has decreased the way the
radiation goes into your body, the way the radiation exits
your body, the way it's metabolized, and it's really focused
in that organ or that ear of the body. Before,
what would happen is radiation when you were exposed during
a scan would disperse, right. That's why when you get
(26:07):
a chest X ray we put that cover over your
thyroid gland because we want to make sure that that
radiation from a chest X ray it's pretty dispersed. It's big,
so it doesn't expose other organs. Now we have more
specialized or more precise ways of doing these tests to
minimize that.
Speaker 1 (26:28):
So I have I had I Haventt had. I have
fake boobs, got them after my second kid, and then
I had another child. I obviously didn't know I was
going to have another child, but I did, and he's
amazing and all the things, but my boobs. I've heard
that it's harder to find breast cancer with implants. Is
(26:50):
that true or not true?
Speaker 2 (26:51):
So it is in one regard in terms of you know,
developed the post, I would say implant changes to your breast.
And that's where we sometimes have to use multiple imaging
techniques to look at and screen for breast cancer. It
(27:14):
wouldn't just be a mammogram because what happens is in
that image, the way that those rays of radiation go
into the implant, it can obscure the picture behind it.
So what we look for is something that what we
say enhances or doesn't. And so you having breast augmentation,
we probably would recommend not just a mammogram, but we'd
(27:36):
be looking at an ultrasound as well as part of
your screening.
Speaker 1 (27:52):
I'm about to get an MRI, like a full body MRI.
Just if you heard a pernuvo I have yes? Okay,
do you like or not? Like? No? Comment? Oh? Shoot,
oh great, I'm about to have one too, So I'm like, oh,
because I've just been having some weird things in the
brain area that I just want to like check off
that it's not that what it is. But it's not
(28:13):
going to be like super Bad film.
Speaker 2 (28:15):
No, No, why I said that, and being completely transparent
and honest, you know, I practice with evidence and not
by guidelines, but I need evidence if I'm going to
subject my patient to tests or subject them to medications,
I need evidence to back it up because it's not
benign what I'm doing to patients or recommending. So I
would say as a scientist, I don't have the evidence
(28:38):
to support.
Speaker 1 (28:38):
That, right, Okay, got it is there. I feel like
I've heard this too, that breast having breast augmentation is
does that cause to cancer? Like what's the implant in there?
Speaker 2 (28:53):
That's a great, great point that you bring up, and
older implants used to there was actually a type of
limph that developed in the bread that was associated with
those implants. We don't see that anymore because our newest
implants that most plastic surgeons are using don't carry that
risk as much. So we're happy because that lymphoma that
(29:16):
used to develop with implants was a very aggressive lymphoma
and it had, you know, a pretty bad outcome. So
we're not seeing that as much anymore.
Speaker 1 (29:26):
Okay, well, that's good to know. I and I know
that this is probably let's just go thirty thousand feet
when I asked this because I know that there's no
like recipe for this. But I'm such a I'm a
little crunchy if I'm honest, So I really believe in
all the pieces of the puzzle kind of compound interest
and keeping someone healthy. I'm sure you would agree, But like,
(29:49):
is there like a cancer fighting if you had? How
about this? Let me frame it like this, since obviously
the brain fog is real for me. Still same, if
you could tell anyone like the most ideal perfect way
to eat to avoid and lower your risk of any cancer,
(30:10):
specifically breast cancer, what would that be? Okay? And what supplement?
I love supplements.
Speaker 2 (30:15):
I'm so glad you're bringing that up because I'm a
big believer in I have to practice what I preach right,
because I can't be Let's be honest, I can't be
a five hundred pound physician who doesn't exercise in smokes
and I'm giving health information and cancer prevention recommendations to
my patients. So for the past two and a half years,
(30:37):
I've become completely pescatarian, gar to the Mediterranean diet because
that has been proven to show that it reduces your
risk of cancer, aging, Alzheimer's, diabetes, cardiovascular risks. So I
mainly eat a very protein based diet with tofu and
(30:58):
fish fish that does and have a shell, lots of vegetables.
I exercise, and it's cardio exercise about four to five
times a week a minimum of twenty to twenty five minutes,
and that's all you need that will definitely reduce your
cancer risks. We have many studies that show that and
supplementation wise, I yes practice Western medicine, but I come
(31:22):
from an Eastern background. I'm South Asian and Indian, so
my family there's a lot of iro vedic and homeopathic
remedies that I grew up with, and so medicine was
not something from a doctor that I turned to or
my parents turned to at first as part of our treatment.
So there's actual good evidence in data that cur turmeric
(31:47):
it's a huge antioxidant and a benefit in reducing your
cance risk. So if there's any supplement you can take
on a daily basis, Anything that's turmeric or curcumin based
would be the best thing that I could recommend.
Speaker 1 (32:00):
How many milligrams?
Speaker 2 (32:03):
So that's a good question because you know, if it's
dietary intake.
Speaker 1 (32:07):
Because I take a tumoric supplement every day, just like
from the tumoric I can never say that other word.
But yeah, but I don't know what the milligram is
or what it should be.
Speaker 2 (32:17):
Yeah, I think, you know what, if you take at
least two hundred milligrams a day, it should be enough.
There are some that are out there that are a
lot more, but you know, I think the main thing
you want to look for is it that it has
that active ingredient of curricumen in it, because that's what's
been proven to show that antioxid in cancer fighting property.
(32:37):
So you definitely want to have that incorporated into part
of your daily supplements that you can date. Vitamin D
is another great supplement if you haven't started that already.
Low levels of vitamin D are associated with increased breast
cancer risk, and if you know someone that's had breast cancer,
if their vitamin D levels stay low, it actually has
been shown to increase the recurrence of breast cancer as well.
(33:00):
Anything citrus based, folic acid, any anything vitamin C based
also has great antioxidant in cancer fighting properties as well.
Speaker 1 (33:10):
So D we need to have vitamin K with D.
Speaker 2 (33:13):
Right, you have calcium with vitamin D.
Speaker 1 (33:16):
Okay, Okay, I knew we needed a couple it with
something or it's less effective. Okay, I need a yes
or no on red wine for cancer health. That matters
to the girls on the couch.
Speaker 2 (33:25):
I would say yes, as long as it's less than
six to eight ounces that you're having per serving. You know,
you definitely don't want to, you know, go crazy, but
you know it is something that's part of the Mediterranean
diet as well, the tannins that are in there in
the accident antioxidant properties, it's definitely beneficial compared to all
other types of alcohol.
Speaker 1 (33:46):
We've really calmed down. We don't don't. That's what's the thing.
I mean, I can't tell you. I mean, I probably
drink twice a month now, and I used to be
in every post my divorce, I would I would have
a glass of one every day. And I think it
was because in our society at the time, it was like,
this is my mom juice, and this is my me
time and my relaxation, and it became such a I
just think every single day. And now I'm like, I
(34:09):
don't I enjoyed having an occasional you know, glass with Alan,
if we have a little date night at the house
or like we'll have a date night tonight. But I
mean it's maybe two three the most a month.
Speaker 2 (34:18):
Now, Yeah, And I think that's fine. And even if
there's moderate, you know, mild to moderate consumption of you know,
two times a week, that as long as it's that
small amount is totally fine. But you know, it's definitely
definitely has been shown to have a health benefits.
Speaker 1 (34:36):
Do you Okay? You said Tofu and I and I
don't eat meat. So I'm kind of like, I have
cut Tofu out altogether because it was soy and soy
was linked to estrogen and is that a myth? Or
like how do we feel about that? And you don't
have to go crazy. I just wonder could it would
give me such an opportunity to add that back in
would be really beneficial. But I have cut it out
(34:58):
because it was rumor, you.
Speaker 2 (35:00):
Know, and that's and and that's the perfect way of
putting that that it's been rumored, there's really no direct
link of let's say someone that has had hormone replacement
therapy and we actually have high levels of estrogen and
progesteron that those patients are exposed to. You're not exposed
to those high levels when you're consuming food that has
(35:23):
that kind of hormone derivative like tofu. So and again,
everything's in moderation, right, so you're not If you're eating
tofu on a daily basis, multiple meals, that risk is
different than if it's part of your diet maybe once
or twice a week. You're having a tofu based dish.
Speaker 1 (35:43):
There's a crispy tofu recipe. I've been mourning, so I'm
kind of excited to go back get it. To close out, Yeah, seriously, yeah,
I'm sure because I love tofu, but I can't have
soy now, which is a bummer. But anyways, to kind
of close out, what do you wish people knew about
breast cancer?
Speaker 2 (36:00):
Oh? Wow, there's so much that I wish that people knew.
But what I wish they knew was that it's preventable.
Speaker 1 (36:10):
That's so hope. Giving that sentence, itself is so hope giving.
Speaker 2 (36:13):
It is it is. There are certain cases, of course,
in any extreme with any type of cancer, that it's not,
But that prevention starts at home, and your body is
your home, and you have to treat your body like
you would treat your home, and keep it healthy and
keep it safe and keep it strong, and that prevention
starts with you.
Speaker 1 (36:36):
That is like the best advice anyone could give anyone
about anything. Yeah. Absolutely, well, thank you for giving that
slice of help. So we know a lot of people,
I mean, you've had breast cancer in your family with
you know, my mother in law actually just recently went
through this, it'll be a year ago December. But early
detection when in for normal mammogram, she's seventy five. They
(36:56):
found between a zero between stage zero and one. Okay,
And but by the time from the time she heard
the words that it was cancer to the time she
was cancer free according to doctors, six weeks. Yeah, and
you know, it was crazy to you know, because it
we have heard so many stories that I think she well,
(37:17):
my high school sweetheart lost his mom to breast cancer.
They found it late, it spread, you know, there's it's
her lymphnodes. Is that is that correct? Yeah, and that's
what ended up, you know when she it came back
and it was just you know, and it's just it's
so sad and there are stories to show both. But
like you said, there is there is hope.
Speaker 2 (37:38):
There is hope. We have newer treatments right now that
you know, give even advanced stage breast cancer patients hope.
We're putting stage four cancer patients into remission, so we're
not going to stop fighting and we're going to continue
to keep getting giving our patients more options.
Speaker 1 (37:58):
That's amazing. Well, thank you so much for coming on
and giving everyone that hope. Appreciate it. Thank you all right, bye, ladies.
If you're listening to this in the car right now,
you don't have to lift up your shirt, but just
start to give it a good old feel. And we
really need you to get your boobs like your countertops.
That's what I was thinking. I'm like, I'm comparing my
boobs to my countertop in my head right now because
(38:19):
I keep that thing so damn clean and spotless, and
I'm like, I should be checking my boobs. I know,
I'm as I can't have my husband because second he touches,
so we have to just do it ourselves, you know,
because that's a gateway. It is a gateway. It was
like the chiropractor was saying, hey, if you could just
because with my like dis bowld or whatever in my back,
(38:41):
it's like hitting the nerves so in my butt, like
if you just apply pressure. So my chiropractor was like,
can you touch if you touch her butt right there,
I was like, Jamison, stop it right now, because this
is just it's he doesn't massage. It's two seconds and
then it's like hey baby, and I'm like, get off.
Everything's a gateway hashtag blessed. But also yeah, oh medical,
(39:01):
but we keep it a little medically focused on give
me five minutes off. I can't or you try that
like he's like stretching and your tailbone and I was like, no, no,
you're not. I am going to go find a professional.
Oh okay, well god, now I'm scared about the pernuvo thing. No,
I think I think it's just the radiation exposure, which
(39:23):
is what he was. I'm such a hypercontract I just
need I have such a power about something that I
need to just check off. So this is where I
went with the mammogram thing, and I had to ask
him about the radiation exposure because I got to the point,
Creamer where I was like, the stress hormones going through
my body, wondering, what if yes is going to be
more detrimental to me than me getting whatever amount of radiation.
(39:47):
This is to get the peace of mind that I
can just move forward. Yeah, agreed, okay, And I would
agree with that for you one hundred percent. I think
peace of mind. Well, you're my sweet little hypochondriac I
love which I'm like a lot of hyper contract with
my boobs, So now I need to start to be
I need you to be a little more vibe contact
with your boobs. But I do think like I think
you're just gonna feel better. You don't like them be
(40:08):
in touch, Well, that's interesting. Can we bring Alan back in?
I think when he touches them, But I don't like
my nipple being touched. Even with that one, I hate
my nipple being touched. Wow. One of the reasons my
dat brestfeed I was like, nothing, get off my nipple.
And there is a headline for this one, get off
my nipple is the quote I love my babies, but yeah,
(40:32):
I just know, it's just like nails on a chalkboard.
A lot of women have that, like it's not kinky
to them. It is not fun to not touch my
breastfeeding is like an actual issue because they don't like
get touched. Yeah. Yeah, the thought of it is giving
me the scorms. Okay, sorry about that, go get your
But I mean, if he wants to grop it, he
can grow it and he will and he did, and
that's how we got room and James, everyone, thanks for
(40:54):
tuning in. So that's the other day. We were making
out and he goes, that's how you were conceived. I
don't know how he says, but I was like, okay, alright,
it's a little lowkward older they get okay, we're done.
I really don't fight
Wind Down with Janet Kramer and I'm Heart Radio podcast.
Hey girl, Hi, it's Fall break week. Yeah, so where
are you headed? Well? Will Will leaving today to go
to Chicago because I'm going to go do the pernuvo Okay,
because it's a full body mri scan. Oh that's right,
(00:22):
that's right. Yeah. I just have had things that I'm like,
I just want a peace of mind. Yeah yeah, I
just did this with blood work and feel so much better. Good. Yeah.
Uh yeah, so very excited for that. Okay, good. And
then then we come back and we go to Florida. Okay, yeah,
we feel good about that. We do. It was so
(00:46):
we had to change the Florida. The sweet girl from
Airbnb message me and said, hey, I'm so sorry, but
our place got destroyed in the hurricane. And I'm like, girl,
I'm so sorry. Remember don't worry about my fall trip.
I was like, I'm worried about your cottage, you know,
because it was like the cutest little cottage on the beach.
I just feel terrible for uh. And you know, I
(01:08):
was like, is there anything that I can help with
or do? And she said no, you know, it's just
it's really sad. So Then I started looking around at
other places around Tampa because I'm like, what I'd like
to not be changed the flights. Then I heard that
there's another hurricane coming in in the direction. So I'm like,
all right, I just I got to reroute us and
the kids were so excited about the beach. So I'm like, okay,
(01:29):
let's just go west and so but it's gonna be
chilly west. Oh yeah, yeah. So I'm like, yeah, it's
that time of the year where it starts to it's
like weird. So we're just doing now thirty A Okay,
so we have a you know, cute, little small little
condo right on the No. I don't want to see anybody, okay,
same human. Yeah, that's why I didn't even want to
(01:51):
say thirty A. Like I just we're going to the Panhandle. Yeah,
and here for people that don't know, like Nashville relocates
to yes, and I've I've only gone to thirty eight once.
But I'm not the person that's like I want to
go where everybody goes. I don't want to see anybody.
I just want my kids and us on a beach
like cost and that's it. Yeah. I love thirty eight.
(02:13):
It's really special because I feel like it's not a
bikini town like that strip isn't bikini towns. Yeah, it's
more like wear a pretty dresser, hooded sweatshirt, and it's
kind of like up our alley. I feel, yeah, a
little Michigan vibe in that way. Yes, yeah, so yeah,
I'm excited about that. And we're gonna just spend four
nights there, which is a perfect amount of time. Great,
(02:34):
and yeah, I'm looking forward to it. But Alan I
booked a a swim with the dolphins in the ocean,
and he's not excited about it Allan and I are
the same person, really, yeah, no way, even in the
little cove. No, nope, I'm not saying like in the
middle of like the ocean. Oh it doesn't matter, No,
really I would. I went to the keys and I
(02:55):
touched their little snouts or whatever those are called. When
I what are those called a dolphin? Their nose? I
suppose anything else that rhymes. Anyways, that was magical because
they were in their element and I was on land
in my element, and so I liked that we could
both respect our habitats and still see each other. But
(03:16):
I am not interested in being in the water with
them at all really like negative seven percent. Like I'm
not going to put the baby in there, but I'm
like Julie's really excited. Yeah, No, I love that. For
everybody that's excited, I'm just not that girl. Oh. I
love them. They're so sweet, aren't they. Yeah, they're also
like wildly intuitive. I mean, so the ones like horses,
(03:41):
why do I feel like we're just gonna get bashed
or with this? Are there though, aren't they? Like? Because
horses are very intuitive, Yeah, to your emotions and feelings.
That's why there's a lot of like therapy horses. Yeah,
this is wild. So I learned when we were in
the Keys, we stayed at this really awesome resort kind
of place. And I know people have their own opinions
about this, but this was like a dolphin rescue you.
And then they also would like you could swim with them.
(04:02):
But the dolphins were actually retired navy dolphins because they
used to go and like they would go and check
out if there was anything that was dangerous to their
people and come back and report in their dolphin ways.
And I just think that's really spectacular. That's really sweet.
And so I loved that I got to hang out
with some veterans. Yeah, we've so we've done the swim
(04:24):
with dolphins in Orlando when Jolie was like three, maybe,
And I get a lot of hate on that guy,
and I'm like, yeah, like I am a zoogoer. I like,
I know, you know what they do on the flip
side of things in their conservatory ship and yeah, helping
(04:45):
back animals and extinction extinctions and stuff like that, extinctions
and stuff. Yeah, And I also think it's worth noting
that a lot of those places bring in animals that
wouldn't otherwise survive probably out in the wild, yes, because
as they have whatever injuries. He is never going to
be my friend. No, that's fine, that's okay, But I'm
(05:06):
excited you should be. And then but you guys aren't
going anywhere. No, we just did like back to back trips.
So I feel really good about your saying yeah, and
we actually so. The other half of our duo lives
near Tampa, and Kate actually drove last night. She packed
up her house and her kids and her dog and
made her way. So she's making her way today. She
(05:29):
evacuated a little earlier to try to like beat the
rush and the craziness. It's just wild times right now,
really wild emotional times. And I'm an mpath so I
feel like I need a hotline. We spent yesterday gutting
our closets and our home for things like pantry and
(05:51):
all the things we could send over into the Western
Carolina's coats because it's going to start to get cold there.
So they're just sad. It is. It's it's actually it's
beyond like I don't I don't think. I know. It's
so widespread and the scope is so huge that I
think that we can't comprehend it yet. But now it's
like live feeds are coming in from people like boots
(06:12):
on the ground. It's really really devastating. I had such
a wide area. One of my girlfriends waspposed to be
getting married this past Saturday, and she texted me, and
you know, the wedding was in New York, and I
knew her family was from North Carolina. But she texted
me and she's like, Hey, just FYI, the wedding is
a no go because we were going to fly there
and obviously put to her wedding. She's like, we just
(06:34):
got in contact with my parents after five days because
they live in Asheville, and I was like, oh my god.
I was like I thought they lived on like not
that part of Carolina, but still so sad. Yeah, it's crazy.
I know what do we do sidebar? My My husband
just sent me a text message and said move Kristen's car?
Why is she blocking me? Would you please go on
a date with me tonight? And then sent me a
(06:56):
reservation confirmation. That's pretty cute and you ask him to
text Preston it's really sweet. Mind's driving mine in mine? Okay,
President and I have this game on the highway. Sounds dangerous,
I know when when we're passing each other, like we
know we're coming from opposite directions, so he'll move into
(07:16):
the fast lane and he waves his hand out the
window and honks from laughing me. It happened on the
way here. The bus just pulled in. So he was
driving home and he's like, maybe I think I'm going
to Patty such a Rednecks sweet But he's not texting
me dinner reservation. So how long do you think Preston's
going to be on the road for. I don't know.
Have you guys had that conversation like, this is because
(07:36):
you've been doing road life for five years? Ten ten years? Sorry,
hold his love? Yeah they had ten ten years. Wait,
but love's only nine. Yeah, but I met him while
he was on the road, got it gotta go. Yeah,
so that's a long time, so longer for him because
he's been doing it for twenty five right, So when
it comes to your marriage and long term of things,
(07:57):
have you guys had that conversation like how much longer
are are we living this? Yeah? We do often, and
the four of us actually do often because I think
our goal is the same. I think it's I think
for Preston and Chris they will always have to do
it just because that's who they are. The goal would
be higher paid shows, less shows, less shows. Yeah, and
(08:18):
then we could all be together more, which I think
is it. He's also moved into a really fun chapter
that you and I have been waiting for. We should
probably not do this on air, but that's kind of fun.
He is really excited for me to have a big career. Great, weird, amazing,
it's strange, it's great. I almost feel like there's times
(08:38):
where I want to like FaceTime you in and just
have you be quiet and just like this real life.
But He's like, I just really think you're good at
what you do. I think it's time for you to
like flourish. I want to help you do that. I
want to use my contacts and help you do that.
It's weird, foreign and great, great, yeah, good, slow and steady.
(09:00):
But I think the idea would be kind of like
handing the baton over. So maybe my work increases, his
work decreases, and maybe I can take it from here.
Not anytime soon, right, what do you think the future
timeline is? Like? Do you for you like? Is it
like I'd like it to be X? I don't know.
I mean I would like it in the next five years.
(09:21):
I just enjoy this so much that I would do
this all the time, not having like I would always
want to still homeschool I enjoy, Yeah, but like I
just enjoy the podcasting space so much. I would do
it all the time. But it's my radio heart. You know,
You've always kind of been that way. Speaking of podcasts,
you have your podcast, Kramer. You're always the supportive one.
(09:47):
You're the spouse that always has my back. What is
it's just launched again? You're a new Season, New Season.
It's called in Kristen we Breast and Christian we Breast
tell our listeners everything. I have a promo moment you are.
This season is called Homecoming, which I've said on wind
Down before, but I did a whole season dedicated to it.
(10:09):
So it's about coming home to yourself. It's about taking
time to know your intuition. I think we have a
really noisy world that distracts us from listening to what
God gave us, which is discernment. I think we all
know what we need to do. Sometimes we just don't
trust ourselves, whether that's because of generational trauma or relationships
you've been in, or your own self doubt, whatever. So
(10:31):
it's really just about This whole season is just about
ways to get back to yourself, coming home to yourself.
Where do you think you've abandoned yourself the most? I
think so I'm a solid two on Nyagraham. I don't
know who all believes in that. I know you and
I do. You're a solid two. You're a helper. I
got to yeah, but I have to redo it. Now
that I've had kids, I might have changed. Oh good.
(10:53):
I think there's definitely a lot of two in me,
but I think we're also just healthier right now with
like Aby and you know, I'm not a two to
fault anymore. No, I'm not a two to detriment. Yeah myself, Yeah,
I think I abandoned myself or had abandon myself and
just allowing people to mute me for a really long time.
(11:15):
It's tricky. In marrying into country music is tricky. Trying
to find your place in that is tricky, I think,
just trying to find your place anywhere, but specifically because
I didn't want to just I didn't want to fall
in solely being a wife and a mom, and that's
what a lot of country music wives do. I think
there's like a new revival, Like I feel this little
(11:37):
revolution happening right now where a lot of those women
are doing their own businesses and like taking charge of
their own lives again. And that's so great. But for
a while, it just was kind of like I didn't
know what to do. But you found me, Kramer, you did.
You found you, I know, but you also were like, hey,
so I'm gonna need you. I'm still waiting for open
(11:57):
mic night. You can do it. I mean, I don't know
it's too good. I just because I think you should
and then write a script and then I'll act in it.
You act in it. I totally will do that. More
fun when we're together, it's like a I can't even like, gosh,
(12:19):
what is it? It would just be fun. Oh, we
would have so much. It would be a lot of fun.
We're just I mean, we have fun. The thing that
I really enjoy about us though, is there's like a
safety that we have for each other, which makes us
feel like we can be vulnerable in those spaces. But
like I always know if I give you a look,
(12:39):
you will halt, and like everyone, I'll get fortressed in
which makes me feel comfortable to just be like, oh,
I think I'm gonna share something I shouldn't share, Like
right now, I probably talk too much. Well, everyone listened
to in Kristin we Breast be a guest, So I
actually was gonna ask you that I haven't been asked.
(13:01):
I actually am just bringing back the guest. So let's
do that, right. Christine actually just asked me about that.
She was like, what about Jane coming on? I was like, yeah,
would she do that? What I do that? Is that
across pollination? I know it is like a thing. But
then I also was like, well I heart be mad
at me. No. Anyways, speaking of October fall break, October
(13:25):
is also a breast cancer awareness month, and we have
doctor a Meet Patel. He's an oncologist in Jersey City,
and he is going to shed some light on things
that we as women need to look out for and
he's going to share all of his expertise. Let's take
a break and then get him on. Do you ever
(13:56):
be worried about breast cancer? Just now? The last couple
of weeks from Oh that's right, and you had like
a something they were not worried about, but not not
worried about. You had that appointment, which is why you
missed at one episode? What did they which I was
going to put off, which is what I would do, right,
And I was like, I just feel like I needed it.
Doesn't get there? And what do they say? They think
(14:17):
everything's fine?
Speaker 2 (14:18):
Right?
Speaker 1 (14:19):
Yeah, irony because I have dense breast tissue, which is
hysterical because they are flat. Stanley boobs, Doctor Patel, we
can't we can't see you yet.
Speaker 2 (14:27):
Oh you can't, Okay, let me take care.
Speaker 1 (14:28):
We're talking about dense boobies, and we really need your
help to finding you. Is dense boobies mean? Because I
don't believe she has dense boobies. I don't either believe
that I have dense breast tissue, doctor Batel, because I've
been like, I think, let these bad boys, baby. Yeah,
the perception in my brain of what dense breast tissue
is and the actual result of what I'm dealing with,
it feels the reality is not matching. You know. It's
(14:50):
like if guys could only get into our FaceTime because
she's like, look at these things after the third one
and I'm like, Jesus girl. And Shanna had her breast surgery,
she was like flashy on FaceTime. I'm like, there's a
million dudes that would pay to be on this anyways, Hello,
how are you? Hi?
Speaker 2 (15:07):
How are you?
Speaker 1 (15:08):
Thanks for adding credibility to this cast. No problem, We
needed you and your brain and degree in here quick.
Speaker 2 (15:14):
So, actually, dense breast tissue is very, very common in
young females, especially females under the age of forty. So
it's not that you are, you know, unique in that
regard to your unique in many aspects, but in terms
of having dense breast tissue. It's actually very common, and
it's so good. It's so good that you're bringing this
topic up because so many young women need to know
(15:36):
about it. They need to know that screening mammograms are
typically not the best when you have breast dense tissues.
So we don't even recommend that you get a mammogram
unless you have one at baseline. What we do want
to monitor and follow up with is ultrasounds of your breast,
so those are more precise when you have breast debts
(16:00):
tissue to really look at any even small abnormalities and
then based on that, if needed, we move on to
a breast MRI and so that's best under the age
of forty. So it's not uncommon that you know, it
doesn't have to do with size of breast. It doesn't
have to do with previous breast augmentation or any you know,
(16:22):
treatments that you may have had, for example, you know
people that use oral contraceptive pills or have had hormonal
treatments for whatever their other illnesses or conditions are. It
really is not dependent on that. In fact, it's a
better way of looking at breast tissue when you're younger.
Speaker 1 (16:38):
What if this person's above forty, what if you you
keep saying younger, and I gotta tell you my favorite
guests theo are He's like, well, that doesn't can that
would be an issue with you under forty? I'm like,
I really like this guy.
Speaker 2 (16:51):
Well if it's if you're above the age of forty, still,
even if you have gone through menopause, let's say women
in their fifties and our screening age is now decreased
to forty when mammogram should start, you can still have
breast debt tissue. It's more common in younger females, but
there are patients that past the age of fifty still
(17:12):
continue to have dense breast tissue. And that's not really
an anatomical term. It's more of what we see with
your breast tissue when we're imaging it with an ultrasound
or a mammogram. So still we continue to use ultrasounds
in those patients.
Speaker 1 (17:27):
Do you want to share what they kind of what
you're because do you want to?
Speaker 2 (17:31):
Or no?
Speaker 1 (17:31):
Because I don't want to know? Oway Yeah, So it's interesting.
So I had my regular ob yearly appointment, probably like
a month ago, and in doing that, breast exam. And
I've always had trouble with self breast exams because they
just I think, I don't know. I have to be
really honest with you. This is where this is really
good that he's on. I can't tell you the last
time I actually felt my boobs to even check myself.
(17:54):
And I'm forty and I haven't had a mammogram. So
if we're being really honest, yeah, I don't. I don't
do it well. Mine feel a little like uneven anyways.
And I just had a baby like sixteen months ago
and so, and they are my natural breast, So the
tissue has just always been a little tricky for me
to like feel and go like you know, like I
don't want to panic, but I also confuse, like it's
(18:16):
not did you find something or what I didn't find anything.
But in that visit, they were like, so there's something
that we feel that isn't concerning, but it isn't not
concerning and so, and they were like, we need a
baseline mammogram. And then they scheduled an ultrasound right after.
So I had back to back really well done.
Speaker 2 (18:34):
And yeah, yeah, and you and it sounds like they
move quickly, which is great, and so you know why
we encourage and why we definitely still want our patients
and everyone to continue your own clinical self breast exam
is you know, we as physicians.
Speaker 1 (18:49):
She's giving herself one right now.
Speaker 2 (18:50):
I see that.
Speaker 1 (18:53):
Would you like her to put on a paper napkin?
Does that make you feel more comfortable about what's happening
in front of us? I think it's good. She's going
to knock that out real quick off.
Speaker 2 (19:03):
And I'm glad you brought that up because that's a
whole different discussion, which is what we do when we
make you change into basically a paper towel.
Speaker 1 (19:10):
Yeah, it's really something what you guys make us do.
Speaker 2 (19:13):
You're in a vulnerable position and a vulnerable state, and
then we come in and we're poking and prodding at
your breasts. So that being said, when we encourage and
talk to patients about breast exams is because what we
want you to do is to be able to identify
the obvious.
Speaker 1 (19:32):
Right.
Speaker 2 (19:33):
We are trained, many many years of training to identify
those subtle abnormalities when we're moving from quadrant to quadrant,
and that's why we use both of our hands to
really poke and press into your breast tissue. The obvious
is what we want you to identify. If you feel
some sort of irregularity that is not your normal breast,
(19:54):
If you feel obviously some sort of mass, if you
feel something under your arm, A lot of patients for
it's not just your breast. We need you to feel
under your arms in the accilliary regions as well. Right,
But that being said, you won't know unless you're doing
it and you continue to do it at least on
a monthly basis. Right, So I always say the best
(20:16):
time to do it is, you know, either before your
shower or after your shower, because you're already you know,
you already have your bra off, and you know you're
already either drying yourself or you know, in the shower
itself with your body wash, et cetera. So that's the
best time that you can do it is it's already dedicated.
It's not like you have to make time to do it.
(20:36):
You're already in the bathroom showering. So that's when you
should be doing it at least once a month.
Speaker 1 (20:40):
Let's do this every wind down listener the first of
every month, because we're going to put ourselves first. Oh,
I like it toutch your babies in the shower. There
you're talking out the first of every month, and you
won't forget we do need to like raise our arm
when we're doing this.
Speaker 2 (20:53):
Correct, absolutely, And so what you want to do is
it's usually at about like a right angle you want
to put Oh, just the best thing you can do
is touch the back of your head with your hand
right okay, to the back of your head with your hand,
and make sure your arm is out right. You don't
want it forward or you don't want it too you know,
it too close to your head. You want it completely
out and that's when you're going to be able to
(21:15):
really feel it the best. And then I always say
you want to from the underarm, start in the mid
arm area here, like in your triceps, and then just
start poking and move down. And then when you really
get into the underarm area, you want to go in
a circular motion and really feel and then put your
(21:35):
arm down, keep your hand there and poke underneath as well,
and make sure you don't feel anything that way.
Speaker 1 (21:41):
I mean, it's so good. I just wish I knew more,
like I wish i'd I think my self doubt trumps
this or I'm like, I don't think I'm like I
am in my qualified enough to even notice a change
in my body. But I feel like most people in
your position would say you would know it would be
something you know.
Speaker 2 (21:58):
Your body best, right, Yeah, you can. You can tell
you just had a child, how your breasts have changed, right,
are you? May I ask are you breastfeeding or not?
Speaker 1 (22:07):
No? No? And you know it's tricky is because I
didn't also realize that after breastfeeding, it takes a really
long time for your breast to kind of like resume
like coat would be their new normal because there's still
all sorts of glands and things.
Speaker 2 (22:22):
Correct. Absolutely, there's all sorts of glands that have grown
and proliferated. Your breast tissue is very different and that
changes completely after you, you know, do breastfeed or your don't,
or just with pregnancy itself. Right, And so that's that's
the best example, is you know your breast the best, right,
there's yeah. And that's what I tell my patients is
(22:42):
if you notice anything besides doing a breast exam, you
come in and you say, you know what, Doc, my
nipple doesn't look right. Something is wrong, even though it
may still be the same size or you know, same location.
It looks like it's you know, indented a little bit,
or you know, there was a little bit of your drainage,
or my nippole aiola is very itchy. Things like that.
(23:05):
Those are not things that we want you to ignore
and just say, oh, it must have been that I
was sweating at the gym a little too much, or
I bought a new bra, or you know, something different
with my lotion or whatnot. Like you definitely want to
let us know and give us all of these.
Speaker 1 (23:20):
Details, right, Yeah, I do appreciate how quickly my doctor moved.
That's awesome. It wasn't panicked, but it was like start
under that. Yeah, doctor Barrett, Yeah, question for you, and
I already know your answer, But I guess I just
would love maybe like a little more insight on this
because I think the vast majority now, like kind of
(23:40):
a lot of what we're hearing is mammograms and ultrasounds
are just so much radiation and this can be detrimental
to people. And so what I mean, I know you're
obviously a well educated degree toating doctor with a lot
of years under your belt, so I know what you
would recommend But why what could you say that would
(24:01):
put that to rest? With the mammogram radiation, that's like
this whole new information that we're just getting like pushed.
Speaker 2 (24:08):
Of course. So you know, in terms of the relative
risk of radiation, ultrasounds carry the least amount. So that's
what's good to know, is that really you don't have
that extreme radiation exposure like you do with let's say
an MRI, because we do recommend breast MRIs, right, and
we have, of course, like you said, the scientific evidence.
We have many, many longitudinal studies that have shown someone's
(24:33):
relative risk of cancer development based on how many MRIs
or chest X rays or ultrasounds that they get.
Speaker 1 (24:42):
Done.
Speaker 2 (24:43):
What our newest technology has done, and this is where
I really reassure my patients is you should all be
getting three D tomo mammograms. That's the newest technology that
we have, and those are the types of mammograms that
carry the least amount of radiation risk. You know, over
the years, we change our technology, we change our radiation
(25:04):
exposure to our patients, because we know previously older machines
and older techniques that we had, let's say in the seventies,
you did you had cancer that developed because we kept
putting you through scans, and patients that underwent treatments, let's say,
for example, that had cancers continued to get scans. So
(25:25):
it's kind of counterintuitive that we're treating your cancer, but
we keep putting you through scans and that increases your
cancer risk, and in fact it did in the past.
So now our newest technologies are newest ways of developing
and looking at images through radiation exposure in terms of
(25:46):
MRIs or CAT scans, really has decreased the way the
radiation goes into your body, the way the radiation exits
your body, the way it's metabolized, and it's really focused
in that organ or that ear of the body. Before,
what would happen is radiation when you were exposed during
a scan would disperse, right. That's why when you get
(26:07):
a chest X ray we put that cover over your
thyroid gland because we want to make sure that that
radiation from a chest X ray it's pretty dispersed. It's big,
so it doesn't expose other organs. Now we have more
specialized or more precise ways of doing these tests to
minimize that.
Speaker 1 (26:28):
So I have I had I Haventt had. I have
fake boobs, got them after my second kid, and then
I had another child. I obviously didn't know I was
going to have another child, but I did, and he's
amazing and all the things, but my boobs. I've heard
that it's harder to find breast cancer with implants. Is
(26:50):
that true or not true?
Speaker 2 (26:51):
So it is in one regard in terms of you know,
developed the post, I would say implant changes to your breast.
And that's where we sometimes have to use multiple imaging
techniques to look at and screen for breast cancer. It
(27:14):
wouldn't just be a mammogram because what happens is in
that image, the way that those rays of radiation go
into the implant, it can obscure the picture behind it.
So what we look for is something that what we
say enhances or doesn't. And so you having breast augmentation,
we probably would recommend not just a mammogram, but we'd
(27:36):
be looking at an ultrasound as well as part of
your screening.
Speaker 1 (27:52):
I'm about to get an MRI, like a full body MRI.
Just if you heard a pernuvo I have yes? Okay,
do you like or not? Like? No? Comment? Oh? Shoot,
oh great, I'm about to have one too, So I'm like, oh,
because I've just been having some weird things in the
brain area that I just want to like check off
that it's not that what it is. But it's not
(28:13):
going to be like super Bad film.
Speaker 2 (28:15):
No, No, why I said that, and being completely transparent
and honest, you know, I practice with evidence and not
by guidelines, but I need evidence if I'm going to
subject my patient to tests or subject them to medications,
I need evidence to back it up because it's not
benign what I'm doing to patients or recommending. So I
would say as a scientist, I don't have the evidence
(28:38):
to support.
Speaker 1 (28:38):
That, right, Okay, got it is there. I feel like
I've heard this too, that breast having breast augmentation is
does that cause to cancer? Like what's the implant in there?
Speaker 2 (28:53):
That's a great, great point that you bring up, and
older implants used to there was actually a type of
limph that developed in the bread that was associated with
those implants. We don't see that anymore because our newest
implants that most plastic surgeons are using don't carry that
risk as much. So we're happy because that lymphoma that
(29:16):
used to develop with implants was a very aggressive lymphoma
and it had, you know, a pretty bad outcome. So
we're not seeing that as much anymore.
Speaker 1 (29:26):
Okay, well, that's good to know. I and I know
that this is probably let's just go thirty thousand feet
when I asked this because I know that there's no
like recipe for this. But I'm such a I'm a
little crunchy if I'm honest, So I really believe in
all the pieces of the puzzle kind of compound interest
and keeping someone healthy. I'm sure you would agree, But like,
(29:49):
is there like a cancer fighting if you had? How
about this? Let me frame it like this, since obviously
the brain fog is real for me. Still same, if
you could tell anyone like the most ideal perfect way
to eat to avoid and lower your risk of any cancer,
(30:10):
specifically breast cancer, what would that be? Okay? And what supplement?
I love supplements.
Speaker 2 (30:15):
I'm so glad you're bringing that up because I'm a
big believer in I have to practice what I preach right,
because I can't be Let's be honest, I can't be
a five hundred pound physician who doesn't exercise in smokes
and I'm giving health information and cancer prevention recommendations to
my patients. So for the past two and a half years,
(30:37):
I've become completely pescatarian, gar to the Mediterranean diet because
that has been proven to show that it reduces your
risk of cancer, aging, Alzheimer's, diabetes, cardiovascular risks. So I
mainly eat a very protein based diet with tofu and
(30:58):
fish fish that does and have a shell, lots of vegetables.
I exercise, and it's cardio exercise about four to five
times a week a minimum of twenty to twenty five minutes,
and that's all you need that will definitely reduce your
cancer risks. We have many studies that show that and
supplementation wise, I yes practice Western medicine, but I come
(31:22):
from an Eastern background. I'm South Asian and Indian, so
my family there's a lot of iro vedic and homeopathic
remedies that I grew up with, and so medicine was
not something from a doctor that I turned to or
my parents turned to at first as part of our treatment.
So there's actual good evidence in data that cur turmeric
(31:47):
it's a huge antioxidant and a benefit in reducing your
cance risk. So if there's any supplement you can take
on a daily basis, Anything that's turmeric or curcumin based
would be the best thing that I could recommend.
Speaker 1 (32:00):
How many milligrams?
Speaker 2 (32:03):
So that's a good question because you know, if it's
dietary intake.
Speaker 1 (32:07):
Because I take a tumoric supplement every day, just like
from the tumoric I can never say that other word.
But yeah, but I don't know what the milligram is
or what it should be.
Speaker 2 (32:17):
Yeah, I think, you know what, if you take at
least two hundred milligrams a day, it should be enough.
There are some that are out there that are a
lot more, but you know, I think the main thing
you want to look for is it that it has
that active ingredient of curricumen in it, because that's what's
been proven to show that antioxid in cancer fighting property.
(32:37):
So you definitely want to have that incorporated into part
of your daily supplements that you can date. Vitamin D
is another great supplement if you haven't started that already.
Low levels of vitamin D are associated with increased breast
cancer risk, and if you know someone that's had breast cancer,
if their vitamin D levels stay low, it actually has
been shown to increase the recurrence of breast cancer as well.
(33:00):
Anything citrus based, folic acid, any anything vitamin C based
also has great antioxidant in cancer fighting properties as well.
Speaker 1 (33:10):
So D we need to have vitamin K with D.
Speaker 2 (33:13):
Right, you have calcium with vitamin D.
Speaker 1 (33:16):
Okay, Okay, I knew we needed a couple it with
something or it's less effective. Okay, I need a yes
or no on red wine for cancer health. That matters
to the girls on the couch.
Speaker 2 (33:25):
I would say yes, as long as it's less than
six to eight ounces that you're having per serving. You know,
you definitely don't want to, you know, go crazy, but
you know it is something that's part of the Mediterranean
diet as well, the tannins that are in there in
the accident antioxidant properties, it's definitely beneficial compared to all
other types of alcohol.
Speaker 1 (33:46):
We've really calmed down. We don't don't. That's what's the thing.
I mean, I can't tell you. I mean, I probably
drink twice a month now, and I used to be
in every post my divorce, I would I would have
a glass of one every day. And I think it
was because in our society at the time, it was like,
this is my mom juice, and this is my me
time and my relaxation, and it became such a I
just think every single day. And now I'm like, I
(34:09):
don't I enjoyed having an occasional you know, glass with Alan,
if we have a little date night at the house
or like we'll have a date night tonight. But I
mean it's maybe two three the most a month.
Speaker 2 (34:18):
Now, Yeah, And I think that's fine. And even if
there's moderate, you know, mild to moderate consumption of you know,
two times a week, that as long as it's that
small amount is totally fine. But you know, it's definitely
definitely has been shown to have a health benefits.
Speaker 1 (34:36):
Do you Okay? You said Tofu and I and I
don't eat meat. So I'm kind of like, I have
cut Tofu out altogether because it was soy and soy
was linked to estrogen and is that a myth? Or
like how do we feel about that? And you don't
have to go crazy. I just wonder could it would
give me such an opportunity to add that back in
would be really beneficial. But I have cut it out
(34:58):
because it was rumor, you.
Speaker 2 (35:00):
Know, and that's and and that's the perfect way of
putting that that it's been rumored, there's really no direct
link of let's say someone that has had hormone replacement
therapy and we actually have high levels of estrogen and
progesteron that those patients are exposed to. You're not exposed
to those high levels when you're consuming food that has
(35:23):
that kind of hormone derivative like tofu. So and again,
everything's in moderation, right, so you're not If you're eating
tofu on a daily basis, multiple meals, that risk is
different than if it's part of your diet maybe once
or twice a week. You're having a tofu based dish.
Speaker 1 (35:43):
There's a crispy tofu recipe. I've been mourning, so I'm
kind of excited to go back get it. To close out, Yeah, seriously, yeah,
I'm sure because I love tofu, but I can't have
soy now, which is a bummer. But anyways, to kind
of close out, what do you wish people knew about
breast cancer?
Speaker 2 (36:00):
Oh? Wow, there's so much that I wish that people knew.
But what I wish they knew was that it's preventable.
Speaker 1 (36:10):
That's so hope. Giving that sentence, itself is so hope giving.
Speaker 2 (36:13):
It is it is. There are certain cases, of course,
in any extreme with any type of cancer, that it's not,
But that prevention starts at home, and your body is
your home, and you have to treat your body like
you would treat your home, and keep it healthy and
keep it safe and keep it strong, and that prevention
starts with you.
Speaker 1 (36:36):
That is like the best advice anyone could give anyone
about anything. Yeah. Absolutely, well, thank you for giving that
slice of help. So we know a lot of people,
I mean, you've had breast cancer in your family with
you know, my mother in law actually just recently went
through this, it'll be a year ago December. But early
detection when in for normal mammogram, she's seventy five. They
(36:56):
found between a zero between stage zero and one. Okay,
And but by the time from the time she heard
the words that it was cancer to the time she
was cancer free according to doctors, six weeks. Yeah, and
you know, it was crazy to you know, because it
we have heard so many stories that I think she well,
(37:17):
my high school sweetheart lost his mom to breast cancer.
They found it late, it spread, you know, there's it's
her lymphnodes. Is that is that correct? Yeah, and that's
what ended up, you know when she it came back
and it was just you know, and it's just it's
so sad and there are stories to show both. But
like you said, there is there is hope.
Speaker 2 (37:38):
There is hope. We have newer treatments right now that
you know, give even advanced stage breast cancer patients hope.
We're putting stage four cancer patients into remission, so we're
not going to stop fighting and we're going to continue
to keep getting giving our patients more options.
Speaker 1 (37:58):
That's amazing. Well, thank you so much for coming on
and giving everyone that hope. Appreciate it. Thank you all right, bye, ladies.
If you're listening to this in the car right now,
you don't have to lift up your shirt, but just
start to give it a good old feel. And we
really need you to get your boobs like your countertops.
That's what I was thinking. I'm like, I'm comparing my
boobs to my countertop in my head right now because
(38:19):
I keep that thing so damn clean and spotless, and
I'm like, I should be checking my boobs. I know,
I'm as I can't have my husband because second he touches,
so we have to just do it ourselves, you know,
because that's a gateway. It is a gateway. It was
like the chiropractor was saying, hey, if you could just
because with my like dis bowld or whatever in my back,
(38:41):
it's like hitting the nerves so in my butt, like
if you just apply pressure. So my chiropractor was like,
can you touch if you touch her butt right there,
I was like, Jamison, stop it right now, because this
is just it's he doesn't massage. It's two seconds and
then it's like hey baby, and I'm like, get off.
Everything's a gateway hashtag blessed. But also yeah, oh medical,
(39:01):
but we keep it a little medically focused on give
me five minutes off. I can't or you try that
like he's like stretching and your tailbone and I was like, no, no,
you're not. I am going to go find a professional.
Oh okay, well god, now I'm scared about the pernuvo thing. No,
I think I think it's just the radiation exposure, which
(39:23):
is what he was. I'm such a hypercontract I just
need I have such a power about something that I
need to just check off. So this is where I
went with the mammogram thing, and I had to ask
him about the radiation exposure because I got to the point,
Creamer where I was like, the stress hormones going through
my body, wondering, what if yes is going to be
more detrimental to me than me getting whatever amount of radiation.
(39:47):
This is to get the peace of mind that I
can just move forward. Yeah, agreed, okay, And I would
agree with that for you one hundred percent. I think
peace of mind. Well, you're my sweet little hypochondriac I
love which I'm like a lot of hyper contract with
my boobs, So now I need to start to be
I need you to be a little more vibe contact
with your boobs. But I do think like I think
you're just gonna feel better. You don't like them be
(40:08):
in touch, Well, that's interesting. Can we bring Alan back in?
I think when he touches them, But I don't like
my nipple being touched. Even with that one, I hate
my nipple being touched. Wow. One of the reasons my
dat brestfeed I was like, nothing, get off my nipple.
And there is a headline for this one, get off
my nipple is the quote I love my babies, but yeah,
(40:32):
I just know, it's just like nails on a chalkboard.
A lot of women have that, like it's not kinky
to them. It is not fun to not touch my
breastfeeding is like an actual issue because they don't like
get touched. Yeah. Yeah, the thought of it is giving
me the scorms. Okay, sorry about that, go get your
But I mean, if he wants to grop it, he
can grow it and he will and he did, and
that's how we got room and James, everyone, thanks for
(40:54):
tuning in. So that's the other day. We were making
out and he goes, that's how you were conceived. I
don't know how he says, but I was like, okay, alright,
it's a little lowkward older they get okay, we're done.
I really don't fight
Host
Jana Kramer
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