Episode Transcript
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Speaker 1 (00:00):
This week on iHeart Sinsey.
Speaker 2 (00:02):
The earlier you catch something, the earlier stage it is,
the better the outcomes.
Speaker 3 (00:09):
One in eight women will get breast cancer and some
men too. While the mortality rate is going down and
the treatments are getting better, it's still a daunting diagnosis,
one that doctor Kelly MacLean of the Christ Hospital knows
all too well. She's a surgeon who helps patients navigate
their treatment through years of her experience and steady hands.
During breast cancer Awareness months here in October, doctor McLean
(00:32):
joins us to update us on the latest advancements in cancer,
plus the important timeline for young women to know when
and how to check for breast cancer and later.
Speaker 2 (00:41):
I just think that giving back is one of the
important things you can do in life.
Speaker 3 (00:45):
A family business in Cincinnati since the nineteen fifties, Donovan's
Auto entire Service is dedicated to giving back to this community.
This month, Donovan's wants to give the girls a break
and help support women living with breast cancer.
Speaker 1 (00:58):
It's a win win deal at local.
Speaker 3 (01:00):
Participating autoshops to save customers money and by donating proceeds
to a very special charity focused on bringing some fun
into the lives of women dealing with breast cancer. Dale
Donovan is here in the second half of the show.
Speaker 4 (01:13):
Now on iHeart Sinsey with Sandy Collins.
Speaker 3 (01:19):
This is Breast Cancer Awareness Month, where we focus our
attention on education about the disease and remind women of
all ages of the need to self check getting those
mammograms and MRIs. Breast cancer seems to hit every family,
including my own. My older sister, Norma bravely battled two
different types of breast cancer over a twenty year period.
(01:40):
Most people didn't know at the time. She kept it
to herself without complaint or self pity. Norma Jene endured
chemo and radiation, lost all of her hair, replaced her
own straight black hair with a red wig that made
her look like Reba McIntyre, her favorite singer. It was
a stark difference, to say the least, one that she
did to humor herself until a careless coworker, unaware of
(02:05):
my sister's cancer diagnosis, told her she looked ridiculous. With
three words, Norma replied, I have cancer. Well, needless to
say that mortified colleague fell over herself an apology.
Speaker 1 (02:17):
But the damage was done.
Speaker 3 (02:19):
Norma turned in that adorable long red wig for a
bob that resembled her own hairstyle. That cancer went away,
and then another replaced it a few years later, this
one much more aggressive, and ultimately it spread to her brain.
We lost my sweet sister now fourteen years ago, and
while I think about her every day, her bravery, her
(02:40):
sense of humor, and all the inside jokes between us
that no one else will ever get, I've decided to
share this story here, hopefully to inspire more conversations about
early detection.
Speaker 1 (02:52):
Today.
Speaker 3 (02:52):
My guest for Breast Cancer Awareness Month is doctor Kelly MacLean.
She's a breast cancer surgeon here in Cincinnati.
Speaker 1 (02:59):
Whom I caught up with this week. She's such a
thoughtful professional.
Speaker 3 (03:02):
She was still in surgery and running late for our
team's call, so we caught up a little later that afternoon.
Speaker 4 (03:09):
Good Thank you so much for being flexible.
Speaker 3 (03:11):
Oh my gosh, I was so impressed that you know,
you're in surgery and thinking about your obligation to this.
Speaker 1 (03:17):
I mean, that was just that's above and beyond. Doc.
Speaker 3 (03:21):
I did want to talk a little bit about some
new developments in breast cancer care and diagnosis and just
kind of pick your brain and see how things are
these days.
Speaker 1 (03:29):
So where are we at right now with.
Speaker 3 (03:32):
Breast cancer and the research that's happening right now, what's
the biggest new development that is exciting to you?
Speaker 2 (03:38):
So I think overall the newest developments are our ability
to further personalized medicine. You know, when we first started
treating breast cancer and really actually any cancers, we thought that,
like all breast cancers were the same and everyone got
the same treatment, and some people responded and some people didn't.
(04:01):
As we learn more, we started dividing it into pre
and post menopausal, and then we started looking at particular receptors,
the estrogen receptor, the progesterone receptor, the HERD too new
receptor to target our therapy. Now we're able to go
even deeper and look at the biochemical genomic makeup of
(04:24):
individuals cancer cells and identify targets to treat. That allows
us to, like I said, personalize their medicine and avoid
treatments that aren't going to be effective and help find
ones that are. We can also narrow who needs specifically
(04:47):
radiation and who doesn't. In some cases, we can narrow
who would benefit from a short course of hormone blockers
or who needs to take longer ones, and so a
lot of ways we can optimally treat people without over
under treating them.
Speaker 3 (05:06):
When people first get the word, when they hear cancer,
it has got to be so scary. I've been able
to avoid it myself, but you know, had it in
the family. What is something that you wish patients understood
a little better in that first moment, maybe something that
would help them, you know, take a breath before the
(05:26):
panic sets in when they get that diagnosis.
Speaker 2 (05:31):
Yeah, so with breast cancer, one in eight women will
get it, So it's very common, and as you start
talking to people, you'll find that there are a lot
of people around you that have gone through this. Again,
not everyone's cancer is the same, and so some it's
(05:52):
very early stage, easy to treat. Sometimes I even call
it a nuisance, not threat. So the important thing is
that we have time to do a complete evaluation so
that again we can treat people optimally and define their
(06:13):
disease and not waste steps. But we don't have time
to like ignore this, but investing that little bit of
extra time initially can really make for a better treatment plan.
Speaker 4 (06:29):
So many people understandably, so when they hear the word,
they just want it out now.
Speaker 2 (06:36):
And they feel like it's a ticking time bomb. Every
second that's wasted, But in reality, the rate at which
it grows, we want to respect it. At the same time,
we have time to evaluate things fully.
Speaker 3 (06:53):
What is one of those changes in breast cancer care
that most people wouldn't notice, but that's really improve the
outcomes or made life easier for patients.
Speaker 2 (07:05):
Well, the big news, the biggest words that you hear
recently in breast cancer care is dense breast tissue. So
always in breast cancer care, early detection is key. The
earlier you catch something, the earlier stage it is, the
better the outcomes, and so we want to be able
(07:28):
to catch things early.
Speaker 4 (07:30):
The basis of breast.
Speaker 2 (07:32):
Cancer screening is the annual mammogram. Now we do it
with tomosynthesis or three D, which is a panoramic similar
to like when you're at the dentis. You can't get
away from that annual mammogram. People with dense breast tissue,
an elevated lifetime risk, or a known genetic change that
puts them at risk for developing breast cancer also benefit
(07:56):
from screening with MRIs, and this is a really important recommendation.
I have seen patients that we're just getting mammograms and
their disease wasn't picked up. Their disease presented as a
palpable lymph node. And then you get into MRI and
you can see, you can see.
Speaker 4 (08:18):
What's going on.
Speaker 2 (08:20):
And so if you qualify to screen with an MRI,
so people with heterogeneously dense breast tissue or extremely dense
breast tissue, it is well worth getting because it really
does pick up things that mammograms miss.
Speaker 3 (08:36):
October's Breast Cancer Awareness Month. My guest today is doctor
Kelly MacLean from the christ Hospital. She's a breast cancer surgeon.
She's here to help us understand the latest and breast
cancer treatments. It's one of those cancers it gets a
lot of attention, much more so than other types of.
Speaker 1 (08:56):
Cancer.
Speaker 3 (08:56):
But it is critically important because not only do women
get men can also get it as well.
Speaker 1 (09:01):
Can you talk a little bit about.
Speaker 3 (09:04):
Men's risk, what puts men at risk?
Speaker 1 (09:06):
How many do you see.
Speaker 3 (09:09):
In your practice, maybe in a year, and what advice
do you have for men who are thinking about Oh
I never even thought about that.
Speaker 4 (09:17):
So, yes, men can get breast cancer.
Speaker 2 (09:20):
The general population has about a one in a thousand
chance of getting it, well, women have about a one
in eight chance. There are some things that predispose men
to getting breast cancer. The most common is having a
genetic mutation a BRCA two mutation.
Speaker 4 (09:40):
There are a couple of other ones that increase their risk.
Speaker 2 (09:43):
So if you have a family history of breast cancer,
breast state cancer, ovarian cancer, some other cancers. Often people think, oh,
breast cancer, that's only you only have to keep the
women in mind, But genetic time maybe appropriate to and
if man's found to carry a genetic mutation that puts
(10:06):
them at risk for that. I've had men do preventive
mass deectomies. I've had them do high risk screening. The
other thing Kleinfelter syndrome, which is a extra chromosome that
can put you.
Speaker 4 (10:22):
At risk for it.
Speaker 2 (10:23):
Those are the most common, there are some other risk factors.
The most important thing though, is to understand that it
exists and to suspect it if you feel something.
Speaker 4 (10:36):
Men have breast tissue like women.
Speaker 2 (10:39):
It's focused mostly in the subaerial or space, so below
your nipple. Usually they don't have as much as women
do and nothing stimulates it.
Speaker 4 (10:49):
If you start feeling.
Speaker 2 (10:50):
A lump in that area, you should get that checked out.
Speaker 3 (10:55):
Let me ask you this, when you are looking at
young girls in their teens, when do you start telling
them they need to check their breasts with self examination
and when do you recommend young women start getting those
annual mammograms.
Speaker 2 (11:15):
The current recommendation is that everyone should have their lifetime
risk assessed around the age of twenty five. So that's
an assessment of your family history and some other characteristics
that can calculate your lifetime risk of developing breast cancer.
That gives you a clue as to when you should
start screening. In the general population that doesn't have a
(11:39):
family history, we recommend starting breast cancer screening at age
forty with annual mammograms.
Speaker 4 (11:46):
With three D and then, as I mentioned, if you have.
Speaker 2 (11:50):
Dense breast tissue, you should add in MRIs as well.
If you have a family history or carry a genetic
change that puts you at risk for developing breast cancer,
that screening age maybe earlier, so ten years younger than
the youngest person in your family. And then if you
(12:10):
have a known genetic mutation, there are recommendations that go
along with those. We don't really recommend breast cancer screening
younger than the age of twenty five. If you begin
at age twenty five, we recommend annual MRIs until the
age of thirty and then adding in mammograms at that age.
(12:34):
I think that regular breast exams really actually you know,
at the age of twenty is a good idea, and
to take any breast lumps seriously. We are now seeing
women in their twenties with breast cancer.
Speaker 4 (12:52):
Certainly it's not as.
Speaker 2 (12:53):
Common as when women are older, but it's not unheard of.
And unfortunately, often when someone feels a lump at that age,
the most common thing is like a benign breast mass,
so people often undervalue what it can be, which, unfortunately,
(13:14):
if it isn't something benign, it gets missed until later.
Speaker 3 (13:22):
So the entire process, you know, it starts in your
twenties and go with your doctor's advice into your sixties, seventies, eighties,
et cetera. It's very complex though, when it comes to
treatment and follow up care and insurance and appointments and
all these things that you have to navigate as you
take care of yourself. If there was one thing that
(13:45):
you could simplify in this process of taking care of
yourself and being concerned about breast cancer and treatment and prevention.
What would one thing be to make it easier or
more humane? If you would, what would you start with?
Speaker 4 (14:05):
Everyone's gonna I think everyone's going to agree with me.
I wish we could take insurance out of that picture,
because you know, I laugh.
Speaker 2 (14:14):
But we have some very strong advocates in this city
that worked really hard to get MRIs approved for women
with dense breast tissue.
Speaker 4 (14:27):
And it's because of their efforts to get legislation passed
in this state.
Speaker 2 (14:31):
And I think there's about thirty states that have legislation
that says that insurance must cover screening with MRIs with
women for dense breast tissue.
Speaker 4 (14:42):
So it takes.
Speaker 2 (14:44):
Time to get insurance to cover things, and unfortunately, many
people choose not to do things, and again understandably so
because of the cost until it gets to the point
where insurance will cover it.
Speaker 3 (15:00):
Well, if we can't get rid of the insurance companies,
I would imagine you would say, you've got to be
your own advocate, and you've got to find a good
doctor that's gonna tell you what you need.
Speaker 1 (15:11):
To get done and then you go fight for it.
Speaker 2 (15:14):
Yeah, definitely, I agree completely. If you're not satisfied with
an answer that you're getting, keep pushing, keep looking for
someone that's going to help you so that you're satisfied,
because it's your health and your life, and you don't
want to look back and.
Speaker 4 (15:32):
Say, oh, I knew this or I wish I had
pushed harder.
Speaker 3 (15:37):
Doctor McLain practices at Christ's Hospital, an expert in breast
cancer and a surgeon. And also we've got to talk
about movie on Surviving very quickly before we go. Your
nonprofit group that helps women after their diagnosis emotionally, if
you will given them some experiences and a chance to
(15:59):
regroup and men and heal, amongst other breast cancer survivors house.
Things going with Move Beyond Surviving.
Speaker 4 (16:07):
Things are going great.
Speaker 2 (16:08):
Thank you, Sandy, and thank you for being such a
big supporter of us. So when in eight women will
get breast cancer, treatment can be long and harrowing. However,
many people are surviving now and with Move Beyond Surviving,
we're working to help people regain a sense of self
(16:28):
and regain a perspective of life and their own power
after they've finished treatment.
Speaker 4 (16:35):
So it's been a huge success. We're three years old now.
Speaker 2 (16:39):
We have a walk coming up Monday evening walk in
Loveland on the twentieth on October twentieth.
Speaker 1 (16:48):
And where can we find out more information about that doc.
Speaker 2 (16:51):
We have a Facebook page, we have a LinkedIn page,
and we have a website and it's all www dot
move Beyond dot org.
Speaker 3 (17:02):
Can find that a couple of episodes on the iHeartRadio
app under podcast just look for iHeart Sinsey with doctor
McLain and yours truly, and we talk about this great
project that she put together on her own accord to
help women who are trying to heal from breast cancer.
And she treats them and operates on them. And you're
(17:23):
just an amazing resource and good friend here to the
Tri state area.
Speaker 1 (17:28):
So thank you very much for what you do, doctor McLain.
Speaker 2 (17:31):
Oh, thank you so much, and thank you for having
me on your show again.
Speaker 4 (17:35):
Really appreciate it.
Speaker 3 (17:38):
Our spotlight on Breast Cancer Awareness Month continues with Dale
Donovan of Donovan's Auto and Tire Center with their special
this month to benefit women fighting breast cancer.
Speaker 1 (17:48):
This is iHeart Sinsey