Family history

But risk assessment truly means putting all this information into an algorithm and finding out what your personalized risk of breast cancer is.

And it's based on family history.

It's based on factors that you can't control.

It's based on things you don't even know, like breast density that comes into play.

And based on that, you can find out when you personally should start screening mammograms.

that's great because i think we all hear this number 40 or even 45 and like oh i've got to go do this but if we should be thinking about this not just for ourselves but our daughters at the age of 25. so what does that risk assessment look like to you

yeah so it is an algorithm you think your doctor can do it you can go to a high-risk clinic to do it if you have a family history or concern that you might be high risk you can actually just get it online too You know, you can really just, the Tyra Cusick is the one that we use.

There's also the Gale model, but you can just type in, you know, breast cancer risk assessment.

I know that three is still normal, but was wondering if we should get an MRI sooner just to be safe.

He has adopted, so FHX is uncertain.

Thanks.

So I want to reference that the last week we talked about testosterone and PSA numbers specifically, which is why she thought this particular moment was a sign.

And so they're very, very concerned.

And so I like to take a very detailed family history.

It's important to know what age of onset, whether there was an official diagnosis, was there any blood work done or brain imaging.

Sometimes in research settings, spinal taps, PET scans, and brain imaging may be done.

If you're already at midlife, there's so much we can do.

And I would prefer that folks Some folks get motivated if they know that they're at increased risk.

You might be able to see if you're at increased risk just simply by knowing your family history.

Of course, some people are adopted and don't know their family history.

line.

People with a family history of, anxiety are walking faster.

Yeah.

People with a family history of anxiety and alcohol use disorder are walking even faster.

Anxiety and mood disorder and alcohol disorder, even faster.

Anxiety, mood disorder, alcohol use disorder, and then add childhood trauma.

That makes complete and total sense to me because women will say to me all the time, but no one in my family drinks the way I do and X, Y, Z.

And there is this question of like, is it in terms of things that people believe that are not necessarily true? One, It's not that you just don't have willpower or motivation or self-discipline or whatever.