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>>> WELCOME BACK TO "GREAT DAY HOUSTON."
HOUSTON."
HOUSTON." TODAY THERE ARE MORE SURVIVORS
THAN EVER WHEN IT COMES TO
BREAST CANCER.
BREAST CANCER. IT IS A MAMMOGRAM.
IT IS THE BEST WAY TO DETERMINE
THE CANCER IS LURKING.
I HAVE SO MANY FRIENDS WHO SAY
THEY DON'T HAVE TIME TO GET A
MAMMOGRAM.
MAMMOGRAM. IT IS THE BEST WAY FOR US TO
DETECT WHAT IS GOING ON.
>> CORRECT.
>> CORRECT. IT IS CURRENTLY THE BEST TOOL
WE HAVE TO DETECT BREAST CANCER
IN THE EARLY STAGES.
WHEN WE DETECT BREAST CANCER IN
THE EARLY STAGE, THE TREATMENTS
ARE MORE SUCCESSFUL AND THE
OVERALL PROGNOSIS FROM A
PATIENT IS THE BEST.
>> CAN YOU GET A MAMMOGRAM IF
YOU HAVE BREAST IMPLANTS?
>> BREAST IMPLANTS SHOULD NEVER
PREVENT A WOMAN FROM GETTING A
MAMMOGRAM.
MAMMOGRAM. WE DO A COUPLE OF EXTRA
PICTURES TO GET A GOOD LOOK AT
THE BREAST TISSUE.
>> I DO MY OWN SELF-EXAMS.
I THINK I CAN FIND SOMETHING.
I'M IN TUNE WITH MY BODY.
>> IT IS A GOOD IDEA TO STAY IN
TUNE WITH YOUR BODY.
WE WANT YOU TO BE AWARE.
HOWEVER, TO DETECT BREAST
CANCER IN ITS EARLIEST STAGES,
THE MAMMOGRAM IS NEEDED.
>> THERE IS ALSO A CONCERN OUT
THERE ABOUT BEING EXPOSED TO
RADIATION.
RADIATION. >> YES.
>> YES.
>> YES. THE AMOUNT OF RADIATION YOU
RECEIVE WITH A MAMMOGRAM, WITH
THE LATEST TECHNOLOGY, IT IS
VERY, VERY LOW.
THE WAY I THINK OF IT IS
EVERYTHING IN MEDICINE IS A
RISK BENEFIT RATIO.
THE RISK OF RADIATION TO YOUR
BODY IS VERY, VERY LOW COMPARED
TO THE BENEFIT OF POTENTIALLY
DETECTING BREAST CANCER.
>> HOW MANY TIMES HAVE YOU
HEARD PEOPLE SAY IT IS GOING TO
HURT?
HURT?
HURT? >>
HURT? >> YES.
>> YES.
>> YES. THE MAMMOGRAM MACHINE,
UNFORTUNATELY, DOES REQUIRE
COMPRESSION.
COMPRESSION. THE EXAM TAKES ONLY A FEW
MINUTES.
MINUTES.
MINUTES. THE COMPRESSION IS VERY SHORT.
THEN IT IS RELEASED.
WE CAN'T GET AROUND THAT.
IT HELPS TAKE A BETTER IMAGE.
IT HELPS US SEE THE TISSUE
BETTER.
BETTER.
BETTER. >> I HAVE HAD MAMMOGRAMS DONE
BEFORE.
BEFORE.
BEFORE. I
BEFORE. I HAVE HAD NO PAIN AT ALL.
ANOTHER MYTH THAT WE HAVE IS IT
DOESN'T RUN IN MY FAMILY SO I'M
NOT CONCERNED.
NOT CONCERNED. >> THE MAJORITY OF WOMEN THAT
ARE DIAGNOSED WITH BREAST
CANCER HAVE NO FAMILY HISTORY.
THAT IS A COMMON THING I HEAR
FROM PATIENTS.
FROM PATIENTS. >> AT WHAT AGE DO YOU START TO
GET A MAMMOGRAM?
>> THE AMERICAN COLLEGE OF
RADIOLOGY RECOMMENDS STARTING
AT AGE 40.
ALTHOUGH THERE ARE DIFFERING
GUIDELINES OUT THERE.
THERE IS AGREEMENT THAT WE SAVE
THE MOST LIVES WHEN WE START
SCREENING AT AGE 40.
>> WHAT IF YOU HAVE A FAMILY
HISTORY?
HISTORY?
HISTORY? >> YOU SHOULD DISCUSS THAT
WITH YOUR DOCTOR.
SOME WOMEN HAVE A GENETIC
PREDISPOSITION OF DEVELOPING
BREAST CANCER.
BREAST CANCER. THAT MEANS IT RUNS IN YOUR
FAMILY.
FAMILY.
FAMILY. IF YOU HAVE THE HISTORY, TALK
TO YOUR DOCTOR.
IF YOU NEED SCREENINGS AT AN
EARLIER AGE OR ADDITIONAL
EXAMS, THEY CAN SCHEDULE THAT
FOR YOU.
FOR YOU.
FOR YOU. >> WE SHOULD KNOW OUR BODY
BEST.
BEST.
BEST. SOMETIMES YOU HEAR PEOPLE SAY
SOMETHING WAS JUST IN MY MIND.
IF YOU HAVE ANY SUSPICIONS, YOU
CAN ALWAYS CHECK AND SEE.
>> ABSOLUTELY.
>> ABSOLUTELY. I ALWAYS SAY PATIENTS KNOW
THEIR BODY BEST.
IF YOU DETECT ANYTHING NEW OR
DIFFERENT, YOU CAN BE THE FIRST
PERSON TO DETECT SUBTLE CHANGES
IN YOUR BODY.
IF YOU NOTICE ANYTHING
DIFFERENT YOU SHOULD SEE YOUR
DOCTOR RIGHT AWAY.
THEY'LL ORDER FURTHER TESTING.
>> LAST YEAR I MISSED MY
MAMMOGRAM.
MAMMOGRAM. I KEPT THINKING I WAS GOING TO
GET IT DONE IN OCTOBER.
OCTOBER IS NOT THE ONLY MONTH
TO GET A MAMMOGRAM.
I BLINKED AND A YEAR PASSED.
I'M NERVOUS BUT I'M GOING TO
GET MY MAMMOGRAM.
WHEN QUESTION COME BACK YOU ARE
GOING TO READ IT FOR US.
NORMALLY WHEN PATIENTS COME IN,
YOU DON'T READ IT RIGHT THERE.
BUT FOR THE SAKE OF THE
DIFFERENCES IN CHANGES, YOU ARE
GOING TO TELL US WHAT IT IS
THAT YOU DO THAT CAN LEAD YOU
TO A SUSPICION, WHICH WILL
LATER LEAD TO OTHER TREATMENT
IF YOU SEE SOMETHING THERE.
>> EXACTLY.
>> EXACTLY. >> EVERYBODY OUT.
I'M GETTING MY MAMMOGRAM.
THE
THE MAMMOGRAM IS ALL DONE. IT TOOK A FEW MINUTES.
THERE WAS NO PAIN AT ALL.
NOW WE ARE GOING TO JOIN UP
WITH THE DOCTOR AND SEE IF SHE
SEES
SEES
SEES ANYTHING OF CONCERN.
SHE IS ABOUT TO READ MY
RESULTS.
RESULTS.
RESULTS. FOR THE AVERAGE PATIENT COMING
THROUGH, YOU DON'T SIT DOWN
WITH THE RADIOLOGY.
HOWEVER, TIMELINESS IS
IMPORTANT.
IMPORTANT. >> OUR GOAL IS TO READ OUR
SCREENING MAMMOGRAMS WITHIN 24
TO 48 HOURS.
AT THIS POINT, A LETTER IS SENT
OUT IN THE MAIL TO THE PATIENT.
THEY GET THEIR RESULTS QUICKLY.
>> WHAT IS IT THAT YOU ARE
LOOKING FOR?
LOOKING FOR? >> WHEN WE LOOK AT THE BREAST,
IN MANY IMAGE IMPARTICULAR, THE
WHITE STRUCTURES ARE BREAST
IMPLANTS.
IMPLANTS.
IMPLANTS. THIS WHITE WAS THE TISSUE IN
FRONT OF THE IMPLANT.
THAT'S NORMAL BREAST TISSUE.
WE ARE LOOKING FOR CALCIUM
DEPOSITS.
DEPOSITS.
DEPOSITS. >> WHEN YOU LOOK AT THAT YOU'LL
SEE WHY A SELF BREAST EXAM IS
IMPORTANT.
IMPORTANT. WOMEN HAVE FOUND THINGS BY
DOING THEIR OWN EXAMINATION.
IF SOMETHING WAS IN HERE IT
WOULD BE IMPOSSIBLE TO FEEL
THAT, RIGHT?
THAT, RIGHT? >> EXACTLY.
>> EXACTLY. ABNORMALITIES DEEPER IN THE
BREAST CAN BE HARDER TO FEEL
UNTIL THEY BECOME A CERTAIN
SIZE.
SIZE.
SIZE. WE
SIZE. WE DON'T WANT THAT.
WE WANT TO DETECT IT EARLY.
WE CAN SEE IT ON THE MAMMOGRAM
IN MOST CASES.
>> WHY IS IT IMPORTANT TO HAVE
IMAGES FROM PREVIOUS
MAMMOGRAMS?
MAMMOGRAMS? >> WE LOOK BACK TO COMPARISON
MAMMOGRAMS.
MAMMOGRAMS. THAT ALLOWS US TO DETECT SUBTLE
CHANGES IN THE BREAST OVER
TIME.
TIME.
TIME. WE
TIME. WE TAKE A THOROUGH BREAST
HISTORY.
HISTORY.
HISTORY. WE WANT TO KNOW ABOUT
SURGERIES, BIOPSIES, THAT WAY
WHEN WE SEE AREAS ON THE
MAMMOGRAM, IT WILL MAKE SENSE
IF WE HAVE THAT HISTORY.
>> WE ARE LOOKING AT THIS WITH
A BREAST IMPLANT.
SOMEBODY WITHOUT A BREAST
IMPLANT?
IMPLANT?
IMPLANT? >> IT WOULD LOOK LIKE THIS
WITHOUT THE WHITE IMPLANT
BEHIND THE TISSUE.
>> YOU DON'T ONLY TAKE THE
MAMMOGRAM WITH THE BREAST
TISSUE.
TISSUE.
TISSUE. YOU ALSO LOOK AT MUSCLE
CONNECTING TO BREAST TISSUE TO
MAKE SURE SOMETHING IS NOT
LURKING IN THOSE AREAS.
>> WE GO UNDER THE UNDERARM
AREA TO GET ALL OF THE BREAST
TISSUE THAT EXTENDS UP THERE.
>> WE'LL TAKE A BREAK.
WHEN WE COME BACK WE'LL TAKE A
LOOK AT EXACTLY WHAT MY
MAMMOGRAM TELLS YOU.
AND THE OTHER THING, IF
SOMEBODY WERE TO GET THE NEWS
THAT THEY HAVE CANCER, WHAT IS
GREAT ABOUT THIS PROGRAM AT
SMITH CLINIC IS THAT THAT IS
WHEN THE REAL WORK BEGINS.
THEY HOLD YOUR HAND THROUGH THE
PROCESS.
PROCESS.
PROCESS. WE'LL MEET UP WITH A