01/20/2026
“There’s no crying in Surgery!”
Except when there is.
My job often calls for what I call ‘careful compartmentalization’. I’ll bounce into the first patient room glowing with good news, my voice full of excitement. The next room I enter thoughtfully and reserved- ready to address a grave prognosis and challenging decisions. Each patient deserves her visit to be met with the energy and expertise unique to her scenario, and so I keep going.
I’m rarely stopped in my tracks to take a breath. Recently, I find myself needing time to center and reflect on just why that last room was so hard. I realized it’s because more and more I’m seeing younger women. Busy moms. Breastfeeding moms. It’s hard not to see myself in them. To remember the joys brought by breastfeeding and to try to understand how painful and terrifying it must be when suddenly told the same nursing breast that comforts your little one, is also threatening your life.
Breast cancer incidence continues to rise in women under 45. The reasons are complex and multifactorial: delayed childbearing, changing breastfeeding patterns, increased alcohol use, excess body weight, genetics, environmental exposures and so on.
My advice to young Mamas and Ladies:
1. SELF CARE.
This comes in many forms and is helpful no matter how little a step it may seem to be.
FULL DISCLOSURE: I often fail at this, miserably. One of my honest to god 2026 New Year’s resolutions? To stop at Dunkins once a week vs 4! 🤣🫠 Set small goals, attainable goals and be honest with yourself when those goals aren’t being met. Keep trying. Other ideas:
Schedule that mammogram. ✅
Choose a mocktail 🍸
Take a walk.👟
2. Be the Boss- Your B**b Boss.
Self breast exam shouldn’t be formal or frequent. It’s not something to cause alarm or anxiety when done properly. My advice is to simply and gently be aware, comfortable, familiar with your breasts. If something seems remarkably different and doesn’t go away after two weeks, or certainly if it gets bigger and becomes associated with other changes- CALL. Get the imaging done. If you don’t feel confident in your imaging answers- seek a consult with a breast specialist. 🙋🏻♀️
Sometimes patients will apologize after seeing me because their concerns turned out to be normal. I always say “THANK YOU! If every door I opened was to a woman with a breast cancer I’d lose my freaking mind.”
If you read this far, awesome. Share with a young lady you love.
https://www.bcrf.org/about-breast-cancer/breast-cancer-young-women/
https://youngsurvival.org