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Proactive and engaged patients

A 42-year-old patient arrived for her annual gynecologist appointment complaining of a self-detected breast lump. She had several questions about her condition and wanted to tell her doctor about a family history of breast cancer.  The doctor was in a hurry and advised her to ask the staff, but the staff was busy with other patients and told her to call them later. The patient did not call.

The gynecologist ordered a mammogram but did not include the patient’s complaint of the breast lump on the requisition. The mammogram was read as “normal,” but the report noted a “very dense stromal pattern,” which reduces the sensitivity of the study for detection of cancer.  The radiologist did not recommend an ultrasound and described the mammogram as “normal” in the report to the gynecologist. No follow-up appointment was scheduled. Several months later, the patient scheduled another appointment with the gynecologist when she noticed the breast lump had increased in size.  Subsequently, she was diagnosed with breast cancer and scheduled for surgery.


Doctors and nurses should engage patients and encourage them to take charge and be proactive about their health. Each woman should know how to do a self-check for any abnormal breast tissues. Youtube can show you how. My nurse midwife told me how to. Use the palm part of your two fingers (middle), palpate your breast checking for lumps. Examine skin for any abnormal growth, itchiness,redness and discoloration. See a doctor and not a dermatologist for breast cases or skin disorders near the breast area.

Talk to your doctors for any abnormal skin issues or body aches and pain. Get a genetic tests to show to your doctor your family history and genetic test results.

Nurses and doctors should encourage more communication and knowledge sharing to prevent any emergencies or discover health issues early.

Published by connie dello buono

Connie Dello Buono is based in Sunnyvale California. Her first ebook is about women's health, Birthing Ways Healing Ways and her recent one is about cancer prevention, Curated Healing Ways. She had helped women have holistic childbirth as childbirth educator, founded Motherhealth, to serve seniors in the bay area with holistic caregivers and blogs at www.clubalthea.com with more than 10,000 health and finance related posts. Connie trains her own caregivers, which are the favorites of most bay area seniors who are home bound and alone. She is active in the rehab and nursing facilities, volunteering on music and movement for seniors. She is a member of Lion's club and offered scholarships to students in the Philippines. She is active at churchinsunnyvale.us and has Fridays Bible home study in Sunnyvale using the recovery version of the Bible , free at biblesforamerica.us She loves dancing and teaching and her courses can be found at https://teachclub.com/@thriveafter60 She is California Life Insurance licensed providing life insurance for older adults with health issues and helping women retire safely with income for life. at menloassetca.com , she helps with 401k rollover. 3 Benefit plans - Mortgage protection using term life insurance to pay for mortgage balance in event of death - Final Expense plan using Single Issue Whole Life Insurance, with cash back, disability benefit and guaranteed in the presence of health issues - Fixed Index Annuity retirement plan for safe, accessibility, less fees, less taxes, avoids probate as it goes directly to beneficiaries, rate of return with no downside market participation. She brings compassion and understanding to the needs of her clients, bringing holistic approach in health and life insurance. Her goal is to free families from worries especially during covid with caregivers and life insurance in the presence of health issues, especially for women. She can be reached at 408-854-1883 , motherhealth@gmail.com

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