{"version":"1.0.0","segments":[{"speaker":"Beth Brown","startTime":9.93,"endTime":13.68,"body":"Welcome to Q and A"},{"speaker":"Beth Brown","startTime":9.93,"endTime":13.68,"body":"with Dr. K, a podcast by"},{"speaker":"Beth Brown","startTime":13.68,"endTime":17.61,"body":"Mountain Pacific Quality Health,"},{"speaker":"Beth Brown","startTime":13.68,"endTime":17.61,"body":"where we sit down with Dr. Doug"},{"speaker":"Beth Brown","startTime":17.64,"endTime":22.08,"body":"Kuntzweiler and get your health"},{"speaker":"Beth Brown","startTime":17.64,"endTime":22.08,"body":"questions answered, because on Q"},{"speaker":"Beth Brown","startTime":22.08,"endTime":25.35,"body":"and A with Dr. K, the doctor is"},{"speaker":"Beth Brown","startTime":22.08,"endTime":25.35,"body":"always in."},{"speaker":"Beth Brown","startTime":34.95,"endTime":37.44,"body":"Hello everyone. This is Beth"},{"speaker":"Beth Brown","startTime":34.95,"endTime":37.44,"body":"Brown, your host. And thank you"},{"speaker":"Beth Brown","startTime":37.44,"endTime":41.58,"body":"for tuning in to Q and A with"},{"speaker":"Beth Brown","startTime":37.44,"endTime":41.58,"body":"Dr. K. And great news today, we"},{"speaker":"Beth Brown","startTime":41.58,"endTime":45.24,"body":"once again, have two times the"},{"speaker":"Beth Brown","startTime":41.58,"endTime":45.24,"body":"expertise to talk about our"},{"speaker":"Beth Brown","startTime":45.24,"endTime":48.12,"body":"question for today's episode."},{"speaker":"Beth Brown","startTime":45.24,"endTime":48.12,"body":"Joining us are Dr. Doug"},{"speaker":"Beth Brown","startTime":48.12,"endTime":51.6,"body":"Kuntzweiler and Dr Tiffany"},{"speaker":"Beth Brown","startTime":48.12,"endTime":51.6,"body":"Kniepkamp. So good to have you"},{"speaker":"Beth Brown","startTime":51.6,"endTime":52.38,"body":"both back."},{"speaker":"Dr. Doug Kuntzweiler","startTime":52.62,"endTime":53.07,"body":"Thank you."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":53.55,"endTime":54.66,"body":"Thanks."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":53.55,"endTime":54.66,"body":"Good to be here."},{"speaker":"Beth Brown","startTime":54.0,"endTime":58.83,"body":"So today's question"},{"speaker":"Beth Brown","startTime":54.0,"endTime":58.83,"body":"applies to about two in every"},{"speaker":"Dr. Doug Kuntzweiler","startTime":55.06,"endTime":56.156,"body":"The first"},{"speaker":"Dr. Doug Kuntzweiler","startTime":55.06,"endTime":56.156,"body":"thing I would like to say is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":56.185,"endTime":57.973,"body":"that this is not a disease. It's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":56.185,"endTime":57.973,"body":"not an abnormality. It's like"},{"speaker":"Dr. Doug Kuntzweiler","startTime":58.002,"endTime":59.733,"body":"the difference between blue eyes"},{"speaker":"Dr. Doug Kuntzweiler","startTime":58.002,"endTime":59.733,"body":"and brown eyes. Really, the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":58.83,"endTime":62.16,"body":"five women, so it's pretty"},{"speaker":"Dr. Doug Kuntzweiler","startTime":58.83,"endTime":62.16,"body":"common, and what I'm talking"},{"speaker":"Dr. Doug Kuntzweiler","startTime":59.762,"endTime":61.406,"body":"vision is the same. Breast"},{"speaker":"Dr. Doug Kuntzweiler","startTime":59.762,"endTime":61.406,"body":"functions the same. It doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":61.435,"endTime":63.223,"body":"look any different, it doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":61.435,"endTime":63.223,"body":"feel any different, but it does"},{"speaker":"Dr. Doug Kuntzweiler","startTime":62.16,"endTime":65.67,"body":"about today is dense breasts. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":62.16,"endTime":65.67,"body":"what does a doctor mean when"},{"speaker":"Dr. Doug Kuntzweiler","startTime":63.252,"endTime":64.925,"body":"have some important health"},{"speaker":"Dr. Doug Kuntzweiler","startTime":63.252,"endTime":64.925,"body":"implications for women. What it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":64.954,"endTime":66.743,"body":"means is that on a mammogram,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":64.954,"endTime":66.743,"body":"there is more dense tissue, more"},{"speaker":"Dr. Doug Kuntzweiler","startTime":65.67,"endTime":68.91,"body":"they tell a patient they have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":65.67,"endTime":68.91,"body":"dense breasts? And how concerned"},{"speaker":"Dr. Doug Kuntzweiler","startTime":66.772,"endTime":68.618,"body":"connective tissue, that shows up"},{"speaker":"Dr. Doug Kuntzweiler","startTime":66.772,"endTime":68.618,"body":"than in a breast that is deemed"},{"speaker":"Dr. Doug Kuntzweiler","startTime":68.647,"endTime":70.522,"body":"to be not dense. So this is sort"},{"speaker":"Dr. Doug Kuntzweiler","startTime":68.647,"endTime":70.522,"body":"of a subjective finding. You can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":68.94,"endTime":73.05,"body":"should a patient be to get that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":68.94,"endTime":73.05,"body":"news? So let's start with what"},{"speaker":"Dr. Doug Kuntzweiler","startTime":70.551,"endTime":72.282,"body":"only see it on a mammogram. You"},{"speaker":"Dr. Doug Kuntzweiler","startTime":70.551,"endTime":72.282,"body":"can't tell it any other way."},{"speaker":"Dr. Doug Kuntzweiler","startTime":72.31,"endTime":73.724,"body":"What it consists of is an"},{"speaker":"Dr. Doug Kuntzweiler","startTime":72.31,"endTime":73.724,"body":"increase in some of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":73.05,"endTime":75.78,"body":"does a doctor mean when they say"},{"speaker":"Dr. Doug Kuntzweiler","startTime":73.05,"endTime":75.78,"body":"to a patient, you have dense"},{"speaker":"Dr. Doug Kuntzweiler","startTime":73.753,"endTime":75.455,"body":"connective tissue in the breast,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":73.753,"endTime":75.455,"body":"an increase in some of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":75.484,"endTime":77.186,"body":"lobules, which are the milk"},{"speaker":"Dr. Doug Kuntzweiler","startTime":75.484,"endTime":77.186,"body":"producing glands and the ducts."},{"speaker":"Dr. Doug Kuntzweiler","startTime":75.78,"endTime":76.47,"body":"breasts?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":77.215,"endTime":78.888,"body":"And the ducts are the tunnels"},{"speaker":"Dr. Doug Kuntzweiler","startTime":77.215,"endTime":78.888,"body":"that carry the milk from the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":78.917,"endTime":80.561,"body":"glands to the nipple so the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":78.917,"endTime":80.561,"body":"infant can get the nutrition."},{"speaker":"Dr. Doug Kuntzweiler","startTime":80.59,"endTime":82.234,"body":"And it's just an increase in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":80.59,"endTime":82.234,"body":"that. If you showed the same"},{"speaker":"Dr. Doug Kuntzweiler","startTime":82.263,"endTime":83.907,"body":"mammogram to 10 different"},{"speaker":"Dr. Doug Kuntzweiler","startTime":82.263,"endTime":83.907,"body":"radiologists, you might get two"},{"speaker":"Dr. Doug Kuntzweiler","startTime":83.936,"endTime":85.58,"body":"or three different opinions on"},{"speaker":"Dr. Doug Kuntzweiler","startTime":83.936,"endTime":85.58,"body":"how dense that breast was."},{"speaker":"Dr. Doug Kuntzweiler","startTime":85.609,"endTime":87.138,"body":"There's something called"},{"speaker":"Dr. Doug Kuntzweiler","startTime":85.609,"endTime":87.138,"body":"BI-RADS, which women may see"},{"speaker":"Dr. Doug Kuntzweiler","startTime":87.167,"endTime":88.811,"body":"when they get their mammogram"},{"speaker":"Dr. Doug Kuntzweiler","startTime":87.167,"endTime":88.811,"body":"report, and that stands for"},{"speaker":"Dr. Doug Kuntzweiler","startTime":88.84,"endTime":90.571,"body":"Breast Imaging and Reporting"},{"speaker":"Dr. Doug Kuntzweiler","startTime":88.84,"endTime":90.571,"body":"Data System, and it is a system"},{"speaker":"Dr. Doug Kuntzweiler","startTime":90.6,"endTime":92.331,"body":"that radiologists have agreed"},{"speaker":"Dr. Doug Kuntzweiler","startTime":90.6,"endTime":92.331,"body":"upon to try and classify these"},{"speaker":"Dr. Doug Kuntzweiler","startTime":92.36,"endTime":94.004,"body":"varying degrees of density. And"},{"speaker":"Dr. Doug Kuntzweiler","startTime":92.36,"endTime":94.004,"body":"other than the connective"},{"speaker":"Dr. Doug Kuntzweiler","startTime":94.033,"endTime":95.706,"body":"tissue, I talked about, the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":94.033,"endTime":95.706,"body":"ducts and the lobules, most of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":95.735,"endTime":97.437,"body":"the breast tissue otherwise is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":95.735,"endTime":97.437,"body":"fat, which gives the breast,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":97.466,"endTime":99.197,"body":"it's it's contour. So when the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":97.466,"endTime":99.197,"body":"BI-RAD system the categories,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":99.225,"endTime":100.927,"body":"they've divided them into four"},{"speaker":"Dr. Doug Kuntzweiler","startTime":99.225,"endTime":100.927,"body":"categories. And the first is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":100.956,"endTime":102.658,"body":"category A, which is a breast"},{"speaker":"Dr. Doug Kuntzweiler","startTime":100.956,"endTime":102.658,"body":"which has mostly fat and very"},{"speaker":"Dr. Doug Kuntzweiler","startTime":102.687,"endTime":104.504,"body":"little of the connective tissue."},{"speaker":"Dr. Doug Kuntzweiler","startTime":102.687,"endTime":104.504,"body":"Category B has scattered areas"},{"speaker":"Dr. Doug Kuntzweiler","startTime":104.533,"endTime":106.293,"body":"of increased density, and that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":104.533,"endTime":106.293,"body":"usually doesn't interfere with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":106.322,"endTime":107.735,"body":"the ability to read the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":106.322,"endTime":107.735,"body":"mammogram. Category C has"},{"speaker":"Dr. Doug Kuntzweiler","startTime":107.764,"endTime":109.437,"body":"heterogeneous density, and that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":107.764,"endTime":109.437,"body":"means that there's density"},{"speaker":"Dr. Doug Kuntzweiler","startTime":109.466,"endTime":111.284,"body":"pretty much throughout the whole"},{"speaker":"Dr. Doug Kuntzweiler","startTime":109.466,"endTime":111.284,"body":"breast. And then Category D is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":111.313,"endTime":113.159,"body":"extremely dense. And as I said,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":111.313,"endTime":113.159,"body":"this is not a disease, it's just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.188,"endTime":114.774,"body":"simply a variation, but the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":113.188,"endTime":114.774,"body":"denser the breast, the more"},{"speaker":"Dr. Doug Kuntzweiler","startTime":114.803,"endTime":116.534,"body":"difficult it is on mammogram to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":114.803,"endTime":116.534,"body":"detect a suspicious area, to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.563,"endTime":118.236,"body":"detect a cancer, and it also"},{"speaker":"Dr. Doug Kuntzweiler","startTime":116.563,"endTime":118.236,"body":"does slightly raise a woman's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":118.265,"endTime":118.9,"body":"risk of breast cancer."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":141.01,"endTime":238.42,"body":"1.2 times"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":141.01,"endTime":238.42,"body":"more likely, I believe, is what"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":238.42,"endTime":238.99,"body":"it was."},{"speaker":"Dr. Doug Kuntzweiler","startTime":239.35,"endTime":241.36,"body":"I think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":239.35,"endTime":241.36,"body":"that's right, I've seen various"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.36,"endTime":244.99,"body":"numbers, but I think the take"},{"speaker":"Dr. Doug Kuntzweiler","startTime":241.36,"endTime":244.99,"body":"home is that it does increase"},{"speaker":"Dr. Doug Kuntzweiler","startTime":244.99,"endTime":248.44,"body":"your risk, although it's a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":244.99,"endTime":248.44,"body":"pretty slight increase, but it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":248.44,"endTime":252.19,"body":"does make it more difficult to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":248.44,"endTime":252.19,"body":"detect a possible cancer."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":252.27,"endTime":254.7,"body":"Yeah, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":252.27,"endTime":254.7,"body":"Doug, going back a little bit,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":254.7,"endTime":258.57,"body":"when talking about the four"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":254.7,"endTime":258.57,"body":"different categories of density,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":258.69,"endTime":262.32,"body":"you may see on your mammogram,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":258.69,"endTime":262.32,"body":"they'll talk about"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":262.47,"endTime":266.61,"body":"fibroglandular tissue, and you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":262.47,"endTime":266.61,"body":"definitely touched on this. But"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":266.61,"endTime":270.36,"body":"just to even break it down"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":266.61,"endTime":270.36,"body":"further, it's really just like"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":270.36,"endTime":272.94,"body":"you said, a fancy way to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":270.36,"endTime":272.94,"body":"describe parts of the breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":272.94,"endTime":277.98,"body":"that aren't fat, so the fibrous"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":272.94,"endTime":277.98,"body":"tissue is what helps support and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":277.98,"endTime":280.77,"body":"kind of hold the breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":277.98,"endTime":280.77,"body":"together. Think of it as like"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":280.8,"endTime":284.94,"body":"connective glue that gives the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":280.8,"endTime":284.94,"body":"breast its shape, and then you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":284.94,"endTime":287.79,"body":"have the glandular tissue that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":284.94,"endTime":287.79,"body":"you were talking about that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":287.79,"endTime":290.91,"body":"produces milk. And so those"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":287.79,"endTime":290.91,"body":"together make up dense breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":290.91,"endTime":295.38,"body":"tissue. And some women have more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":290.91,"endTime":295.38,"body":"tissue than fat, which is why"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":295.38,"endTime":298.95,"body":"they're considered dense. It's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":295.38,"endTime":298.95,"body":"totally normal, just something"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":298.95,"endTime":301.86,"body":"to be aware of. And I do think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":298.95,"endTime":301.86,"body":"we're seeing this a ton, because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":301.89,"endTime":307.2,"body":"40 to 50% of women have dense"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":301.89,"endTime":307.2,"body":"breasts, and we start screening"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":307.2,"endTime":311.01,"body":"at around 40, depending on risk"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":307.2,"endTime":311.01,"body":"factors. And so if you start"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":311.01,"endTime":314.85,"body":"screening at 40, you do have"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":311.01,"endTime":314.85,"body":"more dense breast tissue when"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":314.85,"endTime":318.69,"body":"you're younger. So at least in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":314.85,"endTime":318.69,"body":"my age group, I am getting so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":318.69,"endTime":321.63,"body":"many questions from my friends,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":318.69,"endTime":321.63,"body":"and they're panicking because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":321.63,"endTime":324.69,"body":"they get these results saying, I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":321.63,"endTime":324.69,"body":"have dense breasts. They want"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":324.69,"endTime":328.17,"body":"more screening. They want to do"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":324.69,"endTime":328.17,"body":"more. Am I going to get cancer?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":328.17,"endTime":331.53,"body":"And everybody's very worried."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":328.17,"endTime":331.53,"body":"But I think the biggest thing"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":331.56,"endTime":335.01,"body":"is, it's, like you said, not a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":331.56,"endTime":335.01,"body":"disease. It's just something to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":335.01,"endTime":337.92,"body":"be aware of. So don't be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":335.01,"endTime":337.92,"body":"alarmed. Just be aware."},{"speaker":"Beth Brown","startTime":338.22,"endTime":340.44,"body":"I was going to hit"},{"speaker":"Beth Brown","startTime":338.22,"endTime":340.44,"body":"back on that, too, because we"},{"speaker":"Beth Brown","startTime":340.44,"endTime":343.62,"body":"definitely aren't trying to"},{"speaker":"Beth Brown","startTime":340.44,"endTime":343.62,"body":"scare half of the women out"},{"speaker":"Beth Brown","startTime":343.62,"endTime":347.58,"body":"there who maybe have heard or"},{"speaker":"Beth Brown","startTime":343.62,"endTime":347.58,"body":"will hear this from a doctor, or"},{"speaker":"Beth Brown","startTime":347.58,"endTime":350.61,"body":"if they get a mammogram. It's"},{"speaker":"Beth Brown","startTime":347.58,"endTime":350.61,"body":"not a disease. But then the"},{"speaker":"Beth Brown","startTime":350.61,"endTime":352.98,"body":"other thing you talked about"},{"speaker":"Beth Brown","startTime":350.61,"endTime":352.98,"body":"too, Dr. K, is you kind of"},{"speaker":"Beth Brown","startTime":353.01,"endTime":358.47,"body":"compared it to the eye color. So"},{"speaker":"Beth Brown","startTime":353.01,"endTime":358.47,"body":"does that mean breast density is"},{"speaker":"Beth Brown","startTime":358.5,"endTime":363.06,"body":"genetic? Or what are the factors"},{"speaker":"Beth Brown","startTime":358.5,"endTime":363.06,"body":"that play into whether or not"},{"speaker":"Beth Brown","startTime":363.09,"endTime":366.66,"body":"you're a woman who has dense"},{"speaker":"Beth Brown","startTime":363.09,"endTime":366.66,"body":"breasts or not,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":367.08,"endTime":370.17,"body":"It is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":367.08,"endTime":370.17,"body":"largely genetic, and also, as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":370.17,"endTime":373.26,"body":"Tiffany talked about, age, the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":370.17,"endTime":373.26,"body":"younger the breast, the more"},{"speaker":"Dr. Doug Kuntzweiler","startTime":373.26,"endTime":377.73,"body":"dense it's going to be. And that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":373.26,"endTime":377.73,"body":"gradually changes over time, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":377.76,"endTime":381.3,"body":"changes pretty dramatically"},{"speaker":"Dr. Doug Kuntzweiler","startTime":377.76,"endTime":381.3,"body":"after menopause. But it seems to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":381.3,"endTime":384.96,"body":"be mostly genetic. It's not"},{"speaker":"Dr. Doug Kuntzweiler","startTime":381.3,"endTime":384.96,"body":"anything that you've eaten or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":384.99,"endTime":388.41,"body":"any anything that you've done"},{"speaker":"Dr. Doug Kuntzweiler","startTime":384.99,"endTime":388.41,"body":"that that caused it. I think"},{"speaker":"Dr. Doug Kuntzweiler","startTime":388.44,"endTime":390.09,"body":"it's largely genetic."},{"speaker":"Beth Brown","startTime":390.33,"endTime":394.68,"body":"So then, to that"},{"speaker":"Beth Brown","startTime":390.33,"endTime":394.68,"body":"point, then, can women change"},{"speaker":"Beth Brown","startTime":394.71,"endTime":397.14,"body":"the density of their breast? Do"},{"speaker":"Beth Brown","startTime":394.71,"endTime":397.14,"body":"they have something that they"},{"speaker":"Beth Brown","startTime":397.14,"endTime":400.74,"body":"should be thinking about health"},{"speaker":"Beth Brown","startTime":397.14,"endTime":400.74,"body":"wise when it comes to that? Or"},{"speaker":"Beth Brown","startTime":400.77,"endTime":402.33,"body":"it really just is what it is."},{"speaker":"Dr. Doug Kuntzweiler","startTime":402.48,"endTime":405.06,"body":"Well, it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":402.48,"endTime":405.06,"body":"interesting. The density does"},{"speaker":"Dr. Doug Kuntzweiler","startTime":405.06,"endTime":408.96,"body":"change with a woman's menstrual"},{"speaker":"Dr. Doug Kuntzweiler","startTime":405.06,"endTime":408.96,"body":"cycle, and if you are taking"},{"speaker":"Dr. Doug Kuntzweiler","startTime":409.2,"endTime":412.2,"body":"exogenous hormones, that means,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":409.2,"endTime":412.2,"body":"if you're taking hormones as a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":412.2,"endTime":416.19,"body":"pill by mouth or a patch that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":412.2,"endTime":416.19,"body":"can have an effect on it."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":416.66,"endTime":417.74,"body":"They"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":416.66,"endTime":417.74,"body":"actually have looked at"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":417.74,"endTime":420.95,"body":"lifestyle changes. Diet and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":417.74,"endTime":420.95,"body":"exercise really don't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":420.95,"endTime":424.52,"body":"significantly impact breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":420.95,"endTime":424.52,"body":"density. But that's interesting,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":424.52,"endTime":428.96,"body":"because more lean people do tend"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":424.52,"endTime":428.96,"body":"to have more dense breasts,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":428.96,"endTime":432.56,"body":"because they have decreased in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":428.96,"endTime":432.56,"body":"fatty tissue. When they look at"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":432.56,"endTime":437.09,"body":"it, so say, you do do diet and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":432.56,"endTime":437.09,"body":"exercise and you become more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":437.09,"endTime":441.44,"body":"lean, it actually doesn't change"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":437.09,"endTime":441.44,"body":"it much. And so really, you're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":441.44,"endTime":445.37,"body":"looking at those hormonal"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":441.44,"endTime":445.37,"body":"changes. So with aging, it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":445.37,"endTime":448.52,"body":"just going to change, but you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":445.37,"endTime":448.52,"body":"can affect that. So stopping"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":448.52,"endTime":452.51,"body":"that hormone replacement therapy"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":448.52,"endTime":452.51,"body":"can reduce your density. Aging,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":452.51,"endTime":455.39,"body":"like I said, naturally,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":452.51,"endTime":455.39,"body":"decreases it. And diet and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":455.39,"endTime":458.45,"body":"exercise, like while it's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":455.39,"endTime":458.45,"body":"wonderful and it decreases your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":458.45,"endTime":462.71,"body":"overall risk of cancers, doesn't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":458.45,"endTime":462.71,"body":"necessarily change the density"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":462.71,"endTime":463.46,"body":"of your breasts."},{"speaker":"Dr. Doug Kuntzweiler","startTime":463.61,"endTime":466.01,"body":"One"},{"speaker":"Dr. Doug Kuntzweiler","startTime":463.61,"endTime":466.01,"body":"interesting side light to this"},{"speaker":"Dr. Doug Kuntzweiler","startTime":466.01,"endTime":469.52,"body":"is there is a difference, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":466.01,"endTime":469.52,"body":"this gets back to the genetic"},{"speaker":"Dr. Doug Kuntzweiler","startTime":469.52,"endTime":472.19,"body":"component, there's a difference"},{"speaker":"Dr. Doug Kuntzweiler","startTime":469.52,"endTime":472.19,"body":"when you when you look at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":472.19,"endTime":475.73,"body":"various ethnic backgrounds. For"},{"speaker":"Dr. Doug Kuntzweiler","startTime":472.19,"endTime":475.73,"body":"instance, black women tend to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":475.73,"endTime":479.48,"body":"have less dense breasts, but"},{"speaker":"Dr. Doug Kuntzweiler","startTime":475.73,"endTime":479.48,"body":"they do have a slightly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":479.48,"endTime":483.23,"body":"increased cancer incidence"},{"speaker":"Dr. Doug Kuntzweiler","startTime":479.48,"endTime":483.23,"body":"compared to Caucasians and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":483.23,"endTime":488.03,"body":"Asians. Asian women tend to have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":483.23,"endTime":488.03,"body":"denser breasts, but actually a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":488.03,"endTime":491.81,"body":"lower risk for cancer compared"},{"speaker":"Dr. Doug Kuntzweiler","startTime":488.03,"endTime":491.81,"body":"to Caucasians and Blacks. So"},{"speaker":"Dr. Doug Kuntzweiler","startTime":492.26,"endTime":495.89,"body":"genetics is definitely playing a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":492.26,"endTime":495.89,"body":"role in it, but it kind of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":495.95,"endTime":497.57,"body":"really muddies the waters."},{"speaker":"Beth Brown","startTime":497.6,"endTime":499.58,"body":"Let's go back to"},{"speaker":"Beth Brown","startTime":497.6,"endTime":499.58,"body":"something that you said,"},{"speaker":"Beth Brown","startTime":499.58,"endTime":504.2,"body":"Tiffany, about women who are"},{"speaker":"Beth Brown","startTime":499.58,"endTime":504.2,"body":"getting mammograms and they're"},{"speaker":"Beth Brown","startTime":504.23,"endTime":508.19,"body":"hearing this that they have"},{"speaker":"Beth Brown","startTime":504.23,"endTime":508.19,"body":"dense breasts, is that how a"},{"speaker":"Beth Brown","startTime":508.19,"endTime":510.59,"body":"woman finds out she has dense"},{"speaker":"Beth Brown","startTime":508.19,"endTime":510.59,"body":"breasts?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":510.78,"endTime":513.24,"body":"Yes,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":510.78,"endTime":513.24,"body":"really, the only way to find out"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":513.27,"endTime":517.47,"body":"is through mammogram and density"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":513.27,"endTime":517.47,"body":"testing. You can't necessarily"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":517.47,"endTime":521.97,"body":"feel a difference. They don't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":517.47,"endTime":521.97,"body":"look different. It is just the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":522.0,"endTime":523.89,"body":"rating they give it on a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":522.0,"endTime":523.89,"body":"mammogram."},{"speaker":"Beth Brown","startTime":523.98,"endTime":527.13,"body":"Okay, and we've"},{"speaker":"Beth Brown","startTime":523.98,"endTime":527.13,"body":"talked about that it can lead"},{"speaker":"Beth Brown","startTime":527.16,"endTime":531.12,"body":"potentially or make you at"},{"speaker":"Beth Brown","startTime":527.16,"endTime":531.12,"body":"higher risk for breast cancer."},{"speaker":"Beth Brown","startTime":531.18,"endTime":534.03,"body":"Is breast cancer our main"},{"speaker":"Beth Brown","startTime":531.18,"endTime":534.03,"body":"concern here? Or are there other"},{"speaker":"Beth Brown","startTime":534.06,"endTime":536.76,"body":"issues related to their health"},{"speaker":"Beth Brown","startTime":534.06,"endTime":536.76,"body":"that women should be paying"},{"speaker":"Beth Brown","startTime":536.76,"endTime":539.37,"body":"attention to if they do know"},{"speaker":"Beth Brown","startTime":536.76,"endTime":539.37,"body":"they have dense breasts?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":539.69,"endTime":542.3,"body":"No, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":539.69,"endTime":542.3,"body":"think relative to dense breasts,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":542.51,"endTime":546.41,"body":"pretty much detection by"},{"speaker":"Dr. Doug Kuntzweiler","startTime":542.51,"endTime":546.41,"body":"mammography is the only real"},{"speaker":"Dr. Doug Kuntzweiler","startTime":546.44,"endTime":550.79,"body":"issue. The breast doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":546.44,"endTime":550.79,"body":"function any differently. And as"},{"speaker":"Dr. Doug Kuntzweiler","startTime":550.79,"endTime":554.36,"body":"we said, your risk is raised,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":550.79,"endTime":554.36,"body":"but only slightly. It's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.36,"endTime":559.4,"body":"interesting to me, the first"},{"speaker":"Dr. Doug Kuntzweiler","startTime":554.36,"endTime":559.4,"body":"mammograms were done way back in"},{"speaker":"Dr. Doug Kuntzweiler","startTime":559.4,"endTime":564.68,"body":"the early 1900s after, you know,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":559.4,"endTime":564.68,"body":"xray was discovered, but it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":564.68,"endTime":569.39,"body":"really wasn't used for much of"},{"speaker":"Dr. Doug Kuntzweiler","startTime":564.68,"endTime":569.39,"body":"anything until the 1960s. I went"},{"speaker":"Dr. Doug Kuntzweiler","startTime":569.39,"endTime":572.84,"body":"to medical school and got into"},{"speaker":"Dr. Doug Kuntzweiler","startTime":569.39,"endTime":572.84,"body":"medicine in the late 70s, and at"},{"speaker":"Dr. Doug Kuntzweiler","startTime":572.84,"endTime":577.1,"body":"that time, as I recall, there"},{"speaker":"Dr. Doug Kuntzweiler","startTime":572.84,"endTime":577.1,"body":"was not a lot of screening going"},{"speaker":"Dr. Doug Kuntzweiler","startTime":577.1,"endTime":581.93,"body":"on. Mammography was used more if"},{"speaker":"Dr. Doug Kuntzweiler","startTime":577.1,"endTime":581.93,"body":"a woman had a mass that you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":581.93,"endTime":585.65,"body":"could feel or a lump that felt"},{"speaker":"Dr. Doug Kuntzweiler","startTime":581.93,"endTime":585.65,"body":"suspicious, then you got a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":585.65,"endTime":589.76,"body":"mammogram to see if it had any"},{"speaker":"Dr. Doug Kuntzweiler","startTime":585.65,"endTime":589.76,"body":"characteristics that might lead"},{"speaker":"Dr. Doug Kuntzweiler","startTime":589.76,"endTime":592.64,"body":"you believe that was possibly a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":589.76,"endTime":592.64,"body":"cancer. But there wasn't a lot"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.64,"endTime":596.33,"body":"of mass screening, and that"},{"speaker":"Dr. Doug Kuntzweiler","startTime":592.64,"endTime":596.33,"body":"really didn't happen, as I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":596.33,"endTime":602.09,"body":"recall, until maybe the late"},{"speaker":"Dr. Doug Kuntzweiler","startTime":596.33,"endTime":602.09,"body":"80s. It just wasn't commonly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":602.09,"endTime":606.62,"body":"done. But mammography, like"},{"speaker":"Dr. Doug Kuntzweiler","startTime":602.09,"endTime":606.62,"body":"everything else in medicine, has"},{"speaker":"Dr. Doug Kuntzweiler","startTime":606.62,"endTime":610.82,"body":"gotten much more sophisticated,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":606.62,"endTime":610.82,"body":"and initially it was done on"},{"speaker":"Dr. Doug Kuntzweiler","startTime":610.82,"endTime":614.57,"body":"film, just like old x rays were"},{"speaker":"Dr. Doug Kuntzweiler","startTime":610.82,"endTime":614.57,"body":"put on film, and now almost all"},{"speaker":"Dr. Doug Kuntzweiler","startTime":614.57,"endTime":619.16,"body":"mammography is digital, which"},{"speaker":"Dr. Doug Kuntzweiler","startTime":614.57,"endTime":619.16,"body":"has improved the quality and the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":619.25,"endTime":623.33,"body":"ability to analyze the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":619.25,"endTime":623.33,"body":"mammogram, and I don't know"},{"speaker":"Dr. Doug Kuntzweiler","startTime":623.33,"endTime":629.54,"body":"exactly what the prevalence is,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":623.33,"endTime":629.54,"body":"but 3D mammography, which is"},{"speaker":"Dr. Doug Kuntzweiler","startTime":629.54,"endTime":632.66,"body":"again, a more sophisticated way"},{"speaker":"Dr. Doug Kuntzweiler","startTime":629.54,"endTime":632.66,"body":"to look at it, looking at it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":632.66,"endTime":636.05,"body":"from many different angles and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":632.66,"endTime":636.05,"body":"constructing a 3D image of the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":636.05,"endTime":639.8,"body":"breast, has helped quite a bit."},{"speaker":"Dr. Doug Kuntzweiler","startTime":636.05,"endTime":639.8,"body":"So if you're told that you have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":639.83,"endTime":643.31,"body":"dense breasts, I think it would"},{"speaker":"Dr. Doug Kuntzweiler","startTime":639.83,"endTime":643.31,"body":"be important to know exactly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":643.37,"endTime":647.51,"body":"what technique they were using."},{"speaker":"Dr. Doug Kuntzweiler","startTime":643.37,"endTime":647.51,"body":"Was it a 3D study, and was it"},{"speaker":"Dr. Doug Kuntzweiler","startTime":647.51,"endTime":648.11,"body":"digital?"},{"speaker":"Beth Brown","startTime":648.35,"endTime":651.89,"body":"So should women with"},{"speaker":"Beth Brown","startTime":648.35,"endTime":651.89,"body":"dense breasts get more frequent"},{"speaker":"Beth Brown","startTime":651.89,"endTime":654.11,"body":"mammograms, or are there other"},{"speaker":"Beth Brown","startTime":651.89,"endTime":654.11,"body":"screenings they should be"},{"speaker":"Beth Brown","startTime":654.11,"endTime":658.31,"body":"looking into, especially if, say"},{"speaker":"Beth Brown","startTime":654.11,"endTime":658.31,"body":"they know because of other risk"},{"speaker":"Beth Brown","startTime":658.31,"endTime":661.28,"body":"factors, they might have a"},{"speaker":"Beth Brown","startTime":658.31,"endTime":661.28,"body":"higher potential for breast"},{"speaker":"Beth Brown","startTime":661.28,"endTime":661.85,"body":"cancer?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":661.88,"endTime":664.1,"body":"Yeah,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":661.88,"endTime":664.1,"body":"Beth, so you don't necessarily"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":664.1,"endTime":667.37,"body":"have to get mammograms more"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":664.1,"endTime":667.37,"body":"frequently, but as Doug"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":667.37,"endTime":670.82,"body":"mentioned, you may benefit from"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":667.37,"endTime":670.82,"body":"additional screening, and your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":670.82,"endTime":673.97,"body":"doctor can talk you through"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":670.82,"endTime":673.97,"body":"this, depending on your risk"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":673.97,"endTime":678.38,"body":"factors. A good way to think"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":673.97,"endTime":678.38,"body":"about dense breasts is it gives"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":678.38,"endTime":683.21,"body":"you an ever so slightly higher"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":678.38,"endTime":683.21,"body":"risk of breast cancer. Think of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":683.21,"endTime":687.32,"body":"it as the same amount of risk as"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":683.21,"endTime":687.32,"body":"if a family member had cancer in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":687.32,"endTime":692.09,"body":"the past. That's about your risk"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":687.32,"endTime":692.09,"body":"level. And so they'll take that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":692.15,"endTime":695.39,"body":"with other aspects of your risk"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":692.15,"endTime":695.39,"body":"factors. Do you smoke? Do you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":695.39,"endTime":700.91,"body":"drink alcohol? Primary or first"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":695.39,"endTime":700.91,"body":"cousin or parent, more immediate"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":700.91,"endTime":703.76,"body":"family that had cancer, and then"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":700.91,"endTime":703.76,"body":"they'll determine if you need"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":703.79,"endTime":707.72,"body":"further testing, because on"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":703.79,"endTime":707.72,"body":"those mammograms. Dense tissue"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":707.72,"endTime":711.77,"body":"shows up as white, and breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":707.72,"endTime":711.77,"body":"cancer shows up as white as"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":711.77,"endTime":715.73,"body":"well. So you can imagine, if"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":711.77,"endTime":715.73,"body":"you've got very or extremely"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":715.73,"endTime":719.24,"body":"dense breasts, it would be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":715.73,"endTime":719.24,"body":"difficult to spot a cancer"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":719.24,"endTime":722.78,"body":"because it's all white. And so"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":719.24,"endTime":722.78,"body":"they may recommend, like Doug"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":722.78,"endTime":727.22,"body":"said, a breast MRI, 3D"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":722.78,"endTime":727.22,"body":"mammography, there's breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":727.25,"endTime":731.45,"body":"ultrasound, and then they can"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":727.25,"endTime":731.45,"body":"actually do contrast enhanced"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":731.6,"endTime":735.41,"body":"mammograms as well. Not all"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":731.6,"endTime":735.41,"body":"facilities offer that, and some"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":735.41,"endTime":740.18,"body":"of these are not covered by"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":735.41,"endTime":740.18,"body":"insurance yet, but they can help"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":740.18,"endTime":743.36,"body":"to detect based on the risk"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":740.18,"endTime":743.36,"body":"factors and what your doctor"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":743.36,"endTime":744.26,"body":"recommends."},{"speaker":"Beth Brown","startTime":744.65,"endTime":746.96,"body":"If a woman is"},{"speaker":"Beth Brown","startTime":744.65,"endTime":746.96,"body":"diagnosed with breast cancer,"},{"speaker":"Beth Brown","startTime":746.96,"endTime":750.29,"body":"will her treatment be different"},{"speaker":"Beth Brown","startTime":746.96,"endTime":750.29,"body":"if she has deadness breasts?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":750.41,"endTime":752.51,"body":"No, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":750.41,"endTime":752.51,"body":"would say it really doesn't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":752.51,"endTime":756.8,"body":"affect the treatment at all."},{"speaker":"Dr. Doug Kuntzweiler","startTime":752.51,"endTime":756.8,"body":"It's the same. It's just the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":756.8,"endTime":759.26,"body":"detection that is more"},{"speaker":"Dr. Doug Kuntzweiler","startTime":756.8,"endTime":759.26,"body":"difficult."},{"speaker":"Beth Brown","startTime":759.44,"endTime":763.28,"body":"And we know that men"},{"speaker":"Beth Brown","startTime":759.44,"endTime":763.28,"body":"can get breast cancer too. It's"},{"speaker":"Beth Brown","startTime":763.4,"endTime":769.01,"body":"obviously not as common in men"},{"speaker":"Beth Brown","startTime":763.4,"endTime":769.01,"body":"as it is in women. Can men also"},{"speaker":"Beth Brown","startTime":769.01,"endTime":770.51,"body":"have dense breasts?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":770.78,"endTime":772.88,"body":"Breast"},{"speaker":"Dr. Doug Kuntzweiler","startTime":770.78,"endTime":772.88,"body":"cancer in men is exceedingly"},{"speaker":"Dr. Doug Kuntzweiler","startTime":772.88,"endTime":777.83,"body":"rare, but it does happen, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":772.88,"endTime":777.83,"body":"the normal male breast is pretty"},{"speaker":"Dr. Doug Kuntzweiler","startTime":777.83,"endTime":782.15,"body":"much just all fat, but if you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":777.83,"endTime":782.15,"body":"are developing a cancer, you do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":782.15,"endTime":785.87,"body":"show breast density on the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":782.15,"endTime":785.87,"body":"mammogram. It's difficult to do"},{"speaker":"Dr. Doug Kuntzweiler","startTime":785.87,"endTime":789.02,"body":"on males, because there just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":785.87,"endTime":789.02,"body":"isn't much tissue that you can"},{"speaker":"Dr. Doug Kuntzweiler","startTime":789.05,"endTime":794.54,"body":"you can see to image, but it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":789.05,"endTime":794.54,"body":"usually palpable in a male, so"},{"speaker":"Dr. Doug Kuntzweiler","startTime":794.54,"endTime":798.29,"body":"that's largely the way it's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":794.54,"endTime":798.29,"body":"discovered. But the male breast,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.29,"endTime":800.42,"body":"if it gets a cancer, does have"},{"speaker":"Dr. Doug Kuntzweiler","startTime":798.29,"endTime":800.42,"body":"more density."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":800.51,"endTime":802.22,"body":"And I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":800.51,"endTime":802.22,"body":"would say also, we don't"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":802.25,"endTime":805.97,"body":"typically screen men. You know,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":802.25,"endTime":805.97,"body":"we screen men for prostate"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":805.97,"endTime":808.85,"body":"cancer, but we don't necessarily"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":805.97,"endTime":808.85,"body":"screen for breast cancer because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":808.85,"endTime":812.51,"body":"it is rare, and, like Doug said,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":808.85,"endTime":812.51,"body":"more palpable usually. So you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":812.51,"endTime":815.93,"body":"will have signs, and it'll be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":812.51,"endTime":815.93,"body":"based on those signs that you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":815.93,"endTime":818.03,"body":"will determine if further"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":815.93,"endTime":818.03,"body":"imaging is needed."},{"speaker":"Beth Brown","startTime":818.33,"endTime":821.06,"body":"I guess the bottom"},{"speaker":"Beth Brown","startTime":818.33,"endTime":821.06,"body":"line then would be, what is the"},{"speaker":"Beth Brown","startTime":821.06,"endTime":824.9,"body":"key takeaway message? Going back"},{"speaker":"Beth Brown","startTime":821.06,"endTime":824.9,"body":"to that original question of,"},{"speaker":"Beth Brown","startTime":824.9,"endTime":829.64,"body":"how concerned should a woman be"},{"speaker":"Beth Brown","startTime":824.9,"endTime":829.64,"body":"to hear that she has dense"},{"speaker":"Beth Brown","startTime":829.67,"endTime":830.27,"body":"breasts?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":830.45,"endTime":833.03,"body":"I would"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":830.45,"endTime":833.03,"body":"say the bottom line, dense"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":833.03,"endTime":836.3,"body":"breasts are not a disease. Half"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":833.03,"endTime":836.3,"body":"of women who get their first"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":836.3,"endTime":839.81,"body":"mammogram are going to hear that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":836.3,"endTime":839.81,"body":"they have dense breasts, which"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":839.81,"endTime":842.87,"body":"means half of your friends are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":839.81,"endTime":842.87,"body":"going to say, what does this"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":842.87,"endTime":846.59,"body":"mean? I would think of it as a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":842.87,"endTime":846.59,"body":"heads up, not a warning sign."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":846.8,"endTime":849.5,"body":"And the good news is now that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":846.8,"endTime":849.5,"body":"you know, you and your doctor"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":849.5,"endTime":852.68,"body":"can stay on top of your breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":849.5,"endTime":852.68,"body":"health. Make sure you get breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":852.68,"endTime":855.29,"body":"screenings, make sure you are"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":852.68,"endTime":855.29,"body":"doing the correct screenings"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":855.29,"endTime":859.64,"body":"based on your risk factors. But"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":855.29,"endTime":859.64,"body":"really, this is about awareness."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":859.64,"endTime":860.93,"body":"It's not about panic."},{"speaker":"Dr. Doug Kuntzweiler","startTime":861.05,"endTime":863.51,"body":"I would"},{"speaker":"Dr. Doug Kuntzweiler","startTime":861.05,"endTime":863.51,"body":"say one of the problems with"},{"speaker":"Dr. Doug Kuntzweiler","startTime":863.57,"endTime":869.0,"body":"increased screening or going to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":863.57,"endTime":869.0,"body":"MRI or ultrasound is that both"},{"speaker":"Dr. Doug Kuntzweiler","startTime":869.0,"endTime":874.07,"body":"of those have a fairly high"},{"speaker":"Dr. Doug Kuntzweiler","startTime":869.0,"endTime":874.07,"body":"false positive rate, so you may"},{"speaker":"Dr. Doug Kuntzweiler","startTime":874.1,"endTime":879.29,"body":"wind up getting biopsies or"},{"speaker":"Dr. Doug Kuntzweiler","startTime":874.1,"endTime":879.29,"body":"needle biopsies or open biopsies"},{"speaker":"Dr. Doug Kuntzweiler","startTime":879.29,"endTime":883.52,"body":"or other technology that you"},{"speaker":"Dr. Doug Kuntzweiler","startTime":879.29,"endTime":883.52,"body":"really don't need. I think if"},{"speaker":"Dr. Doug Kuntzweiler","startTime":883.52,"endTime":887.66,"body":"you told you have dense breasts"},{"speaker":"Dr. Doug Kuntzweiler","startTime":883.52,"endTime":887.66,"body":"and there's some suspicious"},{"speaker":"Dr. Doug Kuntzweiler","startTime":887.66,"endTime":891.11,"body":"areas at all, my recommendation,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":887.66,"endTime":891.11,"body":"and actually my wife went"},{"speaker":"Dr. Doug Kuntzweiler","startTime":891.11,"endTime":895.46,"body":"through that is I would find a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":891.11,"endTime":895.46,"body":"breast surgeon, a surgeon who"},{"speaker":"Dr. Doug Kuntzweiler","startTime":895.46,"endTime":899.15,"body":"specializes just in breast"},{"speaker":"Dr. Doug Kuntzweiler","startTime":895.46,"endTime":899.15,"body":"health, and see them and follow"},{"speaker":"Dr. Doug Kuntzweiler","startTime":899.15,"endTime":901.46,"body":"their guidance. They're the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":899.15,"endTime":901.46,"body":"people that have the most"},{"speaker":"Dr. Doug Kuntzweiler","startTime":901.46,"endTime":905.03,"body":"experience at trying to figure"},{"speaker":"Dr. Doug Kuntzweiler","startTime":901.46,"endTime":905.03,"body":"this out, especially if there's"},{"speaker":"Dr. Doug Kuntzweiler","startTime":905.06,"endTime":908.18,"body":"high density in the breast, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":905.06,"endTime":908.18,"body":"also some area that looks"},{"speaker":"Dr. Doug Kuntzweiler","startTime":908.18,"endTime":912.32,"body":"suspicious, I think your your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":908.18,"endTime":912.32,"body":"best move at that point would be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":912.32,"endTime":916.49,"body":"to go see a breast surgeon and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":912.32,"endTime":916.49,"body":"let them help you decide what"},{"speaker":"Dr. Doug Kuntzweiler","startTime":916.49,"endTime":917.66,"body":"should be your next step."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":917.72,"endTime":919.82,"body":"And I"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":917.72,"endTime":919.82,"body":"would also say that if the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":919.82,"endTime":924.26,"body":"radiologist reads your mammogram"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":919.82,"endTime":924.26,"body":"and says you have dense breasts"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":924.29,"endTime":928.49,"body":"and area with increased density"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":924.29,"endTime":928.49,"body":"that they recommend further"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":928.49,"endTime":932.87,"body":"imaging. The typical next step"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":928.49,"endTime":932.87,"body":"is an ultrasound. And I would"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":932.87,"endTime":938.15,"body":"also say, don't panic on that,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":932.87,"endTime":938.15,"body":"because about 50% - 40 to 50% of"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":938.15,"endTime":941.66,"body":"women who have their first"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":938.15,"endTime":941.66,"body":"mammogram are going to end up"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":941.69,"endTime":945.47,"body":"also getting a breast ultrasound"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":941.69,"endTime":945.47,"body":"to further look at things, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":945.47,"endTime":948.5,"body":"it's just that initial screening"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":945.47,"endTime":948.5,"body":"where they're getting a good"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":948.5,"endTime":953.69,"body":"feel for what is going on with"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":948.5,"endTime":953.69,"body":"your breast density and how to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":953.69,"endTime":958.01,"body":"proceed in the future. So I know"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":953.69,"endTime":958.01,"body":"that second image can be very"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":958.01,"endTime":961.88,"body":"anxiety provoking for people,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":958.01,"endTime":961.88,"body":"but I would think of it as,"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":961.91,"endTime":966.23,"body":"again, just it's a heads up."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":961.91,"endTime":966.23,"body":"You're learning your breasts at"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":966.23,"endTime":969.8,"body":"that age 40. Everybody's"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":966.23,"endTime":969.8,"body":"figuring out exactly what"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":969.8,"endTime":973.67,"body":"screening they need to do, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":969.8,"endTime":973.67,"body":"it's nothing to panic about. Our"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":973.67,"endTime":978.77,"body":"technology has made such great"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":973.67,"endTime":978.77,"body":"strides that we look for and we"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":978.77,"endTime":982.43,"body":"find things, and we cause a"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":978.77,"endTime":982.43,"body":"little bit of anxiety, sometimes"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":982.43,"endTime":984.95,"body":"over things that really are just"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":982.43,"endTime":984.95,"body":"normal."},{"speaker":"Dr. Doug Kuntzweiler","startTime":985.25,"endTime":987.05,"body":"Sometimes"},{"speaker":"Dr. Doug Kuntzweiler","startTime":985.25,"endTime":987.05,"body":"a lot of anxiety. There are"},{"speaker":"Dr. Doug Kuntzweiler","startTime":987.05,"endTime":991.34,"body":"women who have had prophylactic"},{"speaker":"Dr. Doug Kuntzweiler","startTime":987.05,"endTime":991.34,"body":"mastectomies because it just"},{"speaker":"Dr. Doug Kuntzweiler","startTime":991.4,"endTime":996.11,"body":"made them so anxious not knowing"},{"speaker":"Dr. Doug Kuntzweiler","startTime":991.4,"endTime":996.11,"body":"for sure whether they they had a"},{"speaker":"Dr. Doug Kuntzweiler","startTime":996.11,"endTime":999.71,"body":"cancer brewing or not. So we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":996.11,"endTime":999.71,"body":"want to try and avoid that if we"},{"speaker":"Dr. Doug Kuntzweiler","startTime":999.71,"endTime":1000.1,"body":"can."},{"speaker":"Beth Brown","startTime":1000.43,"endTime":1003.55,"body":"So do your due"},{"speaker":"Beth Brown","startTime":1000.43,"endTime":1003.55,"body":"diligence, but not any"},{"speaker":"Beth Brown","startTime":1003.55,"endTime":1006.07,"body":"differently than you would"},{"speaker":"Beth Brown","startTime":1003.55,"endTime":1006.07,"body":"whether your doctor said dense"},{"speaker":"Beth Brown","startTime":1006.07,"endTime":1007.45,"body":"breasts or not?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1007.54,"endTime":1009.28,"body":"Yeah, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1007.54,"endTime":1009.28,"body":"don't be afraid to talk to your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1009.28,"endTime":1012.28,"body":"doctor about it. Actually, don't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1009.28,"endTime":1012.28,"body":"be afraid to ask to talk to the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1012.28,"endTime":1016.93,"body":"radiologist. There are states,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1012.28,"endTime":1016.93,"body":"many states now, that mandate"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1016.96,"endTime":1020.5,"body":"that a radiologist report to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1016.96,"endTime":1020.5,"body":"women if they deem that she has"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1020.5,"endTime":1024.07,"body":"dense breasts, and, you know,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1020.5,"endTime":1024.07,"body":"recommending further studies,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1024.1,"endTime":1027.04,"body":"but you shouldn't hesitate to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1024.1,"endTime":1027.04,"body":"talk to them about it. Talk to"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1027.04,"endTime":1029.17,"body":"your providers, talk to your"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1027.04,"endTime":1029.17,"body":"radiologist."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1029.2,"endTime":1032.02,"body":"Yeah, and"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1029.2,"endTime":1032.02,"body":"I would also say, talk to your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1032.02,"endTime":1035.2,"body":"family. So I think you'd be"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1032.02,"endTime":1035.2,"body":"surprised. If you turn 40, you"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1035.2,"endTime":1038.74,"body":"get your first mammogram, they"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1035.2,"endTime":1038.74,"body":"say you have dense breasts, no"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1038.74,"endTime":1043.72,"body":"matter the size of your mother"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1038.74,"endTime":1043.72,"body":"or sisters, even if they're"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1043.72,"endTime":1046.51,"body":"bigger than you, smaller than"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1043.72,"endTime":1046.51,"body":"you, ask them about it, because"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1046.51,"endTime":1049.21,"body":"you may find out they've had"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1046.51,"endTime":1049.21,"body":"dense breasts their whole life"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1049.21,"endTime":1052.66,"body":"as well. And so it can put your"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1049.21,"endTime":1052.66,"body":"mind at a bit of ease too, as"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1052.66,"endTime":1054.58,"body":"there is just a genetic"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1052.66,"endTime":1054.58,"body":"component to it."},{"speaker":"Beth Brown","startTime":1054.73,"endTime":1057.91,"body":"What about other"},{"speaker":"Beth Brown","startTime":1054.73,"endTime":1057.91,"body":"websites or information out"},{"speaker":"Beth Brown","startTime":1057.91,"endTime":1060.52,"body":"there? Especially with as common"},{"speaker":"Beth Brown","startTime":1057.91,"endTime":1060.52,"body":"as this is, I would hope that if"},{"speaker":"Beth Brown","startTime":1060.55,"endTime":1063.46,"body":"a woman did want to learn a"},{"speaker":"Beth Brown","startTime":1060.55,"endTime":1063.46,"body":"little bit more for themselves,"},{"speaker":"Beth Brown","startTime":1063.46,"endTime":1064.36,"body":"where could they go?"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1064.69,"endTime":1067.12,"body":"So the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1064.69,"endTime":1067.12,"body":"Mayo Clinic always has wonderful"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1067.12,"endTime":1070.72,"body":"resources that are written in"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1067.12,"endTime":1070.72,"body":"layman's terms, and you can even"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1070.72,"endTime":1074.05,"body":"just search \"dense breasts Mayo"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1070.72,"endTime":1074.05,"body":"Clinic,\" and it will bring up"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1074.05,"endTime":1078.61,"body":"some good resources and answers"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1074.05,"endTime":1078.61,"body":"to commonly asked questions. The"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1078.64,"endTime":1083.71,"body":"CDC and the American Cancer"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1078.64,"endTime":1083.71,"body":"Society, they also have great"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1083.71,"endTime":1087.85,"body":"resources. There's also a breast"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1083.71,"endTime":1087.85,"body":"cancer organization that"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1087.85,"endTime":1091.54,"body":"provides a lot of answers to"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1087.85,"endTime":1091.54,"body":"these questions, or some of the"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1091.54,"endTime":1095.05,"body":"most commonly asked questions."},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1091.54,"endTime":1095.05,"body":"So all of these are resources"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1095.05,"endTime":1097.99,"body":"that you can look into. And I'm"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1095.05,"endTime":1097.99,"body":"guessing Beth, we can put those"},{"speaker":"Dr. Tiffany Kniepkamp","startTime":1097.99,"endTime":1098.8,"body":"in the show notes."},{"speaker":"Beth Brown","startTime":1098.98,"endTime":1101.65,"body":"Absolutely we can."},{"speaker":"Beth Brown","startTime":1098.98,"endTime":1101.65,"body":"Would you add anything to that,"},{"speaker":"Beth Brown","startTime":1101.65,"endTime":1102.01,"body":"Doug?"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1102.28,"endTime":1104.95,"body":"No, I"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1102.28,"endTime":1104.95,"body":"would encourage women to get"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1104.95,"endTime":1108.16,"body":"their screening. Don't be"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1104.95,"endTime":1108.16,"body":"afraid. And if you get the"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1108.16,"endTime":1111.34,"body":"report that you have dense"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1108.16,"endTime":1111.34,"body":"breasts, as Tiffany said, don't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1111.34,"endTime":1114.79,"body":"be afraid. Talk to your doctors,"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1111.34,"endTime":1114.79,"body":"talk to your family, and"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1114.88,"endTime":1116.86,"body":"proceed. You don't need to panic"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1114.88,"endTime":1116.86,"body":"over it."},{"speaker":"Beth Brown","startTime":1117.34,"endTime":1120.1,"body":"Be an empowered and"},{"speaker":"Beth Brown","startTime":1117.34,"endTime":1120.1,"body":"active patient, which is a"},{"speaker":"Beth Brown","startTime":1120.1,"endTime":1123.07,"body":"message we have on here all the"},{"speaker":"Beth Brown","startTime":1120.1,"endTime":1123.07,"body":"time. So this is just another"},{"speaker":"Beth Brown","startTime":1123.07,"endTime":1123.91,"body":"example of that."},{"speaker":"Dr. Doug Kuntzweiler","startTime":1124.03,"endTime":1125.83,"body":"Yes, don't"},{"speaker":"Dr. Doug Kuntzweiler","startTime":1124.03,"endTime":1125.83,"body":"be afraid to speak up."},{"speaker":"Beth Brown","startTime":1126.26,"endTime":1129.65,"body":"Exactly. Well, thank"},{"speaker":"Beth Brown","startTime":1126.26,"endTime":1129.65,"body":"you so much both for being here"},{"speaker":"Beth Brown","startTime":1129.65,"endTime":1133.1,"body":"today. We appreciate both of"},{"speaker":"Beth Brown","startTime":1129.65,"endTime":1133.1,"body":"your time. And yes, as Tiffany"},{"speaker":"Beth Brown","startTime":1133.1,"endTime":1135.74,"body":"said, we will definitely get"},{"speaker":"Beth Brown","startTime":1133.1,"endTime":1135.74,"body":"some resources along with this"},{"speaker":"Beth Brown","startTime":1135.74,"endTime":1138.44,"body":"episode so you can learn more,"},{"speaker":"Beth Brown","startTime":1135.74,"endTime":1138.44,"body":"if you would like. And if you"},{"speaker":"Beth Brown","startTime":1138.44,"endTime":1142.94,"body":"have a question for Dr. K for"},{"speaker":"Beth Brown","startTime":1138.44,"endTime":1142.94,"body":"either of the Dr. K's, please"},{"speaker":"Beth Brown","startTime":1142.94,"endTime":1148.37,"body":"email us at"},{"speaker":"Beth Brown","startTime":1142.94,"endTime":1148.37,"body":"QandAwithDrK@mpqhf.org and we'll"},{"speaker":"Beth Brown","startTime":1148.37,"endTime":1151.4,"body":"have that email address with"},{"speaker":"Beth Brown","startTime":1148.37,"endTime":1151.4,"body":"this episode as well, and we"},{"speaker":"Beth Brown","startTime":1151.4,"endTime":1154.43,"body":"answer all those questions"},{"speaker":"Beth Brown","startTime":1151.4,"endTime":1154.43,"body":"anonymously. Thanks so much. Be"},{"speaker":"Beth Brown","startTime":1154.43,"endTime":1154.67,"body":"well."}]}