Dorothy: [00:00:00] Don’t have a personal doctor but need a mammogram? Too bad. You can’t have a mammogram without a doctor’s referral. At least not until now. Learn how Amanda Gujral, nurse practitioner, is forging a path for women who have been bounced around. The system way too long. She runs her Mammogram to Medical Home Program and it is here for you.
If you don’t have a personal doctor.
Let’s talk about your breast. A different kind of podcast presented to you by The Rose. The Breast Center of Excellence and a Texas treasure. You’re going to hear frank discussions about tough topics. And you’re going to learn why knowing about your breast could save your life. Join us as we hear another story and we answer those tough questions that you may have.
Amanda: My name’s Amanda Gujral. I’m the Nurse Practitioner [00:01:00] Manager for the Mammogram to Medical Home Program. The Rose, I started in March of this year.
Dorothy: So a lot of people don’t realize exactly what a nurse practitioner is. First you were in nursing, right? And tell us why you even got into that field.
Amanda: I kind of grew up around medicine. My mom worked in the laboratory overnights when we were children and then she went back to school to be a Physician Assistant when I was in high school. My sisters were a little bit younger. And that always interested me. My dad was an electrician. I wasn’t as interested in that. And, um, science class always kind of called to me.
Biology, took AP biology. And then in undergrad, I decided to do my bachelors in biology. I wasn’t sure what I wanted to do necessarily. Um, kind of. Thought about dental, being a dentist, going into medicine. My school, my undergrad school, Lafayette College, actually didn’t have a nursing program, um, so I did all the pre reqs.
But, uh, by the time I realized I wanted to [00:02:00] do nursing, I was like a junior, senior. So I did my bachelor’s in biology and then went to NYU pretty much right after for accelerated. Bachelors in nursing. I chose nursing because it’s a great mix of everything. Um, it’s really Incredible that you can be in this one Career, but have multiple careers within your career.
You can really go you change units in the hospital. You learn all new things And so it’s a great life. I was looking for something that had a really great work life balance as well that allowed me to In the future, be a mother, um, have a family and not completely overwhelmed with my job. So, yeah, that’s kind of how I fell into nursing.
Dorothy: So, originally, you’re from New York.
Amanda: From New York, originally. Yes. Yeah, born and raised in Westchester, New York. And then, uh, we moved, we went, I went to college. We moved to Colorado for a little bit. Moved to Houston for a little bit. Moved back to New York and then came back to Houston because we loved it so much and we [00:03:00] missed it.
Dorothy: So, being a nurse practitioner, though, you have, that is like. The highest you can get without going into, uh, being a doctorate?
Amanda: Basically, yeah. Explain that to us. There’s a DNP now, so doctor and nurse practitioner that you can go back for, and that’s the highest degree. But otherwise, um, you start off with, it used to be you start off with your LVN, LPN, it doesn’t really exist anymore.
So a registered nurse is what you start as. 2013 I started as a registered nurse and sort of worked my way up in Colorado jobs weren’t great I worked at a nursing home and a acute rehab facility Never actually had an inpatient hospital job until moving to Houston. So that was a couple years into my career and then started like most do and med surg where you get that general Um, knowledge and skill set.
And then I really found myself starting to go towards oncology. Um, so from being in Memorial Hermann Northeast, I started working at MD Anderson. [00:04:00] And at MD Anderson, I was on the head, neck, and breast reconstructive, um, floor. So a lot of acute post surgery, um, very challenging. But again, I loved it because I learned a whole new skill set.
And I was able to really get into that. What oncology was about, especially on the surgical side. Saw a lot of breast patients there, and my love for oncology continued to grow. Um, for the patients and for just the general knowledge and what I was learning in oncology. Um, so, then, I, Moved to New York, it’s hard to keep it straight sometimes, and started at NYU and did outpatient infusion.
So doing chemotherapy for patients. So I got to see a whole different side of the oncology world and what the patients were going through, um, with cancer. And then we moved back here. I was in an interventional radiology at MD Anderson. Um, again, seeing a whole different, a whole different skill set being in there during their procedures, [00:05:00] doing conscious sedation and monitoring the patient while the doctors did ablations and biopsies and all different procedures.
And then, um, all through that time, during I was in IR, I was in nurse practitioner school and I always wanted to go back as a nurse practitioner. Um, that was always my goal is just life happened and we moved around a lot. And, um, now that we knew we were going to be somewhere and. Staying in Houston. Um, I was really able to get through the program after through a couple of years, COVID happened, um, some other things happened, but I was able to finish and start my nurse practitioner career.
And it’s, um, different in the aspect of a registered nurse because a nurse practitioner, it’s more, you’re treat, you’re diagnosing and treating where nursing, um, for me. Got sort of boring as an RN because it is a lot of it’s skills and it’s critical thinking, but it is a lot of task oriented things as [00:06:00] well, especially inpatient.
So being able to step back and kind of have my own, um, opinion on my skill set and after the training and going to school and earning my degree. Being that person and that point for the patient. Um, it’s a little different than when you’re a registered nurse because the nurse practitioner, you’re a provider.
Like you are, you can be their provider at that point. And, um, it’s very special and I just love it.
Dorothy: So you brought all of this oncology and general, uh, medical surgery, the reconstruction, all of this past experience and knowledge, you brought it into this position. So now tell us exactly what the Mammogram to Medical Home Program does. You know, this was something that, uh, was a Rose’s response to what we were seeing as a need within our community.
And I always say, sometimes we [00:07:00] have really good ideas, sometimes our ideas are not so good, but this one has been one that has just been magical, and especially since you’ve been leading it, Amanda, it, it has just mushroomed. So. What happens in the Mammogram to Medical Home Program?
Amanda: So we serve the patients that are uninsured that don’t have a provider to go to so they don’t have a primary care doctor. Maybe they go to urgent care here and there or A lot of the times with these women, the last time that they saw a provider was five years ago when they had their last child, they saw their OBGYN for their postpartum, and that was it.
And that was the last time that they’ve seen a provider. So, they really don’t have a resource to go to, especially, um, if they’re having a problem, or even if they just want their screening mammogram, they just, Don’t know where to go. They don’t have insurance. They don’t have a way to call it, you know, somebody and say, where do I go?
Where can I go? That’s covered. Nothing’s covered, obviously. And they don’t want to, you know, it’s, [00:08:00] it’s an expense for something that they don’t have right now. And they just are unable to get that. That’s thing that they need and they don’t know where to go. They don’t know where to get it. So we are trying to get the word out there because what we do is we are that provider for the uninsured patient that doesn’t have one.
We have them come in. They have office visit general wellness exam, um, a breast exam with me and then I can be the one that orders their mammogram. Whichever one they need a screening mammogram a diagnostic mammogram, you know Our goal is to get the women in that need screening not necessarily have an issue We want them to have their screenings So early detection right so that we can catch something early if they are to end up a breast cancer But in the very beginning, especially when the program in March when I joined the program It was a lot of women coming in that They [00:09:00] have a lump, they have this, they have an issue that they’ve had for months and they just didn’t know where to go and they come in and, you know, most of the time it’s benign and it’s nothing, but we’ve had about, um, what did I say, 23 women since the beginning of the program, November, 2021, who were diagnosed with breast cancer, five since I started in March.
So, yeah.
Dorothy: And for our listeners, that is a huge amount, considering the number that have been through the program.
Amanda: Right. I mean, I started in March, and we’ve seen 57 women, so that’s like an 8. 7 percent diagnosis rate. So, it’s pretty high.
Dorothy: But the good thing is, they’re not waiting any longer. They may have waited for a while to get in, but now that they’ve found the mammogram to medical home, Then there’s, they have to, they don’t have to wait anymore.
Now, okay, so that’s one arm of it, and the woman has had her mammogram, [00:10:00] and it is, it has a problem going on. And she has to come back for diagnostics, and it’s ultimately determined that she has breast cancer. Then what happens to those women?
Amanda: Right, because in our program, the mammogram, we take care of the mammogram, right?
If they come in and they have a lump already, or if I feel something, they’ll get their diagnostic and their ultrasound mammogram, or their diagnostic mammogram and their ultrasound. Um, obviously, if the radiologist sees something of concern, they’ll be Um, scheduled for their biopsy, have the biopsy done, pathology gets sent off and it’ll come back if it comes back positive, um, then we have our radiologists and navigators, we have wonderful navigators who you’ve had on the show, um, that make an appointment with the patient so that everybody can sit down and talk to the patient about diagnosis and then make sure that we can get them into the appropriate program to, Help get them treatment right now.
The only way that we do that and [00:11:00] the reason why we have some Qualifications and stipulations on the program right is because we want to make sure that they get into those programs So we see through the Mammogram to Medical Home Program patients who are 200 percent of the poverty line are below Right, and the reason why we do that is because we don’t want to leave him hanging.
Dorothy: Mm hmm.
Amanda: If they are diagnosed with breast cancer We want to be able to get them into the breast cervical Medicaid program, ideally, if not other programs, but that’s the program that we go to, right?
So, that’s why we have that 200 percent threshold for our program to qualify for.
Dorothy: So it’s for low income, uninsured. Women who do not have a physician.
Amanda: Correct.
Dorothy: You’re serving as the physician in that case.
Amanda: Correct.
Dorothy: So, now what happens if there’s nothing at all wrong with them? They had a screening mammogram, it’s totally normal?
Amanda: That’s great because now they know of The Rose. And they know that, of course, if they’re of age, they’re 35 to 40 years old, right? They can come back to us every year for their [00:12:00] mammogram. Now, part of the program and why it’s called medical, uh, Mammogram to Medical Home is because We make sure to navigate them to a clinic when we’re all done.
So if they had a mammogram, it’s normal, everything’s great, come back in a year. Now, we call them, my medical assistant calls them, Neri, and make sure that they follow up and go to a clinic. This clinic will go, you know, again, they haven’t had a physical, maybe they haven’t had a well women’s exam in five, ten years.
So they’re able to go to this clinic, get all their health concerns and all their physical and their well women’s exam done. But also, so that’s a point for them for that whole year and beyond, but they also now have a provider that they can get their mammogram order from and come back to us next year, even if they’re still uninsured.
You know, we, we see uninsured patients with a doctor’s order and we can help them with a payment plan or sponsorship.
Dorothy: Right. And, and there are many different resources for [00:13:00] women who are needing a medical home. There’s a community clinics, a fairly qualified health centers, and, and like you said, they’re going to provide that total health care, you know, if that woman’s having blood pressure problems. Or, any kind of other issue that’s beyond breast, then she’s going to have that care that she hasn’t been able to access before. And many of them don’t even know those centers exist.
Amanda: Right.
Dorothy: Are, are most important how to get into them. And that’s what your, uh, your program helps them to explain to them.
Here’s how it works. Here’s how we’re going to get you in. All of those kind of things. So I understand we have some success stories. This program’s only been around a couple years. But you do have some who have found their medical home and are now coming back with that referral from the medical home. I mean, I think that is fabulous.
We know they got more than a mammogram. A woman needs so much more in her life than just the mammogram. But at least it’s a place we start.
Amanda: Right. And we try to counsel them. I mean, when they come through [00:14:00] our doors and they come into my office, And for an exam, we talk about, you know, any other health concerns.
Oh, look, your blood pressure is high. You need to start monitoring at home. You need to follow up with the clinic that we send you to, um, because, you know, risks are organ damage, stroke, right? And a lot of the women aren’t necessarily educated about those risks. And of course they’re worried when they see that and they hear that.
So I hope that, you know, our education about that, um, prompts them to take their health seriously too. Not put everybody else first.
Dorothy: Right. Right. And they may have been on medication at one time, but couldn’t afford it anymore. I couldn’t get it refilled. So that’s the other part of what you’re doing is to make sure they understand they’ve got to get back on that.
And they, they need to, to follow those different guidelines that they’re going to need to stay healthy.
Amanda: You know, maybe bounced around ERs, whether it’s for a breast issue or for another health issue [00:15:00] or urgent cares. And that’s not, you know, it’s a place to go and a place to get immediate help. Um, but it’s not the best situation or choice because you, you don’t get followed up with and there’s no continuity of care.
And so, yeah, and then they say, okay, well, the ER gave me five pills for my blood pressure and they’re out now. Where do I go? What do I do? I can’t afford it or I don’t, I’m not going to go back to the ER again. So it’s hard.
Dorothy: So the, how do, how do women find you?
Amanda: Well, it’s about us finding them at first, I think.
So we, you know, just getting the word out there about the Rose and about. this program. So we’ve been doing a lot of outreach. My I— . Neri and I, we’ve been partnering with some community centers. We’ve been doing health fairs, food fairs, partnering with churches, women’s homes, um, just leaving flyers, like just doing what we can.
Uh, obviously if they know of the [00:16:00] rose, they can come through The Rose at any time and come through our program if they qualify. But Just word of mouth and us getting out there in the community to let everybody know that we’re a resource and you know some So far, it’s been word of mouth either us going out or a friend told me About The Rose and then I called and said i’m uninsured don’t have a provider and they sent they kind of get funneled to us um One really interesting And I’m still trying to track down how but one really interesting story was a woman came to us and earlier that week She immigrated from Venezuela by foot And she ended up okay, like she didn’t have she felt like she had a lump, but it was okay It was benign but and she found us through a resource That was given to her at the border.
So one of the resources I think it was one of the churches She called that number and they gave our, The Rose.
Dorothy: Oh my gosh, that gives me chills.
Amanda: Yeah. [00:17:00] Yeah. I was just like, how, first of all, like her story was incredible, obviously about immigrating, but the fact that she was able to find us like within a week and had like, we sent her to obviously a clinic too and gave her other resources about some of the churches and community centers around.
Cause she hadn’t. Nothing, like she just had no idea about any resources in Houston.
Dorothy: Oh my gosh.
Amanda: So we were kind of the first people that she saw.
Dorothy: The resources that you do offer can, can be, uh, from A to Z, they could be anything. I, I find it so interesting that you go to food fairs.
Amanda: Yeah.
Dorothy: You know, you wouldn’t connect that with health issues, but The people that are going to food fairs are the people that are most in need.
Amanda: Yeah, I mean we find that a lot of the women there are older Hispanic women and um, are uninsured. Um, and so it’s our demographic and the population we’re trying to reach one of the populations we’re trying to reach, but the need is there and they’re all [00:18:00] very interested when we’re there. There are a few tables that are set up for different resources.
Dorothy: And you get their information while if you can, while you’re there.
Amanda: Sometimes it’s a little fast paced.
So we get there, you know, we tell them about our program, hand out some flyers, some brochures, make sure they, yeah, I give them the brochu—. Spiel real quick about how to take care of yourself and how to do a self exam and what to look for But then we take their name phone number and we try to reach them Uh a day or two later to kind of get all their information see if they qualify and then get them in.
Dorothy: I think it’s amazing.
What did you tell me 30 or a little bit more than that come from the health fairs? That actually wind up Going through the program.
Amanda: Yeah, at first, you know, I first started it was all from scheduling because we weren’t getting out there yet But now that we’ve been going out to more events It’s about 30 percent of our referrals are coming in through just our events that we go to health fairs food fairs other partnerships that we have.
Dorothy: So you’ve told us about the most interesting.
Do you have a most [00:19:00] saddest?
Amanda: It’s it’s a new diagnosis, but 33 year old mother of four, I think the youngest is like two and basically diagnosed metastatic. So, um, I think she just got her diagnosis like a week ago. So like I said, I haven’t really followed up yet, but the navigators are now working with her and following up and, um, so that’s not great.
Dorothy: No, no, no. That age is so tough. Having metastatic already. However, if she gets into treatment, there is all kind of possibilities that she’s going to be around to raise those kids.
Amanda: Yeah, and that’s why it’s important, you know, I don’t think she really did self breast exams. Um, probably has been busy with four kids, especially with a, you know, two year old.
And who knows how long it’s really been there, you know? Now you notice something that’s kind of growing in size and larger as it gets larger. So you say, oh, it’s been there a month or two, but really, [00:20:00] it could have been there for a little bit longer, probably a lot longer, a few more months at least, depending on how aggressive it is.
We haven’t gotten the pathology back, I don’t think.
Dorothy: Of course, with her just having a baby, that adds to all the other things that could have impacted it.
Amanda: Right, and then you have You know, if you’re breastfeeding and you’re not sure, this is just normal because I’m breastfeeding, because things are all kind of wonky and different when that’s happening, and you let it go and then you say, well, let me see if it goes away, especially if you’re uninsured and you don’t have a doctor and you don’t know where to go and you don’t have a resource.
Unfortunately, healthcare for women Can be lacking in a lot of ways. I think that well women’s exams breast exams and mammograms, you know should be covered for everybody should be free, but that’s me.
Dorothy: Oh, we believe the same way
Amanda: And postpartum care is horrendous. I mean you come in you see your doctor once after having a baby and And then they [00:21:00] say, okay, you’re good to go.
And you know, all the care, obviously you have the pediatrician for the baby, but nobody’s taking care of you. So nobody’s following up and you just hope that these things are normal that’s happening to you and they may or may not be. And, and then you get stuck and it’s a year later and then.
Dorothy: You talk to a neighbor and they assure you that’s nothing or whatever,
Amanda: “I’ll wait until I’m done breastfeeding to see if this goes away maybe,” um, and, and then you’re, or maybe stress or, you know, I’m too busy.
Cause I’m taking care of my family and.
Dorothy: And that’s one of the messages that we, we really harp on here. There’s, we see so many young women, especially young women who have just given birth. Within the last two years who have come in and, and they are positive for breast cancer and they, they really, you know, that’s the time to get into treatment.
You can’t mess around with it when you’re that young. It’s just, uh, too, too dangerous. And we have no reason for why we see more younger women with breast cancer. It’s just happening. So if [00:22:00] there’s something going on with your breast, we really want you to do everything you can to get in. And again, this. This, if you call us and say, I don’t have a doctor, then the next step is to be, that you will most likely be sent to the Mammogram to Medical Home Program. And that’s where all of this whole process starts. So, Mandy, non profit is not new to you. Tell us about, about your experience at the non profit world.
Amanda: Sure. So, when my husband and I moved to Houston originally, which was in 2015,
something like that. We don’t have family here. We, he’s also from New York. We don’t have a family. We didn’t have friends. We just started, you know. Again, networking with our friends through, through work and co workers and, um, so we thought there’s something that we want and feel like we need to do to kind of give back to [00:23:00] the community and also put down roots.
Um, but we weren’t sure if we were going to stay here and we didn’t. We actually moved back to New York, but it was only for about a year. And, um, when we moved back to Houston in 2016. Then we were like, okay, we’re gonna do this. So my husband had mentored in the past with Some organizations in new york. I hadn’t because um, he’s in consulting and energy and i’m Nursing and felt like I was busy and gave all my energy to nursing so he had some energy to give um But when we moved to Houston We decided we wanted to do something to make an impact on the community And so we started the Houston, um, chapter of Minds Matter and it’s a national organization.
It’s a college access program for high school students. So we take the students in at sophomore year and they’re with us until they graduate and it’s mentoring, tutoring. And, uh, summer [00:24:00] programs is basically the triad that we offer. Um, so yeah.
Dorothy: So you actually started the program here.
Amanda: We started the Houston chapter, yeah.
So we had to kind of make a case for why Houston. They have 13 other chapters around the U. S. Nothing really South. Um, like Colorado, Southern California. That’s really about it. So, it was easy, um, it was easy to, because of the size of Houston, and because of the need, um, in the schools, and the need of the students, it was easy to convince the board that Houston would benefit.
And really the only issue was transportation of, you know, how do the kids, you know, get around to where we’re going to meet, but we make it central downtown and we’ve made it work. So we’ve been going on like we’re on our fifth, sixth year. Um, and yeah, it’s been great.
Dorothy: Your husband’s very much involved.
You’re still. Somewhat involved.
Amanda: Yes, he’s [00:25:00] um, he was executive director. He stepped back. There’s a new executive director now, but he’s still helping the transition.
Dorothy: And in between this time you had two children?
Amanda: Yeah, we had two kids, a two and a four year old. Um, so.
Dorothy: And he thought nursing made you busy.
Amanda: Yeah.
Dorothy: Yeah.
Amanda: Yeah. That’s, that’s, that is the busiest job you will ever have nonstop, but, um, yeah, so we’ve done all that. I’m still part of the, uh, volunteering, um, board, but also looking to step back a little bit, but still be part of it. Our, our busy times during the summer recruiting for the year. So it’s not too bad, but we still want to be involved a little bit in some way because it’s our baby.
Dorothy: So, you know, you touched on this a little bit before, but if you could change anything in women’s health, what would it be?
Amanda: Oh yeah. Um, just the, the education and. and access. I mean, it’s just frustrating that women don’t get [00:26:00] especially the surveillance and just the preventative care. Like we’re all about preventative care and I think the country, our mindset, things have shifted about that preventative care is necessary and You know, for all the people worried about money is cost saving, but it’s the best way to ensure that we’re healthy and preventative care will supersede anything that you can do once you’re diagnosed.
So getting your well, having well women’s exams, having, you know, mammograms at 40 and breast exams and having all of that just covered, finding a way to have that. And have access to it, whether it’s you just walk in to the clinic or to, um, somewhere that you can get a mammogram and say, okay, I’m due for my mammogram.
Eliminating some barriers. And then—
Dorothy: it’s the access that, you know, we, we always say, well, you know, it’s financial or they don’t have [00:27:00] insurance. But I think you’ve touched upon something women don’t even know how important this is.
Amanda: Right.
Dorothy: And especially when you have so many other things that you’re trying to take care of and so many other people you’re trying to take care of.
Amanda: Right. And it’s like, you know, if say you’re 40 and completely healthy, then it might be on the top of your list aside from whatever else is going on. You say, okay, I’m going to be due for my mammogram if they know that at 40 you’re due for your mammogram. And I think most women who have been in and through a clinic know about pap smears and know.
That you need to get with those well women exams, but mammograms, not as much, but if you have any other health issues, which most of us do, um, high blood pressure, diabetes, autoimmune disease, anything that’s gonna supersede the need for surveillance and in your mind, right? And just. Juggling that and take caring taking care of those things.
Dorothy: Right.
Amanda: So then it’s [00:28:00] up to providers if they see one If not their family and friends who also may be in the same boat to push and say but this is really important because if You have a mammogram now a 40 versus 42 you might catch something That you then let grow for two years, and it’s late stage. It’s gonna affect your quality of life, the length of your life.
Yeah, your options. And so, I just think that talking about it is the most important thing we can do. Because so many women just don’t even know. You know, we go through the health fairs and the food fairs, and There are women that are 40, 45, 50 who have never had a mammogram and you know, I have my, we have our low model of the breast and we have, I have the, you know, sizes of the tumors that can be what sizes they are and what the mammogram can pick up and try to educate and show them.
That this is why you’re doing it and it’s really [00:29:00] important to do it. And I think also in their minds, like every year, that seems like a lot.
Dorothy: Right. It’s not a one time thing though.
Amanda: Why can’t I just get it now? And I get it in a few years. And a lot of women do do that. They skip it for whatever reason because of access or time or they just don’t want to do it.
And so just trying to drill home that it’s so important. To get it every year because things can change massively in a year. And if you do have breast cancer, it can grow and really affect the outcome.
Dorothy: So, you’re sending two messages. First, we gotta do that routine, normal screening mammogram starting at 40 every year, no matter what.
And the other one is, if you found something, it needs to be checked out.
Amanda: Right, don’t sit on it, don’t wait. It can be scary. Um, thinking about all the possibilities of what you might find out from it is obviously a lot of the time a barrier, but we’re a resource and we’re here and we’re here to help. The longer you wait, the worse the [00:30:00] outcome is going to be.
Dorothy: Besides the mental agony that you go through just thinking, what if?
Amanda: Right. Yeah.
Dorothy: I mean, we’re here to get that question answered.
Amanda: Right, and denial is a tough thing. I mean, it’s really bothering you, and that’s the problem with breast cancer too, is it, you can go a long time without it really affecting your day to day.
Unlike autoimmune or a blood pressure issue or diabetes, right? You can go a long time. Just sort of.
Dorothy: Not even know it’s there.
Amanda: Right.
Dorothy: Yeah.
Amanda: Well, not, yeah, not know it’s there. And then once you might know that something’s there, still putting it off because you’re like, well, it’s my breast. It’s fine. Like I can do what I need to do and take care of what I need to take care of.
And until it gets to the point where it’s, you know, Massive you can’t ignore it anymore because other things start to happen.
Dorothy: So Amanda We’re so glad that you’re a part of the Rose and and I think the other message that I would want to send is you’re very Accessible. I mean you’re there to hear their issues to talk with them and Most of all [00:31:00] to help them understand.
This is a very scary time for any woman when you find something And it’s, it’s not one of those things that everybody knows much about, so I think that’s a, that’s a real key point to make sure that women know there’s no, there’s no silly question, there’s no stupid question, we’re here to answer all of them.
Amanda: Yeah, that’s correct. Honestly, the Rose is the best place to go, I’m going to say, the best place to go for this because you’re taking care of throughout the whole process. It’s not just, uh, you’re going to imaging center and having it done and that’s when it done and whatever happens, um, you follow up with somebody else.
No, the Rose is there for you the whole time, even through diagnosis, following up after making sure you have everything that you need. So, um, we really are there for every situation and for anybody.
Dorothy: Well Thank you so much for sharing and we sure hope that if anyone needs a physician and doesn’t [00:32:00] have one They’re uninsured that they take that time to call the Rose and then you’ll get connected with Amanda.
Thank you.
Amanda: Thank you for having me
Dorothy: So that wraps it up for today. And don’t forget, we’re doing a episode every single day. You’re going to get your daily dose of Let’s Talk About Your Breasts during the month of October.
Post-Credits: October is the month of pink, and for The Rose, a Breast Center of Excellence, that means we’ll be airing podcasts every day in October to celebrate Breast Cancer Awareness Month.
We’ll be sharing everything from bikers writing for breast cancer to areola tattoos. Be sure to share with family and friends because there’s a little something for everyone. To find out ways to help The Rose, visit our website at therose.org. Remember, self care is not selfish. It’s essential.
