We Can Do Hard Things

Life-Saving Intel: Amanda's Breast Cancer Surgeon Dr. Lucy De La Cruz

10 snips
Oct 21, 2025
In this enlightening discussion, Dr. Lucy M. De La Cruz, a breast surgical oncologist and Chief of Breast Surgery at MedStar Georgetown University Hospital, shares vital insights into breast cancer care. She emphasizes the importance of self-advocacy and making informed choices about surgery, including lumpectomies and mastectomies. The conversation covers navigating complex medical decisions, understanding breast density, and the benefits of innovative reconstruction techniques. Listeners are encouraged to take charge of their health with knowledge and empowerment.
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ANECDOTE

Listeners' Self‑Advocacy Led To Early Diagnoses

  • Amanda shared multiple listener voicemails from women whose self‑advocacy (asking for MRIs) led to early cancer detection and lifesaving treatment.
  • These stories show how sharing information triggered concrete actions that prevented later, worse outcomes.
ADVICE

Push For MRI If Breasts Are Extremely Dense

  • If you have dense breasts, ask whether you are category C or D and push for supplemental screening like MRI if you are D.
  • Document your request and risk factors so insurance approval becomes likelier or consider a mini‑MRI if you can pay out of pocket.
INSIGHT

Doctors' Answers Reflect Their Skill Set

  • Surgeons' recommendations often reflect their own skills and biases rather than a single objective solution.
  • Seek multiple opinions to learn all viable options before committing to a single surgical path.
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