Chilli Amar has shared her journey in getting a preventative mastectomy 7 years ago. Recently she was experiencing some discomfort with her implants from reconstruction surgery. After an MRI, it was discovered that she had an internal rupture and had to have the implants replaced. Chilli is doing great post-surgery but encourages breast health no matter your circumstances. Here is some information on what to expect during a mammogram, and how to get free and low-cost services in D.C., Maryland and Virginia.
Mammography, a pivotal tool in breast health, utilizes X-rays to generate images known as mammograms. Today, digital breast tomosynthesis (DBT) revolutionizes mammography, offering a three-dimensional view of breast tissue by combining multiple two-dimensional images.
Radiologists trained in mammogram interpretation scrutinize these images for signs of breast cancer, leveraging digital technology to adjust brightness, zoom in on areas of interest, and ensure accurate analysis. It's crucial to confirm that your insurance covers DBT when scheduling your mammography appointment.
What to Expect During a Mammogram
- Arrival and Check-in: Upon arrival at the imaging center or clinic, you'll check in at the reception desk. You may need to fill out some paperwork, especially if it's your first visit or if any of your information has changed.
- Changing into a Gown: You'll be asked to change into a gown provided by the facility. It's often best to wear separates, as you'll need to remove your clothing from the waist up for the procedure.
- Breast Positioning: A technologist, usually a female, will guide you to the mammography room. Once there, you'll be positioned in front of the mammography machine. Your breast will be placed on a special platform and compressed gently by a clear plastic plate. Compression helps spread out the breast tissue and ensures clear images. While compression can be uncomfortable for some, it's necessary for obtaining accurate results.
- Image Taking: The technologist will position the machine to take images of your breast. Typically, two images are taken of each breast: one from top to bottom and another from side to side. The process is relatively quick, with each image taken in a matter of seconds.
- Minimal Discomfort: While the compression can cause temporary discomfort, it lasts only for a few seconds during each image. Most women find the discomfort tolerable and manageable.
- Repeat Views: In some cases, the technologist may need to retake images if the initial ones are unclear or if additional views are required to capture specific areas of the breast.
- Post-Procedure: Once the mammogram is complete, you'll be allowed to get dressed and wait briefly while the technologist reviews the images to ensure they are clear and satisfactory.
- Waiting for Results: Depending on the facility's protocol, you may receive your results immediately, or they may be sent to your healthcare provider, who will then discuss them with you at a later appointment.
Navigating Abnormal Results
- Understanding the Results: First and foremost, take the time to understand the specific findings of your mammogram report. Abnormal results may indicate various abnormalities, such as suspicious masses, calcifications, or other changes in breast tissue.
- Consultation with Healthcare Provider: Schedule an appointment with your healthcare provider as soon as possible to discuss the results in detail. Your provider will help interpret the findings, explain what they mean for your health, and discuss next steps.
- Further Diagnostic Tests: In many cases, abnormal mammogram results may necessitate further diagnostic tests to obtain additional information. These tests may include diagnostic mammograms, breast ultrasounds, or breast MRIs. Your healthcare provider will determine the most appropriate tests based on your individual situation.
- Biopsy Procedure: If the abnormal findings warrant additional investigation, your healthcare provider may recommend a biopsy. During a biopsy, a small tissue sample is extracted from the suspicious area in the breast and examined under a microscope to determine if cancer cells are present. Biopsies are typically performed by a radiologist or surgeon using imaging guidance.
- Emotional Support: Dealing with abnormal mammogram results can evoke a range of emotions, including fear, anxiety, and uncertainty. It's essential to seek emotional support from loved ones, support groups, or mental health professionals during this challenging time.
- Educate Yourself: Take the initiative to educate yourself about breast health, breast cancer risk factors, and available treatment options. Understanding your condition and the recommended course of action can empower you to make informed decisions about your healthcare.
- Follow-Up Care: Follow your healthcare provider's recommendations for follow-up care and monitoring closely. Regular follow-up appointments, imaging studies, or additional treatments may be necessary depending on the outcome of diagnostic tests and biopsy results.
- Second Opinion: If you have concerns about your diagnosis or treatment plan, don't hesitate to seek a second opinion from another healthcare provider or specialist. A second opinion can provide valuable insights and ensure that you receive comprehensive care tailored to your needs.
- Maintain Open Communication: Maintain open communication with your healthcare team throughout the diagnostic and treatment process. Don't hesitate to ask questions, seek clarification, or voice any concerns you may have along the way.
Affordable Mammography Options In The Washington, D.C. Metro Area
Here are some local resources and options you can explore:
- Local Health Departments: Both Montgomery County, Maryland, and various counties in Northern Virginia may offer programs or partnerships that provide free or low-cost mammograms to eligible individuals. Contact your local health department or visit their website for information on available services and eligibility criteria.
- Community Health Centers: Federally Qualified Health Centers (FQHCs) and community health centers often offer comprehensive healthcare services, including breast cancer screenings at reduced costs based on income and eligibility. Examples include Mary's Center in Washington DC and Arlington Free Clinic in Virginia.
- Nonprofit Organizations: Nonprofit organizations like Susan G. Komen and the American Cancer Society may provide information on local resources and programs offering free or discounted mammograms. They may also have partnerships with healthcare providers or facilities offering screening services.
- Breast Cancer Awareness Events: Keep an eye out for breast cancer awareness events and campaigns in the area. These events sometimes offer free or low-cost mammograms as part of their outreach efforts. Check with local hospitals, clinics, or community organizations for upcoming events.
- National Breast and Cervical Cancer Early Detection Program (NBCCEDP): This program provides breast and cervical cancer screenings to low-income, uninsured, and underinsured women across the United States. Eligibility criteria vary by state, but it's worth contacting the local program coordinator or visiting the CDC website for more information.
- Mobile Mammography Units: Some healthcare facilities or organizations operate mobile mammography units that travel to different locations, providing convenient access to screening services. These units may offer reduced-cost or free mammograms during specific outreach events or campaigns.
- Insurance Coverage and Affordable Care Act (ACA): If you have health insurance, check your coverage details regarding preventive services like mammograms. Under the Affordable Care Act (ACA), insurance plans are required to cover mammograms with no out-of-pocket costs for eligible individuals. Contact your insurance provider for specifics about coverage and network facilities.
- Patient Assistance Programs: Some hospitals, imaging centers, or breast health clinics offer financial assistance programs or sliding-scale fees based on income for mammography services. Inquire directly with these facilities about any available financial assistance options.
Click here for more information and resources on mammograms from Komen.org
Source: Komen
Photo: Getty