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Jewish women should get mammograms at 40, experts say. Here’s why.
When Yaffa Leah Field was in her late 20s, she decided to undergo genetic testing.
Her grandmother had had breast cancer, and Field wanted to know whether she was among the one of every 40 Jewish women of Ashkenazi descent with either the BRCA1 or BRCA2 genetic mutations, which make them extra susceptible to breast cancer.
If she did have one of those mutations, her chances of developing breast cancer by age 70 would be roughly 50% in her lifetime, according to the Centers for Disease Control.
“The test came back negative,” said Field, now 43 and the mother of three boys.
Though temporarily relieved, she knew that breast cancer risk is not limited to those with the genetic mutations. Roughly one in eight women will develop the disease in their lifetime, and men, too, can have breast cancer.
Close monitoring, therefore, is essential. For women, that means not only regularly checking their breasts themselves for lumps or abnormalities, but getting mammograms. The question is when to start.
Field, who now works at Sharsheret, the national Jewish nonprofit that offers education, counseling and support to women facing breast and ovarian cancer, got her professional start as a physician’s assistant, so she knew how important it was to “do my screening on time.”
But what exactly “on time” means has been the subject of much debate and disagreement.
The question came to the fore again this spring when a panel of experts serving on the United States Preventive Services Task Force (USPSTF) revised earlier guidelines and changed the recommended age that women get their first mammograms to 40, from 50, and suggested that they continue to have mammograms done once every two years. It’s not the first time the recommendation has changed.
“In 2016 the US Task Force changed the guidelines from 40 to 50,” said Dr. Caryn Gamss, a radiologist at Murray Hill Radiology in Manhattan.
Gamss is also a member of Sharsheret’s Medical Advisory Board. In her practice, Gamss adheres to guidelines from the American College of Radiology that recommend starting yearly screenings at age 40 provided a person has no risk factors.
“Fifty is too late,” Gamss says.
Even waiting until age 40 can be risky, as recent studies have shown high breast cancer mortality rates for women in that age group, she noted.
“People need to think about it younger instead of waiting and then finding out ‘My mother had cancer, my grandmother…’ — and they show up at 40 and have cancer, too,” Gamss said.
Her recommendation is that all women undergo a breast cancer risk assessment by age 25. That entails answering a panel of questions that covers one’s family and medical history. Among other things, the assessment inquires whether a person had “a biopsy and a high risk lesion; breast density, if someone has lymphoma and was treated under the age of 25; if someone got upper abdominal radiation before age 25.”
The responses to these questions help doctors determine when and how individual patients should be screened — including whether to do MRIs and ultrasounds to supplement mammograms, for example. At-risk women should start their 30s armed with information and a plan.
Short of that, there is what Peggy Cottrell, Sharsheret’s genetics program manager, calls a general rule of thumb: “If breast cancer has been diagnosed at a particular age, you want to start screening 10 years before that. So if someone’s mother was diagnosed with breast cancer at 45, that person is going to start screening at 35.”
Avoiding smoking and alcohol, exercising, and a good diet are important to maintaining good health, Cottrell notes, but perhaps the biggest factor is chance. In fact, hereditary cancers like those caused by BRCA mutations account for only 15% of all breast cancers; most occur for reasons unknown. That makes screening all the more essential.
“For many women, knowing there is something they can do that can reduce their risk motivates them,” she said.
Many women delay getting mammograms out of fear of the results, nervousness about the process or just general anxiety. This is another area where Sharsheret provides women with help and guidance – even in the waiting room.
In order for doctors to interpret mammograms properly, they require two specific views of each breast. Sometimes, technicians need to take more than four photos to ensure they get those views; it doesn’t mean anything is wrong.
Women with no risk factors should get their first mammogram at age 40, experts now say, and to determine their level of risk, all women should undergo a breast cancer risk assessment by age 25. (Carol Yepes/Getty Images)
Even if you’re asked to come for a follow-up mammogram – what’s known as a diagnostic mammogram – it just means that more imaging is required, not that there’s necessarily a problem. Sometimes doctors observe a change in appearance from the prior year or a fold in the skin; other times the original image failed to capture the necessary view. Likewise, for some younger women and those with dense breasts, a mammogram may not suffice; doctors may require an ultrasound or MRI to examine the breast adequately.
Adina Fleischmann, a social worker who serves as Sharsheret’s chief services officer, recommends that each individual discuss their own circumstances with their healthcare provider. Sharsheret tries to promote awareness of the importance of getting breast cancer risk assessments, and to provide guidance to women about what to ask.
“We want to make sure that each woman who reaches out is able to ask the right questions: How often should I be screened? What’s the most appropriate screening method for me? Questions about what breast density means and how it can impact them,” Fleischmann said. “Those are the tools we want to give to our women.”
Women seeking guidance are encouraged to call Sharsheret toll-free at 866 474-2774 to connect with therapists and genetic counselors.
Sharsheret also offers peer-to-peer support, programs to guide cancer patients on how to talk about their illness with their children, and support to people who have a family member with breast cancer, including financial assistance for non-medical services critical to women’s quality of life and body image, such as acquiring wigs. Sharsheret also hosts live events such as barbecues, online yoga classes, family fun runs and other programs to empower women with cancer and foster a sense of community.
The education and awareness programming Sharsheret runs start as early as high school and college campuses, such as an annual Pink Day that includes grassroots fundraising events at hundreds of campuses worldwide.
“Sharsheret is here to arm you with education and to let you know that you’re not alone,” Fleischmann said. “Cancer screening, and the knowledge that comes along with it, can be empowering. By speaking with your healthcare provider about the screening guidelines that are most appropriate for you, you are taking a step toward your best health.”
As for Field, she went for her first baseline mammogram at age 40 — in the spring of 2020, just as Covid hit and the world masked up and locked down. The doctors identified something suspicious.
“It started a roller coaster of diagnostic testing. I wound up with eight biopsies, and in the end I had a bilateral mastectomy,” Field said after cancer was identified. “I feel thankful it was found very early.”
Her advice: Know your body and your family history.
“Breast cancer doesn’t just affect women 40 and older,” Field said. “Know your potential risks. Empower yourself to know what you need to be aware of. It shouldn’t be a shock. Be appropriately proactive.”
“And most importantly, when you reach the age when it’s recommended, get screened,” Field said. “It may be uncomfortable for a few minutes, but it’ll give you peace of mind.”
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The post Jewish women should get mammograms at 40, experts say. Here’s why. appeared first on Jewish Telegraphic Agency.
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‘Your Nazism Knows No Bounds’: Popular LA Restaurant Draws Backlash After Denying Service to Jewish Man
Protesters outside of Mauro’s Cafe in Los Angeles after a patron wearing a kippah said he was denied a cup of coffee. Photo: Screenshot
A popular restaurant in West Hollywood, California drew protests and widespread backlash online after it allegedly denied service to a Jewish man wearing a kippah.
Mauro Cafe is a small Italian restaurant and cafe in Los Angeles County often frequented by celebrities. On Sunday, a man wearing a kippah said he attempted to order a cup of coffee from the restaurant but was refused.
Video of the man walking into the restaurant before coming out and saying he was denied service because he looked Jewish went viral on social media this week.
West Hollywood cafe owner throws out Jewish customer and REFUSES to serve him after seeing he was wearing a kippah.
Mauro Cafe in Melrose refused to allow the man to buy coffee with one waitress telling him to “get off the property.”
@growthfactororg pic.twitter.com/BXDqPpSBYP
— Oli London (@OliLondonTV) July 2, 2024
“The owner, she says I cannot buy a coffee,” the man said in the video after walking out. When asked why he was refused service, he responded, “Because I look like I am Jewish.”
Although the owner of the restaurant, who has been identified as Evelyne Joan, appeared to turn the patron away, employees of the restaurant later bought him a coffee, according to the video.
The incident sparked backlash among Los Angels’ Jewish community, prompting some to protest against antisemitism and discrimination more broadly outside of Mauro Cafe.
Jewish Americans protest outside a cafe in West Hollywood after the owner REFUSED to serve a Jewish customer and threw him out because he was wearing a Kippah.
The owner of Mauro Cafe stood outside as Jews protested against her antisemitic business chanting “Shame.”
@idan_bg pic.twitter.com/6P0ExiWcVE
— Oli London (@OliLondonTV) July 2, 2024
“Your Nazism knows no bounds,” one protester yelled.
“The owner of Mauro Cafe, Evelyn [Joan], does not demonstrate for any of the atrocities committed within walking distance of Israel!” another demonstrator said, calling out Joan for only protesting against the Jewish state.
“Apologize!” the activists demanded.
Social media users quickly noted that Joan has a history of protesting against Israel and Jewish sites. The nonprofit organization Jew Hate Database revealed that she participated in the violent anti-Israel demonstration outside of Adas Torah synagogue in the heavily-Jewish Pico-Robertson area of Los Angeles late last month.
In video posted to social media, Joan can be seen holding a microphone while preventing Jews from accessing the synagogue and shouting “Free Palestine” and “Shame on you!”
Demonstrators swarmed the synagogue to protest the sale of Israeli real estate taking place inside the building. The protests quickly descended into violence as anti-Israel protesters were caught on video shoving, punching, and screaming at those attempting to defend the synagogue.
The violence received widespread condemnation. US President Joe Biden slammed the protests as “antisemitic and un-American.”
Outside of Mauro Cafe, activists chastised Joan for her participation in the protest. “When it comes to Jews she runs and blocks their place of worship!” they said, referring to the anti-Israel demonstrators who waved Palestine flags and donned keffiyehs while blocking entry into the Adas Torah synagogue.
Prominent figures on social media decried the restaurant’s apparent anti-Jewish discrimination this past weekend. “Imagine if a white business didn’t serve a black customer. Lead story of every single news program. Mauro Cafe. Run by racist dirtbags,” tweeted conservative political commentator Dave Rubin.
The incident came almost three months after the Anti-Defamation League (ADL) released a report showing antisemitic incidents in the US rose 140 percent last year, reaching a record high. Most of the outrages occurred after Hamas’ Oct. 7 atrocities in southern Israel, during the ensuing Israel-Hamas war in Gaza.
The post ‘Your Nazism Knows No Bounds’: Popular LA Restaurant Draws Backlash After Denying Service to Jewish Man first appeared on Algemeiner.com.
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Jews Today Cannot Wait for Miracles
Pro-Hamas activists gather in Washington Square Park for a rally following a protest march held in response to an NYPD sweep of an anti-Israel encampment at New York University in Manhattan, May 3, 2024. Photo: Matthew Rodier/Sipa USA via Reuters Connect
One of the amazing features of the Torah is the way that it conveys human nature with all its greatness and pettiness, triumphs and failures.
This week, we look at the Korach rebellion, in which there are three different groups of protesters each with their own agenda.
Korach and the other Levites were fighting for a religious position and power. On Ben Pelet’s group represented the tribe of Ruben’s political fear of being replaced by the tribe of Judah. And Datan and Aviram were only concerned with their own physical and material interests.
This serious rebellion against the established authority of Moses and Aaron reflects precisely the sorts of conflicts of opinion and commitment that divide the Jewish people to this very day — those who do not identify with the nation, those animated by religious power and authority, and those whose values are the same material values as the secular Western world. Of course, my comparison is fanciful. But I hope it makes a valid point.
The children of Israel faced a crisis of self-image coming out of slavery and subjugation in Egypt. Nevertheless, they escaped from Egypt, arrived at Sinai, and had the national revelation. But almost immediately, they fall back into an idolatrous mindset. And when it came to proceeding to the land of Canaan and not relying on everything to be provided for them, the facade of unity collapsed.
It was clear that the nation was simply not ready to take upon itself the burden of responsibility of running their own affairs within a land of their own. The result was that they were sent back into the wilderness for another generation to prepare themselves psychologically and physically for what would happen 40 years later.
When Moses was faced with this rebellion, his first reaction was to “fall on his face” both in resignation and in supplication to God. God’s response was to give him the confidence to stand up to them.
Moses tries first to reason with them. When this fails, the miracles of the earth opening up — the fire that consumed the Levites who brought the censors, and the staffs that flowered and produced almonds — finally ended the revolt and restored order.
In those days, miracles were visible — and solved the problem. But now both in the Diaspora and in Israel, we are faced as never before with our internal divisions and the increasing tsunami of hatred and denial of our rights (and lives) across the world.
The picture looks so bleak from almost every point of view, so it is not surprising that more and more of us are looking for miracles. And because we can see no rational and logical fair resolution, we turn to prayer.
Prayer is a wonderful tool both of self-validation and connecting with spiritual energy beyond the physical world. But it’s not a tool that can guarantee anything. Similarly, the dream of a Messiah may give us a sense of hope, but we have no guarantees. Besides as the Talmud says, “Ein Somchin Al HaNes” — we cannot and should not rely on miracles
It is up to us to be proactive in our lives ,and take the steps necessary for our self-defense and well-being.
Not everyone is suited or equipped to deal with every threat, whether it is physical, political, or cyber. But we must all be prepared to rise to the challenge and do whatever we can to play our part, no matter how small. We never know how things are going to work out, and we may be surprised by turns of events that we didn’t expect.
Yes, I hope for miracles — but I know one cannot rely on them.
The author is a writer and rabbi, currently based in New York.
The post Jews Today Cannot Wait for Miracles first appeared on Algemeiner.com.
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Why Will The New Republic Not Take Action Against Inciteful New Hire?
A scene from the anti-Israel protest that took place outside the exhibit “Nova: Oct. 7 6:29 AM, The Moment Music Stood Still” in New York City on June 10, 2024. Photo: Screenshot
Some journalists report what they see and hear on the ground, while others report what they want to see or hear. It’s unfortunate when that happens, and it is especially prevalent in today’s media.
Talia Jane (or Talia Ben-Ora) belongs in the latter category.
Jane (who identifies with the pronouns they/them) is an associate writer for The New Republic; their work for the publication is labeled as “breaking news.”
Only much of this content is not necessarily breaking news, and it’s not written as such. With headlines that are sarcastic and distorted from the truth, Jane probably manages to grab eyes, but irresponsibly misleads readers.
Jane continuously steps out of bounds as a journalist, backing vile anti-Israel activity (and behavior towards Jews), and passing it off as valid resistance to the Israeli “occupation.”
Earlier in June, Jewish Insider’s Gabby Deutch published an in-depth article on Jane — exposing that The New Republic’s latest hire is a raging anti-Zionist. It appears that Jane also has Jewish heritage.
Deutch’s article centered around this heinous piece Jane wrote for The New Republic on June 14, which defended the recent anti-Israel protest outside the Nova Exhibit in New York. The “breaking news” writer claimed that the protest was not antisemitic in nature.
Here are some clips from said protest.
Appalling antisemitism in NYC — protesting an exhibit commemorating the victims of the massacre at the Nova music festival. The only logical conclusion one can make when you show up to protest against people who were murdered by Hamas, is that you support Hamas and the murder of… pic.twitter.com/c3eyZwRXvV
— Adam Milstein (@AdamMilstein) June 12, 2024
Today the almost daily anti-Israel protests that have besieged NYC since Oct 7th converged on the Nova Exhibit. Those who went to commemorate the slaughter of 100s of innocent Israelis at a music festival were met with chants of “intifada revolution” pic.twitter.com/6mT8FpLfp5
— daniela (@daniela127) June 11, 2024
The TNR journalist also refuses to accept the actual definition of Zionism as the right to self-determination of the Jewish people in their ancestral homeland. Jane has defended this since-expelled Columbia student, who led anti-Israel protests on its campus:
In April, Jane called it ‘insane’ for the White House to criticize a Columbia student who said on social media that Zionists deserve to die, because ‘Zionism is synonymous with ethnonationalist supremacy and *not* Judaism.’
Since Deutch’s article was published on June 20, Jane’s behavior has not changed; this “journalist” and activist continues to share despicable comments and reposts on X (formerly Twitter). This, despite TNR magazine editor Michael Tomasky’s assurance, quoted in the article, that the publication is “working to address the situation.”
Jane took to X to defend anti-Israel protesters, while there is a clear presence of a Hamas flag in the frame:
Just a reminder that NYPD fully and illegally kettled the anti-genocide demo outside a Biden campaign event in Manhattan, then made arrests because the group they prevented from moving…didn’t move. https://t.co/FhcPtXzof0
— Talia Jane (@taliaotg) June 29, 2024
Jane also reposted a donation link from the Hamas-run Gaza Municipality’s X account.
Our damages amount to approximately 1 billion dollars. Please help us raise the first million. Your support is crucial for us to continue our efforts in #Gaza City.
Donation link: https://t.co/DR0P9iVohK
— بلدية غزة – Municipality of Gaza (@munigaza) June 26, 2024
It is a wonder, that after intense backlash over Jane’s piece more than two weeks ago, TNR’s chief editors have allowed this journalist to remain on their staff. The most they appeared to muster up was a disclaimer at the top of said piece.
Although Jane’s articles are currently more US politics-focused in recent weeks, that does not detract from still occurring behavior online. Does TNR approve of this kind of rhetoric and biased, unprofessional behavior to define their reputation?
The author is a contributor to HonestReporting, a Jerusalem-based media watchdog with a focus on antisemitism and anti-Israel bias — where a version of this article first appeared.
The post Why Will The New Republic Not Take Action Against Inciteful New Hire? first appeared on Algemeiner.com.