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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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Drexel University Professor Stole Signs From Synagogue, Police Say
Illustrative: People pass a cluster of signs outside a pro-Hamas encampment at Northwestern University in Evanston, Ill. on April 28, 2024. Photo: Max Herman via Reuters Connect
A Drexel University professor allegedly participated in a mass theft of items from a synagogue in a suburb outside Philadelphia, a local NBC affiliate reported on Tuesday.
Mariana Chilton, 56, a professor of health management and policy at Drexel, has been accused of stealing pro-Israel signs from the Main Line Reform Temple in Lower Merion Township, traveling there from her neighborhood of residency, Wynnewood, Pennsylvania. Chilton allegedly drove the getaway car while two other accomplices, Sarah Prickett and Sam Penn — who is from New York — trespassed the synagogue and absconded with the loot.
“We are just taking them because we feel like it is a representative of genocide,” Chilton told law enforcement after being caught in the act, the report stated. She then, after offering to “just put them back,” refused to identify herself and comply with other lawful orders.
Video evidence provided by a local resident placed Chilton and her accomplices at the scene of the crime, and a Main Line Reform Temple official identified the signs recovered from her car as the temple’s property. That was enough for law enforcement to charge her with several offenses, including conspiracy and theft. She is also charged with driving without a license and not registering her vehicle.
Drexel University has not responded to The Algemeiner‘s request for comment for this story.
Experts have told The Algemeiner in the past academic year that while the conduct of anti-Zionist students should be reported on, the role of faculty in fostering and engaging in antisemitic acts should be closely scrutinized. Last semester, anti-Zionist faculty attached themselves to anti-Israel, pro-Hamas demonstrations, sometimes breaking the law by preventing officers from dispersing unauthorized demonstrations and detaining lawbreakers.
At Northeastern University in Boston, professors formed a human barrier around a student encampment to stop its dismantling by officers, and at Columbia University, anti-Zionist faculty at the school, as well its affiliate Barnard College, staged a walkout in support of the demonstrations and demanded the abeyance of disciplinary sanctions against anti-Zionist students — dozens of whom cheered Hamas and threatened more massacres of Jews similar to Oct. 7 — who violated school rules.
Chilton’s case is unlike any other reported in the past year, however. While dozens of professors have been accused of abusing their Jewish students and encouraging their classmates to bully and shame them, none are alleged to have resorted to stealing from a Jewish house of worship to make their point.
Mass participation of faculty in pro-Hamas demonstrations marks an inflection point in American history, Asaf Romirowsky, an expert on the Middle East and executive director of Scholars for Peace in the Middle East, told The Algemeiner in April.
Since the 1960s, he explained, far-left “scholar activists” have gradually seized control of the higher education system, tailoring admissions processes and the curricula to foster ideological radicalism and conformity, which students then carry with them into careers in government, law, corporate America, and education. This system, he concluded, must be challenged.
“The cost of trading scholarship for political propagandizing has been a zeal and pride among faculty who esteem and cheer terrorism, a historical development which is quite telling and indicative of the evolution of the Marxist ideology which has been seeping into the academy since the 1960s,” Romirowsky said. “The message is very clear to all of us who are looking on from the outside at this, and institutions have to begin drawing a red line. The protests are not about free speech. They are about supporting terrorism, about calling for a genocide of Jews.”
Follow Dion J. Pierre @DionJPierre.
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White House Cites Biden Clash With Netanyahu Over Iran as Proof of President’s Mental Fitness
US President Joe Biden hosts the 2023 Teacher of the Year event at the White House in Washington, US, April 24, 2023. Photo: REUTERS/Kevin Lamarque
Amid growing concerns over US President Joe Biden’s mental fitness, key White House officials are suggesting his foreign policy discussions with Israeli Prime Minister Benjamin Netanyahu, including a clash over how to respond to Iran’s unprecedented military attack on the Israeli homeland earlier this year, serve as evidence that he is still capable of leading from the Oval Office.
Biden and Netanyahu engaged in a heated back-and-forth in the immediate aftermath of Iran launching a massive missile and drone salvo at Israel in April, according to a new report by the New York Times. The US and other allies helped Israel shoot down nearly every drone and missile. The attack caused only one injury.
However, the Times revealed that while Netanyahu initially wanted to respond to Iran in a forceful way, Biden threatened to withhold US support in the event of a major Israeli retaliatory strike, arguing it would risk sparking a regional conflict in the Middle East.
“Aides present in the Situation Room the night that Iran hurled a barrage of missiles and drones at Israel portrayed a president in commanding form, lecturing Prime Minister Benjamin Netanyahu by phone to avoid a retaliatory escalation that would have inflamed the Middle East,” the Times reported. “‘Let me be crystal clear,’ Mr. Biden said. ‘If you launch a big attack on Iran, you’re on your own.’”
“Mr. Netanyahu pushed back hard, citing the need to respond in kind to deter future attacks,” the report continued. “‘You do this,’ Mr. Biden said forcefully, ‘and I’m out.’ Ultimately, the aides noted, Mr. Netanyahu scaled back his response.”
Israel’s military response was small and appeared aimed at minimizing the risk of escalation.
The Times report, headlined “Biden’s Lapses Are Said to Be Increasingly Common and Worrisome,” came on the heels of Biden delivering a widely-panned presidential debate performance last Thursday against former US President Donald Trump. Biden’s performance, which oftentimes appeared incoherent and muddled, set off alarm bells in Democratic circles, sending the president’s allies scrambling to extinguish concerns over his age and mental acuity.
While highlighting rising concerns, the news story also noted instances in which, according to aides, Biden appeared coherent and capable, citing the exchange with Netanyahu and his handling of the Iranian missile attack more broadly as one such example.
However, an anonymous Biden administration official told the Times that they are unsure whether Biden could hold his own against adversarial foreign leaders such as Vladimir Putin of Russia.
On Wednesday, the White House directly attributed quotes to Netanyahu in which the Israeli premier reportedly said he found Biden “very clear and very focused” during his visit to Israel following the Oct. 7 attacks by Hamas. According to a White House spokesperson, Netanyahu also reportedly cited the “more than a dozen phone conversations, extended conversations with President Biden” as evidence of the commander-in-chief’s vitality.
“Some White House officials adamantly rejected the suggestion of a president not up to handling tough foreign counterparts and told the story of the night Iran attacked Israel in April,” the New York Times reported. “Mr. Biden and his top national security officials were in the Situation Room for hours, bracing for the attack, which came around midnight. Biden was updated in real time as the forces he ordered into the region began shooting down Iranian missiles and drones. He peppered leaders with questions throughout the response.”
During its first direct attack on Israeli territory, Iran in April launched roughly 300 missiles and drones at the Jewish state.
Leading up to the attack, Iranian officials had promised revenge for an airstrike on Iran’s consulate in Damascus, Syria that they attributed to Israel. The strike killed seven members of Iran’s Islamic Revolutionary Guards Corps (IRGC), a widely designated terrorist organization, including two senior commanders. One of the commanders allegedly helped plan the Hamas terrorist group’s Oct. 7 massacre across southern Israel.
Israel has neither confirmed nor denied involvement in the incident.
“After it was over, and almost all of the missiles and drones had been shot down, Mr. Biden called Mr. Netanyahu to persuade him not to escalate. ‘Take the win,’” Mr. Biden told the prime minister, without reading from a script or extensive notes, according to two people in the room. In the end, Mr. Netanyahu opted for a much smaller and proportionate response that effectively ended the hostilities,” the article added.
Days later, Israel responded to the Iranian aggression by launching a modest missile attack on an airbase near Isfahan. The Jewish state sought to show that it could effectively target key strategic locations in Iran while not escalating the conflict any further. Netanyahu insisted on launching a retaliatory attack against Iran, arguing that ignoring the Iranian strikes would incentivize more attacks against the Jewish state.
IRGC Brigadier General Amir Ali Hajizadeh said that Iran is waiting for “the opportunity” to launch a new round of strikes against Israel, Iranian media reported on Tuesday, potentially boosting Netanyahu’s argument that a smaller response would invite further attacks.
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Journalist at US-Based Nonprofit Promoted Stabbing Israelis, Depicted Rescued Hostage as Pig Drinking Blood: Report
Palestinian terrorists ride an Israeli military vehicle that was seized by gunmen who infiltrated areas of southern Israel, in the northern Gaza Strip, Oct. 7, 2023. Photo: REUTERS/Ahmed Zakot
A journalist at a US-based nonprofit posted tutorials on how to commit stabbing attacks and depicted a rescued Israeli hostage as a pig drinking blood, according to newly surfaced social media posts.
Eitan Fischberger, a communications analyst and former Israel Defense Forces (IDF) staff sergeant who first broke the story on X/Twitter, alleged that Mahmoud Ajjour, a correspondent for The Palestine Chronicle, posted disturbing images and videos to his Instagram page.
Fischberger posted screenshots and screen recordings of the posts.
According to The Chronicle‘s website, Ajjour is a photojournalist and correspondent for the outlet, which is a US-based 501c3, or nonprofit organization.
One of the posted images depicted Noa Argamani — an Israeli who was kidnapped from the Nova music festival during Hamas’ Oct. 7 terrorist attacks in southern Israel, and then rescued in an IDF special operation last month — as a pig drinking blood from a Coca-Cola bottle.
Here, for example, Ajjour posted a picture of Israeli hostage Noa Argamani, portrayed as a pig drinking the blood of Palestinians.
Noa, as you recall, was freed by Israeli forces in the same rescue operation in which Ajjour’s terrorist colleague was killed pic.twitter.com/oiLCqekxbl
— Eitan Fischberger (@EFischberger) June 30, 2024
In Oct. 2015, Ajjour posted a picture of a masked Palestinian holding up a knife, with the caption, “I declare it a revolution.”
That time — from approximately Sept. 2015 to June 2016 — was referred to as the “knife intifada,” as there was an uptick in Palestinian terrorist attacks, particularly using knives, against Israelis in Jerusalem, along with other parts of Israel and the West Bank.
Ajjour also seems mighty fine endorsing stabbing attacks pic.twitter.com/xi2MnZVddl
— Eitan Fischberger (@EFischberger) June 30, 2024
During that same month, Ajjour also reportedly posted a two-part tutorial on how to carry out stabbings with the caption, “May Allah protect them,” likely referring to those who were engaging in such attacks.
So much, in fact, that he uploaded a two-part instruction video showing off some best practices for stabbing Israelis pic.twitter.com/Z12rVo4Enx
— Eitan Fischberger (@EFischberger) June 30, 2024
Then, in 2023, after the son of a Hamas preacher was killed when a device he was trying to launch at Israel exploded, Ajjour mourned his death on Instagram. “Your father’s legacy is proud of you,” he wrote alongside a picture that included what appeared to be a Hamas flag.
And here, Ajjour mourns the death of Bara’a al-Zard, son of Hamas preacher Wael al-Zard.
Silly Bara’a died in an explosion caused by a device he was trying to launch at Israeli forces near the Gaza security fencehttps://t.co/vZR6IW0shF pic.twitter.com/ipQw55BYd7
— Eitan Fischberger (@EFischberger) June 30, 2024
This is not the first time a journalist from The Palestine Chronicle was alleged to have either supported or partaken in terrorism.
Abdallah Aljamal, who was a correspondent for The Chronicle, allegedly held three Israeli hostages in his home, according to the Israeli government. He was killed during a raid that rescued four hostages, including Argamani. After the allegations came to light, The Chronicle changed Aljamal’s status on its website from a correspondent to a contributor.
The Palestine Chronicle did not respond to a request for comment for this story.
Fichberger wrote that he wants the US House Ways and Means Committee to investigate The Chronicle for what seems to have become a pattern.
“If The Chronicle is let off the hook for employing an actual terrorist hostage-taker, it would prove that the American counter-terror legal apparatus really is irreparably broken,” he wrote.
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