What you’ll learn

Confused about when to start breast cancer screening, what breast density means, or whether you need genetic testing? Inova’s Dr. Kaltman explains risk, red-flags, and next steps—so you know which care to choose and how personalized risk assessments are reshaping early detection.

Featured guest:

Dr. Rebecca Kaltman

Executive Director

Inova Saville Cancer Screening and Prevention Center

________________________

Key takeaways with chapter markers

• How age, family history (maternal & paternal), and red flags guide screening (13:50)
• What dense breasts mean and when to add supplemental imaging (19:06)
• When to consider genetic counseling/testing and how group sessions work (5:06)
• Where primary care fits for lifestyle/metabolic risk and referrals (8:21)
• Imaging choices (mammogram, MRI, ultrasound, contrast-enhanced) (10:04)
• Mobile screening (23:45)
• Multi-cancer blood test clinical trial at Inova (24:52)

________________________

FAQs

When should most women start screening?
Most begin at age 40, but earlier for higher-risk patients (often 10 years before the youngest family diagnosis). Ask your Primary Care doctor/OB-GYN for a formal risk assessment.

Do dense breasts change my screening plan?
Possibly. Dense tissue can mask findings on mammography; your clinician may recommend supplemental imaging (e.g., MRI; ultrasound or contrast-enhanced mammography when appropriate).

Who should consider genetic counseling/testing?
Anyone with strong family history (maternal or paternal), early cancers, or unknown history. Testing now uses multi-gene panels and is far more accessible than in the past.

Are self-breast exams still recommended?
Be breast-aware and know your normal, but routine self-exams alone are not enough. Report new changes (lump, nipple retraction, rash, contour change).

Can lifestyle changes reduce risk?
Yes—weight, activity, and nutrition matter. Primary care can connect you with dietitians/health coaching and, when needed, medical weight-loss support.

Your digestive system plays a crucial role in overall health. But when something feels off, it can be both confusing and uncomfortable.

In this episode, we're joined by Neha Nigam, MD, for a conversation about gastrointestinal (GI) health and common conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and more.

Whether you're curious about how your gut works or dealing with chronic digestive issues, this episode offers practical insights to help you better understand and support your GI health.

A cancer diagnosis doesn't just impact the patient, it affects everyone who loves and supports them. Whether you're a caregiver, family member, or friend, the moment you hear that someone close to you has cancer, it can feel overwhelming.

In this episode, we explore what it means to navigate life when a loved one is diagnosed with cancer. We're joined by Jennifer Bires, MSW, LCSW, OSW-C, Executive Director of Inova Peterson Life with Cancer and a leader in psychological oncology with over 15 years of experience designing patient and family-centered support programs.

Jennifer shares insights and actionable steps to help you be present, compassionate, and resilient—whether you are providing hands-on care or simply showing up in meaningful ways. Learn how the Peterson Life with Cancer team of behavioral health therapists, social workers, nurse navigators, and oncology dietitians are making support more accessible and why no one has to go through this alone.