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

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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)

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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.

In this episode, we take you inside Child Life Services at Inova, shining a light on the dedicated Child Life Specialists who support children and their families through some of their most vulnerable moments. Our guest, Jamie Gentille, System Director of Child Life Services and Community Engagement at Inova, answers common questions and gives an in-depth look at how she and her team help young patients navigate the emotional and psychological challenges of hospitalization or during an exam or procedure.

Whether you're a parent, caregiver, or medical professional this episode offers a moving and informative look into a role that blends clinical understanding with compassion and creativity. Tune in to discover the vital role Child Life Specialists play in pediatric care!

In this episode, we're tackling an important topic—colon cancer, particularly its rise in younger adults. We are joined by Tim Cannon, MD, Sheridan Director, Molecular Tumor Board and Co-Director of the Gastrointestinal Cancer Program at Inova. Dr. Cannon breaks down the latest in colon cancer prevention, screening, and clinical research.

KayAnn Schoenman, one of Dr. Cannon’s former patients, shares her personal journey of being diagnosed with colon cancer at age 40, and becoming an advocate.

With our co-hosts, they discuss the importance of early detection, debunk common myths, and offer hope to those facing a similar battle. Whether you're looking for medical knowledge or personal inspiration, this conversation is one you won’t want to miss!

In this episode, we dive into the incredible impact of blood donation and why your contribution can save lives. Blood products are essential for treating trauma victims, cancer patients, individuals undergoing surgery, and many others—but it’s a resource that can’t be manufactured, only donated. Nick Lilly, MBA, Senior Director of Inova Blood Donor Services joins us to discuss why blood donation is a cornerstone of healthcare.

In this episode, we continue our discussion with Paula Pinell-Salles, MD, FACC, who is a co-founder of the Inova Women’s Cardiovascular program. She is board certified in cardiovascular disease and specializes in general cardiology and vascular medicine. In part 2 of this episode Dr. Pinell-Salles discusses hormone replacement therapy and a study in the news by Kaiser that showed the risk of women having one alcoholic drink per day raises their risk of heart disease.

In part 1 of this episode, we uncover the unique challenges women face with heart disease and ways you can partner with your provider to prioritize your heart health. Tune into episode #4.

In this episode, we dive into what every woman needs to know about heart health, from common symptoms that often go overlooked to proactive steps you can take to protect your heart. We are joined by Paula Pinell-Salles, MD, FACC, who is a co-founder of the Inova Women’s Cardiovascular program. She is board certified in cardiovascular disease and specializes in general cardiology and vascular medicine. In part 1 of this episode, we uncover the unique challenges women face with heart disease and ways you can partner with your provider to prioritize your heart health!

In part 2 of this episode Dr. Pinell-Salles discusses hormone replacement therapy and a study in the news by Kaiser that showed the risk of women having one alcoholic drink per day raises their risk of heart disease. Tune into to episode #5.