Mammography Tech Shares Top Breast Cancer Awareness Insights for October and Beyond

In this episode of "A Couple of Rad Techs Podcast," we have an incredible guest joining us. Jenny Santiago, a mammography technologist, shares her insights on breast cancer awareness and the important role of mammography in early detection. As a tech who has a personal connection to breast cancer, Jenny provides valuable information about the complexities of breast imaging, the significance of Breast Cancer Awareness Month in October, and the essential factors in preparing for a mammogram. Join us as we dive deep into the world of mammography and learn why this crucial screening method plays a vital role in women's health. Plus, we'll discuss the latest advancements in imaging technology and some tips and tricks for a smoother mammogram experience. Tune in to this episode of "A Couple of Rad Techs Podcast" to gain a better understanding of breast health and the role of mammography in the fight against breast cancer.

Jenny Santiago is a dedicated mammography technician who is passionate about promoting women's health and raising awareness about the importance of regular screenings. In her clinic, Jenny experiences a significant surge in patients during the month of October, doubling the number of daily consultations. This increase in patient visits brings immense joy to Jenny and her team, as it signifies that more women are prioritizing their well-being. To accommodate the higher patient volume, Jenny and her team also double the number of technicians working. They believe that this annual spike in screenings effectively brings awareness to the community, encouraging women to make their health a top priority. However, Jenny wants to see this trend continue throughout the year, not just in October. Despite the serious nature of mammography, Jenny emphasizes the importance of making the experience enjoyable for patients. She mentions that many places, including her clinic, showcase fun decorations and treats during October, creating a positive and welcoming atmosphere. Additionally, Jenny's clinic always provides a gift to women who undergo screenings during this month, serving as a playful yet meaningful incentive for women to attend their appointments. Through her dedication and commitment, Jenny strives to make a difference in the lives of women by ensuring that they receive the necessary mammography screenings they need for early detection and prevention.

MRI scans, mammography technologists, radiologists, mammography, 2D imaging, 3D imaging, breast health, family members, health topics, husbands, daughters, October, conversations, MRI procedures,  tissue,  podcast, breast cancer, genetic, awareness, mammograms,  clinics, regulations, FDA, inspections, quality control, documentation, paperwork, menstrual cycle, radiologists, three-dimensional image, dense breast tissue, insurance coverage, physical examination, sensitive breasts, family history, personal history, X-rays

Transcript

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But before I get started, you guys, really briefly, I want to show off my mug, and I want to make sure I thank someone very special. I have a follower on Instagram that actually gave me this mug, and it is a title of my podcast, a couple of rat rat techs. And She gave me this beautiful, beautiful mug, and I love it. I'm gonna be drinking my water during my podcast out of it. So if you guys wanna support a female business, small business, single mom, amazing business owner. This is its fall time, and we They're all putting these beautiful decorations on our front porch. My neighbor was out earlier today wrapping all of her fall flowers and decorating her front porch. And may you do the same in Wakira So to. I will put her information in the description so you can easily, easily contact her if you want to decorate your porch or get one of these beautiful mugs, for your home and for your loved ones. Well, today, we are gonna talk about breast health and breast awareness because we are in the month of October. My name is Shandrea, and I am the host of a couple of Rad Tech's podcast. I am a 21 year veteran of the medical imaging profession. I've been doing radiology or medical imaging for 21 years now. August was my 21st anniversary. That is hard to say. But I feel like I just started yesterday. This is a wonderful profession. We are the 3rd largest medical profession in the nation. I'm wearing my pink for October awareness this month. And, just want to bring awareness to not only this month for women, but for men as well and we have an amazing guest, Jen Santiago. She is the expert. I bring you guys great experts. I can do screening memos, but that is about it. An MRI breast. I really want to bring this topic to life so you all can hear firsthand of people that do this on a daily basis. So, Jen, welcome to our conversation here on LinkedIn. Thank you so much for having me. I'm so excited to be here with you this evening. Well, I want them first to know who you are. I gave them your name and a little bit about you, Tell us who you are, how you got into mammography or medical imaging, highlight your credentials, your roles, and, we'll get on with the conversation after that. Perfect. Yep. I am Jen Santiago. And on Instagram, I am at mammo_mama. So all things mammography, breast health related. I am a mammo tech of 13 years, and I absolutely love it. And I'm also a adjunct mammography professor at Weber State University, and I've done that for 6 years. My credentials is I have my ART license. So I'm an X-ray tech, and then I specialize in mammography. And then I have my master's in radiology as well. So, just kind of dive deep right into the radiology field. From from the beginning, I how I got into it was I broke my arm when I was 8 years old and Was absolutely fascinated by X rays. Thought it was so cool. And ever since then, I said, I'm gonna be an X-ray tech. I wanna do X rays, and The rest is history. Here we are. So that's kind of my story. I know for me, I had a lot of gut issues, and many of us got into, radiology because of our history. Maybe you had a broken arm. I had, barium enemas. I had, swallows. I had all kinda GI issues growing up, and that's how I kinda learned about radiology a little bit. I didn't really know what it was. But for me, my history with breast cancer is familial. My Family line, has been plagued with breast cancer. As I spoke last week, my cousin, she lost her battle at 32 back in the eighties with breast cancer. I have 5 great aunts who passed away of breast cancer. My grandmother died of ovarian cancer, and this is all on my grandmother's And we talk a little bit in these conversations about not only is breast cancer awareness month about breast cancer, but some of the radiologists I'll have on it, you could probably attest to this too that when You have strong cancers like that. Like, breast cancer, it can also be genetic and lead to stronger cancers later. So, Jen, Talk to us and set the stage for this discussion about breast cancer awareness and mammography. We're gonna talk about this awareness month. But what is, in your opinion, the significance of tober as the breast cancer awareness month. Yes. It is huge in mammography. We in our clinic that we do During the month of October, we double the amount of patients we see on a daily basis, and that makes us so happy as techs. We Double the amount of workers, of techs that we have working to accommodate the number of patients coming in. And like I said, as technologists, that makes us So happy that women are taking the time to come in and get screened. So it definitely does its job of bringing, you know, awareness to the community, to women, and we just wanna see those numbers not just increase during October, but to stay up During all all times of the year. I think one thing that's fun with, October and mammography is a lot of places will do Fun decorations and treats. And I know our clinic, we always give a gift, and so I think that's kind of an in fun incentive for Women to come in during October. So it's always just a party the month end of October during mammography. And I think that is important because you have to kinda create excitement around this month before, after. It's like a ongoing thing. For me, it's wearing earrings. It's talking about it, doing lives like This I wear my pink scrubs. I have my little socks with the bows on it. I have sweatshirts because sometimes it's cold around October. Just depends, what climate you're in, and people see, like, my shirt or see my pink and see my ribbon and say, oh, yeah. I didn't get my my my mammogram. I didn't get my breast ultrasound. Down. I I usually they'll have conversations with with me online. I get breast MRIs. I I mean, like, they're just in the grocery store line. They'll see my pink ribbon. So like You say creating fun events around it because this is a scary time for many people, especially if you've had maybe a experience or not had an experience, and you just heard about it and it scared you, or you have family history, or you just hate the big c word. Right? But what statistics you've spoken a little bit about this the statistics and importance of breast cancer awareness. You've seen a decline and because of the awareness that's being brought around breast cancer awareness, what about for men? Do you guys see more men now than you did before? We do. So I would say so let's kinda talk statistics. So I'm sure everyone's heard the 1 in eight Chance of women getting breast cancer. So that's about a 13% chance risk. Men have about a one to 3% risk of getting breast cancer. But we see men in our clinic, I would say, several a month, because men can get breast cancer, And there's other factors, other than breast cancer that can, you know, cause men to need to come in and get a mammogram. They should also be doing self exams, as along with women. And so if they feel a lump or if they feel pain, sometimes that can be a side effect of a medication. There's a thing called gynecomastia where men develop breast tissue, and that's a common side effect in some medications. And So we have men in our clinic all the time coming in, for pain or a lump. And so most of the time, it's usually not cancer. Sure. It's gynecomastia, but it's still so important that men are also aware, that they can't get breast cancer. That is really important because I think a lot of men don't think and we talked to last week. I had a mammography tech on, and we kinda show people the breast tissue, what it covers, up to the clavicle, into the underarm, down into to the abdominal area. You know? Most people just think the breast that kinda stick out. But even for men, Are you seeing maybe the age get younger that people are coming in for memos or for breast health issues? Yes. Most definitely. The the risk and the incurrence of of breast cancer in younger people is definitely increasing, younger patients. And so that's just more of a reason why that that recommendation of starting at 40 is so important because We're seeing it in younger women. It used to be a postmenopausal, not till you're 55, 60. And that 40 was kind of that baseline Preventive. Okay. We'll get catch things, you know, before. And now we're seeing things, you know, 40 on their 1st mammogram, and they have a small cancer. So That's why it's so important that 40 year mark of getting in there for if you're a regular risk, that recommendation is at 40. Yeah. And it's so interesting. I was 24 with my 1st lump. 24 years old, and I wasn't getting mammograms at that time. Wasn't even getting breast ultrasounds. That wasn't even on my radar, but I did self exams on a regular basis. Like, it was drilled into us growing up because of our family history. But one thing we're seeing now, with the the minimal breast that I do in MRI breast is younger younger people, definitely, with lumps and sometimes going where they ignore those lumps, you know, thinking they'll go away or they, you know, or I'm just gonna ignore it. They're not that painful, or they're not painful at all, so I'll just ignore it. What advice would you give? I know what I was saying. What has helped me to find my lumps. Wasn't going to the doctor always. Sometimes the lumps for me appeared after I went and got my my check. I found them myself. What would your recommendation be, especially the emphasis and the importance on regular screening? So maybe you're not at the age where you get screenings yet. What what would be your recommendation? Yeah. That's great. The the most important thing with doing self breast exams is being becoming familiar with your breasts. As we have our cycles with our menstrual cycle, there's gonna be hormone changes, and you're gonna have a time where your your breast tissue is more lumpy, And you might feel that lump, and then it will go away. And so you need to become familiar with your with the breasts and where those lumps are. But when in doubt, always go and talk to your physician. Ask for an ultrasound if you're younger than 40. Ask for a mammogram. Be an advocate, for yourself and for your your help. There's a great app, If women who are not of of screening age yet, it's called Know Your Lemons. It's an app, and it will teach you how to do Self breast exams, and it will send you a reminder of when to do them. And it's also then for women who are time for their mammograms. It will Tell them when to do theirs their self check every month and then when to do your mammogram. So it's a great app, and it will show them, Like you said, the areas to check, it's a lot more than just a little bit. So fabulous, fabulous app to download to, become more aware of the self breast exam. Say that one more time. Where to find your It's called know your lemons. Know your lemons. I never heard of that website. See, this is why we have the professionals Januz on, here to talk. They know these specific things. Thank you so much for that. You guys, please check that out. I mean, it does not hurt. I'll tell you. For me, I had just come from the doctor and gotten my whole exam. Everything was clear. And like you say, between those times where you have hormonal changes and if your body is going through you know? We just go through hormonal changes all the time, but when you're familiar with your body, a doctor might feel something and they're not familiar with your body, especially maybe it's a new doctor. Maybe they're just getting to know your breast, but you know your breast if you've been doing these things. And if you don't know how to do if someone doesn't know how to do self breast exams, what would you recommend that they do? So, yes. 1st, like I said, this app is awesome. This is a great thing. 2nd is talk to your doctor. And I think the other thing we need to do is, as a community, we need to kind of release that taboo of talking about mammograms, Talking about self breast exams. It's part of our body. We we don't, you know, get embarrassed by talking about, you know, oh, did you, You know? Did you check your thyroid? Did you you know? We we don't get embarrassed about that. And so I think there's a lot of we just need to get over that that taboo of talking about breast exams, and asking our neighbors our our family members and our neighbors, hey. Have you done a self breast exam? Like, How do you do 1 and that kind of stuff? And as we become more aware as a community, we're gonna be more comfortable talking about these things and more knowledgeable, and education is key in health and everything, but especially, you know, in in this type of field. I like that point because we do talk a lot about our thyroid. We talk about poop. We talk about our hair. We talk about our makeup. But how often do we as as women and men sit and talk, you know, husband and wives? They'll make their appointments for prostate health and colon cancer. But what about talking to your husband and your sons about their breast health and your daughters teaching your daughters how to do those things? You know? I I think that is a great conversation to have in families. So maybe in the month of October, we can encourage more families to do that, and women and families to do that with the with each other. So we're gonna have some basics because we gotta get down to the basics. Would you explain your role as a mammography technologist? Yes. So my role as a tech is kind of the link between the patient and the radiologist, the doctor that reads the mammogram. So we first take a family history, and a personal history of all of the patients that come into us. And so that's where, like, you talked about, knowing your family history of breast cancer and other cancers Will play a role into that. And so we, as the technologists, will ask those questions, and then we perform the X rays. And so our job is to Position the breast, and we go through lots of schooling to learn how to position. There's actually quite an art, And everybody is so different. Every breast is so different, and so getting all of the breast tissue in there on each person, it Takes a lot of work. Takes a lot of practice. And if you miss just the smallest amount of breast tissue, there could be a little cancer that was missing. So There's a lot of, practicing and getting that tissue in. And then after we take the images, we, At the time, the technologist is looking at the image to make sure we don't have motion on the picture. We're making sure we have all of the breast tissue included on the image so that the radiologist can read and see everything that's needed. So I know a lot of times patients, and I'm sure you can relate to this with MRI patients. A lot of patients will ask us, oh, can you know, what do you see or what can you tell? And we don't see you know, we can't say anything, but, you know, well, the tech will probably say, oh, we got great pictures. Oh, it looks good. Meaning, we got everything the doctor needed or we got clear pictures. And so that's our role as the tech is to communicate, you know, get all the good pictures and then communicate Everything from the patient to the radiologist. That is a great explanation. And, yes, across the board, we're always asked, do you see anything? And it's like, you know, I have this funny, video that I did on Instagram where, you know, the little eye mask they give you for MRI to cover your eyes if you're claustrophobic. So the patients ask, you know, did you see anything? And then there's this sound that says, I can't see. I'm blind. And so I just Put that mask over my people thought that was so funny, and, like, people comment to like, I always ask the tech, do they see anything? And they always tell me they don't see a thing where they can't Tell me. So they thought they're so funny. You know? I like to try to bring education and entertainment together, and I feel that kinda resonates with the majority of people, and technologists as well, because we're patients too. But as a mammography tech, I think it's important that people understand Not only do you just take imaging because I have done the the schooling for men and I'm gonna tell you guys, she is not joking when she says You have to get every piece of tissue. And remember, the breast is up here, inside of there. And if you have deep cavities on your underarm and the tissue goes back there and you have smaller breasts, I personally thought the smaller breasts were harder. I'm gonna be honest with you. They were harder. I was sweating. Like, I hadn't worked so hard in my life until I did mammography. And that was just the technical part. There's a lot of paperwork. And really want people to understand with mammography. There's a lot of QC or quality control that goes along with what technologies Have to do. So we're not just taking pictures of your breasts. You just put them in there and squeeze. You'd go. Boom. There is patient QEC they have to do. I'll let Jen tell. You know, what what is this QC? What's the paperwork? Yeah. So mammography is regulated by it's called the Mammography Quality Standard Act. So, lot of regulation, a lot of Kind of rules and and policies to make sure that the equipment is the best and that the positioning of the technologist, that the education of the Technologist, and the radiologist is the best. And so we are regulated by the FDA. So every year, we have an inspection by the and they come in and they look at every week, we do quality control tests on the machines where we make sure that the X rays are being produced at the right, quality, and the machine's working how it's supposed to. And These inspectors come in and they go with a fine tooth comb, kinda go through all of our paperwork, all of our documentation on the machines. They make sure all of the technologists have all of their credentialing. It's a lot, and it's the only modality in, radiology that is so Heavily regulated, which just shows the importance of the quality of these images, because the smallest little difference in an image Quality if, you know, 1 little pixel on the the machine or on the doctor's computer is out, That can be a difference of finding a breast cancer or not. And so it's very detail oriented. And so, yeah, there's a lot of paperwork that goes into making sure our patients are safe and taken care of. Yes. Thank you for breaking that down because until somebody understands what all goes into it and the documentation. I mean, it a radiologist I have seen I know, like, breast MRI, when we do them, we have to get certain things from your mammogram Free your mammography reports. When was your last cycle? Like, we have to look at it has to fall within a guideline before we can even do the MRI. If you fall within a follicular stage, We can't do your MRI. Like, there are so many things that go along with it. And then the radiologists, if they don't have priors, they don't have certain paperwork to go they They'll set that to the side so they get what they need. They will not read the MRI because, like you said, there are such fine guidelines when it comes to you can miss so much. They have to compare. So kudos to mammography techs and radiologists because you guys work very closely. We talk a lot about IR works really closely with doctors in ultrasound, but mammography technologists, in my opinion, after doing the screening, national certification. I was like, the doctors really rely radiologists really rely on you all, and you all work very closely together. And once it start coming into MRI, I was like, oh, this is this is a lot. You you know, you kinda take for granted what you don't do and what you don't know, even though we all all under medical imaging, so thank you for educating us on that. Now they do talk about 2 d and three d. That can be confusing to an average person, even to a technologist. What's the difference? Yeah. That's a great question. So, 2 d mammograms is, I think, what we everyone was used to, and it's been around for forever. So What that is is it was just taking 1 picture at this one angle. Okay? And then probably now about, I I wanna say about 10, 15 years ago, 3 d images 3 d mammography came along. And what it does is it takes a series of Fifteen pictures at different angles. So it starts here, and it takes pictures like this at different angles. And then, there's a computer software technology. It's amazing. That then create re that processes these images and then Creates it into a three d image. So what happens is instead of the breast tissue of everything being stacked on top of each other, we the radiologist can scroll through it kind of like a breast MRI or like a CT scan and look at the breast in 1 millimeter layers. So instead of things being on top of each other, now they can look at it, you know, 1 layer at a time. So it's really helpful for women that have dense breast tissue because before with 2 d, we couldn't see through that dense tissue. And that's kind of the what 3 d was designed for and Created for was that dense tissue. Now we can, oh, we can see through that overlapping tissue and see what is it a mass, or is it just dense tissue that's Just stuck, you know, top on top of each other. That is a great example because I think understanding 2 d and three d is really important because there are still facilities that have 2 d. But really explaining dense breasts really you know, and knowing your breast density. I'm gonna have a radiologist on that's gonna talk about knowing the density of your breast. Like, she is, like, a stickler on that. And I couldn't say I knew it before until, you know, I had my breast issues. But it's really important that we do know, and then really advocating for yourself which facility might be best for you. And you don't know until you're cater. Like, Jen just educated us. So is two d, like, outdated? Should we not be doing it? What what? Three d is really the new standard, and now, I would say almost all insurances cover three d. At the beginning, there was still a handful of insurance companies that didn't wanna cover the three d, and patients had to pay out of pocket if they wanted it, But now three d is the standard of care. So definitely ask the facility where you're going, which type of imaging you're doing. The other thing would be to also call your insurance company beforehand just to double check that they do cover the three d, but Most of the insurance companies now will cover that. And then just the other thing, like you were saying, the dense the the density of the breast, The only way to know that is by a mammogram. So you can fill in the breast and say, oh, maybe that's dense tissue, but the really, the only way to know that is by a mammogram. Wow. Okay. So screening recommendations. What would be your recommendations as a mammography technologist? So I follow the recommendations that are by the ACR, which is the American College of Radiology, the Society of Breast Imaging, And the National Cancer Comp or the National Comprehensive Cancer Network, the NCCN, which is screening mammograms For everyone at age 40. And then if you're high risk, then that would be adding a breast MRI along with that. Yep. So those are the recommendations from the crediting board, and, Jen, that was a great explanation for people to kinda sum it up. What now one thing that people really, really are fearful of is the compression. Can you explain why compression is so important? Yes. I will. As as I say, I'm sure we've all heard the You know, seen the memes and heard the things of fly as a pancake, and I've heard the things of, oh, I have to practice by, you know, Press you know, shoving my breast in the freezer door. You know? Yes. We get all of those those things. But compression is so important. And I think, when patients are educated on the reason why we compress, it makes such a big difference. So a couple of things. 1st is if we get a better picture, but I'm gonna break that down into a couple of things. We get better detail If we have more compression. The part of the the mammography machine That your breast rested on is called the detector, and that's where the most detailed part of the image is. So the more the closer your breast is to that, so the Kinda more compression we give, the more detail there is in the image. In the image, there's black and white tissue, so the dense tissue and then fatty issue. And with the more compression we have, we can see better through that that contrast of those black and white tissues. So the more compression we have, the better contrast. Then we have no we have less motion. So that's why your technologist will tell you to hold your breath during your mammogram. But that also helps with compression is we don't have motion breathing. Because if you are breathing during your image, we have to repeat it, and no one wants to have to repeat A mammogram picture. Right? Let's get it done right the first time. And then it reduces the radiation dose. So We are working with X rays, so there is X-ray radiation dose to mammograms. But the more compression we compression we give, The thinner the breast is and then the less radiation dose. So those are all really important reasons why comp breast compression is important in a mammogram. Nice. That was great. Especially now that you explained the three d. I do have a question. Is there I've had someone ask me this before. With 3 d, Is there more radiation because you're taking sequential pictures at different instead of just 1 straight on? Yeah. That is a great question. So There is a little bit more radiation with the 3 d images. Like I mentioned earlier, we are very heavy heavily regulated. So The recommendations for screening mammograms is that we don't go above 3 milligrays, which is the way that we measure radiation doses, per image. For 3 d images, it's about 1.64. A regular two d is about 1.2. So it's it is a little bit more, but we're still way under that 3. And then there's some 3 d images that will take a 3 d picture, and it will take a 2 d picture at that same time. And we're still even if they do that, we're still underneath that 3 milligram recommendation. So even though it is a little bit higher, we're still well below that Recommended, dose amount from for the regulating bodies. That is perfect. I think we've covered so much, but we've got some tips and tricks for scheduling and preparation. I think that's important because I find, like, when MRI people come and they will be very claustrophobic based on what The fear that they have of being in closed spaces or what they've heard, what they've seen on TV or one of the TV shows that scared them to death. And I find that when I prep my patients, calling them ahead of time, letting them know what to expect, you know, or if they come in and they're claustrophobic, letting them know, maybe try it in the morning before you do your ripping and running. And that way, you know or ask the doctor for some medication to relax you, whatever. Just giving people tips and tricks to to help them be better prepared. It makes for a easier experience and a a happier patient. So what tips and tricks do you have for not only coming to your appointment, but scheduling it and then preparing for it. Yeah. So first, we wanna schedule When our breasts are the least sensitive. So you wanna schedule if you're menstruating a couple days after your period ends. That way, we can get the better compression on the images, And we're you know, it's not as tender, for the patient. Then you wanna make sure you wear a 2 piece outfit so that you Still can keep your pants on and just remove the top. Sometimes women come in at a dress, and then it's a little bit tricky with the the shorter gowns that we have in mammography. You wanna make sure you don't wear any lotions, deodorants, or powders on the breast area. Some patients go, why can't I wear lotion, like, on my legs? You can wear lotions on your legs. Just in the breast, axilla, you know, armpit areas where we wanna avoid that so we don't have any artifacts on the images. The other thing to prepare for your exam is you wanna make sure you know your family history, both mom and dad's side, Because the techs are gonna ask those questions, and it's gonna help them know if you're high risk or not. So make sure you come prepared knowing Your family history of all types of cancers, but specifically breast cancer. And then last, don't be scared, but make it fun. Bring your sisters. Come with your mom and go make a girls' night out of it. Go get lunch after. Come with your girlfriends and go see a movie. If you can make it a fun event, you know, it's gonna release that that worry and anxiety, and it you can just make it a fun thing. So I think that's My my biggest thing is make it a fun event and bring your neighbor. Bring someone bring an important woman in your life with you. You have given me an idea. I am gonna do that for October. We're gonna have a a mammogram party. Go get your mammogram, and we can all go and, I'll see if we could schedule them on the same day. Oh my goodness. That is a good idea. Then we can go get a movie and enjoy ourselves that evening. That is great. Jen, this has been a great conversation. I wanted to open it up, but for some reason, LinkedIn live did not connect. I don't know if it's a connectivity issue, but we will use this for the podcast, and I will put this on LinkedIn lie LinkedIn as a video itself, but I'll just, actually just do it as a podcast as well. So it'll be audio and video. But I would open the floor for questions because I knew I know there will be, but I do have TikTok running. Someone said that they had the same exact question about the 2 d, three d. Yes. So that was great that I asked that. And let's see, I'm trying to scroll through these, some of them are about x-ray school. Let's see. They love the content, so this was very helpful to a lot of people. Yeah. A couple of people said they had the same questions, so it seems We answered the questions. And do you have any parting remarks? We appreciate you being a guest on this live and sharing Really, really good information. And as an instructor adjunct instructor, I really love your way of teaching and showing you kept it really simple, but you made it very powerful. And I think it was very touching how you you didn't speak over anybody. You really knew this is a sensitive subject for many people and want to really reach the heart, and we could tell you're very passionate about what you do, and you're very good. Well, thank you so much. This has been such a fun opportunity, and I yes. I'm very passionate about, mammography and Breast health. And I think just my parting words would be, if if you haven't gone and if you're now worried of saying, well, I didn't I haven't gone yet, And now I'm scared because it's been so long. Just go. The memo text will be so happy that you're you're finally there now, and that's why I tell my patients of They'll say, oh, I missed, you know, I missed maybe 4 years, and they'll say, but you're here now. And that's what's important. So schedule your mammogram no matter whether it's been A year or 10 years. Go now, and you'll be so, so glad you you did. And the mammo techs, everyone I've worked with, they're great ladies. We're in it for a reason because we are passionate and care truly care about our patients. Well, thank you again. You guys go over to her Instagram. She's got great content. There's a recent post that I love. She's there at the mammo machine. She's doing, like, a walk through. She shows everything. You guys Check her out. Her Instagram is mamomamamamomamomamomamomamma. So be sure to check her out. I'll put it in the description as well. Let's show Jen some love and support her page and support all the educational content that she has given us because she is the real deal, and we all need to make sure we take care of our breast health. And thank you all for joining us on a couple of Rad Tech's podcast. Have a good one.