Dr. Elizabeth Comen

speaker

796 appearances 2 recordings 2 series first heard Apr 2025 last heard 13 Jan

Dr. Elizabeth Comen’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jan 2026 with 1.

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The Tamsen Show · Mammograms, Dense Breasts and Hormones: What Every Woman Needs to Know · 16 Apr 2025 podcast

I had surgery and then had a complication from that that really went missed. And I couldn't advocate for myself. And I think I was angry at myself. Why do I not have the confidence, given everything I am? And it happened when I was writing this book. Ich habe das ganze Buch geschrieben. Und wenn es darum kam, für mich zu antworten, konnte ich das nicht tun. Und so viele Dinge... Warum?

Und trotzdem habe ich für Tage und Tage einen schmerzhaften Schmerz mit einer basically flüssigen Flüssigkeit aus meiner Spine, die die Anzahl der Flüssigkeit in meinem Gehirn gesteigert hat. Also jedes Mal, als ich meinen Kopf öffnete, war es, als ob ich in meinen Spinalchor gesackt worden wäre.

Ich musste mit meiner eigenen Angst vor mir selbst kämpfen und Verzweiflung vor mir selbst und nicht meinen eigenen Gehirn zu vertrauen. Obwohl ich das ganze Buch geschrieben habe, der starken Kontrast zwischen dem, was ich versuchte, zu beurteilen, und der Verbindung zwischen meiner eigenen Selbstverzweiflung, hat mich wirklich

und empathisieren mit dem, was Frauen auf so vielen verschiedenen Ebenen durchgehen.

Ich weiß nicht, ob wir eine Antwort haben. or the 19th century woman that wanted to have more sex than her husband and what was the problem with her libido and she should go, you know, never have sex again. Really trying to invite the conversation for yourself about why do we think the way that we do about our body? What is this legacy that we've inherited about ourselves?

And I think honestly some of the instances where I've taken care of so many different types of women, socioeconomic backgrounds, All walks of life. But sometimes it's these absolute bosses, right? The politicians, the celebrities, the lawyers that are incredible in public spaces in terms of their power.

But when it comes to the doctor-patient relationship or shame that they may feel about their bodies, the obstacles are extraordinary. And how do we break those down collectively but individually so that we all can access better care?

Well, look what you're doing. You have a massive platform, right? And you're engaging with the public in ways that are not only powerful, but empathic and authentic. And I think that's what we're missing in so many of these discussions, the ability to just communicate.

uns selbst zu sein und zu sagen, ja, wir haben vielleicht diese Haare an und wir sehen wunderbar aus, aber wir haben alle private Kämpfe. Ja, das machen wir. Und ich denke, diese private Kämpfe alleine sind eine echte ungewöhnliche Einzelne, die ich wünsche, dass mehr Frauen das nicht haben sollten, auch ich.

I think I'm also a personality and in a field that is really driven in the best of ways by kindness, compassion, gentle behavior, right? But sometimes you have to say, this isn't right. And how do you do that? How do you teach women to do that and not feel like they're annoying, they're loud, they're a burden, they're bothering you? I'm still working on that.

Well, I think it speaks to so much of what we're talking about now, about this somehow woven into our fabric as women, the need to apologize, even in the most subconscious ways that we may not be aware of. And when I was first writing this book, there was a little bit of controversy. Could I really open with such a sad story?

But I felt that this really drove home what I was trying to accomplish in showing in the history of women's health care and the contemporary experience of it. So this was a woman that I had taken care of for many, many years.

When you're diagnosed with metastatic breast cancer, that's breast cancer that's spread from the breast to another part of the body, that is something that you can live with, but is usually not curable. And yet she had many, many great years and I felt so connected to her for having given her that life and hopefully joy.

She had four children and she would always bring me pictures of climbing mountains and taking these extraordinary trips. Ich war mit ihr und ich ging, um sie zu sehen, als sie wirklich auf ihrem Todesblatt war, Stunden bevor sie gestorben war. Und ich bin runtergekommen, um ihr einen Hügel zu geben. Und sie, du weißt, hatte Probleme mit dem Atmen und es war so klar, dass sie gestorben war.

Ich liebe es, dass du das sagst. So moving away from a very sad, sad story. There is a lot of hope with breast cancer. Majority, the vast, vast majority of women that are diagnosed are cured of breast cancer. And that's because early detection saves lives.

And early detection saves lives because it's not just about catching a cancer sooner when it can be treated with more what we call curative intent, meaning more likely to be cured. aber auch eine weniger aggressivere Therapie. Je kleiner etwas ist, desto weniger wahrscheinlich ist es, Chemotherapie zu benötigen, umfassendere Arthritis und umfassendere Behandlung nach der Therapie.

Und auch während meiner Karriere habe ich so viel verändert, in Bezug auf das, wie wir die molekulare Biologie des Brustkanzers verstehen. Und wir können sehr individuelle Behandlung von Patienten bieten. Und ich denke, es gibt diesen historischen, verstehenswerten Angst vor Brustkanzer, weil wir so viele Menschen davon gesehen haben und es so oft ist.

But I really want to be hopeful in the messaging today that I really hope it doesn't pull women away from the important screening. Because while it may be common, it is almost always curable.

So, let's start with this first. If you are of average risk, and I'll go into that in a moment, you should start in general screening for breast cancer, I say, every year starting at age 40. There's maybe some slightly different guidelines, but I would advise for most women of average risk, start at age 40. Das ist Ihr Mammogramm? Richtig, mit einem Mammogramm. Am 10.

September hat die FDA gefordert, dass Sie informiert werden, ob Sie dänische Brüste haben. Wenn Sie dänische Brüste haben, sollten Sie mit Ihrem Doktor über die zusätzliche Screening mit einem Ultrasound oder einem Brust-MRI sprechen, um besser zu visualisieren, dass ein potenziell kleinerer Krankheit auf dem Mammogramm vermisst werden könnte.

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