Young Women and Breast Cancer

I was in my twenties when I began to takeproper insurance coverage, fertility issues,
notice of all the breast cancer stuff that seemedco-payments, high prescription costs, lack of
to be everywhere at certain times of the year,fertility, physiological, mental and emotional issues
and it was around this time that I began to beand the inability to properly care for her family or
more conscious of the issue of breast cancer - ofpursue her goals and dreams because she has
all the pink stuff and knowing that it wasbeen struck by a silent enemy while she is in her
important to worry about it when you turned 40.prime?
Every time I heard of breast cancer, it was withinAlso, I wonder, don't these young women have
the context of women getting it at age 40 andthe right to life? That means that they need to
over, so did not think I had anything to worrybe given the proper tools to make proper
about.decisions about their health. That means that
I had been doing my breast exams since I wasalthough it is a small population, these young
thirteen; my mother taught me to do them at awomen are not just numbers, they are individuals
young age, but still it never dawned on me that Iwhose lives matter, as much as those in the
could actually GET breast cancer, until it happenedmajority.
to me. When my mother had taught me to doThe thing is, these young women can and do
my exams, she had explained that even though Isurvive if they are aware and find their lumps in
barely had breasts, it was important that I knowtime. At the very least, if a young woman never
what they felt like, so as they grew and changed,got a breast lump or other symptom, she could
I would know if anything abnormal appeared.be an advocate amongst her peers, friends,
Thanks to her education and diligence, 18 yearsfamily and in the community.
later, when I found the lump, while in the shower,The EARLY Act, introduced by Rep. Wasserman
I knew immediately that something was wrongSchultz, would support this type of awareness
and that I needed to get checked.and education. The bill has more than 360
After finding the lump and visiting with a surgeon,cosponsors in the House and more than 36 in the
even though the lump would not aspirate, theSenate. It would fund a national education
breast surgeon had it in her mind, that since I didcampaign on breast cancer and young women.
not fit a statistic, I was to young to get breastThe educational campaign would reach out to
cancer, so I should forget about it and go home -young adult women and also to physicians. It
if it bothered me to come back in six months, butwould not only educate young women and the
not to worry. "You're too young". I did wait sixcommunities in which they live, the bill would also
months and the lump doubled. After pushing for ahelp young women who have breast cancer get
biopsy, she did one and then called to tell me thatsocial and psychological support. The EARLY Act
it was cancer after all. The lump was Stage II -will encourage young women to 1) learn the facts;
what if I had waited six more months?2) know their bodies; 3) speak up for their health;
The sad truth about this story is that it is notand 4) embrace support. The draft bill calls for
unique. As I lay in my bed, bald, sick from chemoexpenditures of $9 million per year from 2010 to
and wondering where life would lead me, I learned2014. Similar to other early detection and
that approximately 11,000 American womenscreening programs, it is simply an educational
younger than 40 are diagnosed with breasttool, and a powerful one, as it could change the
cancer annually. Of those approximately 1,100 dielives of many young women nationally and maybe
because they were told "You're too young" oron a global scale.
"Come back in six months". I also learned thatIt's true that only a small percentage of young
younger women have more aggressive breastwomen get breast cancer. However, we tend to
cancers and higher mortality rates.have higher mortality rates. Our futures grind to a
Over the past three years, I have had anhalt: Our careers are put on hold, the disease may
opportunity to meet and come to love many ofaffect our ability to bear children, and we have to
these young women - some still living and somedeal with problems such as under-insurance, along
who have lost their lives needlessly to awith challenges to our long-term health that arise
preventable death from a disease that they didfrom more aggressive treatments.
not know could take their lives.Does it hurt young women to inform them about
I thought to myself so many times, what if I hadbreast cancer? What would be more harmful -
not been taught to do my breast examinations atarming them with education, awareness and
an early age? What if I had not pushed thelifesaving tools life, or leaving ignorant of a disease
doctor for further diagnostics? What if I had notthat could rob them of their future? Without
been educated and been my own advocate?awareness, how would younger women know
Where would I be today? My being alive today,what to look for? Without awareness how could
similar to the 10,000 or so women who survivewe push our doctors to take us more seriously
breast cancer, are a result of awareness andwhen we go to them with a lump or, in some
early detection. When discovered in time, survivalcases, with excruciating pain.
rates are higher. Knowledge and education areMy 6-year-old daughter told someone the other
key.day, "My mommy and I are breast cancer
In 2006, when Representative Debbie Wassermansurvivors". My eyes filled with tears. It's been
Schultz introduced The Breast Cancer Educationnearly three years and she is just now beginning
and Awareness Requires Learning Young Actto vocalize how she feels and what she went
(The EARLY Act) - H.R. 1740, S. 994, I wasthrough. We need the new programs of the
honored, as a young survivor of breast cancer,EARLY Act to address the psychological and
and representative of Tigerlily Foundation, tosocial needs that younger women and younger
stand by her side, along with Senator Amyfamilies have, which are often different from
Klobuchar and representatives from other breastthose of women 40 and over.
cancer foundations with young adult populations,Today, I am a three-year survivor of breast
to support this legislation.cancer, and I am alive because of early detection.
I thought, "The EARLY Act is just what youngerAs I write this, I can reach over and touch my
women need. If it wasn't for early detection,daughter's face - because I am still here; because
many of them wouldn't be alive today." ImagineI found my lump in time. In the fall, I took my
my surprise when opponents of this bill began todaughter to school, as she started first grade, and
sprout up. Some said it was harmful and otherswatched her go in and find her way. And I was
said it would frighten young women. Yet, otherthere waiting for her after school- because I am
healthcare practitioners and breast cancerstill be here, because of early detection. I wonder,
advocates thought we needed more evidence, tohow many other young women lost the
prove that if young women did breast selfopportunity to watch their children bloom and
examinations, it would affect their mortality rates.grow - learn to talk, walk, read, ride bikes, tie
Others argued that it might cause more youngtheir shoes, go to their first day of school and will
women to go for needless biopsies and this mightnever see their children grow up to be men and
also impact healthcare costs and these youngwomen - because of lack of awareness.
women's health long term. Still, others said thatIt is easy to play the numbers game when it is
only a small percentage of younger women getnot personal, or when those opposing it are
breast cancer, so why make the investment infighting in some way to maintain the status quo,
this legislation.some sort of power or control over the "way
After all the arguments, I still don't get it. What dothings are". However, times are changing; and as
all of those things matter if you get breast cancerfor those of us who are on either side of the
at a young age and die because you are unawarestatistic pool, it is an easy decision - we are here
of the risks? What do fear, medical costs, longbecause of early detection or a life was lost
term health issues, and what more harm could itbecause of a lack of it. The EARLY Act is
cause if a young woman become metastatic andnecessary - it is not an option. Young women's
has to deal with a shortened life span, lack oflives and futures depend on it.