A routine mammogram can change everything—especially when a letter arrives labeling you “high risk.” We sit down with nurse practitioner Jill Flores, whose career spans labor and delivery to advanced breast care, to unpack what that label actually means, how risk models work, and how a high-risk breast clinic turns numbers into a practical plan you can follow without losing your sanity. Jill explains the intake process that starts with a cancer risk assessment, walks through why 20% lifetime risk is the threshold for enhanced screening, and shows how mammograms, whole-breast ultrasound, and MRI can be sequenced to shrink the window where cancer hides.

We dive into genetics beyond BRCA—think CHEK2, ATM, and comprehensive multigene panels that also inform risks for colon, kidney, endocrine, and skin cancers. You’ll hear how decisions about prophylactic surgery are made, why “genetic risk” isn’t destiny, and how shared decision-making respects both data and personal values. Jill also addresses a frustrating reality: insurance coverage for high-risk MRIs is inconsistent, even when patients meet criteria. She shares how our team advocates through appeals, aligns schedules to reduce barriers, and keeps the focus on early detection and longer survival.

Lifestyle isn’t an afterthought here—it’s a lever. We cover how Mediterranean- and DASH-style eating, steady exercise, weight management, and low alcohol intake can reduce risk through better hormone balance and lower inflammation. We talk candidly about anxiety, how to spot meaningful changes, and why having a reachable nurse navigator matters. Men are part of the conversation too, with tailored imaging and genetic counseling when indicated. If you’ve ever wondered whether you or a loved one should pursue a high-risk assessment—or how to make the system work for you—this conversation delivers a clear, compassionate playbook.

If this resonated, follow the show, share it with someone who needs clarity, and leave a review to help others find it. Ready to check your risk or set up a plan? Call our high risk nurse navigator at 636 530 5512.

Ever wondered how hospitals afford those multi-million dollar machines that save lives? The answer might surprise you.

Dan McCormack, Vice President and Executive Director of Development for St. Luke's Hospital, pulls back the curtain on healthcare philanthropy in this eye-opening conversation. What emerges is a fascinating look at how donor dollars become the lifeblood of modern healthcare innovation when insurance reimbursements fall woefully short.

While universities like Harvard sit atop $50 billion endowments, your local hospital likely operates on razor-thin margins—sometimes just 1-2% above breaking even, if not in the negative. Medicare and Medicaid typically reimburse only 60-90 cents on the dollar for services rendered. This financial reality creates an impossible situation: how does a hospital acquire a $4 million linear accelerator for cancer treatment when barely staying afloat?

The answer lies in the profound connection between grateful patients and the institutions that heal them. Unlike university donations driven by alumni pride or cultural giving motivated by community enrichment, healthcare philanthropy taps into something more personal—the deep gratitude that comes from having your life saved or improved. As McCormack eloquently puts it, "What I'm actually doing is giving them an opportunity to feel good" by allowing donors to transform their hard-earned money into healing for others.

What makes this conversation particularly valuable is its honest exploration of both sides of the philanthropy equation. We hear about the delicate art of fundraising without making relationships feel transactional, while also understanding why even small donations make meaningful differences in healthcare delivery. From the psychology of giving to the uncertain future of nonprofit tax status for hospitals, this discussion offers rare insights into how philanthropy shapes the healthcare we all depend on.

Ready to make an impact? Visit the St. Luke's website and click "I Want To" in the upper right corner to discover how your contribution—whether $25 or $25,000—can transform patient care in your community.

What happens when a park ranger eats a raw crawfish on a dare? According to infectious disease specialist Dr. Matthew German, it can lead to a rare parasitic infection typically only seen in Tibet. This surprising case exemplifies why the most important qualities in medicine are persistence and doubt.

Dr. German joins oncologist Jason Edwards for a fascinating journey through the unexpected twists and turns of infectious disease diagnosis. With decades of experience treating everything from HIV to COVID-19, Dr. German shares how diseases often don't follow textbook descriptions, and why algorithms alone can't replace clinical judgment. "You have rules or guidelines, but they're not laws," he explains, emphasizing the dangers of pigeonholing diagnoses.

The conversation explores how non-infectious conditions frequently mimic infections, requiring doctors to maintain broad differential diagnoses. From autoimmune disorders like Familial Mediterranean Fever to immunotherapy side effects causing pituitary insufficiency, these medical mysteries demand both extensive knowledge and investigative persistence. Dr. German recounts his experience during the HIV epidemic's evolution - from the limited effectiveness of early AZT monotherapy to today's life-changing triple therapy regimens.

The physicians also tackle challenging topics including public mistrust in medicine, the complexities of doctor-patient communication across different educational backgrounds, and emerging threats like H5N1 avian influenza. Throughout their discussion, they return to a central theme: medical humility. Even brilliant doctors make mistakes when they become too certain of their diagnoses without considering alternatives.

Whether you're a healthcare professional, student, or simply fascinated by medical mysteries, this conversation offers valuable insights into how infectious disease specialists approach complex cases. The next time you hear hoofbeats, remember it might not be horses or zebras - sometimes it's a crawfish-borne parasite!