En este episodio, conversamos con la Dra. Cotes, radióloga experta en salud mamaria, para aclarar muchos de los mitos y preocupaciones comunes que existen sobre la mamografía. Desde la temida radiación hasta los diferentes tipos de exámenes disponibles, la Dra. Cotes nos explica de manera sencilla cómo la mamografía es una herramienta segura y crucial para detectar el cáncer de mama en etapas tempranas. Además, hablamos sobre el impacto de la densidad mamaria y la importancia de los exámenes anuales, así como las últimas innovaciones tecnológicas, como la resonancia magnética y los ultrasonidos, que ayudan a mejorar los diagnósticos. Si tiene duda sobre su salud mamaria o la mamografía, este episodio es para usted.

En este episodio, conversamos con la Dra. Cotes, radi&oacute;loga experta en salud mamaria, para aclarar muchos de los mitos y preocupaciones comunes que existen sobre la mamograf&iacute;a. Desde la temida radiaci&oacute;n hasta los diferentes tipos de ex&aacute;menes disponibles, la Dra. Cotes nos explica de manera sencilla c&oacute;mo la mamograf&iacute;a es una herramienta segura y crucial para detectar el c&aacute;ncer de mama en etapas tempranas. Adem&aacute;s, hablamos sobre el impacto de la densidad mamaria y la importancia de los ex&aacute;menes anuales, as&iacute; como las &uacute;ltimas innovaciones tecnol&oacute;gicas, como la resonancia magn&eacute;tica y los ultrasonidos, que ayudan a mejorar los diagn&oacute;sticos. Si tiene duda sobre su salud mamaria o la mamograf&iacute;a, este episodio es para usted.

The Rose un Centro de Excelencia en Salud Mamamaria, presenta Hablemos de Nuestros Senos, con Elda Gavidia.

Cada semana, Elda conduce conversaciones sinceras con una variedad de personas en la comunidad del cáncer de mama. Desde médicos y empleados hasta donantes e individuos que influyen en las políticas, aprenderás todo lo que hay que saber sobre la enfermedad que afecta a tantas mujeres en nuestra comunidad.

<a href="https://therose.org">The Rose</a> un Centro de Excelencia en Salud Mamamaria, presenta Hablemos de Nuestros Senos, con Elda Gavidia.
Cada semana, Elda conduce conversaciones sinceras con una variedad de personas en la comunidad del cáncer de mama. Desde médicos y empleados hasta donantes e individuos que influyen en las políticas, aprenderás todo lo que hay que saber sobre la enfermedad que afecta a tantas mujeres en nuestra comunidad.

Hablemos de Nuestros Senos

The Rose Breast Center of Excellence presents Let's Talk About Your Breasts with Dorothy Gibbons.

Each week, Dorothy hosts candid conversations with an array of people in the breast cancer community. From doctors and employees to donors and individuals who influence policy, you'll learn all there is to know about the disease which impacts so many women in our community.

The Rose Breast Center of Excellence presents Let's Talk About Your Breasts with Dorothy Gibbons.
Each week, Dorothy hosts candid conversations with an array of people in the breast cancer community. From doctors and employees to donors and individuals who influence policy, you'll learn all there is to know about the disease which impacts so many women in our community.

Let's Talk About Your Breasts

The Rose Breast Center of Excellence presents Let's Talk About Your Breasts with Dorothy Gibbons.


Each week, Dorothy hosts candid conversations with an array of people in the breast cancer community. From doctors and employees to donors and individuals who influence policy, you'll learn all there is to know about the disease which impacts so many women in our community.

The Rose Breast Center of Excellence presents Let's Talk About Your Breasts with Dorothy Gibbons.
 Each week, Dorothy hosts candid conversations with an array of people in the breast cancer community. From doctors and employees to donors and individuals who influence policy, you'll learn all there is to know about the disease which impacts so many women in our community.

El miedo a la mamografía: Lo que necesitas saber para estar tranquila

A third‑year med student and Rice Board Fellow sits at the intersection of women’s health, community medicine, and nonprofit leadership.

In this episode, Shivanki Juneja shares how her MD–MBA program and board service helped her understand healthcare finance and impact, why stories from postpartum moms and safety‑net clinics pushed her toward OB‑GYN and health equity, and how she hopes to make preventive care and judgment‑free visits the norm for her future patients.

Support The Rose HERE.

Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts.

Key Questions Answered

1. How did a dual MD–MBA program and the Rice Board Fellows lead Shivanki Juneja to The Rose’s boardroom?

2. What did Shivanki actually learn sitting through finance reports, cash‑flow statements, and committee meetings?

3. How did early community work with incarcerated women, underserved students, and postpartum moms shape her view of womens health?

4. Why did one 19‑year‑old new mom’s contraception questions solidify Shivanki’s passion for OB‑GYN?

5. What does Shivanki see up close at Houston’s safety‑net hospital about support, access, and health literacy?

6. How does Shivanki define preventive care and why does she think our system still pays for disease, not prevention?

7. Why does Shivanki believe primary care and screening could lower both suffering and system costs over time?

8. How is Shivanki planning to balance residency training with long‑term goals in community and public health?

9. What does a “safe space with no judgment” look like in Shivanki’s future OB‑GYN practice?

10. How are younger physicians, including Shivanki and her peers, rethinking trust, listening, and advocacy for women left out of care?

Timestamped Overview

00:00 Dorothy introduces Shivanki Juneja, a Rice Board Fellow and dual MD–MBA student serving on The Rose’s board.
01:18 Shivanki explains the Rice Board Fellows program and why she asked to be matched with a womens health nonprofit.
02:09 She describes earlier encounters with The Rose’s mobile coaches at community health fairs as a Baylor College of Medicine student.
03:37 Shivanki shares how volunteering at Harris Health clinics and other community projects drew her toward medicine and service.
05:35 Dorothy asks what she is really learning in board meetings; Shivanki connects accounting and finance lectures to real budgets and decisions.
06:07 Shivanki talks about sitting on committees and seeing how strategy, mission, and numbers come together in a nonprofit.
07:28 She outlines her long‑term interest in OB‑GYN and future work in community or public health after residency.
09:52 Shivanki tells the story of a 19‑year‑old postpartum patient whose questions on contraception and infant care revealed gaps in health literacy.
12:01 Dorothy reflects on how many patients do not even know what they need and how confusing multi‑doctor care can be.
13:38 Shivanki talks about uninsured patients, big extended families, and how safety‑net hospitals become both care and support.
14:40 She describes how women sometimes turn to the health system seeking support they do not find anywhere else.
16:46 Shivanki says she first knew The Rose as a referral option and then, through “mission moments,” saw the lives behind the statistics.
17:25 Dorothy asks what might have made the fellowship richer; Shivanki focuses on feeling welcomed, mentored, and fully included.
19:04 Shivanki honors mentors, especially neurologist Louise McCullough, who modeled nontraditional paths and reminded her that “life is long.”
20:28 Shivanki admits her hardest task now is deciding how to use all her training, experience, and passions as she graduates.
22:57 Dorothy asks what one thing Shivanki would change in healthcare as it exists today.
23:12 Shivanki argues for a cultural shift toward preventive care, screening, and primary care instead of only treating advanced disease.
25:21 Dorothy points out that the system is still set up for symptoms and end‑of‑life care rather than prevention.
25:42 Shivanki explains how current incentives make prevention harder to prioritize, even when clinicians believe in it.
26:07 Shivanki shares interest in both high‑risk pregnancy and infertility and plans to explore options during residency.
26:37 Dorothy asks if Shivanki will encourage women to put themselves first; Shivanki describes creating a judgment‑free, honest space.
28:04 Dorothy calls that approach a cultural shift and ties it to rebuilding trust in medicine.
28:20 Shivanki expresses faith that her generation of physicians can help repair trust by listening and making space for patients’ stories.
29:02 Dorothy thanks Shivanki and asks her to stay in touch through residency and beyond; Shivanki thanks The Rose for the experience and impact.

A third‑year med student and Rice Board Fellow sits at the intersection of women&rsquo;s health, community medicine, and nonprofit leadership.
In this episode, Shivanki Juneja shares how her MD&ndash;MBA program and board service helped her understand healthcare finance and impact, why stories from postpartum moms and safety‑net clinics pushed her toward OB‑GYN and health equity, and how she hopes to make preventive care and judgment‑free visits the norm for her future patients.
Support The Rose <a href="https://secure.therose.org/site/Donation2%3Bjsessionid=00000000.app30118a?df_id=1480&amp;mfc_pref=T&amp;1480.donation=form1&amp;NONCE_TOKEN=6FEB2388BD63E0937C3FD34555AF1B9F">HERE</a>.
Subscribe to Let&rsquo;s Talk About Your Breasts on <a href="https://podcasts.apple.com/us/podcast/lets-talk-about-your-breasts/id1666101320">Apple Podcasts</a>, <a href="https://open.spotify.com/show/6o9cXAie2Mfqhq6tQWrClj">Spotify</a>, <a href="https://www.iheart.com/podcast/1300-lets-talk-about-your-brea-107408811/">iHeart</a>, and wherever you get <a href="https://therose.org/podcasts/">your podcasts</a>.
Key Questions Answered
1. How did a dual MD&ndash;MBA program and the Rice Board Fellows lead Shivanki Juneja to The Rose&rsquo;s boardroom?
2. What did Shivanki actually learn sitting through finance reports, cash‑flow statements, and committee meetings?
3. How did early community work with incarcerated women, underserved students, and postpartum moms shape her view of womens health?
4. Why did one 19‑year‑old new mom&rsquo;s contraception questions solidify Shivanki&rsquo;s passion for OB‑GYN?
5. What does Shivanki see up close at Houston&rsquo;s safety‑net hospital about support, access, and health literacy?
6. How does Shivanki define preventive care and why does she think our system still pays for disease, not prevention?
7. Why does Shivanki believe primary care and screening could lower both suffering and system costs over time?
8. How is Shivanki planning to balance residency training with long‑term goals in community and public health?
9. What does a &ldquo;safe space with no judgment&rdquo; look like in Shivanki&rsquo;s future OB‑GYN practice?
10. How are younger physicians, including Shivanki and her peers, rethinking trust, listening, and advocacy for women left out of care?
Timestamped Overview
00:00 Dorothy introduces Shivanki Juneja, a Rice Board Fellow and dual MD&ndash;MBA student serving on The Rose&rsquo;s board. 01:18 Shivanki explains the Rice Board Fellows program and why she asked to be matched with a womens health nonprofit. 02:09 She describes earlier encounters with The Rose&rsquo;s mobile coaches at community health fairs as a Baylor College of Medicine student. 03:37 Shivanki shares how volunteering at Harris Health clinics and other community projects drew her toward medicine and service. 05:35 Dorothy asks what she is really learning in board meetings; Shivanki connects accounting and finance lectures to real budgets and decisions. 06:07 Shivanki talks about sitting on committees and seeing how strategy, mission, and numbers come together in a nonprofit. 07:28 She outlines her long‑term interest in OB‑GYN and future work in community or public health after residency. 09:52 Shivanki tells the story of a 19‑year‑old postpartum patient whose questions on contraception and infant care revealed gaps in health literacy. 12:01 Dorothy reflects on how many patients do not even know what they need and how confusing multi‑doctor care can be. 13:38 Shivanki talks about uninsured patients, big extended families, and how safety‑net hospitals become both care and support. 14:40 She describes how women sometimes turn to the health system seeking support they do not find anywhere else. 16:46 Shivanki says she first knew The Rose as a referral option and then, through &ldquo;mission moments,&rdquo; saw the lives behind the statistics. 17:25 Dorothy asks what might have made the fellowship richer; Shivanki focuses on feeling welcomed, mentored, and fully included. 19:04 Shivanki honors mentors, especially neurologist Louise McCullough, who modeled nontraditional paths and reminded her that &ldquo;life is long.&rdquo; 20:28 Shivanki admits her hardest task now is deciding how to use all her training, experience, and passions as she graduates. 22:57 Dorothy asks what one thing Shivanki would change in healthcare as it exists today. 23:12 Shivanki argues for a cultural shift toward preventive care, screening, and primary care instead of only treating advanced disease. 25:21 Dorothy points out that the system is still set up for symptoms and end‑of‑life care rather than prevention. 25:42 Shivanki explains how current incentives make prevention harder to prioritize, even when clinicians believe in it. 26:07 Shivanki shares interest in both high‑risk pregnancy and infertility and plans to explore options during residency. 26:37 Dorothy asks if Shivanki will encourage women to put themselves first; Shivanki describes creating a judgment‑free, honest space. 28:04 Dorothy calls that approach a cultural shift and ties it to rebuilding trust in medicine. 28:20 Shivanki expresses faith that her generation of physicians can help repair trust by listening and making space for patients&rsquo; stories. 29:02 Dorothy thanks Shivanki and asks her to stay in touch through residency and beyond; Shivanki thanks The Rose for the experience and impact.

Boardrooms, Bedside, and Beyond: A Future OB‑GYN’s Journey With The Rose

Pat McDavid, affectionately known as “Sunshine,” has supported The Rose for years. 

For close to ten years, Pat has attended our annual Shrimp Boil. And without fail, he gets the crowd going by raising his live auction paddle.

As you listen to Pat’s story, you’ll learn that his commitment to giving back stems from his upbringing. He was instilled with the belief that helping others is paramount. Pat has witnessed firsthand the life-changing impact of The Rose on women.

Today, the Shrimp Boil has become an annual family tradition.

His wife, daughter-in-law, and sister now join him each summer at Shrimp Boil. He cherishes the family-oriented atmosphere and the opportunity to rally behind uninsured women.

Get involved by purchasing tickets or tables. Donate auction items or become an event sponsor. With an 80s theme, this year's Shrimp Boil on June 22nd promises a totally awesome time for a great cause.

Learn more at therose.org/shrimpboil.

Key Questions Answered

1.) How did Pat McDavid get his popular nickname “Sunshine?"

2.) Where does Pat’s commitment to giving back to the community come from?

3.) How has Pat seen The Rose’s impact firsthand?

4.) How has Pat made The Shrimp Boil a family affair?

Chapters

00:00 Introduction: Pat McDavid, Mr. Sunshine

01:00 The Importance of Giving Back

06:13 Raising Funds and Making a Difference

08:29 Supporting The Rose and Its Mission

09:26 Breast Cancer: A Personal Connection

12:14 The Family-Oriented Shrimp Bowl

21:49 The Mundy Companies: A Legacy of Success

24:11 Conclusion: The Power of Saying Yes

Pat McDavid, affectionately known as “Sunshine,” has supported The Rose for years. 
For close to ten years, Pat has attended our annual Shrimp Boil. And without fail, he gets the crowd going by raising his live auction paddle.
As you listen to Pat’s story, you’ll learn that his commitment to giving back stems from his upbringing. He was instilled with the belief that helping others is paramount. Pat has witnessed firsthand the life-changing impact of The Rose on women.
Today, the Shrimp Boil has become an annual family tradition.
His wife, daughter-in-law, and sister now join him each summer at Shrimp Boil. He cherishes the family-oriented atmosphere and the opportunity to rally behind uninsured women.
Get involved by purchasing tickets or tables. Donate auction items or become an event sponsor. With an 80s theme, this year's Shrimp Boil on June 22nd promises a totally awesome time for a great cause.
Learn more at <a href="https://fundraise.givesmart.com/e/FqfHaw?vid=15q4b3">therose.org/shrimpboil</a>.
Key Questions Answered
1.) How did Pat McDavid get his popular nickname “Sunshine?"
2.) Where does Pat’s commitment to giving back to the community come from?
3.) How has Pat seen The Rose’s impact firsthand?
4.) How has Pat made The Shrimp Boil a family affair?
Chapters
00:00 Introduction: Pat McDavid, Mr. Sunshine
01:00 The Importance of Giving Back
06:13 Raising Funds and Making a Difference
08:29 Supporting The Rose and Its Mission
09:26 Breast Cancer: A Personal Connection
12:14 The Family-Oriented Shrimp Bowl
21:49 The Mundy Companies: A Legacy of Success
24:11 Conclusion: The Power of Saying Yes

We Challenge You to Outbid THIS GUY at The Shrimp Boil

A new CEO steps into The Rose and immediately confronts the realities behind 60,000
annual screenings: rural healthcare deserts, under‑reimbursed mammograms, and an
aging but essential mobile fleet.

During this conversation, COO Jessica Duckworth sits down with Angie Lane to talk about
what surprised her most in her first six weeks, why 3D mammography on five pink
coaches is non‑negotiable for twenty‑six Texas counties with no freestanding imaging,
and how shrinking insurance and Medicare payments make patient navigation and
financial stewardship core to The Rose’s future.

Support The Rose HERE.

Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts.

Key Questions Answered

1. What did Angie learn in her first weeks about serving 60,000 women a year across
forty‑five counties?
2. How do The Rose’s five mobile coaches deliver 3D mammograms in counties with no
imaging centers at all?
3. Why does Angie describe many of The Rose’s service areas as “healthcare deserts”?
4. What does it actually cost The Rose to provide a screening compared to what many
insurers and Medicare reimburse?
5. How does Angie connect her new role to her experience as a working mother who might
have to lose a day’s work just to reach the medical center?
6. Why does she see patient navigation as a uniquely important service for women who
receive a cancer diagnosis?
7. How does Angie’s personal experience hearing a difficult diagnosis about her child
shape her empathy for patients at The Rose?
8. What financial priorities does Angie name for keeping The Rose stable while
maintaining high standards of care?
9. How does Jessica frame the dual challenge of limited healthcare options and limited
health insurance in rural Texas?

Timestamped Overview
00:00 Jessica welcomes listeners, introduces herself as COO of The Rose, and frames
the episode as a chance for the community to meet new CEO Angie Lane.
00:25 Angie thanks Jessica and shares her awe at the scale of The Rose’s work,
including serving 60,000 women annually and operating the largest mobile
mammography fleet in Texas.
00:30 She describes the five RV coaches, their 24‑hour air‑conditioning, bumpy rural
roads, and sophisticated equipment required to bring mammograms to areas without
freestanding clinics.
01:13 Jessica notes that out of The Rose’s forty‑five‑county service area, twenty‑six
counties have no freestanding mammography units, making the mobile fleet essential.
01:19 She adds that the coaches carry 3D mammography, the gold standard, which
many local facilities still do not offer.
01:33 Angie reflects on growing up near the Texas Medical Center, contrasts that
access with surrounding counties she now sees as healthcare deserts, and imagines
the burden on working mothers who would have to take a full day to reach the medical
center for routine screening.
02:21 Jessica points out that rural communities face deserts in both healthcare services
and health insurance coverage, compounding access gaps.
02:50 Angie explains that providing a mammogram can cost The Rose around $300,
while some reimbursements come in around $150–$175, and says closing that gap
without sacrificing quality is a priority.
03:36 Jessica highlights The Rose’s patient navigation program and asks Angie how
she views its importance and future.
04:11 Angie calls navigation one of The Rose’s most important services, connects it to
her own experience hearing a diagnosis about her child, and underscores how
overwhelming cancer can be even for people already working in healthcare.
06:00 Angie talks about the emotional load on patients and families and why having a
skilled, compassionate navigator alongside them can change the experience of
treatment.
07:15 Jessica and Angie touch briefly on funder conversations, the need to explain that
support goes far beyond “just a mammogram,” and how navigation, follow‑up, and
system gaps factor into funding requests.
09:30 Angie closes by returning to her core goal: protecting access and quality for every
woman The Rose serves while steering the organization safely through shifting
reimbursement and rural need.

A new CEO steps into The Rose and immediately confronts the realities behind 60,000 annual screenings: rural healthcare deserts, under‑reimbursed mammograms, and an aging but essential mobile fleet.
During this conversation, COO Jessica Duckworth sits down with Angie Lane to talk about what surprised her most in her first six weeks, why 3D mammography on five pink coaches is non‑negotiable for twenty‑six Texas counties with no freestanding imaging, and how shrinking insurance and Medicare payments make patient navigation and financial stewardship core to The Rose&rsquo;s future.
Support The Rose <a href="https://secure.therose.org/site/Donation2%3Bjsessionid=00000000.app30118a?df_id=1480&amp;mfc_pref=T&amp;1480.donation=form1&amp;NONCE_TOKEN=6FEB2388BD63E0937C3FD34555AF1B9F">HERE</a>.
Subscribe to Let&rsquo;s Talk About Your Breasts on <a href="https://podcasts.apple.com/us/podcast/lets-talk-about-your-breasts/id1666101320">Apple Podcasts</a>, <a href="https://open.spotify.com/show/6o9cXAie2Mfqhq6tQWrClj">Spotify</a>, <a href="https://www.iheart.com/podcast/1300-lets-talk-about-your-brea-107408811/">iHeart</a>, and wherever you get <a href="https://therose.org/podcasts/">your podcasts</a>.
Key Questions Answered
1. What did Angie learn in her first weeks about serving 60,000 women a year across forty‑five counties? 2. How do The Rose&rsquo;s five mobile coaches deliver 3D mammograms in counties with no imaging centers at all? 3. Why does Angie describe many of The Rose&rsquo;s service areas as &ldquo;healthcare deserts&rdquo;? 4. What does it actually cost The Rose to provide a screening compared to what many insurers and Medicare reimburse? 5. How does Angie connect her new role to her experience as a working mother who might have to lose a day&rsquo;s work just to reach the medical center? 6. Why does she see patient navigation as a uniquely important service for women who receive a cancer diagnosis? 7. How does Angie&rsquo;s personal experience hearing a difficult diagnosis about her child shape her empathy for patients at The Rose? 8. What financial priorities does Angie name for keeping The Rose stable while maintaining high standards of care? 9. How does Jessica frame the dual challenge of limited healthcare options and limited health insurance in rural Texas?
Timestamped Overview 00:00 Jessica welcomes listeners, introduces herself as COO of The Rose, and frames the episode as a chance for the community to meet new CEO Angie Lane. 00:25 Angie thanks Jessica and shares her awe at the scale of The Rose&rsquo;s work, including serving 60,000 women annually and operating the largest mobile mammography fleet in Texas. 00:30 She describes the five RV coaches, their 24‑hour air‑conditioning, bumpy rural roads, and sophisticated equipment required to bring mammograms to areas without freestanding clinics. 01:13 Jessica notes that out of The Rose&rsquo;s forty‑five‑county service area, twenty‑six counties have no freestanding mammography units, making the mobile fleet essential. 01:19 She adds that the coaches carry 3D mammography, the gold standard, which many local facilities still do not offer. 01:33 Angie reflects on growing up near the Texas Medical Center, contrasts that access with surrounding counties she now sees as healthcare deserts, and imagines the burden on working mothers who would have to take a full day to reach the medical center for routine screening. 02:21 Jessica points out that rural communities face deserts in both healthcare services and health insurance coverage, compounding access gaps. 02:50 Angie explains that providing a mammogram can cost The Rose around $300, while some reimbursements come in around $150&ndash;$175, and says closing that gap without sacrificing quality is a priority. 03:36 Jessica highlights The Rose&rsquo;s patient navigation program and asks Angie how she views its importance and future. 04:11 Angie calls navigation one of The Rose&rsquo;s most important services, connects it to her own experience hearing a diagnosis about her child, and underscores how overwhelming cancer can be even for people already working in healthcare. 06:00 Angie talks about the emotional load on patients and families and why having a skilled, compassionate navigator alongside them can change the experience of treatment. 07:15 Jessica and Angie touch briefly on funder conversations, the need to explain that support goes far beyond &ldquo;just a mammogram,&rdquo; and how navigation, follow‑up, and system gaps factor into funding requests. 09:30 Angie closes by returning to her core goal: protecting access and quality for every woman The Rose serves while steering the organization safely through shifting reimbursement and rural need.

El miedo a la mamografía: Lo que necesitas saber para estar tranquila

Hablemos de Nuestros Senos

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Let's Talk About Your Breasts

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