Breasts. Kristi Funk, M.D.

there is a lesson in it for everyone. Additionally, cancer changed my behavior; I had to learn about self-care and quality of living through nutrition and alleviating stress.

      After some time passed, Kristi and her husband, Andy, and I met about their dream of opening a place that offered a “one-stop shop” where breast cancer screening, diagnosis, and treatment happened seamlessly and comfortably under one roof. I was all in. Their dream would eventually become Pink Lotus, including the free care they provide to underserved women via the Pink Lotus Foundation. The Pink Lotus Breast Center would offer the first contrast-enhanced digital mammograms in North America, combining Western medicine with complementary and alternative medicine, nutrition, psychology, physical therapy, genetics, and innovative technologies — and offering women holistic, whole-body view of health and wellness.

      Over the years, I have learned so much about how to live a healthier life through diet and exercise and meditation. I wince every time I hear from someone I know or someone who is distantly connected that they’ve been diagnosed with breast cancer or cancer in general. The 1 out of 8 statistic seems to hold on, but we are learning more about prevention, and until there is a cure . . . well, early detection is a great help, but prevention is the greatest hope for us all.

      Over a decade later, I remain grateful to Kristi for continuing to be driven to learn more about how to outsmart this insidious disease. Whether you live with or without breasts, there is so much to know and so many things one can do. Navigating it all can become confusing, especially with all the contradictory advice out there. Dr. Funk’s book is a gift to women everywhere looking for answers to breast issues and to health in general. Kristi shares what she learns in the hopes that eventually she will be out of a job as a breast cancer surgeon!

       —Sheryl Crow

Author’s Note

      My mom was thirty-six years old and had five children under the age of fourteen (I was two) in December 1971. She was in peak fitness as a competitive A-level tennis player who swam daily when she suffered a stroke and inexplicably fell into a coma that lasted three weeks. The UCLA doctors told my father on multiple occasions not to leave for home that night, for she would surely die by morning. A priest administered the sacrament of last rites, which I believe made heaven take notice: Oh heck no, we aren’t ready for that ornery MaryAnn; give her another fifty-plus. So she woke up! (If you ever meet me—and I hope you do—ask me how she woke up.) My mom remained in rehab for a year before returning home, relearning how to speak and how to walk, since she would never move her right side again (hemiparesis). All of my parents’ “friends” disappeared and my dad downsized the house, but his love for her never diminished; in fact, it grew. To this day, in their late eighties, he defends her fiercely and assists her tenderly. How could you not cherish a warrior who stared down death and won—without speaking a word?

      That’s where I come from, and that’s what I offer you. I possess the dogged determination and tenacity of my mother, mixed with the empathy and compassion of my father. So when you fling excuses and hopelessness at me, I will whack you with a reality check. And when you come to me scared and broken, I will hug you until you’re whole again.

      After my relationship with God, I only really care about two things in this life: loving family and killing cancer. You picked up this book. You’re family now, so let’s get going.

Introduction

      From the age of four, I wanted to be an actress. (Ha! You thought I was going to say I always wanted to be a doctor, didn’t you?) I performed in every school play, beginning with Sleeping Beauty in the second grade and continuing all the way through college, when I starred as Oedipus in an all-female production. Yet Hollywood was never my endgame. I actually pictured myself helping children heal from illness, using drama and imaginative play to explore the feelings and fears brought on by sickness.

      Cut to my sophomore year as a psychology major at Stanford University, when I experienced an epiphany that would both change my course and guide it to this day. In the midst of studying for a neuropsychology final, painstakingly trying to memorize which neurotransmitters in the brain led to which functions of the body, I experienced an unmistakable and repetitive “interrupting thought” that made my own neurotransmitters buzz. It came from God.

      You’re going to be a doctor, it said. Whoa.

      Okay, that was interesting. Incorrect, but interesting. You see, my female role models married young, and all I wanted was to raise a family and work as a drama therapist. I traveled to Africa a week later on a summer missionary trip that had been planned for months. When I saw firsthand the health challenges that millions of men, women, and children face, my life’s purpose snapped into shape—and not in the form of theater or therapy. I felt newly inspired to care for people in the one way that matters most to them—by helping them maintain the very vessel that carries them around all day: their bodies. Disease robs far too many people of joy, replacing hope with chronic illness and death. It isn’t right. As I sat cross-legged in a dung hut, balancing potatoes on my head to make the tribal kids laugh, I decided to do something with my life to try to stop the killer of joy: I heeded God’s voice and resolved to become a doctor.

      I went to medical school, did my residency in general surgery, and then completed a surgical breast fellowship at Cedars-Sinai Medical Center. I stayed on to become the director of patient education at their breast center, where I gave a number of community and physician lectures. Most women don’t want to hear about cancer unless they have it and need to make some decisions, so rather than bore them to tears with medical jargon, I challenged my audiences by discussing attention-grabbing studies that would incite them to alter their behavior. I delved into risk reduction and discovered all sorts of lifestyle game changers. I loved the work, and patients responded like crazy. I couldn’t wait to get to the office to spend all day examining and educating women, operating with curative intent, and becoming creative when a diagnosis or cosmetic issue became challenging. Everything I did back then and continue to do today—helping women boost their health, reduce their breast cancer risk, make sense of a diagnosis, or find their way after treatment—inspired the book you’re reading now.

       A MULTILAYERED PROBLEM

      Whether perky or droopy, full or flat, for two organs perched front and center on half the population’s chests, it is pretty crazy that breast health remains rather mysterious to many breast owners. Most women don’t know much about their breasts, what their purposes are, and how to keep them healthy so the rest of their bodies can thrive. Everyone knows that breasts can grow cancer, which is the number-one killer of women ages twenty to fifty-nine, yet there’s never been a solid and informed conversation about how to reduce our risk factors for this disease and why certain precautions might help.

      Any breast health conversation needs to focus on two problems: numbers and knowledge. First and foremost, breast cancer is a pandemic concern, and the numbers sure prove it. In the United States alone, 1 in 8 women will be diagnosed with breast cancer at some point in their lives. Every year, we identify 1.7 million new breast cancer cases worldwide, with over 300,000 in the US. Interestingly, incidence rates vary fourfold across the globe, ranging from 27 per 100,000 in Middle Africa and Eastern Asia, to 93 in the US, to 112 in Belgium, and it’s not the weather that accounts for these global disparities. If this freaks you out, you’re not alone.

      Based on my experience as a board-certified breast cancer surgeon who has helped tens of thousands of women navigate breast health issues, I know for a fact that we have the power to reduce our breast cancer risk in achievable and dramatic ways. Enter our second big problem with breast cancer awareness: erroneous public perception. Most women believe that family history and genetics determine who gets breast cancer, but for most people, they don’t. Inherited mutations, like BRCA, only cause 5 to 10 percent of breast cancer; in fact, 87 percent of women diagnosed with breast cancer do not have a single first-degree relative with breast cancer.¹

      I’ll give you