Decoding your breast cancer risk

Breast cancer risk assessment scores can enable clinicians to estimate a woman’s risk of developing invasive breast cancer over the next five years, as well as her lifetime risk. The tools ask users about myriad factors that influence breast cancer risk. But risk calculators don’t necessarily provide the kind of precision and insight some women seek. A risk score can’t tell a woman for certain whether she will or won’t develop breast cancer. Risk calculators typically also don’t determine when or how often most women should seek mammograms.

Content restricted. Requires subscription

Fresh-faced through the years

With age, people develop brown spots, wrinkles, and sagging skin. Women are more likely than men to invest money and time to look younger. Sun protection and a variety of skin care products can help, including those containing alpha-hydroxy acids, retinols, vitamin C, and hyaluronic acid. Minimally invasive cosmetic procedures can also ease signs of aging. These include injections of botulinum toxin (Botox) or hyaluronic acid, laser treatments, and chemical peels. Skin care and treatments should be customized to each person.

Content restricted. Requires subscription

Hidden hurdles to mental health care

A quarter of American adults live with a mental health disorder such as anxiety, depression, obsessive-compulsive disorder, or post-traumatic stress disorder. But more than half don’t seek help. Internal and external barriers may stop them from getting the care they need. Internal barriers are emotions or excuses people make to avoid treatment. External barriers include cost or difficulty finding a provider who can meet someone’s individual needs. To push past obstacles, people can investigate less-expensive mental health programs or reframe guilt-inducing thoughts.

Content restricted. Requires subscription

Solo aging: Who can you rely on?

Solo-agers are people 50 and older who aren’t married, don’t have children, and live alone. Many of them don’t have people they can count on to help them with household tasks or manage their ongoing care, if needed. While solo aging can offer perks, it can also leave older adults vulnerable to deteriorating mental and physical health. Solo-agers may count on help from siblings, neighbors, friends, community groups, or paid help. They can build their support by setting up a buddy system, staying in regular touch with loved ones, and tapping senior programs.

Content restricted. Requires subscription

Antiviral medications for winter bugs

Several factors increase the risk for complications from COVID-19 or influenza and should prompt someone to request an antiviral medication as soon as possible, even if they have been vaccinated or have had the infections before. The risk factors are age (being 65 or older), an impaired immune system, and underlying conditions (especially heart or lung disease). Pregnant women also are at increased risk for severe influenza and COVID, and should consider taking an antiviral.

Content restricted. Requires subscription

Is it safe to get repeated imaging tests?

Radiation from diagnostic tests has the potential to damage tissue in the body, including cell DNA. Rarely, that can cause cell mutations that lead to cancer 10 or 20 years later. The long-term cancer risk from standard x-rays is considered very low; the risk from computed tomography (CT) scans might be higher. If a doctor orders a CT scan for someone who recently had that same type of scan, the patient should ask what the results might show, whether they’ll affect treatment, and whether an alternative test can be substituted.

Content restricted. Requires subscription