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Support, Screening, and Survival: Dr. Kathie-Ann Joseph’s Guide to Breast Cancer Care
At A Second Chance, Inc. (ASCI), we recognize Breast Cancer Awareness Month as more than just a time to raise awareness. It’s a time to come together as a community. We honor the strength of those affected by breast cancer as well as the families, caregivers, and friends who stand beside them. By sharing knowledge, supporting one another, and connecting individuals to resources and care, we can make a meaningful impact and help ensure that no one faces this journey alone. ASCI spoke with Dr. Kathie-Ann Joseph, MD, MPH, FACS, Professor of Surgery and Population Health at NYU Langone Health, to share her insights on breast cancer awareness, early detection, and supporting families through treatment.
Inspired by her personal experience within her family, Dr. Joseph pursued not only a medical degree but also a Masters’ in public health from Columbia University.
“I’ve always been interested not just in treating patients, but in understanding the underlying causes that bring them in,” she explains. “As a physician, I focus on healing the individual, but as a researcher, I look at social determinants of health to see how we can make a broader impact on the community.”
Breast cancer awareness is one area where her work and passion converge. “Breast cancer is very treatable, yet many people aren’t aware of it. Early detection and access to the right treatment can make all the difference,” she says. Dr. Joseph emphasizes the importance of knowing one’s body, performing regular self-exams, understanding family history, and scheduling screenings.
“The earlier you can detect your breast cancer, the better your survival and prognosis.”
Dr. Kathie-Ann Joseph, MD, MPH, FACS
Dr. Joseph explains that early-stage detection, such as stage 0 or stage 1 breast cancer, dramatically improves outcomes. “Stage 0 means the cancer hasn’t spread beyond the milk ducts. Stage 1 is invasive but hasn’t reached the lymph nodes. Patients diagnosed early often thrive for decades with proper care,” she shares.
Dr. Joseph also underscores the critical role caregivers and family members play in navigating the breast cancer journey. “Caregivers are unsung heroes. They help patients remember what was said in appointments, ask questions the patient might not think of, and provide emotional support. It’s a lot, but it can be life-changing for the patient.”
“Just because the person isn’t asking for help doesn’t mean they don’t need it.”
Dr. Kathie-Ann Joseph, MD, MPH, FACS
“Just because the person isn’t asking for help doesn’t mean they don’t need it.”
Despite advances in breast cancer treatment and awareness, many men and women still face significant challenges when trying to access care. Limited insurance coverage, difficulties finding a regular primary care provider, and challenges navigating a complex healthcare system can delay diagnosis and treatment. These barriers are particularly pronounced for underserved areas, where limited access often contributes to poorer outcomes.
“It’s important to be your own advocate, seek programs that offer access, and go to institutions with comprehensive, multidisciplinary care. Clinical trials, for example, can sometimes be the best treatment option and can be a game-changer for patients.”
Dr. Kathie-Ann Joseph, MD, MPH, FACS
Communities, faith-based organizations, and support groups also play an essential role in easing the burden on patients and caregivers. “Small gestures like providing meals, offering rides, and helping with errands can relieve stress and make a meaningful difference,” Dr. Joseph says. “Even if someone doesn’t ask for help, it doesn’t mean they don’t need it.”
Education about breast cancer empowers families to be proactive. Knowing family history, understanding risk levels, and engaging with healthcare providers can guide decisions about screening and prevention. “Even if you don’t know your family history, like in cases of adoption, talk to your primary care doctor. Genetic counseling and testing can provide vital information for your health,” she notes.
“Breast cancer doesn’t have to be a death sentence. More information is better than ignorance.”
Dr. Kathie-Ann Joseph, MD, MPH, FACS
Dr. Joseph concludes with a message of hope and empowerment: “Every person should be their own advocate. Know your body, get your mammograms, talk to your doctor about your risks, and build a support system. If diagnosed, you can beat this, but you need to ask questions, seek second opinions, and get care at comprehensive centers where every specialist is on the same page.”
Her lasting message is clear to families and caregivers: take care of yourself while supporting your loved ones, and remember that early detection, awareness, and community support can save lives.