Real Talk: Cancer Genes Impacted Our Family

[00:00:00] Adam Walker: From Susan G Komen, This is Real Pink, a podcast exploring real stories, struggles, and triumphs related to breast cancer. We’re taking the conversation from the doctor’s office to your living room.

[00:00:17] This is Real Talk, a podcast conversation where we’re digging deep into breast cancer and the realities patients and survivors face every day. We’re talking openly and honestly about just how difficult breast cancer can be, from being diagnosed to selecting the right treatment plan, to living day to day with metastatic breast cancer and life after treatment ends.

[00:00:38] Breast cancer looks different for everyone. Our guest today, have an inherited genetic mutation that increases the risk of breast cancer. Without knowing it, they may have passed this gene on to their children. Genetic mutations can increase risk of breast cancer and ovarian cancers in women and prostate cancer in men.

[00:00:57] About 10 percent of breast cancers are genetic. Knowing if you have a gene mutation can help you take steps to lower your risk. It can also cause fear and anxieties and force tough conversations with family members about their genes and cancer risk. Shanise Pearce learned in 2020 that she had two inherited gene mutations and was diagnosed with breast cancer in 2023.

[00:01:23] She also has two daughters. Natalie Gutierrez was diagnosed with breast cancer in 2023 and learned afterward that she carries an inherited gene mutation. She has twin sons. Shanise and Natalie are both living with no evidence of breast cancer and have turned their attention to supporting their children and helping them navigate their cancer risks.

[00:01:42] So Shanise, let’s start with you. We’d love to hear more about your story and how you’ve approached this issue with your family. And then when you finish, Natalie, we’d love to hear your story. And how this has impacted your sons. 

[00:01:55] Shanise Pearce: So thank you so much for having me. Um, yes, my name is Shanise Pearce and, um, I will talk a little bit about my story.

[00:02:02] So in 2020, I underwent genetic testing because I was having some unusually heavy menstrual cycles. Uh, I wasn’t expecting anything major. I just wanted to get a hysterectomy just because of that. And I, my husband and I did not. We decided we didn’t want to have any more children, so it was the right time for me.

[00:02:22] But when the results came back, I found out that I carried two inherited gene mutations, which were TMS2 and BRCA2. So, of course, I was overwhelmed. I didn’t know anything about it. Um, the genetics counselor told me that I had an increased risk, excuse me, for multiple cancers, including breast and ovarian, making my risk very high. What hit Me the hardest though was of course the realization that I could pass these gene mutations on to my children, right?

[00:02:55] Um, I felt a ton of emotion, fear, uncertainty, anxiety, which I had before finding this out. This just heightened it, right? Um, and what that meant for my future. Was I going to live? Was I going to die? What did that mean? I had to quickly, you know, try to understand what my options were, what type of treatment plan I was going to have, and how I was going to move forward.

[00:03:19] So, I started out telling my husband first. He is an optimist So he was calm and reassuring though, he was nervous, just like me. Um, we decided to talk to our daughters and we also have a son as well. Um, I wanted to try to shield it a little bit from them, but, um, knowing that have to go to the doctor and things like that

[00:03:46] we wanted to make sure that everybody was on the same page. So because our daughters are 24 and 26, they were able to make a decision if they also wanted to be tested because I was advised that they would have a 50 percent risk factor of also carrying these gene mutations. So they, um, they did get tested and our oldest daughter We found out that she also carries the TMS2 gene mutation, and our middle daughter carries both the same TMS2 and BRCA2.

[00:04:19] Because our son is only 15, he is still a little young to make the decision, even though it is important to note that men can also, uh, get breast cancer. And so, There’s a possibility that this will also be a truth for him as well. So, um, moving forward, I, you know, had a complete hysterectomy. I, um, in 2022, in 2023, I did find out that I had triple negative breast cancer, but

[00:04:53] I would like to stress that I was very lucky. It was caught very, very early in early stages because of me finding out I had these gene mutations. I was able to get preventative care and with that preventative care I was able to get positioned to my mammogram and breast MRIs. And so with the breast MRIs is how my cancer was detected and we were able to act very quickly because of the type of cancer that I had.

[00:05:19] It was, it’s very aggressive, right? So. None of these conversations are, are easy, but I, you know, had to end up having a double mastectomy. I had C flap surgery. I had, um, corrective surgery. I just found out today that I need to have another surgery in August. Yes. So, you know, um, moving forward, I definitely advocate.

[00:05:47] For genetic testing to understand our body, self awareness, self advocacy, and, um, clinical trials, anything that can help us, you know, have a better, brighter future. So, with that being said, I’m, I’ll kick it over to you, Natalie. Share a little bit about your story. 

[00:06:06] Natalie Gutierrez: Thank you Shanise. Thank you for sharing that with us.

[00:06:08] Um, so my story is bit different than yours. Um, I actually found a lump while I was taking a shower and um, due to some insurance issues, um, I couldn’t get the, the biopsy that I needed right away. So, um, I ended up going for the biopsy in, in August and um, I found out that I did have also a triple negative breast cancer.

[00:06:34] Um, mine was a little bit further advanced. I had, um, I think it was between eight to nine centimeter lump in my chest and, um, I was diagnosed with a stage three. Um, so obviously I had no idea that I had any type of genetic predisposition. Um, I was told after the fact that they found out that it was cancer, they were like, Oh, by the way, you need to take this test.

[00:07:00] And I was like, what, you know, what is this test? And they’re like, no, it’s a genetic test to see if, um, you have any type of genetic mutations and so on and so forth. Um, which I did. So, I mean, imagine, you know, you’re finding breast cancer and then you’re also finding out about some other things. So, I mean, when they told me at first initially that I had BRCA, I’m BRCA1 positive.

[00:07:20] Um, I didn’t understand what that meant. I was like, yeah, okay, you know, like, continue on focusing on the cancer. But then, like, you know, obviously as you’re going through the process, you start finding out little by little what it really means. And I was like, wait, so you mean that if I would have taken this test, I could have prevented all of this?

[00:07:37] Right. So, I mean, um, I was, I want to say I was very angry. I was, I was very, very angry. Um, I didn’t know exactly who to direct my anger towards, but I was angry because Um, on my dad’s side, there was two of his cousins that had breast cancer, but it was just a thought, you know, because they were his cousins.

[00:07:55] So nobody really thought that, you know, it was a direct link to me and, um, you know, because of me, my family got tested. So my mom found out she was negative. Um, so it’s on my dad’s side. So, you know, then it all started, you know, the pieces started making sense. And so, you know, I’ve It’s a 60 to 70 percent chance that you’re getting breast cancer if you’re a BRCA1.

[00:08:19] And it is about a 50 percent chance that you could get ovarian cancer. Um, so, I was like, wait, so I could have taken this test years ago and I could have been ready and had, you know, like the proper checkups and done everything to prevent this And so I guess that’s why I was so I was so angry about it because I was just like the fact that I had To I could prevent it.

[00:08:42] So I had to go through the whole process since I was a stage 3 Um, I did 16 rounds of chemo. I lost my hair. I had to shave my hair. It’s going back now finally Um, I 17 rounds of immunotherapy, 33 rounds of radiation. I did a double mastectomy. I did the hysterectomy. While I was in the hospital with the hysterectomy, somehow I got COVID.

[00:09:06] And then just recently in February, um, I did my reconstruction surgery. So, um, Thankfully, thankfully now I’m in remission and um, because of me, my sister found out that she’s also BRCA1 and um, just recently my sister found out that she also, uh, has cancer. Um, she did do, she was able to do the preventative hysterectomy surgery, but because of me, she was able to catch it on very, very early.

[00:09:32] She’s maybe, maybe, uh, barely a stage one. And so she’ll be having her surgery on Monday actually. And so because of me, um, my family has now, you know, been able to kind of, uh, prevent or be aware of, of this mutation. Um, obviously the scariest thing is the fact that, you know, I could have passed it to my kids.

[00:09:51] Right. Uh, they told me it was a 50 percent chance. Um, they’re 14. So it’s also for them to early, uh, to take a, to take that test. But, um, so, you know, there’s some positives and negatives. Mm hmm. But, you know, I’ve, since finding out, I basically have told all of my friends, everybody, I’m like, listen, if you have any doubt, just get that genetic mutation, you know, testing and stuff, it’s 15 minutes of your life and it could save, you know, think about it.

[00:10:17] I just finished my last reconstruction surgery in February, we’re 25 and I started the whole process in August of 23. So it takes a whole chunk of your life and, and chemo itself is not fun and the radiation, you know, it’s like a whole, it’s crazy. It’s a whole process. It’s crazy. I’m blessed to be here.

[00:10:36] Um, um, I’ve learned a lot of things through my cancer journey, but the main thing is this genetic testing. It’s so important. And, um, I just wish it was a bigger conversation among, you know, even if you go to your gynecologist and it’s not. And I feel like the only reason why they bring it up is because.

[00:10:55] If you have a family history of cancer, but I feel like it shouldn’t be just limited to that because I kind of have a family history of cancer, but it wasn’t a direct link, I guess, if you will. So, um, yeah, it was, it was just, it was crazy. And I also want to be an advocate for that because I feel like so many people can.

[00:11:14] Prevent this, you know, experience that you and I have had just by taking a simple blood test or a saliva test. 

[00:11:20] Shanise Pearce: Yes, and it’s so interesting that you say that because of you and your journey you were able to, you know, help your family. So you say you want to be an advocate, but you are, right? Because you were able to, you know, Have this experience, which is the club nobody wants to join, right?

[00:11:41] Natalie Gutierrez: It’s the worst club to be in. 

[00:11:42] Shanise Pearce: Yes, yes. And I typically say when I speak at events and things that cancer, yes, it has happened to me, but it has happened for me as well. Because I have found my purpose, right? And my purpose is to not take this gift for granted, right? To be able to help others understand what, you know, their family history is, their background, um, how all of those things factor in, um, so that we can live because we deserve to live, right?

[00:12:15] Absolutely. That is one of the biggest takeaways for me because I also was able to share this with my family and I have a sibling that they did get tested, right? My, um, youngest sister, she found out she also carries TMS2. So now she’s going to get her colonoscopy and because that is, um, colon cancer is also a risk.

[00:12:38] With me having both of these gene mutations, I’m at a high risk for a number of different types of cancers, like over 10. It’s crazy. And so preventive care for me is forever, right? And our children have been able to get tested 20 years and found out 20 years earlier than I did. And, you know, Yes, they have an opportunity for their stuff to be avoided.

[00:13:05] Because I had the genetic testing, my cancer was found very early, just like your family member, right? And, it was, they only labeled it a stage 1 because of the BRCA2. So, for me, I had, um, chemo as well. And, I had 12 rounds of chemo. I, because my mass was very tiny. It was, like,

[00:13:29] 0.5mm, it was so little. It was like a pencil dot. I had two lumps, one was, they were on top of each other, kind of like this. And one was cancerous and one was pre cancerous. So they would have advised for me to just get a lumpectomy and get it scooped out. Right. But because of the BRCA2 and it being triple negative breast cancer, so invasive, it could spread all over the place.

[00:13:53] Right. So. So. So. That’s why I went through that with the chemo. I lost my hair as well. I know it doesn’t look like it now, but I was, it grew back. I rang the bell in January of 2024 and I was also, um, told that I was cancer free um, in March of 2024. I just actually had my one year cancerversary.

[00:14:17] Natalie Gutierrez: Congratulations. 

[00:14:19] Shanise Pearce: Thank you. And it’s so on International Women’s Day. So I was like, Oh, look at me! Like, so that was exciting. And so I think that we’re both amazing because for our community to where, um, breast cancer, this type of breast cancer, triple negative breast cancer impacts our, the mortality rates in our community so highly, which is why it is important for people to come out and push these things like genetic testing and stuff like that.

[00:14:50] So we definitely need to stay in touch on how we can, you know, navigate this side by side, right? Um, because all the things that are going on right now in society where a lot of the federal funding is being paused. So that is having a negative impact on cancer treatment, right? So how can people understand their bodies and their genetic makeup if a lot of these things are being halted?

[00:15:19] And so we will probably see more, uh, people, um, passing away from it, unfortunately. So unless there’s people like us out there in our stories and why it’s important and helping to get laws passed and build signs and things like that. Um, that can only make a difference. 

[00:15:41] Natalie Gutierrez: Right. I, I, I agree. Um, I also think that like, um, there’s not enough, like I said, there’s not enough education, um, about this.

[00:15:50] Like if, if, you know, you’re going for a regular pap smear, I think it should be in, in conversation with just a pap smear, you know, like, I think it’s just equally as important. Um, because people may, you know, contract it and maybe they have a family history of cancer, but way down and they don’t even know, you know, um, I only knew about it because it was my dad’s cousin.

[00:16:11] So they were my, you know, my second cousins, if you will. But what if they weren’t? What if they were further down, you know, the, the line and, um, you know, my sons were, my sons were preemie. They were, uh, they were born three months early. I don’t know if genetic mutation has anything, um, to do with that. My sister also had complications during pregnancy and coincidentally, we’re both the ones that, that carry that bracket genetic mutation, but I just think that It should be a kind of a regular part of conversation just as easily as it is check the first of the month or, you know, like that because, um, this, this could have prevented again, it can prevent so much more like headache, you know, and then it just makes you feel kind of like a dollar sign like, you know, I mean, getting chemo, versus not getting chemo, you know, people get more money off of you.

[00:17:01] Right. So you just feel like, okay, so is, are people not saying that because they just want to make money off of us and have us do the treatment and stuff like that. But in the meantime, you’re, you’re torturing these people and, and, you know what I mean? So, um, when, when I did tell my family, it was kind of just like, uh, Hey, I have cancer and I have this.

[00:17:20] Like it was all, it all just came out at once because it wasn’t like a, you know, where we had time to think it was like, you know, my, my cancer was so advanced and also because it’s triple negative. It’s super aggressive. Um, my cancer actually broke through my skin. It came through out of the skin. Yeah, so it was, it was, it was bad.

[00:17:36] It was, it was pretty bad. Um, but, um, also, you know, like in the Latin community, triple negative is very, very popular. Um, and you know, my whole dad’s side is, is Latin. So, um, I think a lot of people also, um, transitioning over it, a lot of people don’t do it because it’s, they’re in denial. 

[00:17:56] Yeah, 

[00:17:57] um, I think I’ve had some family members that I’ve told them to do it and they haven’t done it yet And it’s just because they’re in denial.

[00:18:03] They don’t want to like even think about it And I think a if I could like pass anything on to anybody It’s scary. Yeah, it’s a it’s a scary. It’s a scary road to to you know, go over. But I think it’s better to find out And manage and navigate that way than just to be in denial and pretend that it didn’t happen because you’re, you could be, you know, messing up something in the future.

[00:18:32] And like I said, I found out, I found out I was, I found out when I was 42. Had it been a year prior or two years prior that I would have taken that genetic test, I could have done, you know, all the, you know, the surgeries that I needed to do. And I could have just. You know, continue on and now, um, navigating life after cancer is just, it’s weird.

[00:18:51] Shanise Pearce: It is. It definitely is. And I definitely agree because I found out in 2020 and I was able to get the preventative care, right? But my doctor, so this is so Like, I think about this all the time to think that, you know, would I have gotten cancer if I followed this advice? Because I went to one of my breast doctors and he was like, Oh, well, we have an opening.

[00:19:16] This was in 2023. He was saying for you to get a double mastectomy in August. And I was like, Oh, you know, I had the hysterectomy last year. I really don’t want to, you know, do other tests. Go to under the knife again, right? And I was like, you know, I’ll just, you know, continue to do my, my preventative care.

[00:19:35] And he said, No, that’s fine. No rush. He said, you know, if something were to come up, we, because you see all the specialists, we would be able to catch it early. I was diagnosed in October of 2023, and in my mind, I’m like, Oh my gosh, what I have because it was so small. I had just started. Right? So I was like, if I got the double mastectomy, would it have, you know, even been able to, you know, happen.

[00:20:02] And so that’s something that I, um, also like I sit with, but, you know, I found out when I was, um, 43, I believe. It’s probably like as I’m getting over 40, I try to forget my age and count backwards. So, excuse me, I’m 43 if I remember correctly. But, you know, yes, it’s happening earlier and earlier. And the one takeaway that I would leave for listeners is that, yes, what you said is accurate.

[00:20:31] When you go to your gynecologist, because, I was, I only was told about this genetic test because I wanted to get a hysterectomy. It wasn’t something that was brought up in normal conversation like, Oh, your yearly pap smear, or do you want to do STD testing and things like that? It was just the saliva test, the first one that I got.

[00:20:49] And then when I was diagnosed, And I wanted our daughters to go and get tested. I said, maybe there’s a mistake. Let me take the test again. And so at that time, my genetics counselor was like, I don’t think there’s going to be a mistake, but let’s go ahead and retest. And I actually paid to get the test done again so that my children and my family members can get their testing for free.

[00:21:15] So there’s a lot, there are a lot of programs that are out there that will help you. Be able to take this test and in our communities, the black and brown communities, there is a lot of trauma. There’s a lot of fear there. And the thing that I carry with me is that, yes, I know what my genetic makeup is, but now that affords me the ability

[00:21:38] to help save my life and help save someone else’s life. So you have to look at it in a certain way that yes, you know what’s going on with you, but you know what’s going on with you. So now you have no excuse. Why wait for something to erupt for you now to feel like you have no options left or you have the least amount of options when we can have the most options on

[00:22:02] the positive side of it, right? So, and it could be caught early, and then you don’t have to have the, this doubt in your mind, like, Oh my God, if I would have found out this and that, like, my daughters are now able to, you know, have preventative care, which they wouldn’t normally get. The normal average person walking around does not get the level of care that someone who got genetic testing gets.

[00:22:25] That’s a positive as well. So, I think that both of us should leave this audience knowing that we are both advocates, we’re here, we’re able to share our story, and our story will also help save somebody else’s life. And so, um, We went through this for a reason and we’re perfect and you’re here for, you’re here just to do what you did.

[00:22:49] Right. And, you know, my sound cliche is cliche, but we don’t get what we can’t handle. And you’re a warrior in your own right. And I’m so honored to be here on this. Um, podcast with you to be able to share our stories are so similar but then different at the same time, right? So, I think that we’re a force to be reckoned with and, you know, everybody needs to get ready for us.

[00:23:13] Because, you know, because of us, people that are listening are going to be like, oh my gosh, let me go ask. Because you can ask to get a genetic test. It’s not something that you have to have cancer for to get. You can ask your gynecologist. You can ask your, uh, primary care doctor. And not ask. Let me change that.

[00:23:30] Tell them you wanna.

[00:23:31] Natalie Gutierrez: Demand it. Yeah. And I, I think something, I think something you said there was so important and it’s education. Mm-hmm . Um, you know, education in, in this whole, you know, cancer community is, is key. You, you know, and, and being able to be educated and. Um, pass that knowledge on to other people, um, to me is huge.

[00:23:53] I, I got to speak to some, some high school girls and I said, you know, just because you guys are 18 or 17, it’s never too young even to, to just do a self check, just start looking, start looking now. You might not, you know, might be old enough to go to the gynecologist yet, but. You know, just start checking and giving, you know, having that education.

[00:24:12] And so, um, Knowing about the genetic testing and just that it’s a thing and passing the word onto people is huge because we are just by saying only one person and just by one person getting tested, it’s possibly saving that person’s life. And like I said, um, you know, my, my sister was able to get a test and she found out.

[00:24:33] Um, so the thing here is that once you are diagnosed with cancer. It’s completely different than being a previvor, right? Okay, once you get that cancer diagnosis, now you’re in a whole different ballgame. And hopefully what I hope by speaking here with you is getting more previvors and getting more people, you know, before they get that, that terrible thing where the doctor tells you, I’m sorry, but you have cancer, you know what I’m saying?

[00:25:03] So. It’s like, um, being a previvor, I mean, it doesn’t make the surgeries any less hard. Um, dealing with the surgeries in itself. But, um, like I said, going the chemo journey and the radiation journey is very hard. And if we could prevent people from having to go through that, it’s To me, it would make me so much better because I, I, I would prefer to, for me to have suffered to, to save 10 people than me to have suffered for nothing.

[00:25:34] You know what I’m saying? So like, I, that’s why you were saying like being an advocate and um, I feel blessed to, to be able to, you know, be alive and be here, um, and be able to spread the word with, with other people and let them know that because, um, for me it was 15 minutes of my life and you know, it is scary.

[00:25:54] It’s scary, but it’s better to be knowledgeable and be scared than have cancer and not know what’s going to happen from one day to the next because just because you get chemo doesn’t mean that the treatment is going to work. Exactly. You know, there’s tons of women that get the treatment and like I said, I’m very blessed that the treatment was, you know, 100 percent effective in my case and, and, um, I came into that surgery and I was clear margins, you know, everything was clear, thank God.

[00:26:20] Um, but some people aren’t as lucky. So you don’t want to be like, Oh, whatever, if it happens, if it happens, you know, it’s not, it’s not always, it’s not, you know, it’s not, that is not. Nice to live like that, you know what I mean? 

[00:26:33] Shanise Pearce: Yes, I definitely, I definitely agree and understand. And I found out when my, I have my grandma on my dad’s side.

[00:26:41] She had breast cancer twice. And the third time, she was older in her 90s. So she lived a very full life. She just couldn’t fight anymore. But only at her funeral, I met some of her nieces and found out where all the gene mutations came from. So it also was on my dad’s side. So her nieces, which you wouldn’t even know, right.

[00:27:05] They had BRCA1 and BRCA2 together at the same time. Right. And one of her nieces had to have a lung removed because then it went, it traveled and it metastasized and all these things. And, you know. Back in the day, lack of a better word, a lot of women didn’t go and get these tests or anything like that.

[00:27:28] Especially in our age, right, to even understand and know about what this means. So, if you say it now to someone who, um, are in their 50s, 60s, or older, they’re going to be like, Oh, well, you know, it is what it is. Like, I actually even asked my mom, because I have both gene mutations. I don’t know which parent I got it from.

[00:27:46] My dad has passed, and my mom. You know, it’s just like, Oh, I don’t want to have to deal with that. And I still don’t know, but what we can do is make sure that the generations after us are able to understand and know their truth. I also agree about knowing your normal and checking your breasts. Even at a young age, I had my daughters go to the GYN before they were 18.

[00:28:15] So you can do it. Advocate for yourself and let, if your child is uncomfortable with having the conversation for you, equip them with the ability to talk to their doctors and have those conversations or find someone in the family that they are comfortable with or a close friend that you approve of having conversations so that they can understand what’s going on with their body so that we can continue to save lives because like I said, we deserve to live.

[00:28:45] Natalie Gutierrez: Yes. Yes. 

[00:28:47] Adam Walker: Well, uh, ladies, this has been a great conversation. You know, I appreciate everything you’re sharing and, and, um, it’s, I think it’s eyeopening even for me and talking about this a lot, right. Um, you know, so, uh, obviously a gene mutation can elevate your risk of developing breast ovarian or prostate cancer.

[00:29:06] It doesn’t always mean you’re going to be diagnosed, but it’s, it’s very important to know. Right. Um, so, so I’m curious, like what’s kept you and your family centered with the unknowns that you’re dealing with for the future. 

[00:29:20] Shanise Pearce: Okay, um, for me, what keeps me centered is my advocacy and the learning and understanding and really keeping the lines of communication open with my medical team, with my community, with my neighbors, anything that I can join.

[00:29:38] Um, I make it my business to join. Even in my professional career, I try to inform people. I join all types of initiatives, walks, talks, everything. I’ve founded my own business to try to educate people and help them understand. So that’s what kind of keeps me going and it fuels the fire in my belly to just continue to keep it in the forefront.

[00:30:05] Cancer, it’s not just something that should be celebrated in October. People deal with it every single day of their life. And having this genetic disposition has opened my eyes to that. And so that’s what keeps me going in my family. 

[00:30:27] Adam Walker: That’s good. How about you, Natalie? 

[00:30:30] Natalie Gutierrez: I would say the same thing. Um, you know, just being able to educate people.

[00:30:34] That is really, for me, the, the biggest thing, because, you know, again, like I said, I, I dealt with a little bit of anger, you know, because I was like, you know, it’s not, not that it’s not fair, but it’s just, man, this could have been prevented, you know, and it was like, I wasted so much time, you know, fighting for my life when I could have, you know, it’s gonna be so much easier.

[00:30:55] So I mean, I, I try to educate as many people as I can. Um, like she said, you know, where we survive for a reason, and I try to share my story with as many people as I can. And just simply, you know, 15 minutes of your life. It’s like Geico, you know, 15 minutes of your life can save you. You know what I mean?

[00:31:11] It’s like 15 minutes of your life, you know, a blood test can save you a whole year and a half worth of, of, of pain and torture. I mean, it is torture. It is absolute torture. So it’s not just my family. It’s like, Hey, even if you don’t have cancer in your family, just do it. It’s just so much better knowing, you know, it’s, it’s knowing is so much better than the fear, you know, and, and, and you have to learn.

[00:31:36] Adam Walker: That’s a, that’s great advice. Well, uh, Natalie Shanise, thank you so much for, for the advocacy work that you’re doing, uh, here and elsewhere. And thank you for joining us on the show today. 

[00:31:47] Natalie Gutierrez: Thank you. 

[00:31:49] Shanise Pearce: Thank you for having me.

[00:31:55] Adam Walker: Thanks for listening to Real Pink, a weekly podcast by Susan G Komen. For more episodes, visit realpink. komen. org. And for more on breast cancer, visit komen. org. Make sure to check out at Susan G Komen on social media. I’m your host, Adam. You can find me on Twitter at AJ Walker or on my blog, adamjwalker.

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