[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.
[00:00:37] In today’s episode, we’re talking about the effect treatment has on sexual health and unwanted side effects women face during breast cancer treatment. and life thereafter. Joining us today are Jenn Smith and Nisha Jaime. Jenn is 42 years old and a three year breast cancer survivor. She and her husband have been married for 17 years.
[00:00:57] Nisha is 45 years old and a one year breast cancer survivor. She has also been married with three school aged children. Both women are learning to live with the impact breast cancer treatment is having on their bodies. their intimacy, and their overall well being. So Jenn, let’s start with you could you share your story with us?
[00:01:15] And then when we finish, Nisha, we’d love to hear your story as well.
[00:01:19] Jenn Smith: Sure, so I actually found my breast cancer myself two weeks after my well-woman’s exam in the shower. I found a suspicious lump at that time and then went back in and was scheduled for a mammogram and some diagnostic testings that led to my finding out of my diagnosis.
[00:01:43] I planned to research my surgical options first and was told basically that it was early stage cancer. So likelihood of chemo and maybe even radiation was low. However given my age, I was 39 at the time. In some research that I did, I did decide to move forward with a bilateral mastectomy. And during that surgery, which also included reconstruction with direct implants, they found that the cancer had spread to one of my lymph nodes and Based on my overall prognosis, I had to have chemo and radiation treatment after my mastectomy.
[00:02:30] So I ended up at stage 2b and had invasive ductal carcinoma, which is the most common form of breast cancer and had, you know, chemotherapy. My Breast cancer is hormone positive, so my treatment plan included after radiation, I had an oophorectomy to remove my ovaries and tubes, and then started letrozole, which is a aromatase inhibitor inhibitor that I’ve been on for the past two and a half years after my treatment finished.
[00:03:02] So that’s kind of my breast cancer journey. There’s a lot of details throughout that, a lot of emotions. And I do also have two children at home. They’re currently age 14 and 11. My 11 year old son is autistic. So there were some challenges around preparing him for the different treatments that I had and for the obvious signs of cancer, such as me being in bandages, me not being able to move around as much after, you know, during recovery from my surgeries and also losing my hair from chemo.
[00:03:39] So it was pretty long journey over the last few years.
[00:03:45] Nisha Jaime: Jenn, it’s so nice to meet you. I know we are like breast cancer sisters now. Thank you for sharing your story. I was diagnosed in June 2022. I remember it like it was yesterday. It was my children’s last day of school. So they were super excited for summer break and I had just received the call from my oncologist.
[00:04:07] So how I found it, I also found it myself. I was in the kitchen getting everybody ready to go outside. And I remember that I went like this to kind of adjust my bathing suit strap. And as my hand went over the strap, I felt what was like a speed bump, you know, and I kind of just like jumped and my husband was looking at me at the time and he’s like, what’s wrong?
[00:04:30] And then I said, you know, put your hand here and tell me I’m not crazy. I think I just found a lump. And so, you know, he put his hand over here and I could just tell by the look in his face, he’s like, you’ve got to call the doctor tomorrow. And so things moved really quickly after that, you know, I went to my provider, I think two days later and my lump was very high is actually right beneath my collarbone.
[00:04:55] And so all the time I kept saying, this can’t be breast cancer. There’s no way, you know, I was trying to think of every other reason under the sun why it wouldn’t be cancer. I said we were just moving furniture. I probably pulled a muscle, you know, all those things to try and bring myself down from the fear that was inside.
[00:05:13] But fast forward and it was breast cancer, which is the call that I got on that last day of school for my kids. And I, I don’t want to get emotional already so early, but I just, I remember that call, you know, and I just felt like. Everything was going to be different, and it was, and things moved so fast.
[00:05:33] It was summertime, we had all these tremendous plans, and I remember that my plan was to start chemotherapy on July 5th. And the 4th of July has always been my most favorite holiday, and so I, you know, I kept on saying like, It’s ruined now, it’s forever ruined, I’m never going to love the 4th of July like I did before.
[00:05:50] So my diagnosis was stage 2 HER2 positive, estrogen positive. And so, it was very hard for me to figure out what to do. Now in retrospect, I feel bad that I never really gave breast cancer a second thought when I would hear about it before, because once it came into my life, that’s the only thing I thought about every day, all day.
[00:06:13] And so my treatment plan was a little bit different than yours. I did debate the mastectomy versus a lumpectomy. I chose to have a lumpectomy after talking to my doctor and after that I was, also had to do radiation. I think I did radiation about a month after my lumpectomy and that was because there’s one what they call like a suspicious lymph node,
[00:06:37] which they couldn’t tell like if it was cancer or not because it was so far behind my chest wall. And so they said the only way we could get to it would be like open heart surgery or something. And I was like, there’s no way that I’m doing that. And they said your best case would be to do radiation as well and see if, you know, cross your fingers that we reach it.
[00:06:55] So I did 25 rounds of radiation as well. And I was just happy when it was done, you know, I just felt like, you know, it was so much for me to process and for my children to process and I just. You know, all the choices that we have to make. I feel like I lost my power. I don’t know if you felt that way, Jenn, but I just felt like all power was taken away from me.
[00:07:19] And I just, you know, I just wanted to have control back of my life. And so I’m kind of here today. Like, I just reached my one year of no evidence of disease status and You know, I just can’t believe that I’ve gone through so much, but I think you mentioned that you are also hormone positive So I wondered you mentioned that you are on an aromatase inhibitor as well
[00:07:45] Jenn Smith: Mm hmm. Yeah.
[00:07:46] Nisha Jaime: Your oophorectomy. Okay, so I wondered because so for me I ended up not doing the oophorectomy. I do take monthly lupron shots to keep my ovaries asleep and then I I on an aromatase inhibitor as well. So I wondered for you, when did like the sexual, you know, side effects, when did you start realizing those?
[00:08:11] Because I’m curious if it was around the same time as my journey and also like my doctor’s Kind of mentioned it like a little bit, like they sprinkled that in the conversation, but I think I had no idea what I was about to face even after the most hardest things like for four months of chemotherapy, the surgery, the 25 rounds of radiation and you know, All that stuff I thought, like, that was going to be the worst, but it really wasn’t right.
[00:08:37] Jenn Smith: Yeah, that’s probably something that made me feel angry for a while was the lack of communication and conversation around menopause symptoms that I would be post menopausal. I love my oncologist. Don’t get me wrong, but he, it is a male. And he is actually younger than me. So he’s very smart. He’s, he is up on all of the latest studies.
[00:09:06] We that’s something that I love about my oncologist is I’m able to go in and because I am an analytical person, I like to have all the data and then make an informed decision, informed consent is really important to me. So we will go through the studies and those kind of things and have those conversations.
[00:09:24] However, when it came to the oophorectomy, like I’m post menopausal now, right? So I went from 39 years old, not even perimenopausal to basically overnight, full on Menopause overnight, which most women, you know, go through naturally over several years and it’s gradual. So I experienced pretty like I experienced suicidal ideation during the first 2 weeks of being on letrozole.
[00:10:00] Which apparently is fairly common. Once my body kind of evened out I didn’t know what was happening to me because my oncologist didn’t know how to have those conversations with me. But the surgeon that completed the oophorectomy also did not have conversations with me about the symptoms that I would be experiencing, such as vaginal atrophy.
[00:10:24] That was probably the biggest one for me. Like what is happening to my vagina right now, it’s like dry and it’s like shriveling up and shrinking and sexual intercourse is painful. I no longer have moisture down there. I don’t know how to combat that because I’ve never experienced it in my life. So then I took to Google and start, you know, and the Facebook groups and the, you know, and other people.
[00:10:56] And I, and even there, unfortunately women are not even talking in as far as I’m seeing online about this particular problem. They will talk about the things that are not as maybe invasive, like, Hot flashes and those kinds of things. For me, hot flashes started during chemo. So I already kind of got used to them and I don’t think they were as bad for me as maybe they are for others.
[00:11:24] But the vaginal dryness was a huge one. In addition to how I had a mastectomy, I don’t have nipples anymore. Okay. Like I don’t have nipples anymore. It’s basically Frankenstein scars here. And There’s no there’s no real feeling there as well. So yeah, no, there I felt like I didn’t really get anything. I had to do it on my own.
[00:11:50] I had to Google and then I found some things that kind of help
[00:11:55] Nisha Jaime: Your husband, I’m curious, I’m sure. Yeah, so I. I feel like during chemotherapy, I was, you know, you feel all these things and actually I think that was the point, obviously, where like intimacy stopped between my husband and I because you’re just fighting to survive every day, your body feels like crap, you feel like crap, you know, intimacy and, you know, all that stuff just kind of goes out the window, right?
[00:12:21] Because it’s not a priority anymore. And so, you know you know, that also started hot flashes for me and stuff like that. And I’m like, well, this isn’t too bad. I’m hot. Okay. We’ll just sleep with the fan and sleep in like underwear or something. But after my treatment was done like the radiation chemo and the surgery, I noticed, you know, that my vaginal area was just constantly itching, like not just like a subtle itch.
[00:12:49] Like overly itchy. And I was like, what the heck is going on here? Like, this is not normal. What’s going on? No one’s telling me about this. And when I did ask my oncologist about it, she’s like, yeah, this is going to be because, you know, you’re now on lupron shots once a month to keep your ovaries asleep.
[00:13:06] And you’re also, I was on an Anastrozole at that time. And you know, To fight the occurrence and to also keep your body from producing any more estrogen because you can’t have it. And I was just like, well, are we sure there’s nothing else that can be done? Because I don’t know if I can deal with this, you know?
[00:13:22] And I just like, for me, like my, the symptoms like have changed. They’ve morphed a little bit. Like there was a time where it was, my vaginal area was so, so itchy where it would just drive me nuts. Like I would just be
like, chronically like scratching. And I knew that that wasn’t a good thing because you’re just irritating
[00:13:40] it so bad, but it’s like that was the only relief that I, that I had any of my, you know, I do respect and I’m super thankful to my oncologist for the treatment plan that she, you know, provided to me, which allows me to sit here today and talk to you, but the same, you know, her attitude towards being on an aromatase inhibitor and the loop round shots to kind of deal with the estrogen.
[00:14:05] It was just kind of like, take it or leave it. Like,
[00:14:08] Yeah.
[00:14:09] Yeah. You just got to suck it up. It’s just one of those things. And I just felt like all of these sexual side effects that we’re dealing with, like, you know, the vaginal dryness, the pain you know, it took me a long time to allow my husband to even touch me again.
[00:14:23] And I felt so bad. I don’t know if you feel this way, but I felt shameful as a wife because in our age group, right, we’re, we’re not. super young, but we’re not old either. You know, we’re in this like midlife and you still want to have that connection with your partner. I mean, I love my husband to death. He makes me laugh.
[00:14:41] And I, I love that even during the darkest days during chemotherapy, I don’t know if you experienced this, but like the random diarrhea that would happen, like he was there like laughing with me, like, don’t worry, babe. Like it’s no big deal. And I felt so bad because I wanted to have that intimate connection with him.
[00:14:56] And I was just like, I’m sorry, you cannot touch me. Like it’s burning so bad. It’s It’s itching. It’s, you know, and he was very super patient with me, which I, you know, respect and love about him so much, but you know, I just felt like, like you, like there was nowhere to turn. Like, you know, if I turned to my oncologist, she’s like, well, I’m sorry, but you gotta, you just gotta do it or else deal with the fact that your cancer might come back.
[00:15:19] And obviously we don’t want that, right. But we also don’t want all these other things that we’re dealing with. I personally, you know, I was always a long black hair, you know, growing up my whole life. That was like my claims to fame, you know, that was who I was. And so I felt like losing my hair was the cruelest thing that could happen.
[00:15:36] And boy, was I wrong because then when the sexual side effects started coming, it was just, you know, it just felt like. Why like why something else and although I didn’t have a mastectomy I did Do my lumpectomy and when I had radiation I expected my breasts to get smaller because that’s what happens with most people However, as we know breast cancer treatment is different for everybody So my breasts actually got bigger and so I have one that is like three times the size of the other one And so, you know, it was very Tender and so even like, you know with my breasts.
[00:16:12] I’m just kind of like Like, you know, I shy away from it. I don’t want him touching me or because it’s just, it just, you just don’t feel comfortable anymore. You know, your body has just changed so differently. And I totally agree with you. I, you know, I’m pretty active on social media and in those support groups.
[00:16:29] And I haven’t really found very many people talking about these vaginal side effects that we’re dealing with and, and..
[00:16:37] Jenn Smith: What are some things that you found that were helpful for some of the symptoms that you were experiencing like vaginal atrophy? Because that’s a huge one I think a lot of people don’t know about.
[00:16:48] Nisha Jaime: Yeah, I feel like it’s been trial and error for me. Again, you know, there’s not very many people online talking about it. So I would just go like on Tiktok or Instagram and kind of just see, you know, like what are other people using? I know like they were saying hyaluronic acid is like something that people really suggest.
[00:17:04] And so I was like, I’m going to go buy the most, or one of the most expensive things that I can find, you know, so I did buy one of the more expensive products. And when I, and it was like a little capsule, I think it was reverie. I don’t know if you’ve used it, but it’s cool. Yeah. And I remember just like inserting it into my body.
[00:17:22] And then I was freaking out just trying to scrape it out because it burned me so bad. And, and I just remember sitting in my bathroom on the floor, crying and being like, This was supposed to help me and now I’m just like the insides of my body are more on fire than they were before and so I’m like in there with my nail trying to scrape it out and I’m just bawling and like why like this is so why you know this is so unfair why is this necessary so I stopped using that there’s another brand that I’ve been using lately that I like it’s called Good Clean Love they have like really good reviews online and I feel like what works for me you Or what I think works for me, because as you know, it’s like you don’t have clear answers ever.
[00:18:06] It’s like, is it from the Lupron? Is it from the Anastrozole? You know, what is all this from? So I did switch. I asked my oncologist if I could switch from Anastrozole to Exemestane. So that’s what I’m on now. I just switched probably about three months ago and I no longer have any type of Vaginal itching or anything like that.
[00:18:29] So while I still have like the pain during the limited intercourse that I do have the itching has gone away and I don’t know if that is from, you know, the switching of my AI that I’m on or is it because of the different products that I’m using? I also use organic coconut oil every night. And I, and I think that consistency is really key because I am guilty of this when I start using something and I’m not seeing any results.
[00:18:58] I’m just like, forget it, like I’m done, but being like consistent, I think with the coconut oil that I use and it could be messy, you know, I normally put it on at night before I go to bed and just put on a pair of underwear that I don’t really care about because it’s It’s messy. But I feel like that has really contributed to feeling better in that private area and maybe also coupled with the different products that I’m using.
[00:19:22] I also switched like the, like from what I shower with, you know, like the body wash that I use, I kind of use all the same brand now for all the products from beginning to end. And so I feel like that has helped a little bit what I, what happened to me maybe about a month ago, which kind of. Made me feel, you know, kind of stumped again, like, oh, like I still have something to deal with is that even though like the, the itching has went away I felt like I was able to have intercourse a little more comfortably because I don’t know if you deal with this, but it’s, it’s so like, you almost feel like there’s a wall, right?
[00:19:55] Like you’re trying to like, penetration is trying to happen. And for me, like we hit like a wall where you’re just.. You cannot go any further, even if you wanted to. And so, I kind of go to like a lubricant or the coconut oil to try and help. And so even still, like we get a little bit of penetration and honestly, like I feel like the whole time I’m telling my husband, like, I’m so sorry.
[00:20:21] Like, I know this is horrible. You know, I’m apologizing the whole time and. It’s not really fun for anybody. Right. But we’re trying our best to make it, to make it work. And after the last time, what I realized is that I got a little, like, like a little cut in the opening of my vagina. And so I didn’t even realize that until days later, I felt like burning.
[00:20:42] And I’m like, there’s no, like, why is this happening again? So I got a mirror and I’m like, I’m going to, I’m going to check and see what’s happening there. So I did that and I sent a message to my OB GYN when I realized that I had like a little cut there, you know, and what didn’t, you know, I got a message back saying, sorry, but she’s on leave.
[00:21:04] If you want to talk to somebody like, let me route you to the OB GYN department and we can, and I was just like, forget it. You know, like, of course there’s always like some type of roadblock, but that’s the most, the thing that I’ve just. Started dealing with about two weeks ago. Have you had anything like that happen to you?
[00:21:20] Jenn Smith: So I think that I may have had some things like that earlier in the journey until I kind of found things that would work for me. I’m not saying that I’m in a place where everything’s sunshine and rainbows. But for me yes, I experienced. It’s pretty much everything that you’ve, you’ve talked about.
[00:21:43] What’s helped, like you said, is getting into a good routine. So I actually have a weekly pill bottle that have the vitamins, supplements, and my letrozole in it. And then I also rotate the Rotary Plus in there, which it does work for me. I use the, I use coconut oil in like a jar, so it’s not as. And use that in between on days where I feel a little bit more dry.
[00:22:11] And then I actually, this year a new study came out about vaginal estrogen and that basically it’s safe for hormone positive breast cancer survivors. I didn’t try it. I actually had a prescription for it for over a year that I was deathly afraid to try. And then when this study came out I read up on it and felt comfortable and have that conversation with my oncologist as well as some other oncologists that I follow online.
[00:22:40] So I finally feel confident enough to try it. And I will say that that has been a complete lifesaver game changer for me for multiple symptoms. So I use that very sparingly, just kind of on the outside a couple times a week. And so I have all those things rotated in my little pill box so that I mostly don’t forget.
[00:23:01] And then I also have been reading up on fermentation of whole foods. Which has been helping with other things like bone pain, inflammation. Just trying to get myself to feel more normal, right? So I’m trying to use as many clean products as I can and get as many nutrients into my body so that I don’t feel like garbage every day.
[00:23:27] So, yeah, so those, those things all help. I mean, I’m not, we’re never going back. Like, it’s never going to be like it was when our in our 20s, but there are things that we can do for quality of life. My oncologist also said that it’s
okay. Sometimes when things get really bad to skip the Letrozole for a couple days and then go
[00:23:50] back to it to kind of let things calm, calm down. So every once in a while, I’ll do that as well, as long as I’m not doing it for weeks at a time. So just
[00:24:02] listening and being in tune, you know,
[00:24:04] Nisha Jaime: yeah, definitely. You’ll have to share that study with me. I do do a lot of reading about that type of stuff too.
[00:24:09] And I think I’m just still at the point of my journey where I’m just like, I don’t want any kind of estrogen anywhere near me. Yeah. And, you know, I heavily debated the oophorectomy. I had it scheduled two times. The only, you know, for me, I think the only reason why I did it was because I felt like while I’m experiencing all these symptoms right now, and they’re absolutely terrible, you know, I could always stop them.
[00:24:35] If I had the oophorectomy, I just was so deathly afraid of being like stuck, you know, there with no, no support or help. But it’s good to hear from you that, you know, since I’m still actually debating it, I feel like I go back and forth. But it’s good to know that, you know, you’re also experiencing these like horrendous symptoms and even still having an oophorectomy, there’s things that have worked for you.
[00:24:59] So that, I think that’s something really important to share with women. And cause I know, we know like debating that oophorectomy is, it’s a hot button issue that breast cancer patients. So, thanks for sharing that.
[00:25:13] Jenn Smith: Yeah. And if I could go back and do things differently, there are some things that I would do differently in my journey.
[00:25:19] It’s really difficult to make decisions when you’re in a state of trauma and fear. And everyone basically is. You’re the one making the decision. No one’s gonna, like, really, right help you make that. They’re very personal things. So I would change some things that I did. But now I can’t go back. I can only go forward.
[00:25:44] Nisha Jaime: So, yeah, what advice would we give to someone who may be afraid to, you know, be advocating for themselves? I know for me before I was diagnosed. I was a fierce advocate for my daughter. She’s seven and she was born with a critical congenital heart disease. So she has gone through multiple open heart surgeries and I, my, my life’s mission was really just to be her voice and make sure that she had
[00:26:11] everything, you know, that she needs to survive and thrive. And so I, I always tell her that, you know, I’m strong because of her, you know, she taught me how to be an advocate for myself. And now for, hopefully for others, you know, other women, right. Because I think that there’s so many breast cancer patients who are, not, not shy necessarily, but I don’t know what your ethnic background is, but I’m Hispanic and
[00:26:39] I can’t tell you how many people or women in my community don’t have a clue, you know, about breast cancer. And when they, when they find themselves on this journey, they, they don’t know, you know, they just feel like whatever my doctor says, that’s what I’m going to do, you know? And I think it’s so important for us to share our experiences and, you know encourage them to ask the questions and, you know, Do the opinions.
[00:27:05] I think I did three or four second opinions and I was like, all these doctors are going to roll their eyes at me, you know, and every one of them gave me the same treatment plan, but I just felt like for me, I was doing, you know, my due diligence by talking to multiple people and making sure that I had all the information necessary, like you said, to make an informed decision after decision after decision, because it’s more than just one.
[00:27:27] So what advice would you have for someone who may be new to this journey and maybe you, you know, kind of just timid and not knowing where to even begin.
[00:27:36] Jenn Smith: Yeah, absolutely. And I think this is a great place for us to to end on because this is about the future looking forward. Right. And for those coming through the journey behind us and self advocacy is extremely important as you, as you mentioned, right.
[00:27:55] For, for everyone, you are the only person that’s going to care about you. The most period point blank. You may think that about your spouse, but at the end of the day, you are the person that’s going to care about yourself the most. So, advocacy is extremely important when you go into physician meetings, checkups, you are your best advocate. Do you do a little bit research before you go into your appointments? Ask questions Know that there are a lot of options and opinions out there and you don’t need to be forced to make a decision right away So love yourself first and then you’ll be able to give back to others through your journey, but advocate for yourself.
[00:28:41] It’s so important.
[00:28:42] Adam Walker: Nisha, Do you have any last thoughts that you want to share as well? I don’t I don’t I’d love to make sure you you get a last thought here.
[00:28:48] Nisha Jaime: Yeah, Yeah, I just want to tell people, you know, and I, I don’t want to say I hate the phrase don’t give up, but I just feel like let’s come up with a different term or like coin phrase that we can use, but I just want to tell anybody who’s newly on this journey, or maybe, you know, been on the journey for a while to, you know, always prioritize yourself first as well.
[00:29:09] I know, especially as women, as moms, we put everybody under the sun before us. And I completely understand that having young Children, but we also have to make the time to insert ourselves in there. And, you know, breast cancer is so overwhelming. There’s so many aspects to this journey, and so, there’s times where, you know, maybe you don’t want to.
[00:29:31] Do all the research or ask all the questions. I think something that worked for me was always recording My, you know, I’d ask my oncologist or my surgeon Can I record this conversation because I was so wrapped up in my own emotions as you can tell like I’m a crier I cry all the time still And so I would just almost like black out in appointments.
[00:29:49] And so I would say, you know, record what you can this way. When you’re in a better frame of mind, you can go back and kind of see where you need to ask more questions, where you need to do more research. And also Jenn, you touched on the mental health part of this. You know, I just want to. Let everybody know like there’s no shame and asking for help from like mental health professionals.
[00:30:12] I battled with that a lot. I felt like why can’t I get it together on my own, you know, and and it’s because, you know, you have cancer and it’s okay to need help and that area. And so, you know, I was on some medication for a while and I worked hard to get off of it, but I just want people to know that, you know, use all the resources that are available to you.
[00:30:33] Don’t, you know, try, you know, I know there’s a lot of shame and breast cancer. I remember when I was diagnosed, I felt like, what did I do to deserve this? You know, I’m a good person. What did I do? And so I just want people to know, like, it’s not your fault. It’s not because you live next to somewhere that’s toxic or you ate the wrong things or that you, you know, you’re harboring anger.
[00:30:55] It’s just something that happens to people. You know, there’s such a great community here, breast cancer community. And, you know, just reach out if you, if you don’t even know where to begin, just reach out to somebody, you know, and if that, that person can forward you on to somebody else. So just, you know, don’t give up for lack of a better phrase and, you know, reach out to someone, hang on to someone and just know that things will get better.
[00:31:19] They will.
[00:31:20] Adam Walker: That is fantastic advice. This has been an important conversation. I really appreciate your willingness to come on and have it and let us just share your journey in such a small way. Thank you so much for your time today. You’ve both been amazing.
[00:31:41] 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.com.