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Double Date with Marlo Thomas & Phil Donahue

Decoding Genetic Cancer Risk with Dr. Susan Domchek from Decoding Women's Health

Double Date with Marlo Thomas & Phil Donahue

Pushkin Industries

Relationships, Society & Culture

4.81.1K Ratings

🗓️ 4 November 2025

⏱️ 43 minutes

🧾️ Download transcript

Summary

For Breast Cancer Awareness Month, Dr. Susan Domchek joins the show to talk about the importance of knowing your genetic history, using genetic testing to understand cancer risk, and what you can do if you learn that you have BRCA gene mutation.

Links to resources mentioned in this episode:

Basser Center for BRCA

National Society of Genetic Counselors

National Comprehensive Cancer Network

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

Transcript

Click on a timestamp to play from that location

0:00.0

This show is not a substitute for professional medical advice, diagnosis, or treatment.

0:19.3

It is for informational purposes. Please consult your health care professional

0:23.5

with any medical questions. My mom was diagnosed with breast cancer in her 50s. Luckily, it

0:30.4

wasn't complicated, and she quickly went into remission. But this April, she was diagnosed

0:35.6

with pancreatic cancer, one of the most lethal and hardest cancers

0:39.2

to treat. It was devastating news. I assumed it wasn't a hereditary cancer. Most aren't. But some

0:47.2

cancers can be caused by genetic mutations, like the BRCA-1 and BRCA-2 genes, sometimes referred to as the BRCA genes.

0:56.2

These are genes that normally protect cells from damage, but when they don't work, cancer risk skyrockets.

1:03.6

Years ago, I was actually tested myself for broca mutations. I sent off blood work for genetic testing

1:09.1

with a private company. I never got the results back,

1:12.6

and I sort of forgot about it. That is, until my mom's doctors tested her blood and found out that she

1:18.2

carried a BRCA-1 mutation. Her cancer had a genetic, heritable element. I contacted the testing

1:26.6

company that I had sent my blood work to years earlier,

1:30.2

and I finally got those results. I was positive for a BRCA-1 mutation myself. I would have been

1:37.4

livid if I wasn't so scared. I'd already had my own battle with HPV-related cancer in 2021.

1:47.2

And as a pelvic surgeon, I know too well the realities of ovarian cancer. Within weeks, I had my ovaries and fallopian tubes removed.

1:54.3

The wildest part? I have a PhD in genetics. I work with some of the best physicians and

2:00.5

scientists in the world. I am an

2:02.5

expert in ovarian cancer, yet this potentially fatal mutation went undetected in me for nearly

2:09.6

63 years. I'm Dr. Elizabeth Pointer, and this is Decoding Women's Health, a show from Pushkin Industries

2:18.4

and the Atria Health Institute that's elevating the conversation about women's health

2:23.9

and midlife, and frankly, challenging some of the status quo information out there.

...

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