Pregnancy is accompanied by a lengthy list of do's and don'ts—take prenatal vitamins, no alcohol, exercise carefully, and eat well. But what about when an unplanned health issue presents itself, such as the necessity for a mammogram? For most women, this might not even be something they think about until they are in a position where breast cancer screening is an option.

Perhaps you're over 40 and in need of your yearly mammogram, or perhaps you have a history of breast cancer in your family and you want to keep your screenings current. More emergently, you've found a lump in your breast. So, can you have a mammogram when pregnant? The answer is yes, but there are several things to consider.

Pregnancy creates substantial hormonal changes that affect the body, as well as breast tissue. Estrogen and progesterone's rise causes the breasts to expand and condition to produce milk, which results in denser tissue. This increased density is more challenging to detect any abnormalities with using mammograms. Even post-delivery, should the woman be breastfeeding, milk-filled glands can also make the breasts denser and, as a result, make mammogram readings less clear.

While 3D mammograms have improved imaging technology to help navigate dense breast tissue, doctors often suggest postponing routine screening mammograms until after pregnancy if there are no symptoms or high-risk factors. However, if a lump or abnormality is found, your doctor may recommend immediate diagnostic imaging.

When Is a Mammogram Necessary During Pregnancy?

Mammograms are not done routinely if a woman becomes pregnant, yet there are specific situations where one might be unavoidable. Breast cancer in pregnancy does occur—1 in 3,000 times—but it's not common. If a lump is detected by a woman, she has constant breast pain and no explanation, or she is at high risk (e.g., strong history of breast cancer in her family or genetic defect such as BRCA1 or BRCA2), a physician will order a mammogram.

The process itself takes very little radiation exposure. The radiation employed by a mammogram is concentrated on the breast, and there is little to no radiation that reaches other areas of the body. A lead apron is also placed over the belly to shield the unborn child.

Alternative Breast Imaging Options During Pregnancy

For pregnant women requiring breast imaging, physicians may initially suggest an ultrasound. In contrast to a mammogram, an ultrasound is not done with the use of radiation and is deemed safe for pregnant women.

An ultrasound of the breast can establish whether a lump is a fluid-filled cyst or a solid tumor that needs further investigation. Yet ultrasounds are not always diagnostic, and in certain instances, a mammogram or biopsy is needed to determine or rule out cancer.

Magnetic Resonance Imaging (MRI) is also an imaging choice but has some drawbacks. The majority of breast MRIs employ a contrast material called gadolinium, which is able to pass through the placenta and to the fetus. Although risks are not entirely clear, physicians usually do not use MRI with contrast unless necessary. Some practitioners may offer an MRI without contrast as an option.

What If You Find a Lump In Your Breast During Pregnancy?

Breast changes throughout pregnancy are normal, but finding a lump should never be taken lightly. If you notice a lump, alert your medical provider right away. They will conduct a clinical breast exam and potentially have you get an imaging study such as an ultrasound or mammogram to see whether anything needs to be done.

If imaging indicates a suspicious mass, a biopsy can be suggested. Core needle biopsy is the most frequently used and is safe during pregnancy. It consists of numbing the skin with local anesthetic and inserting a hollow needle into the area to obtain a small sample of tissue to be tested.

Breast Cancer Treatment During Pregnancy

In the extremely uncommon event of a diagnosis of breast cancer while pregnant, therapy will be determined by the nature and extent of cancer and by how far along in pregnancy one is. The most frequent form of treatment is surgery—either mastectomy (surgical removal of the entire breast) or lumpectomy (surgical removal of the lump)—which is usually safe while pregnant.

Chemotherapy is also possible but usually only attempted after the first trimester, when it can damage developing fetal tissue. Radiation therapy is not used during pregnancy and is typically deferred until after giving birth. Hormonal therapy and targeted therapies are also omitted until after giving birth.

Can I Get a Mammogram While Breastfeeding?

Yes, you can have a mammogram while you are breastfeeding. The radiation in a mammogram does not impact breast milk or hurt the baby. But breast density is still high during lactation, and this might complicate detection of abnormalities. To enhance image quality, physicians usually advise breastfeeding or pumping 30 minutes prior to the mammogram.

Routine screening mammograms are usually delayed in pregnancy unless there is a high-level concern.

If a lump is detected, an ultrasound is typically the initial imaging study done, with a mammogram being a consideration if additional assessment is necessary.

• Pregnancy mammograms utilize minimal radiation and are safe when required.
• Breast MRI with contrast is usually avoided in pregnancy.
• Breast biopsy, when necessary, is safe during pregnancy.

If breast cancer does develop during pregnancy, there are available treatment options that can be adjusted to keep the mother and infant safe.

Pregnancy is a period of significant change, and health issues particularly those involving breast health, are anxiety-provoking. Routine mammograms are typically postponed until after giving birth, but diagnostic testing can be done if necessary. The best you can do is discuss changes you notice in your breasts with your healthcare provider in an open manner. Early detection and prompt treatment can make a very big difference in the health of both mother and fetus.

At least 55 people have lost their lives and 279 remain missing after Hong Kong’s most severe fire in more than a century swept through several high-rise towers on Wednesday afternoon, officials said. Fire crews are still trying to put out the blaze in the Tai Po area and reach those who are trapped inside. By early Thursday, authorities said they had managed to control the fire in four buildings, though teams were still working on three others more than 16 hours after the flames first appeared.

What Happened in Hong Kong?

A residential complex in the Tai Po district caught fire at around 2:51pm local time on Wednesday. The flames started on the bamboo scaffolding fixed to the outside of one of the buildings. This scaffolding, made of bamboo poles used by workers during repairs, burns very easily. Once it caught fire, the flames moved quickly up the outside of the building, spread into the apartments, and then reached nearby towers.

The blocks were also covered in green construction netting from the ground to the roof because renovation work was taking place. This netting caught fire as well and helped the flames advance at a faster pace. Local reports noted that the fire grew at incredible speed. By 3:34pm, it had reached a level four alarm, and by 6:22pm, it had been raised to a level five alarm, the highest alert in Hong Kong. It is now the deadliest fire the city has seen in more than 100 years.

Hong Kong Fire: How Did The Fire Start?

The blaze spread in minutes because it began on the bamboo scaffolding around the building and moved to the green netting covering the towers. Both materials burn very easily. Once they ignited, the flames climbed the outside of the tower and reached many floors above. Burning fragments then dropped to the ground and set nearby buildings on fire within minutes. Wind and the open gaps created during the renovation work likely pushed the flames even faster. While officials are still examining the exact cause, they said that the flammable scaffolding, the construction materials, and the tall buildings standing close together all played a part in letting the fire grow out of control, according to Al Jazeera.

Hong Kong Fire: Essential Safety Tips To Keep In Mind During A Fire Emergency

As per The American Red Cross society, here are some essential safety tips you should follow during incase a fire emergency strucks.

Smoke Alarms:

• Make sure your home is fitted with working smoke alarms.
• Place an alarm on every level of your home including inside each bedroom and outside every sleeping area. Connect the alarms so that they all sound together.
• Install alarms and alert tools to help family members who are deaf or hard of hearing.
• Alert tools such as strobe lights flash when the alarm rings. Pillow or bed shakers can help wake someone who is sleeping. These devices are triggered by the sound of the smoke alarm and shake the bed to warn the person about the fire.
• Test each alarm at least once a month. Press the test button to check that it works.
• Visit the Consumer Product Safety Commission website for details on smoke alarms that may have been recalled.

Home Escape Plan

• Create a home escape plan that includes two ways out of every room. Share this plan with all family members and guests.
• The plan should show two clear exits from each room and a meeting point outside the home.
• Make sure everyone in the house knows the plan.
• Practice your fire drill regularly.
• Ensure that children, older adults, and people with disabilities have the help they need during an escape.
• Keep stairways well lit to prevent falls.
• Clear clutter so no one trips while trying to leave quickly.
• Add handrails along both sides of staircases.
• If you live in an apartment, know where all exit staircases are located on your floor in case the nearest one is blocked by smoke or flames. Always use the stairs to leave the building. Do not use the elevator unless the fire department says you can.

Fire Response

• If there is a fire, get out quickly and stay outside. Then call 9-1-1.
• If you cannot leave the building, call 9-1-1 and tell the fire department you are unable to get out. Wave a light coloured cloth or a flashlight near the window to signal for help, but keep the window closed.
• If you see smoke, use your second escape route. If you must move through smoke, stay low and crawl under it.

Sonali Bendre, actor, who is known for talking about her cancer journey, inspiring other survivors to talk about it too, has found herself at the center of a heated debate after she spoke how naturopathy and autophagy helped her in her cancer recovery.

Bendre, who was diagnosed with stage 4 metastatic endometrial cancer in 2018, wrote on X that she believes autophagy played a role in her healing journey. Her post quickly drew sharp criticism from several doctors.

Doctors Point Out That Cancer Remission Came Through Medical Treatment

Members of the medical community reminded her that her remission was the result of evidence-based cancer treatments, including chemotherapy, radiation and surgery. Many emphasized that autophagy is not a recognized medical therapy and should not be presented as one.

One post from hepatologist Dr Cyriac Abby Philips on X said, “Your cancer went into remission after chemotherapy, radiation, and surgery at an advanced cancer treatment hospital. Not because of Naturopathy. Not because of autophagy. Because you have the option and privilege to opt for the best treatments from scientific practice to help you.”

Bendre Clarifies Her Stand

Following the criticism, Bendre clarified that she was sharing her personal experience as a survivor, not medical advice. She wrote that her journey included elements she explored with the help of her naturopath, and these practices were only part of her overall healing process. In her words, “I have never claimed to be a doctor, but I am certainly not a quack either. I am a cancer survivor, someone who has lived through the fear, pain, uncertainty, and rebuilding that the disease brings.”

What Autophagy Actually Is

Autophagy is a natural process in which the body breaks down and recycles old or damaged cell components. Cells contain various structures that help them function, and over time some of these structures wear out. Autophagy acts like a clean-up and recycling system. It allows cells to dismantle faulty parts and reuse the useful components to maintain healthy cell function. Anything that cannot be used is removed by the cell.

This process is an important quality control mechanism. If too much cellular waste builds up, it can interfere with normal cell activity. Autophagy helps keep cells efficient and healthy. The scientific understanding of autophagy grew significantly after Japanese biologist Yoshinori Ohsumi won the Nobel Prize in Medicine in 2016 for his work uncovering how it works. While autophagy is essential for survival, it is not considered a medical treatment for diseases.

Can Autophagy Treat Cancer?

Experts explain that autophagy plays a complicated role in cancer. In the early stages, it may help prevent tumor formation by clearing damaged components. However, in established cancers, the same process can allow tumor cells to survive stress and become more resistant to treatments like chemotherapy.

Disclaimer: Please consult a qualified doctor or oncologist before choosing any treatment for cancer. Health and Me does not endorse alternative therapies as substitutes for evidence-based medical care. This article is based on publicly available information. All medical conditions should be evaluated and managed under the guidance of a licensed healthcare professional.

What if you are told that the vape you are using contains bacteria found in poop. You read that right. According to a study conducted by HAYPP along with Microbiologist Reynold Mpofu at BioLabTests, bacteria like staphylococcus and bacillus were found on vape, as well as fecal bacterium, E. coli is found on vape, which is often found in public bathroom.

What Did The Study Find?

More than 100 million people worldwide use e-cigarettes or vapes, and at least 1 in 6 people vape in toilet. Furthermore, vapes are rarely cleaned, and thus become germ hotspots.

The study found that vape mouthpieces are highly contaminated with bacteria. More than 1.5 million colony-forming unites or CFUs were identified on the vape mouthpiece, the maximum amount measurable by the lab, carrying as many as 2,300 times more bacteria than a public toilet, which has 50 CFUs per square inch.

“Laboratory analysis revealed that the mouthpiece is the dirtiest component of the vape. This isn’t surprising given that the human mouth, largely considered to be one of the ‘dirtiest’ parts of the body, harbors approximately 700 species of bacteria, that amounts to billions of individual bacteria,” said Mpofu.

The study was able to identify a range of bacteria, including skin microbes to gut bacteria like E.coli.

Also Read: UK Investigates Impact Of Vaping On Its Young Users

The Species Identified

The study identified these following bacteria on the vape:

• Bacillus: commonly found in dust and the air
• E.coli: indicates possible fecal contamination
• Yeast and mold: can cause respiratory irritation
• Staphylococcus: usually harmless, but could cause infection
• Enterococcus: intestinal bacteria that can persist on surfaces

The study was also able to identify bacteria on the vape body. The lab also observed a rapid microbial growth between just 2 to 3 days of use. These colonies could be seen multiplying thousand of times over.

While many of these are found on human skin or surrounding, some are intestinal bacteria, like aforementioned, E.coli, and Enterococcus, which points towards unwashed hands, explaining the transfer on the surface.

“Much like phones, vapes are frequently handled and placed on a variety of surfaces, allowing germs, oils, and dirt from hands, pockets and various environments to latch on the device. The findings confirmed the presence of bacteria, including E. coli and Enterococcus, on the vape body, likely arising from inadequate hand hygiene or the transfer of microorganisms from bathroom environments or other contaminated surfaces,” said Mpofu.

Read: Why Is My Idea Of Break Is To Have A Smoke?

The Timeline Of Bacteria Development

The first signs of microbes start to appear within the first day of buying a brand new vape, especially around the mouthpiece.

By day three, the vape accumulates more than 2,300 times the microbial load typically found on a toilet seat.

By the seventh day, bacteria like E.coli. and Enterococcus and other fecal indicators are detected on the mouthpiece and vape’s body. Mould and bacteria are also found on levels.

By day 14, despite no new use or cleaning, the vape remains heavily contamination. The contamination does not fade overtime.

Read: These US States Vape The Most