Yesterday’s news was a-twitter about the fact that Amy Robach, who underwent her first mammogram on Good Morning America on October 1 this year was diagnosed with breast cancer. While the top of the Yahoo feed states that she will be undergoing bilateral mastectomies on Thursday, without further information, it is premature for anyone to offer any specific commentary about her diagnosis or her decision.

Did the mammogram save her life, as one doctor was quoted as saying? The answer, of course, is we don’t know. While mammography is capable of finding about 26% of cancers at a point where it makes a life-saving difference in the outcome, it also finds many lesions which would never have gone on to be life-threatening and others which will still be life-threatening in spite of early detection and rigorous screening.

The problem is not the mammogram as a detection tool, but the natural history of the disease, which brings us to the crucial point…not all breast cancers are the same. Before a treatment is prescribed or chosen, it is critical that a woman or man knows what kind of breast cancer they have of the roughly 5-7 kinds we can now recognize. There are probably many more kinds that we just don’t know about or know how to recognize yet. The behavior of the cancer is dictated not as much by when it is found as by what kind it is and how that kind usually behaves. This information informs the decisions about treatment.

If a cancer is the kind that spreads before we can find it, the risk of dying of cancer elsewhere in the body trumps the risk of it coming back in the same or the other breast. In this case, bilateral mastectomies will not have much benefit, but chemotherapy, hormonal therapy and/or herceptin will. On the other hand, a woman who carries the mutated gene for breast cancer has a high risk of getting a cancer in the other breast and might well decide on prophylactic surgery. These questions are complex, and armed with the knowledge about the type of cancer and its typical behavior, the choice of treatment is a very personal one.

My message is that a diagnosis of breast cancer is NOT an emergency. There is time to collect all the information and make a decision that both matches the disease and the patient’s preferences in that situation. I always suggest that women who are newly diagnosed take a deep breath and get a second opinion. Give yourself time to let the shock wear off so that you can start to think clearly. And bring a recording device to every appointment, not instead of a friend or partner, but in addition. You can’t remember everything the doctor says nor can your significant other, not to mention the fact that you can’t even spell most of the words. Record the conversations so you can listen to them later and start to absorb what is being said. And if the doctor doesn’t want you to record the visit, get another doctor!

At the end of the day, the purpose of the mammogram is to take a photograph that may or may not reveal signs of breast cancer, which then still requires further tests to be characterized before treatment protocols are recommended. More often than not, we can make real differences not by rushing into treatment but by taking the time to do the right treatment for the right kind of cancer.

We all need to help tone down the hype that mammograms are the be-all/end-all life-saving tool and stop fueling mass fear that a questionable mammogram is a potential death sentence.
The real question that we should be debating is why we are still doing so many mastectomies and why, after thirty years of breast cancer awareness-building and the availability of early detection methods, major surgery is still a frequently utilized treatment by women because the medical profession still doesn’t have better answers!

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29 Responses to Lesson from Amy Robach’s Breast Cancer Diagnosis

  1. Barbara Mitchell says:

    Like Amy Robach, four years ago I went for my 40 year old, first mammogram. Like Amy, I went, because I was 40. I have no family history. I am active. I eat well.
    Like Amy, I had breast cancer. And, like Amy, I had small children.
    Four years, one lumpectomy, two surgeries to re-excise the area for clear margins, one unilateral mastectomy (never got clear margins), eight rounds of chemotherapy, reconstructive surgery and radiation later, here I am. My body is asymmetrical and scarred. My brain is still foggy.
    Five months after I finished treatment, my college room mate died of breast cancer that had metastasized to her spine and brain (ER/PR+, double mastectomy, chemotherapy, radiation). At diagnosis we were both 40. We both had the same size and type of tumor and lymph node involvement (small tumors, two nodes involved). We both had the same treatment. I was treated at Memorial Sloan Kettering. She was treated at New York Presbyterian/Weil Cornell Medical Center.
    I have never considered myself a survivor. I have considered myself lucky.
    The treatments that were available to me in 2010 have worked–so far.
    I think about a possible cancer recurrence or metastasis everyday. I am anxious. I take tamoxifen every night. And, I also take klonapin (as needed) for my anxiety.
    I am so sad and so angry that Amy Robach does not have new treatments available to her. More surgery is not the answer.
    A double mastectomy is her choice.
    I wish she had more choices.

  2. Teresa says:

    Who’s to say she didnt make the decision forca mastectomy based on another reason – like me maybe she has dense breast tissue? That is a no brainer for the need to have a mastectomy. Just sayin – we really dont know ALL the facts!

  3. Victoria says:

    Mammograms indeed do NOT always give you the answer. At age 25, my mammo was inconclusive and attributed to dense breast tissue.
    Cancer #2 in the same breast was the turning point for mastectomy. Having to go thru 4 surgeries on the same breast was more than enough..
    Cancer #3 in the opposite breast, and having scans & tests requiring needles in the veins that never recovered from chemo 23 years ago made the mastectomy a no-brainer because the only surgeries I want in the future are port placement and breast reconstruction. My mastectomy is keeping me off the radiation table, too, and I am grateful for that. Chemo will have to do the job for the TNBC.
    And yes, we do not have the right to pass judgment on a person’s choice in terms of their route to recovery because of the different types of cancer. It’s a very complex disease – I am still learning about mine because my previous bouts were not with trip-neg. There are new facets being revealed in research daily, which of course, is why we need to continue to support research.

  4. Donna Pinto says:

    Thank you Dr. Susan Love for being a voice of reason. When I saw the video clip of Amy’s mammogram party and then her announcement to have an immediate double mastectomy — my heart sank with sadness for her — and the millions of women watching — who would now be influenced by the misleading message that “Mammograms Save Lives.” Amy is being rushed, pressured and influenced before even knowing exactly what kind or stage of breast cancer she has. ABC and GMA need to get the facts and do a show that is more balanced and truthful about mammograms — and the potential harms of overdiagnosis and overtreatment.

    In 2010, I was told by a breast surgeon that I would need a mastectomy or partial mastectomy plus 7 weeks of daily radiation for DCIS. My gut told me something wasn’t right. I held off and started researching. I learned the importance of a 2nd opinion on the pathology (thanks to your book “The Breast Book) — and that 20-25% of the time, the pathologists get it WRONG! Women really do deserve to be more informed and empowered towards taking proactive steps for their breast health. I wrote an article last month on my blog DCIS 411 called “Less Pink — More Green: An Intelligent and Urgent Makeover for Breast Cancer Awareness Month.”

    In it I discuss the truth about the harms of mammograms — the studies and stories that are part of the controversy but get pushed under the rug when big news media like GMA hype up the propaganda about Mammograms Saving Lives — and using a beautiful young woman like Amy Robach to push their agenda.

    t’s so vitally important for all of us to educate ourselves and support organizations addressing ROOT CAUSES and PREVENTION of cancer:such as the Dr. Susan Love Foundation — which I list as one of the organizations at the end of my article. Thanks so much for speaking out on this Dr. Love. Grateful for you. – Donna Pinto

  5. Lynn Bowen says:

    Well Said and thank you Dr. Love.

  6. Rana Kahl says:

    Dr Love, from the perspective of someone diagnose with two primary breast cancers at 33 and 44 respectively, you make so many good points that I applaud, especially take a deep breath, be informed and make the decision that is most appropriate for you and your particular situation. I agree with you that we should be further along but I also know that until we have a better option for a diagnostic tool than a mammogram/sonogram/MRI, etc. I don’t want to see people either getting confused and not getting screened or not getting screened because they don’t think they need to. Finding a cure and screening are not mutually exclusive. And finally, while I recognize that not all cancers will end up being “fatal” if not removed or treated less aggressively, until we have better data on that and tools to identify which are which, I know that I am not comfortable rolling the dice on my life – and my husband and children are definitely not interested in watching and waiting to see if they lose their mom before they are old enough to remember her because we guessed wrong. The science is very important but equally so are the people.

  7. Ann Marie says:

    IF I hadn’t had a BMX, I wouldn’t have KNOWN I had IDC in BOTH BREASTS! I had extremely DENSE BREASTS.
    The needle biopsy from my suspicious R breast didn’t even find the IDC! ONLY WHEN I HAD THE INITIAL LUMPECTOMY did they find IDC next to the DCIS/micro-calcification area in my R breast. I just had a gut feeling CANCER was probably also in my L breast, so I chose a double mastectomy. Hot spots on BREAST MRI & 3 needle biopsies on my L breast showed nothing.
    SO, sometimes Mastectomies ARE a very good choice.
    **My beef is that mammograms are being touted as the life saving answer to all…giving lots of False Hope to the general masses. I’d like to see stronger responses to celebrities & news people who make blanket statements that assert that if we ALL can just catch the cancer early via the precious MAMMAGRAM, then all will be well. VERY MISLEADING…

    ANN MARIE “Violet”

  8. Rene Buchanan says:

    I agree that women should have an arsenal of information available to them when faced with a diagnosis of breast cancer so they can make an informed treatment decision. The rational, however, is not always the only force influencing that decision. Strong, conflicting emotions come into play; and, sometimes, no amount of reason can alleviate someone’s fear. My sister chose to have bilateral mastectomies because she knew her fear would paralyze her if she didn’t. She had all the information she needed to make a different treatment choice, but she the option which would give here peace of mind. To some, her choice may seem like an overreaction, but it allows her to breath.

  9. Susan Collins says:

    Amy Robach did not go into detail about her reasons for her treatment decisions, there could be a lot more going on. I agree that mammograms are just one tool. My cancer did not show on the mammograms or ultrasound and the lump felt like “normal” breast tissue according to the MDs. If I hadn’t insisted on a surgical biopsy instead of wait for to six months and repeat the tests who knows where I might be. After the biopsy I had a lumpectomy and a dx of stage 2 very aggressive pr positive breast cancer. I had chemo and radiation and I’m healthy and alive 7 years later.

  10. Ann Marie says:

    And like Victoria (above commenter), I also chose BMX partly because I didn’t want to go the lumpectomy-then-mandatory RADIATION RISK either. Lumpectomy/Radiation was a worse/riskier choice for ME than having a BMX w/ Zero Radiation…;)
    I’m so tired of hearing how LUMPECTOMIES are “the simpler, less invasive, option”…the standard RADIATION that follows those “simple” Lumpectomies is what scares the HELL OUTTA ME…for OBVIOUS REASONS (can cause future OTHER cancers, heart issues, ETC.).
    We ALL have to make the best choices for our own particular situation. For ME, Double Mastectomies & Reconstruction were THE BEST POSSIBLE ANSWERS/TREATMENT CHOICES. I have chosen NO FURTHER TREATMENT at this point. No Tamoxifen for me, either (not a hugely popular choice, BTW…;).
    QUALITY of LIFE is what matters to me right now.
    {I’m IDC, Stage 1A /No Node Involvement/ BRACA neg./HER2 Neg./Prog./Estrog. Positive.}

    Ann Marie Violet

  11. blondeambition says:

    I am approaching my five year anniversary of my bilateral mastectomy next year and was devastated to hear the news about Amy Robach. That is one thing that doesn’t get easier with time and it’s always a punch in the gut knowing what it’s like to hear those horrible three words: You have cancer.

    That said, I do take issue with ABC and the media for the way this is being presented. It is a terrible disservice to women to promote the idea that ‘early detection’ and/or mammograms themselves save lives. Barbara Mitchell expressed this very well above saying she is “lucky” and has never considered herself a survivor. I feel the same way as do most of my friends who have been dealt this hand. We all (sadly) know someone who went onto develop metastasis despite being diagnosed early and we are all haunted by these facts.

    For whatever reason, the media doesn’t want to take on that conversation. It’s not optimistic, it’s not positive, and it’s upsetting. Yes. It’s all of these things and then some. It’s time that these networks get their collective heads out of the sand and give women an accurate portrait of “awareness” and the limitations of ‘early detection’. As always, Dr. Love cuts to the chase and says what too many people are afraid to speak.

  12. Caroline says:

    I thought the announcement was handled well. She had the mammogram in early October and then the announcement was a month later so I am sure there was more evaluation in the meantime. And Dr Love I completely agree with you in that it is the type of cancer not when it is discovered that matters most.

  13. Nellieg says:

    Great blog. I too wish there were more tests and more aggressive tools to screen women who have a genetic predisposition for breast cancer. Every woman in the past two generations of my family has had breast cancer. No known gene though. Still I knew it was not if, but when I would be diagnosed as the oldest in my generation. I had a clear mammogram one year ago. I opted to have an MRI two months later just to be sure due to the family history. I was diagnosed with stage three ILC. by the time this would have shown up on a mammogram I would have likely been on death’s door. Thank you for the work you do.

  14. Thank you Dr. Love. Early detection has long been touted as prevention. Mammograms are not prevention…they detect cancer, albeit hopefully at an early stage, but they don’t solve the problem. Had I not gone for a second opinion at your beloved (and mine) Dana Farber, I would not be here today. My invasive tumor was not even visible on the mammographic “suspicious” side. Simply, it did not show up on my mammogram. It was found by my angelic nurse practicioner at the Dana. The net result was a double mastectomy after a month of soul-searching and tests to evaluate the extent of the “damage”.

    Whatever we have accomplished with treatment is not enough. The focus needs to be on prevention and finding out why so many, and so young, women are falling victim to this disease. We need to focus our “Army of Women” to demand finding the cause of this horrible disease and prevent it as you have proposed.

    There are many doctors working on prevention…whatever or whichever you believe in…support them. Funding mammograms and new treatment drugs are the focus of research monies. Only 3% goes to actually finding the cure or preventing this disease. Although of course we need new treatments for women now fighting for their lives, we need to leave a better legacy for our children.

    Let’s keep the conversation focused on the real cure…prevention!

  15. At the very least everyone diagnosed with cancer should be treated with Integrative Oncology. All who have gone through radiation, chemo or hormonal KNOW there are short and long-term adverse effects. These do not have to be as bad as they currently are. There have been many studies of natural, complementary therapies that can often reduce toxicity AND even enhance treatment. Why not explore that? Annie Appleseed Project, founded by me, online in 1999 has many of these studies online. Also active on FB with info. Or email us for our Handout to Reduce Toxicity. This can work. Try acupuncture, fish oil, probiotics, curcumin/turmeric, exercise, stress reduction, cut out JUNK food. We are nonprofit patient advocates, not medical folks.

  16. I’m all for better detection and better understanding. That would be fantastic. Also, Amy, like myself and soooo many others, had no known risk factors for the disease – It feels like the risk factors are just to make us feel more comfortable and not actually reflecting reality. Anyhow, I can understand why women panic post diagnosis . . . it’s a shock, it’s terrifying, and we don’t know any better. There’s certainly no breast cancer campaign that says: Keep calm and decide with care. Maybe there should be?

  17. Liz says:

    Having been thru this in 2010, I can say that the mammogram is only the beginning of diagnosis. There are biopsies and MRIs done before making this decision.

  18. Donna Pinto says:

    So many wonderful comments made by all. Even with DCIS, women are panicked and the treatment options are pretty much the same as invasive cancer (minus chemo). I like Catherine’s comment: There’s certainly no breast cancer campaign that says: Keep calm and decide with care. Maybe there should be? I’m all for that campaign and trying to do my best in promoting it (for those diagnosed with DCIS) through my new website

    It would be great if all the commentors here could write in to ABC — Good Morning America — and ask them to re-evaluate their statements and claims about mammograms and tell the whole story — the harms of mammograms (over-diagnosis and overtreatment) and the fact that mammograms miss up to 25% of invasive cancers. I’d like to see Dr. Love, Dr. Lagios and Dr. Laura Esserman give their perspectives.

  19. rose says:

    There has been a lot in the media lately about double mastectomies and celebrities. First with Angelina Jolie and now Amy. For a lot of women the decision comes down to their personal comfort level. If you cant sleep at night worrying that your breasts could produce another cancer (me) then the surgery is necessary from a psychological stand point and not necessarily a medical one. I have a friend going through it now and her surgeon told her that he refuses to do a double and said just because AJ did one you don’t have to as well. I find this extremely insulting, like we would make such a life altering decision based on what someone in Hollywood does.
    Having had a very aggressive, her2 positive breast cancer in my early forties, a history of benign lumps (that had to be removed and biopsied), extremely dense and hard to image breasts the decision was easy for me. And I agree with the previous poster – my doctors didn’t talk at all about the risks of radiation (especially being so young) when they were pushing lumpectomy on me – I do think this is a very important consideration on the decision as well
    As for mammograms, they aren’t perfect and the mammo=cure message is completely misleading. Like Dr Love says its the biology of the cancer that determines the outcome – yes, the chances of never seeing the cancer again are better with earlier detection but it does not always mean cure.

  20. Breast cancer what we really think is totally different.Some people think this is a tumor and breast cancer surgery is the option. But THE PROBLEM IS “LACK OF AWARENESS OF BREAST CANCER”. Mostly women think pain in breast is simple symptoms..then it will fine with medicine…The problem start from here. And later simple pain convert cancer tumor.

    So my point is take a very informative step before any diagnosis and treatment option. you can ask to your expert doctors or visit cancer hospital.

    Thank you

  21. Debra says:

    I was 54 when I had my first mammogram. They found a very small lesion, so small not I or my doctor detected it. It was DCIS, so I was incredibly lucky to have a lumpectomy and radiation only. If not for getting that mammogram, I would not have known I had cancer in my breast until it was felt, which could have been too late. Yes, mammography is not a perfect tool. Yes, we need more choices. And Yes, we need to find the CAUSE of breast cancer…..because there is no cure until we do find the cause. I lost 3 people to breast cancer within 6 months of my diagnosis. 2 left very small children behind. A diagnosis might not seem like an emergency, but it feels like one. You are alone in making decisions that could effect whether you are alive 10 years down the road. Having children magnifies this situation tenfold. I would never criticize someones choice of treatment. I know how long and hard I searched inside myself for what I should do. It’s hard for me to say anything negative about mammography, because in my situation, it saved my life. It’s not perfect, but I believe we will get there. We will find the cause, and I pray that if it isnt in my lifetime, it will be in my daughters lifetime.

  22. Dr. P. A. Smith says:

    We certainly know how to prevent many cancers in the human body! The food & drink that is being consumed in this country is a joke when it comes to what is referred to as the american diet. It is not nicknamed SAD because it is healthy. People need to stop joking about taking responsibility for the empowerment of self and their health promotion. Allowing companies to sell products that are filled with junk and eating junk is not going to help to promote Health….it is promoting Junk..
    If one cures cancers where will all of the money hungry greedy folks make a living?
    A totally sad situation in this country of our.
    This is NOT healthcare it is SICK care… we need
    Self-Care IS Healthcare attitude each day in our way of life.

    When you pay 99cents for a meal one knows that is not a way to health promotion!
    What are you teaching your children about food, when you have over 80,000 chemicals that are bombarding them daily?
    Wake Up America~

  23. Sara says:

    A good discussion. I was told by drs. from Day 1 that they would treat my case very individually, and they did. I had/have dense breasts, was never told to do anything but a mammogram, would have paid for my own MRI years ago if it had been suggested. My stage 2 invasive lobular carcinoma evaded 13 yearly mammograms as it grew and yet, if I hadn’t taken yet another one at 53, they wouldn’t have found cancer until quite a bit further along. So while the mammo didn’t really result in early detection, it could have been much worse and I say: Thank God for the mammogram. Then, no one suggested I ought to have a mastectomy, but yes to the lumpectomy, chemo and radiation, and now 5 years of an aromatase inhibitor. I also eat no processed food and shifted from already organic to a very anti-inflammatory diet, and I do a fair amount of exercise, acupuncture, herbs, etc. As Dr. Love says, it’s many different diseases, highly variable. The more times we say that, the better.

  24. Ruby Rose says:

    I haven’t had breast cancer, but found this page as a link from a local health clinic that performs thermography. Since I didn’t read anyone mentioning thermography here, I am curious of how many women are aware of thermography as a supplemental tool for early detection of abnormalities, ie cancer. Thermography, unlike mammography, emits no radiation. Which is a big deal to me.

    My young husband died from lung cancer, a side effect of the massive radiation that was the protocol at the time for his stage IIB lymphoma. I’ll never forget the first annual oncology visit that I accompanied my husband, and when his oncologist told him that getting a secondary cancer wasn’t an “if”, but a “when”. And then he pointed to his chest.

    So I’m mentally preparing for my mammogram next week. Praising the gods in advance for keeping my breasts cancer free, once I get the “all clear” for my very dense breasts, I plan to follow up with thermography.

    Thank you for this fantastic site and wealth of information.

  25. Jonathan says:

    All excellent points. No question she is better off knowing she has the disease than not knowing. But like the article says, Amy does not know and will never know if this mammogram saved her life. She doesn’t know what stage she is, what type she has, her treatment course, etc. Also, she could have “stumbled” on the lump next month or the month after by palpation and still follow the same course. Nevertheless, I do hope her tumor was small, that her treatments will be doable, and that she will beat this.

  26. Jasmer singh says:

    Hello Dr Love, For the last many years I have been going through the various comments on many articles on breast cancer. I have commented many a times for general public and the scientific community. We are a group of scientists/practioners working on this most dreaded malady affecting humans {Males and Females). A lot of water has been shed on its diagnosis and treatment but without any desirable outcome. We would like to put forward our observations on the basic cause and a possible effective treatment/prevention in women. The occurrence of DCIS is about 85% and LCIS about 15% and if these two types are left undiagnosed and/or untreated have a propensity towards malignancy i.e., breast cancer. Now first we should attempt to know the most probable cause and pathogenesis of breast cancer as have been pointed out in some of the comments above.
    Most of the affected women are child bearing and could be in different age groups. The last stage of reproductive cycle is lactogenesis in which Citrate plays a pivotal role for its initiation and maintenance. At the time of parturition citrate level in women shoots-up many-folds and performs cardinal roles in breast. Citrate regulates the pH of breast(~6.50) by equilibrating Calcium and H+ and sequesters Ca+2 thus, preserves the fluidity of milk. In deficiency of Citrate Ca2+ becomes free and behave like lime leading to injury in the secretory breast tissue. The lesion thus, inflicted by Calcium is invaded by environmental pathogens like Staph., Esch,coli and an inflammatory reaction is set-up resulting in mastitis. Due to inflammation the” tight junctions” between secretory epithelial cells of breast become compromised and leaky. There occurs swapping of ions like Na, K, Cl, Hco3 etc, from blood to breast and citrate from milk to blood making the breast pH alkaline which is most conducive for these environmental pathogens. Due to pain mother may not like to feed milk to the young one or child may not suck milk for its alkaline taste leading to weaning off the child followed by milk stasis further precipitating the condition. If this condition (mastitis) remains undiagnosed and untreated it becomes chronic and persist as latent subclinical mastitis. Chronic inflammation invariably has the propensity to develop into malignancy – a known fact. Furthermore, the local lymph nodes draining the breast also become activated as a defense mechanism However, it takes quite a long time and passes through different stages which are generally considered for diagnosing breast cancer through mammography, biopsy and some other techniques.
    We have successfully diagnosed such cases by recording pH of breast milk/secretions by graded pH paper strips and estimating citrate content of milk. The normal pH of breast milk/secretions is ~6.50 but affected one usually alkaline varying from 7.0- 8.50. Here it is pertinent to add that normally isolated organisms from breast secretions can not grow in normal acidic pH 6.50 and grow only in alkaline pH as stated above. It is only after the lesion in the breast tissue has been inflicted by” free Calcium” due to citrate deficiency and the alkaline millieus provides most favorable conditions for these organisms to establish and grow.
    We have successfully treated fifteen cases of early stages of mastitis/breast cancer by administering six gms of Tri-Sodium citrate once daily in drinking water for 7-12 days. This treatment did not produce any side effects.

    K S dhillon Ph D, Jasmer Singh Ph D and Jarnail Singh Lyall MBBS .

  27. Jasmer singh says:

    Hello Dr Love, I would like to add further that for treating the earliest drug in vogue is Tamoxifen which comprise of tamoxifen citrate and have many serious aide effects. As is well known that citrate in essence is an obligatory component of basic metabolism in living cells and life without it shall be impossible. Hence, the serious side effects of Tamoxifen used for long periods in breast cancer in women require to be investigated and ascertained whether replenishment of Citrate deficiency alone could do the job without inflicting deadly side effects as stated by us above.
    With regards Jasmer and others.

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  29. antionettec says:

    Can’t find any answers to my question.
    Can you take Tamoxifen “second time around”? I was diagnosed with DCIS / RIGHT BREAST in 1999..teatment was lumpectomy , radiation and 5 years Tamoxifen. Recently diagnosed with RIGHT BREAST IDC, STAGE 1A, NO LYMPH NODES INVOLVED. ER POSITIVE HER2NEU NEGATIVE. Since my R breast got radiation for DCIS, I had to get a masectomy. No meds started. Waiting for Oncotype dx results. Prefer to start Tamoxifen again since no side effects but not sure if a person can get back on the same meds. Please help. Dos appointment in another couple weeks and anxious to know now.

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