we want to counsel women that still the best thing we know to do is surveillance, doing yourseyou your self breast examinations. having an annual mammogram. if you were younger than 40 and you had this test and it was positive i would do mri, maybe ultrasound or other things in a clinical trial or something where i'm getting more information for the woman, but, again, surveillance. we know that early detection makes the biggest difference. >> your typical patient, let's say has no family history, let's say is in their late 30s and is coming to you for counseling. at what age do you recommend someone like that start mammograms? there's been controversy over that as well. >> no risk factors, like most women, other than they are a woman and they have breasts. i tell women it you're going to start yourself breast examination, start in your 20s so they get comfortable with the procedure. most women will find a mass on their own instead of the doctor finding it. so then what i'll do with this woman, i will advise her at age 40, get your base line mammogram. every two years after that, get a