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What is the breast cancer calculator actor Olivia Munn suggested after her mastectomy?

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What is the breast cancer calculator actor Olivia Munn suggested after her mastectomy?

Olivia Munn arrives Jan. 9 at the Governors Awards on Tuesday at the Dolby Ballroom in Los Angeles.

Chris Pizzello/Invision/AP


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Olivia Munn arrives Jan. 9 at the Governors Awards on Tuesday at the Dolby Ballroom in Los Angeles.

Chris Pizzello/Invision/AP

When Olivia Munn revealed this week that she was diagnosed with breast cancer and had a double mastectomy, she urged people to ask their doctors to figure out their score on a breast cancer risk calculator.

Munn said her score prompted further tests and the discovery of an aggressive form of the disease.

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“I’m lucky. We caught it with enough time that I had options,” the 43-year-old actor posted on Instagram. “I want the same for any woman who might have to face this one day.”

A look at the calculator, the Breast Cancer Risk Assessment Tool:

What is the Breast Cancer Risk Assessment Tool?

It’s a questionnaire on the National Cancer Institute’s website that is designed for health care providers to use with patients. The tool received a “dramatic increase in visits” since Munn’s post, according to an NCI spokesperson.

First developed in 1989, it was originally based on data from only white women. Updates have made it more accurate for Black, Hispanic and Asian and Pacific Islander women.

It doesn’t take everything into account and can’t actually predict whether any one person will get breast cancer.

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It asks about age, age at first menstrual period, age when the woman’s first child was born or if the woman has not given birth, family history of breast cancer, past breast biopsies, results of past biopsies, race and ethnicity.

The result is a lifetime risk and a five-year risk based on factors that have been tied to a higher risk of breast cancer. For comparison, it also gives an average risk for U.S. women of the same age, race and ethnicity.

Dr. Elizabeth Comen, who treats breast cancer at Memorial Sloan Kettering Cancer Center in New York, said women should do the assessment with their doctors, not by themselves.

“It’s very important to talk to your doctor about doing that together, and then making decisions about what imaging techniques are appropriate” based on the results, Comen said. Munn’s high score prompted additional imaging tests that aren’t recommended for women of average risk.

Should everyone use the tool?

It’s not the best risk calculator for some women. If you have a certain gene mutation or a previous history of breast cancer, it’s not for you. It also doesn’t take into account dense breast tissue, which can make cancer harder to spot.

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The National Cancer Institute says the tool may underestimate risk in Black women with previous biopsies and Hispanic women born outside the U.S.

“The model needs further validation for Hispanic women and other subgroups,” the institute’s website says. “Researchers are conducting additional studies to gather more data to test and improve the model.”

There are dozens of similar tools, said Ashley Johnson, a nurse practitioner at Vanderbilt University Medical Center, who has studied them. Many health groups recommend that women over age 25 have such an assessment, she said, but there’s not enough evidence to say which tool is best.

What do the scores mean?

A five-year risk score of 2%, for example, means a woman’s estimated risk of developing breast cancer over the next five years is 2%.

A lifetime risk score of 7% means a woman’s estimated risk of developing breast cancer through age 90 is 7%.

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Mammogram guidelines are for women at average risk, said Dr. Arif Kamal, chief patient officer at the American Cancer Society. Guidelines vary but the society says women can choose to start annual mammograms at age 40.

“Knowing your risk starts even before the age of 40,” Kamal said. That’s where a risk calculator can help.

How can I lower my risk of breast cancer?

Everyone has some risk of cancer, Comen said, but some lifestyle changes can reduce the chances.

She suggests avoiding processed foods, adding exercise and strength training to your routine, limiting alcohol and not smoking.

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'Wait Wait' for July 27, 2024: With Not My Job guest Kathleen Hanna

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'Wait Wait' for July 27, 2024: With Not My Job guest Kathleen Hanna

Kathleen Hanna of The Julie Ruin performs onstage at the 2016 Panorama NYC Festival – Day 2 at Randall’s Island on July 23, 2016 in New York City. (Photo by Nicholas Hunt/Getty Images)

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This week’s show was recorded in Chicago with host Peter Sagal, judge and scorekeeper Bill Kurtis, Not My Job guest Kathleen Hanna and panelists Meredith Scardino, Peter Grosz, and Mo Rocca Click the audio link above to hear the whole show.

Who’s Bill This Time

Momala Takes Over; Assigned Seats Are Back; And The Heat Is On

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The Olympic Torch Reporch

Our Summer Olympics Preview

Bluff The Listener

Our panelists tell three stories about someone committing an office faux pas, only one of which is true.

Not My Job: We quiz Bikini Kill’s Kathleen Hanna on Hanna-Barbera

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Punk icon Kathleen Hanna plays our game called, “Kathleen Hanna Meet Hannah-Barbera.” Three questions about the animation studio.

Panel Questions

Hide Your Receipts; VR Meets ER; Avocado Apologies

Limericks

Bill Kurtis reads three news-related limericks: Situation Room Cocktails; Burrito Bird; Hopped Up Sharks

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Lightning Fill In The Blank

All the news we couldn’t fit anywhere else

Predictions

Our panelists predict what will be the big story out of the Paris Olympic Games

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L.A. Affairs: At 77, I had a crush on my best friend’s widower. Did he feel the same way?

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L.A. Affairs: At 77, I had a crush on my best friend’s widower. Did he feel the same way?

At 77, I had given up. After two failed marriages and years of unsuccessful dating, I accepted what seemed to be my fate: single for almost 40 years and single for however many remained. You don’t get it all, I told myself. I was grateful for family, friends and work. Life settled into what felt like order.

Until Ty.

As the husband of my best friend, he was no stranger, but he was usually peripheral. Then 10 years ago, my friend got lung cancer. I watched during visits, stunned at how nurturing Ty could be, taking care of her even though they had separated years before at her request.

After she died, Ty and I stayed in touch sporadically: a surprise sharing of his second granddaughter a year after we scattered my friend’s ashes, an invitation to the launch of my book a year later. Ty attended, hovering in the back, emerging after everyone left to attentively help load my car.

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Two more years passed. During quiet moments, I remembered his sweetness. I also remembered his handsome face and long, tall body. Confused about what I wanted, I texted Ty, who’s an architect, under the guise of purchasing a tree for my backyard.

We spent an afternoon at the nursery, laughing, comparing options and agreeing on a final selection. When the tree arrived, I emailed a photo. He emailed a thank you.

Another three years passed, broken only by news of his third granddaughter and my memories of how good it felt to be with him. Alert to his attentiveness, but unsettled by both his remove and my growing interest, I risked reaching out again, this time about remodeling my garage.

Ty spent several hours at my house making measurements, checking the foundation and sharing pictures of his home in Topanga. His sketches for the garage arrived two weeks later via email.

I was grateful for his help but unsure over what sort of friendship we were developing, at least from his point of view. I, however, was clear. I wanted him to wrap his long arms around me, tell me sweet things and make me his.

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Instead, I sent a gift card to a Topanga restaurant to thank him for his drawings.

“Maybe we should spend it together,” he texted.

We dined in the dusk of late summer. Our talk was easy. Discomfort lay in the unspoken. Anxious for clarity, I repeatedly let my hand linger near the candle flickering in the middle of our table. It remained untouched.

And that was as far as I was willing to go. I refused to be any more forward, having already compromised myself beyond my comfort level with what seemed, at least to me, embarrassingly transparent efforts to indicate my interest. Not making the first move was very important. If a man could not reach out, if he didn’t have the self-confidence to take the first step, he would not, I adamantly felt, be a good partner for me.

Two weeks later, Ty did email, suggesting an early evening hike in Tuna Canyon in Malibu. The setting was perfect. Sun sparkled off the ocean. A gentle breeze blew. We climbed uphill for sweeping coastal vistas and circled down to the shade of live oaks, touching only when he took my hand to steady me where the path was slippery. At the end of the trail, overlooking the juncture between the mountains and the sea, we stood opposite each other and talked animatedly for almost an hour, both of us reluctant to part.

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Our conversation was engaging, but my inner dialogue was louder. When, I kept thinking, is this man going to suggest we continue the evening over dinner? We didn’t have to go out. We could eat at his house. It was 7 p.m., for God’s sake. Passing hikers even stopped to remark on our matching white hair and how well they thought we looked together. It was like a movie scene where the audience is yelling, “Kiss her, kiss her,” rooting for what they know is going to happen while the tension becomes almost unbearable. But bear it I did.

Each of us ate alone.

A few weeks later, at his suggestion, we were back at Tuna Canyon. This time Ty did invite me to end the evening at his house. Sitting close on his couch, but not too close, we drifted toward each other in the darkening room. His shoulder brushed mine reaching for his cup of coffee. My hip pressed his as I leaned in for my tea. Slowly, sharing wishes and hopes for our remaining years, we became shadows in the light of the moon. And in that darkness, in that illuminated space, he reached out.

This reticent man, this man who was so slow to move toward me, this sensitive man who hid himself behind layers so opaque I was unsure of his interest, released all that he had inside him.

“I wanted you,” Ty repeated again and again. “I was afraid of ruining things. You were her best friend. I didn’t want to lose your friendship.”

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Our pent-up tension exploded.

Stunned and thrilled, I leaned into the space he opened.

Three years later, it is a space we continue to share: a place where neither of us has given up, a place where he wraps me in his long arms, a place we hold carefully against our diminishing days.

The author is the owner of a preschool in Venice as well as a psychotherapist, photographer and writer. Her first book, “Naked in the Woods: My Unexpected Years in a Hippie Commune,” was published in 2015. Her newest manuscript, “Bargains: A Coming of Aging Memoir Told in Tales,” is seeking a publisher. She lives in Mar Vista and can be found at margaretgrundstein.com, Instagram @margwla, Medium @margaretgrundstein and Substack @mgrundstein.

L.A. Affairs chronicles the search for romantic love in all its glorious expressions in the L.A. area, and we want to hear your true story. We pay $400 for a published essay. Email LAAffairs@latimes.com. You can find submission guidelines here. You can find past columns here.

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'Deadpool & Wolverine' is a self-cannibalizing slog

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'Deadpool & Wolverine' is a self-cannibalizing slog

Ryan Reynolds stars as Deadpool and Hugh Jackman as Wolverine in an odd-couple action hero pairing.

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When Fox Studios released the first Deadpool movie back in 2016, it played like an irreverently funny antidote to our collective comic-book-movie fatigue. Wade Wilson, or Deadpool, was a foul-mouthed mercenary who obliterated his enemies and the fourth wall with the same gonzo energy.

Again and again, Deadpool turned to the camera and mocked the clichés of the superhero movie with such deadpan wit, you almost forgot you were watching a superhero movie. And Ryan Reynolds, Hollywood’s snarkiest leading man, might have been engineered in a lab to play this vulgar vigilante. I liked the movie well enough, though one was plenty; by the time Deadpool 2 rolled around in 2018, all that self-aware humor had started to seem awfully self-satisfied.

Now we have a third movie, Deadpool & Wolverine, which came about through some recent movie-industry machinations. When Disney bought Fox a few years ago, Deadpool, along with other mutant characters from the X-Men series, officially joined the franchise juggernaut known as the Marvel Cinematic Universe.

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That puts the new movie in an almost interesting bind. It tries to poke fun at its tortured corporate parentage; one of the first things Deadpool says is “Marvel’s so stupid.” But now the movie also has to fit into the narrative parameters of the MCU. It tries to have it both ways: brand extension disguised as a satire of brand extension.

It’s also an odd-couple comedy, pairing Deadpool with the most famous of the X-Men: Logan, or Wolverine, the mutant with the unbreakable bones and the retractable metal claws, played as ever by a bulked-up Hugh Jackman.

The combo makes sense, and not just because both characters are Canadian. In earlier movies, Deadpool often made Wolverine the off-screen butt of his jokes. Both Deadpool and Wolverine are essentially immortal, their bodies capable of self-regenerating after being wounded. Both are tormented by past failures and are trying to redeem themselves. Onscreen, the two have a good, thorny chemistry, with Jackman’s brooding silences contrasting nicely with Reynolds’ mile-a-minute delivery.

I could tell you more about the story, but only at the risk of incurring the wrath of studio publicists who have asked critics not to discuss the plot or the movie’s many, many cameos. Let’s just say that the director Shawn Levy and his army of screenwriters bring the two leads together through various rifts in the multiverse. Yes, the multiverse, that ever-elastic comic-book conceit, with numerous Deadpools and Wolverines from various alternate realities popping up along the way.

I suppose it’s safe to mention that Matthew Macfadyen, lately of Succession, plays some kind of sinister multiverse bureaucrat, while Emma Corrin, of The Crown, plays a nasty villain in exile. It’s all thin, derivative stuff, and the script’s various wink-wink nods to other shows and movies, from Back to the Future to Furiosa to The Great British Bake Off, don’t make it feel much fresher. And Levy, who previously directed Reynolds in the sci-fi comedies Free Guy and The Adam Project, doesn’t have much feel for the splattery violence that is a staple of the Deadpool movies. There’s more tedium than excitement in the characters’ bone-crunching, crotch-stabbing killing sprees, complete with corn-syrupy geysers of blood.

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For all its carnage, its strenuous meta-humor and an R-rated sensibility that tests the generally PG-13 confines of the MCU, Deadpool & Wolverine does strive for sincerity at times. Some of its cameos and plot turns are clearly designed to pay tribute to Fox’s X-Men films from the early 2000s.

As a longtime X-Men fan myself, I’m not entirely immune to the charms of this approach; there’s one casting choice, in particular, that made me smile, almost in spite of myself. It’s not enough to make the movie feel like less of a self-cannibalizing slog, though I suspect that many in the audience, who live for this kind of glib fan service, won’t mind. Say what you will about Marvel — I certainly have — but it isn’t nearly as stupid as Deadpool says it is.

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