Armchair Expert with Dax Shepard
Episode overview

Why Jackie Tohn Got A Double Mastectomy

Armchair Expert with Dax Shepard · 11m · 2 Egleze moments
Why Jackie Tohn Got A Double Mastectomy
Episode summary

Comedian and actress Jackie Tohn revealed intimate details of her preventive cancer surgery journey on this podcast episode, disclosing that genetic testing identified she carries the BRCA gene mutation giving her an 85% chance of developing breast cancer and a 65% chance of ovarian cancer. After receiving the diagnosis from a genetic counselor at Providence, Tohn underwent a preventive double mastectomy and plans ovarian removal surgery soon. The conversation covered the complex medical coordination required, including consultations with five separate specialists: a gynecological oncologist, a regular oncologist, a breast surgeon, a breast plastic surgeon, and a genetic counselor. Tohn described receiving concerning MRI results while en route to present at the Creative Arts Emmys, yet proceeding to deliver her presentation despite the fear. She reflected on her ability to compartmentalize extreme stress, comparing herself to a machine and questioning whether her response bordered on psychological detachment. The episode included discussion of a frightening complication when Tohn began bleeding profusely in the waiting room after a breast biopsy, requiring emergency restitching. She criticized the lack of public awareness about BRCA testing, noting she reached her 40s without understanding the genetic risk despite vague awareness of Angelina Jolie's preventive surgeries. Tohn emphasized that ovarian cancer screening remains inadequate compared to breast surveillance technology, and expressed frustration that doctors provided minimal guidance after her positive genetic test. The conversation mixed serious medical revelation with dark humor as Tohn and the hosts processed the gravity of her health journey.

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2 moments from this episode

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01
Entertainment

Actress presented at Emmys immediately after learning of suspicious breast MRI results

Jackie Tohn received a call from her doctor on the way to present at the Creative Arts Emmys informing her of suspicious cellular groupings on her breast MRI requiring additional testing. Despite the frightening news suggesting possible cancer, she proceeded to present at the ceremony and delivered what she described as a strong performance. She reflected on her ability to compartmentalize extreme stress, questioning whether her response bordered on sociopathy.

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02
Health, Longevity & Biohacking

Comedian reveals 85 percent breast cancer risk led to preventive double mastectomy

Jackie Tohn disclosed that genetic testing revealed she carries the BRCA gene mutation, giving her an 85% chance of developing breast cancer and 65% chance of ovarian cancer. A genetic counselor at Providence delivered the diagnosis, prompting Tohn to undergo a preventive double mastectomy with plans for ovarian surgery. She described the experience as discovering a ticking time bomb that required immediate action rather than ongoing surveillance.

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