Step challenges, nutrition education classes and even built-in flextime for physical activity… Today, workplaces are devising creative ways to encourage team members’ well-being. After all, healthy employees lead to happier, more productive workplaces, and promoting consistent lifestyle habits is an integral part of the equation.
But for companies that want to elevate risk reduction strategies, including for serious diseases like cancer, the topic of genetic counseling is gaining traction. With National Previvor Day taking place on Oct. 1, we sat down with CARTI’s Chelna Galada, MS, LCGC, to learn how genetic counseling is designed to support more informed health decisions.
Let’s start with the basics. Why would a patient consider pursuing genetic counseling?
At CARTI, we see patients who either have a personal or family history of cancer or individuals who may not know their biological family health history and want to learn about potential hereditary risks. With genetic counseling and testing, we can determine whether an individual has a predisposition for developing certain diseases and cancers. This knowledge helps them — as well as family members and future generations — be more proactive about their health. For patients diagnosed with cancer, it can also inform treatment options.
What does genetic counseling look like?
It starts with a detailed conversation about a patient’s medical and family history, spanning at least three to four generations, to assess their likelihood of developing hereditary cancers. During this initial appointment, we discuss the entire genetic testing process, including associated costs, potential benefits, limitations and outcomes. If the patient decides to proceed with testing, we schedule a follow-up appointment to discuss the results, which may include creating a personalized care plan or referring the patient to CARTI’s High-Risk Management Clinic or other specialists.
What’s the cost, and how long does it take to find out the results?
Like any medical service, a patient’s out-of-pocket costs are dependent on their health insurance. A genetic counselor is there to guide patients, such as advising where self-pay options may be more affordable. Following the blood draw or tissue sample collection, patients typically receive their test results within three to four weeks.
What happens if the patient tests positive for a particular gene mutation?
Genetic counselors are trained to help patients understand their results on both a medical and a scientific level. We also support patients through the mental and psychosocial aspects of learning about a health risk that may impact them and their family. We discuss the genetic variant, its implications and the estimated percentage chance of a patient developing cancer(s), as well as the likelihood of their family members having the same genetic variant. At CARTI, we understand the importance of giving individuals time to process. We extend an open invitation to ask questions and offer comprehensive support services, such as our Previvor Meet Up at The Bridge, to assist patients and their loved ones in navigating the next steps.
We’ve all heard the saying “knowledge is power.” Genetic counseling is a prime example of how, by uncovering and better understanding potential risks, we can gain a sense of control and feel more confident in our health decisions. For more information about genetic counseling, talk to your primary care provider about a referral or visit the CARTI website for self-referral.