My mother is a breast cancer survivor. Even prior to her diagnosis and healing, I was constantly on my soapbox about how mammograms should be provided to young women. Because of my strong family history, my insurance covers regular mammograms starting at 35. Recently I got a prescription from my doctor and off I went to Lenox Hill Hospital.
Upon scheduling the exam, I had a feeling of real gravity. I knew I was okay; I just felt the weight of this kind of test. After all, it is an exam that is checking for cancer, a potentially lethal disease, and to go through with one we must look squarely in the face of our own mortality. What I felt was most certainly the feeling of “dis-ease” brought on by looking for a “disease”. The synchronicity of these words is no accident. Disease, and the potential of it, is uncomfortable to say the least.
So in I went to the hospital. They had to take several rounds of scans because the doctor felt that the first set had something out of the ordinary. Due to my strong family history, they take no chances. When the doctor came back into the examination room a second time to ask me to take an immediate ultrasound, the gravity of the tests grew a bit heavier on my shoulders. My only thought was perhaps my mind-body connection is not as a strong as I think it is.
I went into the ultrasound room, and the exam took a solid 20 minutes. As I was lying there, I thought about what I might do if indeed the abnormality was something of concern. What would I do if I was asked to have a biopsy? How would I deal with a diagnosis of cancer at age 35? Sadly, it has become more common in my generation than in those generations who have come before us. My mind was blank. I had no idea what I do, and so I waited and breathed.
The doctor read the ultrasound with a sigh of relief. He saw that the abnormality was not cause for alarm. He said he would review with his attending and then send the report to my gynecologist. He also noted that mammograms among young women are very difficult to read because the younger we are, the more dense our tissue is. Reading abnormalities in dense tissue can be deceiving and this is made still more difficult by my petite and mostly lean body type. What was supposed to be a 20 minute baseline exam turned into a 2 and a half hour event in which I felt fine, then felt worried, and then felt fine again.
I walked out of the hospital and took in a full breath in the sunlit air. I exhaled with a big sigh, though the lesson was not lost on me. My mortality is a very real thing, and I must live accordingly. Most people spend a lot of years, particularly their early ones, not looking at or thinking about death. Because of the deaths in my family at a young age, I have never had that luxury. The moment I could contemplate life, I began to contemplate death in equal measure. After all, we cannot have one without the other.
Published by Christa Avampato
IN BRIEF
Author, journalist, digital product manager, and licensed New York City tour guide. Creator and host of NYC's Secrets and Lies. Alumna of the University of Pennsylvania (BA), the Darden School of Business at the University of Virginia (MBA), Arizona State University (Biomimicry), and the University of Cambridge (MSt in Sustainability Leadership).
I build digital media platforms, report on urban climate resilience and biodiversity, and produce live narrative experiences that connect communities to history, nature, and place.
THE DEEP DIVE
My work centers on a single thread: building systems and stories that foster deep connection to our shared world. Across digital streaming, environmental reporting, and live civic storytelling, I design experiences that help people understand complex ideas and the environments around them.
DIGITAL PRODUCT STRATEGY & MEDIA LEADERSHIP
At Carnegie Hall, I serve as Digital Product Manager, leading product strategy, operations, and technical delivery for the video streaming platform Carnegie Hall+. I translate artistic mission into scalable, high-performance streaming architecture that reaches audiences globally. Previously, I led agile product and delivery teams across operations and compliance at American Express, managed Broadway theatrical productions and national tours, and guided strategic initiatives across cultural institutions.
ENVIRONMENTAL JOURNALISM & AUTHORSHIP
As a freelance journalist, I investigate how living systems, urban infrastructure, and human culture intersect. My reported features on urban decarbonization, biodiversity, coastal resilience, and biomimicry appear in publications including Smithsonian Magazine, The Washington Post, Mongabay, Natural History Magazine, and Foreign Policy Magazine. In fiction, I write the Emerson Page young adult novel series, alongside upcoming historical fiction and nonfiction works on New York history, mythology, and human resilience. I also write Togetherhood, a LinkedIn newsletter focused on urban ecology and community restoration, and co-host the podcast Frameworks in the Wild.
LIVE EXPERIENCE & CIVIC STORYTELLING
As a licensed New York City tour guide and live event producer, I transform urban landscapes into shared narrative encounters. I created, produce, and host NYC's Secrets and Lies, an interactive live storytelling series staged across cultural landmarks including the New York Transit Museum, the South Street Seaport Museum, and the historic tall ship Wavertree. I also design and lead site-specific walking tours exploring coastal ecology, food history, and neighborhood evolution, often with partners at Climate Week NYC and the Natural Areas Conservancy.
DOUBLE OR NOTHING MEDIA
Through my independent production studio, Double or Nothing Media, I develop ventures across media, ecology, and public history:
Digital Products & Strategy: Architecting scalable digital platforms, streaming experiences, and operational models for mission-driven institutions.
Environmental Reporting & Publications: Delivering long-form reporting, books, and newsletters grounded in climate resilience and regenerative design.
Site-Specific Live Storytelling: Producing immersive live shows and educational walking tours that engage public audiences in community history.
CONNECT
Website & Production Hub: doubleornothingmedia.com and christaavampato.com
Newsletter: Togetherhood on LinkedIn - linkedin.com/newsletters/togetherhood-7273771832221089792/
Instagram & Threads: @christarosenyc
Emerson Page Novels: emersonpagebook.wordpress.com/
View all posts by Christa Avampato
My mother is a breast cancer survivor. Even prior to her diagnosis and healing, I was constantly on my soapbox about how mammograms should be provided to young women. Because of my strong family history, my insurance covers regular mammograms starting at 35. Recently I got a prescription from my doctor and off I went to Lenox Hill Hospital.
Great post! You truly explain the importance of mammograms, especially when there is a family history of the disease. I am glad you had clear results as well.
LikeLike
Hi Lindsay,
Thank you so much for this comment and RT. I’m glad you like the post and I’m grateful for the clear results, too!
LikeLike
Congratulations, Christa – for the clear diagnosis, but mostly for surviving the exam – especially the first test. It is, to be sure, daunting. I also had that time of worry the last time I had a mammogram in New York — the doctor asked me to wait – and the only thing he found was a dense tissue area, but not a problem. But mostly, he was a new oncologist on staff, and he wanted to meet each of the patients that came through. What a relief! And yes, walking out into the sunshine was new, and refreshing, and awakening — with a vow to make the most and live each day to the fullest. i love you for these posts – I know they will help lots of other women, and men, too – actually. The incidence, according to research reports, of breast cancer in men is growing. Regular check-ups are a key factor.
LikeLike
I completely understand how nerve-wracking these exams can be. Uncovering the unknown is a scary process, particularly when the results can be so upsetting. I would always rather know than to live in ignorance of what’s really going on. The best we can hope for is to be as informed as possible and then act as needed.
LikeLike