Jessica Ryan MD

04/16/2026

AI & Medical Results

The 21st Century Cures Act mandates patient access to all health information in their electronic records "without delay". This often means patients see test results, including laboratory and imaging reports, at the same time or often before their physician has reviewed them.

Transparency is vital in your care. It builds trust and allows you to be an informed and active leader in your care team.

I fully support our transparency practices, but it may create a challenging dynamic in the setting of cancer related results. Reports can be confusing, loaded with both detail and nuance.

Several of my patients received their pathology reports this week, ahead of my call to them. Each quickly copy and pasted the results into AI search/ChatGPT. While some of the information they found was accurate, some was wildly misleading and led to undue anxiety and stress.

AI can be very helpful- giving us guidance and tips in our everyday life. My advice when it comes to cancer work up and results: Take a breath. Speak with your surgeon. Bring your questions. Raise the concerns you may have found/heard. This is the best way for you to be empowered. You’ll be given the right answers and options that lead to an ideal treatment pathway. One step at a time.

03/30/2026

Happy National Doctors’ Day!
📣🙏 🌺
Our team made me feel so special! They surprised me by decorating the office with a Hawaiian theme, put pink flowers in their hair and wore leis. Our patients got a kick out of the festivities and it certainly brightened our Monday!
*•*•*•*•*•*•*•*•*•*•*•*•*•*•
What’s the History? ⏰ 😷

March 30 is National Doctors' Day to commemorate the first use of general anesthesia in surgery by Dr. Crawford W. Long on March 30, 1842, in Georgia. The date was chosen to honor this pivotal medical milestone, with the first observance held in 1933. It was officially signed into law in 1990 to express appreciation for physicians' dedication.

I couldn’t do what I do without anesthesia! Thank you to the many doctors working together to care for patients near and far!

03/26/2026

Hormones ⚖️Hot Flashes🔥HRT

The goal to improve your quality of life and well being goes hand in hand with knowing what you’re putting in your body and understanding its impact. If moving forward with HRT, I recommend hormones that are regulated, tested and safe.

The article below is from a trusted physician, OB/GYN specialized in menopausal therapy. I urge you to scroll through it, and I’ve left some bullet points below. It’s a LOT! Take a breath, speak with your doctor. You can come up with a plan that is safe.

• “Bioidenticals”- this is a marketing term to imply safety. https://vajenda.substack.com/p/stop-using-body-identical-and-bioidentical

• “Natural”— Again a marketing term to imply safety and “goodness.” Almost every medication out there is synthesized in some fashion, and how it’s delivered matters. The only to be considered “natural” is Premarin.

• Let’s talk PELLETS 👀😳🛑

BioTe, a pellet company, reported $197.2 million in revenue in 2025. None of this has been invested in research or quality control.

‘…A doctor from the pellet company BioTe has publicly admitted instead of quality control, the company relies on hormone testing (an added expense that you the consumer bears) to “get the dose right”. Imagine a pharmaceutical company saying, “Look, we’re really not sure how much cancer drug is in your infusion, let’s just see how you do, check your labs, and go from there!” There would be outrage, so why is this acceptable for hormones and menopause?….’

It’s actually quite frightening. There are no back end safety protocols and adverse reactions go unreported. Again, no regulation.

There are far better and safer options. Discuss with your doctor, and/or seek consultation with a menopausal specialist.

Do you really know what compounded and "bioidentical" mean?

03/25/2026

Hormones⚖️Hot Flashes🔥HRT😱
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This is an important and complex topic, so let’s break it down.

The wondrous benefits of Hormonal Replacement Therapy (HRT) or Menopausal Hormone Therapy (MHT) have been increasingly recognized and embraced with therapy being offered to many patients, even those with elevated risk of breast cancer. 😰

This is a challenging conversation that requires careful consideration and shared decision making.
I support HRT/MHT for many women, particularly those who are of average risk for breast cancer.

Improving your quality life and overall health is an incredibly important endeavor. I encourage you to do so in a way that comes with the greatest benefit and least risk to you.

The article below offers how to first begin exploring HRT/MHT. By knowing your own personal risks of breast cancer, cardiac risk and osteoporosis- it helps you to ask the right questions and get the best answers. 💪🏻

****If you do make the decision to begin HRT/MHT- be sure you’re properly screened for breast cancer! If the provider offering therapy doesn’t have this at the top of the to-do-list, caution ⚠️ ⛔️✋🏃‍♀️****

My next post will discuss avoiding the harmful options. (I’m looking at you pellets 👀 )

And a guide to choosing your estrogen

02/07/2026

💗🏀💕Pink Day 💗🏀💕
SNHU Penmen Athletics , the Women’s Basketball Team and the amazing Coach Pinkos hosted their 20th Annual Pink Day- a beautiful event honoring those facing breast cancer and raising awareness.
We’re so grateful to partner with an incredible community for such an important cause. 👏🙏
Shout out to my rockstar team for their time and dedication!

02/04/2026

In 1849, Dr Elizabeth Blackwell became the first female physician in America. 160 years later, I graduated from the same medical school in Syracuse, NY. I am beyond proud to be a part of the 34% of physicians and only 20% of surgeons in this country that are women. I’m grateful to those who paved the way, allowing me to show my girl- the sky is the limit ❤️🙏

Today, we celebrate Dr Blackwell’s birthday as National Women Physicians Day 👏👏👏

01/30/2026

PINK DAY is coming soon!!
🏀💞💗💕🏀
Sat Feb 7th
Join us to cheer on the SNHU Women’s Basketball Team and help spread Breast Cancer Awareness in our community!

01/29/2026

🙏👏 💪🏻

01/29/2026

Cycle Smoothie Night 2026!
🚲🍓👟🍃💪🏻
Each January we partner with Fit4aCause, the YMCA Livestrong program and local oncology nutritionists to jumpstart your New Year’s resolutions and journey to wellness!

Despite the wintery conditions we had a great crowd ready to go! True New Englanders! 🥶❄️

The event began with yoga, moving our bodies and finding our calm. We then heard from the pros how to navigate the wellness industry and make smart choices. All the while our team whipped up 3 healthy and unique smoothie recipes. Finally, everyone had a chance to hop on the “Fender Blender” to help with the production.

EAT WELL MOVE OFTEN
Learn more about the Fit4aCause bootcamp or order Renee Plodnik’s AMAZING “Eat Well Move Often” cookbook here:

https://fit4acausestrong.com/?post_type=product

LIVESTRONG 💛
See what the YMCA can offer! So many incredible programs that meet you where you are and help guide to a stronger healthier you!

Email Cindy Lafond today. Tell her Dr Ryan sent you 🫠❤️

Health@graniteymca.org

https://www.graniteymca.org/dev/wp-content/uploads/2023/11/livestrong-program-brochure.pdf

Find a Nutrition Expert near you at:
Eatright.org

A HUGE THANK YOU! My team and all involved are passionate and committed to bring health, wellness and strength to our survivors!

Email our team to get more info and hear about all the fun things we do:
CMC.BreastCareCenter@hcahealthcare.com

01/20/2026

“There’s no crying in Surgery!”
Except when there is.

My job often calls for what I call ‘careful compartmentalization’. I’ll bounce into the first patient room glowing with good news, my voice full of excitement. The next room I enter thoughtfully and reserved- ready to address a grave prognosis and challenging decisions. Each patient deserves her visit to be met with the energy and expertise unique to her scenario, and so I keep going.

I’m rarely stopped in my tracks to take a breath. Recently, I find myself needing time to center and reflect on just why that last room was so hard. I realized it’s because more and more I’m seeing younger women. Busy moms. Breastfeeding moms. It’s hard not to see myself in them. To remember the joys brought by breastfeeding and to try to understand how painful and terrifying it must be when suddenly told the same nursing breast that comforts your little one, is also threatening your life.

Breast cancer incidence continues to rise in women under 45. The reasons are complex and multifactorial: delayed childbearing, changing breastfeeding patterns, increased alcohol use, excess body weight, genetics, environmental exposures and so on.

My advice to young Mamas and Ladies:

1. SELF CARE.

This comes in many forms and is helpful no matter how little a step it may seem to be.

FULL DISCLOSURE: I often fail at this, miserably. One of my honest to god 2026 New Year’s resolutions? To stop at Dunkins once a week vs 4! 🤣🫠 Set small goals, attainable goals and be honest with yourself when those goals aren’t being met. Keep trying. Other ideas:

Schedule that mammogram. ✅
Choose a mocktail 🍸
Take a walk.👟

2. Be the Boss- Your B**b Boss.

Self breast exam shouldn’t be formal or frequent. It’s not something to cause alarm or anxiety when done properly. My advice is to simply and gently be aware, comfortable, familiar with your breasts. If something seems remarkably different and doesn’t go away after two weeks, or certainly if it gets bigger and becomes associated with other changes- CALL. Get the imaging done. If you don’t feel confident in your imaging answers- seek a consult with a breast specialist. 🙋🏻‍♀️

Sometimes patients will apologize after seeing me because their concerns turned out to be normal. I always say “THANK YOU! If every door I opened was to a woman with a breast cancer I’d lose my freaking mind.”

If you read this far, awesome. Share with a young lady you love.

https://www.bcrf.org/about-breast-cancer/breast-cancer-young-women/

https://youngsurvival.org

01/06/2026

Smoothie Cycle Night is coming soon!
🤩🚲 🍓 🍃
FREE EVENT FOR ALL CANCER SURVIVORS

Let us help you jump start those New Year’s Resolutions! The “Fender Blender” is warmed up and our team is ready to blend delicious healthy smoothies all while we hear important highlights from an Oncology Nutritionist and get motivated by what the Livestrong Exercise program can offer you!

Join us January 27th at 4pm
RSVP- by messaging us here!
Or call our Nurse Navigators
📞 603-665-2535

More details in comments

10/26/2025

A beautiful October day Making Strides with the American Cancer Society- celebrating survivors and bringing awareness, support and hope.
Thank you to all who helped make it a huge success! 💖🙏💖👏🙏💖