One of the things in medicine that most amazes me, is when a woman chooses to have prophylactic mastectomies. I can only imagine how difficult a decision that must be to make for a woman, or anyone facing a similar choice. I say this as I had a 25 year old patient who had undergone elective bilateral mastectomies a few months ago, and was presenting with breast pain. Now, most of the young people I see in our ED’s, especially the women, for whatever reason, seem to be a good 5-6 years behind on the mental maturity curve. I’m sure the guys are just as far behind, and that’s probably why they don’t bother coming to the ED, haha. But, this woman was different. Maybe she was just innately mature, or perhaps it was having to make such a heavy decision at such a young age that made her grown up fast. Regardless, she was incredibly impressive in her outlook towards her situation, and her life in general, and was true pleasure to be able to treat.