The apps for patients · geo-culturally specialized populations

MammoChat is the free community learning ledger funded by FDOH.

MammoChat is the free community learning ledger — for patients (and the providers who serve them). MammoChat shipped as the original FDOH-funded patient navigator for hereditary breast + ovarian cancer ($2M Casey DeSantis Cancer Research Award, 2024). CANONIC tuned the same chassis into geo-cultural derivatives: CaribChat (Trinidad · OECS), ArabChat (Gulf · KFSH), PersianChat (Iran/Iraq · TUMS diaspora) all inherit from MammoChat. Free, always. The enterprise learning ledgers — NEXes for providers, credentialed by ABOPM — are slide 2.
Mm
MammoChat
parent · free to community
Free
composition
(patient populations)
CaribChat inherits MammoChat · ArabChat inherits MammoChat · PersianChat inherits MammoChat · one parent governance, three patient populations served in their own language + geography. Adding a 4th population (TurkishChat for the Anatolian cohort, HausaChat for West African diaspora) is a one-line inheritance edge.
9:415G   100%
Cb
Free
CaribChatTrinidad · OECS
inherits MammoChat
Trinidad & Tobago · Caribbean Cohort English · Trinidadian Creole · PARP-i via OECS pharmacy
Annaliese · 45F · 9:14 AMGranny had breast cancer at 38. Doctor said I should know my BRCA status. I don't even know what that is.
LAUDE · CaribChatBRCA1 is a gene that helps repair your DNA. Your test shows c.5266dupC — a pathogenic variant. That's why your grandmother got sick young, and why doctors want to act early on you.
Granny used bush-medicine. She lived 20 more years.
LAUDEShe was lucky — and her doctors didn't have what we have today. Bush-medicine can comfort, but it can't change the gene. What can: PARP-i (olaparib) through the OECS pharmacy, breast MRI yearly, risk-reducing surgery if you choose.
My daughter? She's 22.
LAUDE · 9:16 AMCascade testing for her at MSMC + Port-of-Spain is covered. Her TP53 is also positive — we'll watch her with the Toronto Protocol starting now.
Two girls in one family. God help us.
LAUDEYou're not alone. 151 Caribbean families are walking this same path with us. Want me to connect you to the support thread?
CaribChat localizes
Bush-medicine · OECS PARP-i · T&T pathway
9:415G   100%
Ar
Free
ArabChatGulf · Arabic + English
inherits MammoChat
Saudi Arabia · UAE · Gulf Cohort Arabic + English · consanguineous founder mutations
Layla · 42F · Riyadh · 10:21 AMMy sister was diagnosed last month. The doctor said it's the same gene that runs in our cousins. أختي مصابة بسرطان الشهر الماضي.
LAUDE · ArabChatYes — in Gulf families, the BRCA1 founder mutation (c.5266dupC) appears repeatedly because of consanguinity. King Faisal Specialist Hospital's HBOC panel detects it. Cascade for your sisters, cousins, and their daughters is the next step.
Cost? هل مجانيً؟
LAUDEYes — covered under the Saudi Cancer Programme. No out-of-pocket. Testing + follow-up + olaparib if needed.
How do I talk to my husband about this? In our family these things are private.
LAUDE · 10:24 AMI have Imam-led counseling resources from Al-Hakeem Cancer Foundation in Arabic. Also a family-discussion guide tested with 47 Gulf families. Open in Arabic?
نعم. أرسلي.
LAUDEOpening now.
حياك الله.
LAUDEFAMILY_GUIDE_OPENED · recorded in your private bundle. No one else sees this.
ArabChat localizes
Gulf founder mutations · KFSH panel · cascade
9:415G   100%
Pr
Free
PersianChatDiaspora · Farsi + English
inherits MammoChat
Iran · Iraq · LA Persian diaspora Farsi + English · Mashhad cohort · TUMS HBOC reference
Shirin · 48F · LA (from Tehran) · 6:48 PMMy mother died of ovarian cancer at 51 in Tehran. Should I be tested here? مادرم در تهران از سرطان تخمدان فوت کرد.
LAUDE · PersianChatYes — absolutely. Mashhad & TUMS cohorts document BRCA1 c.5266dupC as a founder variant in Iranian Jewish + Persian families. The exact variant your mother likely carried.
My Iranian records — do they count here? سوابق ايران اينجا قبول مي‌شود؟
LAUDEYes. CaseNex hash-chains across borders. Your TUMS-anchored bundle is valid at UCLA Health and Cedars-Sinai. No rework. One signed case, valid anywhere.
My daughter is at Stanford. She's 24.
LAUDE · 6:51 PMShe can test through Stanford Genetics. I'll send the cascade form in Farsi + English. If she's positive, surveillance starts at 25 — UCLA + Stanford share the protocol via PersianChat.
Is there anyone like me here? It feels lonely. آيا کسي مثل من هست؟
LAUDE92 Persian-diaspora families in LA + DC + Toronto cohorts.
Open it for me.
LAUDEOpening. SUPPORT_THREAD_JOINED. Two new members today — both from Westwood.
PersianChat localizes
Mashhad founder variant · TUMS → US chain
CANONIC Nexus
For patients. MammoChat was the original. Specialized per population by inheritance.
SLIDE ?? / ??