Katie McMurray: The Emotional Impact of Grief, Sisterhood, and Preventative Surgery
Guest: Katie McMurray
Theme: BRCA1, sisterhood, developmental trauma, and choosing preventative surgery in young adulthood
Episode summary
When Katie was 17, she lost her mother to breast cancer. Years later, genetic testing confirmed what she had long suspected: she carries a BRCA1 mutation. In this episode, Katie and Sara Champie explore what happens when grief resurfaces through genetic testing — how identity shifts, how fear and agency intertwine, and how the loss of a parent shapes medical decision-making.
At 25, during the height of COVID, Katie chose preventative mastectomy surgery. As the oldest of three sisters who all inherited the mutation, she navigated her own fear while becoming a model of courage and clarity for her family. This conversation holds the tender, complex emotional terrain that genetic testing opens — far beyond the lab result.
We cover
Losing her mother to breast cancer as a teenager
Receiving BRCA1 results in person with a genetic counselor — and why that mattered
The emotional shock of genetic testing and how it reactivates grief
The identity shift between “pre-testing” and “post-testing” self
Why surgery felt like a non-negotiable choice
The psychological cost of ongoing surveillance vs. preventative surgery
Being the oldest sister after parental loss
All three sisters inheriting the mutation
The role of sisterhood and care during recovery
COVID, surgery at 25, and finding readiness
The limitations of cancer-focused support groups for previvors
Why trauma-informed and therapy referrals should accompany genetic testing
Highlights & takeaways
“There’s a pre-genetic testing you and a post-genetic testing you. You can’t go back.”
Genetic testing is never “just a lab test” — it reverberates through identity, family, and history.
Losing a parent to cancer transforms how the body receives risk information.
Preventative surgery can be an act of agency — not fear.
Support matters: an in-person genetic counselor changed the trajectory of Katie’s experience.
Sisterhood became both a source of care and a mirror of generational courage.
Content note
This episode includes discussion of parental death, adolescent grief, preventative mastectomy, genetic cancer risk, identity disruption, abusive relationships, and emotional processing around hereditary cancer.
Resources mentioned
The Breasties – community support for young women impacted by breast and ovarian cancer
Genetic counseling services through comprehensive breast centers
Trauma-informed therapy for individuals navigating hereditary cancer risk
Connect
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Find Sara Champie on Instagram and TikTok @SaraChampieLCSW for trauma-informed resources, therapy offerings, and group support.
You are not alone in this.
Let’s walk this line, together.