Ask Athenian alumna Mary Costantino ’90 about the medical procedure she pioneered in her region, and she’ll tell you it’s “pretty easy”—just fifteen seconds to route a tube from her patient’s wrist to their groin. An Interventional Radiologist with a specialization in women’s health, Mary was the first physician in Oregon to treat uterine fibroids using this less invasive method involving the wrist as a surgical entry point.
During the six years she spent at Athenian, however, Mary did not consider herself to be a trailblazer. When we asked her how she became a medical innovator, she said, “I didn’t plan my whole trajectory back then and I still don’t have a plan.” Working in Interventional Radiology was not even something she immediately settled on while in medical school at UCLA. She arrived in her current field after seeing an ability to contribute in an area where health care equity was at stake.
The two most common women’s health conditions that Interventional Radiologists treat are postpartum hemorrhage and uterine fibroids. “Interventional Radiology was a field that had real purpose,” Mary reflected. “Forty percent of women over forty have fibroids and the primary way that fibroids are treated is by hysterectomy. The procedure I perform offers a one-week recovery time versus a six-week recovery time, was less expensive at the time when I was in school, and seemed like it could have a big impact on low-income women. It’s a very powerful thing to be able to do something that makes those stressors go away.”
In the fifteen years since Mary began her practice, she has witnessed gradual shifts—a dawning awareness that applies to the treatment of many conditions. “We are now finally recognizing health care disparities, which have been long evident to those of us in healthcare. Uterine fibroids are more common in African-American women, and minimally invasive treatments are almost never offered to women with fibroids. It’s really wrong, and I suspect I’ll spend the next 10 years fighting for equality in informed consent, as I have the last 10 years. Now, however, COVID has unveiled this disparity and there is hope for change.”
Mary credits her regard for social good to strong foundations from home that were built upon during her time at Athenian. “The conversations were centered around the environment and the pillars and being a citizen of the world. It shaped me without me knowing I was actually being shaped.” Unforgettable grand-scale experiences like her Round Square exchange and AWE were pivotal, but so were humbler aspects of student life. “Kitchen duty—what a great lesson. It taught us that we’re all here to take care of each other. Those kinds of jobs and lessons just don’t exist for teenagers anymore.”
People were also a special part of Mary’s Athenian experience. As a whole, she described faculty and staff as “kind, goodhearted educators with an interest in kids. Judy Atai, the art teacher…I just remember sitting and throwing pottery and making jewelry. Sheryl Petersen…all of these maternal figures looking out for you. Ed Ellis…he was always walking around campus, completely invested in us.”
Mary now lives in Oregon with children of her own who are the same age as she was during her Athenian days. When asked what she would say to high schoolers now, her advice was to stay open. “It puts unfair pressure on younger people to find out what their passion is, because you never know what opportunity will come that might pique your interest. It may come when you’re sixteen, or when you’re twelve, or when you’re thirty-five. There’s no way to predict now what might make you happy when you’re fifty.”
Her second and final piece of advice goes back to the Service Pillar, which she still holds dear. “Always be volunteering. That’s a rule I have for myself. If I’m healthy and able bodied, I’m always volunteering. Humans were meant to be productive.”