Mammography: Are There Pros, or is It Just a Con?
April 14, 2013 | 40,502 views | + Add to Favorites
By Johnnie Ham, MD, MBA
Many women are completely unaware that the science backing the use of mammograms is sketchy at best. As was revealed in a 2011 meta-analysis by the Cochrane Database of Systemic Reviews, mammography breast cancer screening led to 30 percent overdiagnosis and overtreatment, which equates to an absolute risk increase of 0.5 percent.There’s also the risk of getting a false negative, meaning that a life-threatening cancer is missed.Unfortunately, even though some high-profile people agree that mammography has limitations as well as dangers, others prefer to ignore the science and continue to campaign for annual screenings without so much as a hint at the risks involved.Now, they’ve unrolled “new and improved” 3D TOMOSYNTHESIS mammogram, which still requiring mechanical compression, and delivers 30 percent more radiation!In order to make better informed decisions, I provide my patients with all of their screening options, their strengths and weaknesses, and I reinforce that they have a right to utilize those options. Some of the options may include; self and clinical breast exams, thermography, ultrasound and/or MRI. My role as a doctor is to diagnose and treat, but I am also an educator. I want my patients’ focus to be on prevention to improve their health and well-being.
The Industry of Cancer
Breast cancer has become big business, starting with the multi-billion dollar goliath, mammography. No other medical screening has been as aggressively promoted. My passion is providing integrative primary care as an MD for hundreds of patients. I also have over 23 combined years of military experience as an OB/GYN, trauma surgeon, experimental test pilot, and master army aviator.My training prepared me to navigate through challenging, and sometimes life threatening situations. Unfortunately, most women do not have the training I received, yet they could certainly use some of it to help navigate through the fear based methods of the breast cancer industry.The tide of thought on mammography’s benefits is rapidly changing as evidenced by recently published studies in the Archives of Internal Medicine,1the Lancet Review,2 the British Medical Journal3 and the Nordic Cochrane Center;4 and the fact that the US Preventative Services Task Force5 and the Canadian Task Force on Preventative Health Care.6
Why are Nearly All Health Care Professionals Not Following Current Mammogram Recommendations?
Nearly every woman age 40 and older continues to be told by their primary care physician, their gynecologist, the media, self-proclaimed advocacy groups, and even their medical insurance carrier, “get your annual mammogram!” despite the fact that nearly every recent authoritative study concludes that women should know all of the facts before agreeing to a mammogram screening. Yet nearly all health care professionals insist on mammograms. If a woman dare refuse, she may be chastised or worse, threatened. These efforts have gone beyond persuasion to guilt and even coercion, “I can’t be your doctor if you don’t get a mammogram.” Women need to stop this runaway train, not only for their sake, but for the sake of their daughters.In November 2012, the New England Journal of Medicine published a study by Dr Archie Bleyer, MD from The Oregon Health Sciences Center, and his co-author, Dr H. Gilbert Welch, M.D., M.P.H., from Dartmouth, challenging the validity of mammogram screenings and concluded that mammograms have little to no influence in the reduction of the number of women who ultimately die of breast cancer.7Thirty years of US government data studied found that as many as 1/3 of cancers detected by mammography may not have been life threatening, and that over 1 million women have been over-diagnosed; leading to unnecessary treatments involving disfiguring surgeries; radiation and chemotherapy.
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