Healthy Living

Tuesday, February 9, 2010

Tough Titties!

Today, I felt compelled to write about the recommendations made yesterday by the U.S. Preventive Services Task Force regarding routine mammography screening and breast exams.

Yesterday, the USPSTF changed the recommendations from yearly mammographies starting at age 40, to every other year after age 50 until age 74.  This does not include women who have actually found a lump that needs to be evaluated or those women with known increased risk factors for breast cancer.  They will still be sent for mammography.

The part that doesn't really make a whole lot of sense to me is that they are now discouraging clinicians from teaching women how to do self-breast exams.  But in their statement, they say that women should be aware of any breast changes.  How they expect women to be aware of any changes without putting their hands on their breasts is beyond me.  Maybe it will be like magic?  Maybe it will come to you in a dream?  Maybe you will get a little postcard in the mail telling you that you now have a breast lump that you don't know about yet that you should get checked out? 

But in their infinite wisdom (yes, sarcasm), they have determined that self-breast exam causes unnecessary "anxiety and breast cancer worry" and may lead to "repeated visits and unwarranted imaging and biopsies."  But I applaud them for trying to keep health care costs down.  They feel that saving the life of 1 out of every 1904 women is not worth the money or the trouble.

I'll tell you what, if it's my life, I would want to risk the extra radiation exposure, and extra doctor's visits, and risk of scarring from biopsy or surgery to find out.  So I say, "Tough Titties!"  I'm going to keep checking myself in the shower and keep encouraging other women to do so as well.

You can read the actual USPSTF statement here:
<a href="http://www.annals.org/content/151/10/716.full">http://www.annals.org/content/151/10/716.full

You can also check out my new blog at:
http://reclaimyoursexuality.blogspot.com/

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Comments 1-8 of 8
  • PoetWithCancer's Avatar
    Posted by PoetWithCancer Thu Nov 19, 2009 7:19am PST

    Thank you for you "witty titty" comments here which, almost certainly will save some lives. How insane or insensitive can these people be, to decide that they should spare some women a short time of worry that turns out to be unfounded, at the cost of condemning other women to one of the most terrible deaths possible in this world?

    They did the same thing, for the same so-called reason, for men, for prostate cancer screening such as the DRE and the PSA blood test. How many men will die because of this, I cannot know; but that some will die, is virtually certain.

    Of course, cancer is a business that now makes trillions of dollars. I'm sure that these new "guidelines" will help the top dogs make a few more billion dollars, in what is really an episode, not from humane medicine, but from a real-life horror story, a life-killing "Tales from the Crypt."

    The anxiety of some women and even some unnecessary surgery is a price well worth paying, to save the lives of the women who will now die unnecessarily, joining all the dead men who would still be alive had it not been for the cold-blooded calculus of the prostate-cancer screening revised recommendations.

    Anyway, what can I do? But you have done something by your important post here. Again, thank you. Life is so precious!

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  • siri's Avatar
    Posted by siri Thu Nov 19, 2009 7:33am PST

    Well, leading to more confusion, yesterday the Health Secretary Kathleen Sebelius, women should continue getting regular mammograms starting at age 40.

    "The task force does 'not set federal policy, and they don't determine what services covered by the federal government,' Sebelius said."

    This is truly puzzling and confusing. I agree, to continue to get screened regardless.

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  • *devotion72's Avatar
    Posted by *devotion72 Thu Nov 19, 2009 7:44am PST

    YES THANK YOU! My mother-in-law is still currently fighting breast cancer! If this runs in my childrens family; I will pay any costs if my child found a lump on her breast!

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  • Leah's Avatar
    Posted by Leah Thu Nov 19, 2009 7:56am PST

    My sister had bi lateral mastectomies when she was 35. We have NO family history and the genetic test she had done showed no reason why she got it. There was no genetic predisopsition nor family history...and she was only 35!

    If women don't take this seriously just because no one in their family has cancer, more women will die.

    My sister is alive and the cancer hasn't returned, but if she waited until the doctors thought she may need a mamogram, she would not be here now!

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  • siri's Avatar
    Posted by siri Thu Nov 19, 2009 8:01am PST

    Dr. C and Devotion,

    Just read an article last night in this months issue of Latina magazine stating that Latinas are 20% likely to die from breast cancer than non-Hispanic white women diagnosed at a similar age and stage.

    The article provides startling statistics and states that one of the biggest factors is they, Latinas, have the highest uninsured rates. Some of that may be attributed it states, to the high numbers of Latinas in jobs that don't offer insurance or compensation for time off from work.

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  • Leah's Avatar
    Posted by Leah Fri Nov 20, 2009 7:25am PST

    Dr C,

    What do you think about changing pap smears to every OTHER year? I just saw this today!

    http://www.msnbc.msn.com/id/34046944/ns/health-womens_health/

    Report Abuse
  • Dr C.'s Avatar
    Posted by Dr C. Fri Nov 20, 2009 1:17pm PST

    Changing PAP smears is a little trickier because they have found that many lesions (especially in younger women) get better on their own. What I think is important, however, is to keep up the education regarding increased risk for cervical cancer with increased number of sexual partners. So if a girl starts having sex at 14 y/o (for example...and let's hope not) it might be 7 years before she gets her first PAP smear. If she has had 3 partners in that time, I think it's too long to wait. But if she knows that she has an increased risk, she can go and request a PAP smear (and also get checked out for STDs) on her own.

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  • Peter R's Avatar
    Posted by Peter R Thu Dec 10, 2009 2:06am PST

    Dr. C, I am Dr. Pete. I think I like you and we should connect.

    Report Abuse
Comments 1-8 of 8

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