Skip to main content

Does Mammography Save Lives?


I find that the public often exaggerates the benefits of many preventive health measures.  I don’t blame the public for this.  There are several forces conspiring to deceive the average patient into accepting exaggerated claims of various medical tests and strategies.   Of course, the Medical Industrial Complex is a gluttonous beast that must be fed massive quantities of medical testing and treatment if it is to survive.

Most of the public thinks that medical interventions, including mammography, lowering cholesterol levels, blood pressure reduction and even colonoscopy are downright lifesaving.

Recognize that I am in favor of all of these measures, but that the actual benefit to the individual is much smaller than most folks believe.  In the case of mammography, there is uncertainty as to whether it saves lives at all, a view readers can easily find with a rudimentary internet search.  Mammography experts all agree that any benefit of this screening test to the individual patient is very modest.  This is not my opinion; it is a fact.  And yet, most women, including the women in my life, believe that this test offers them solid protection.


Mammography - True Lifesaver?


If I am correct that the individual enjoys only very modest benefit from these routine medical interventions, then how did they gain a permanent foothold in the medical landscape?

Why would physicians zealously recommend tests that were of such limited value?

Why would insurance companies and the government pay for such testing?

Why would patients submit to tests or lifelong medications that offered a very limited benefit?

Why are so many of us unaware of this issue?

As I do not want this post to be double my usual word count, I will provide you next week with a detailed response on this issue.  I strongly urge you to check back here next Sunday for an opportunity to inform and empower yourselves.   I’m not against screening tests or established medical treatments.  I’m for the truth. 

Comments

  1. Glad to have checked your website.Lots of info on it :)
    DalagangFilipina.info

    ReplyDelete
  2. Thanks, Rich. Hope to see you back here. MK

    ReplyDelete
  3. You've offered no citations and referenced no studies for these claims. My aunt had breast cancer in her early 40s. It was detected by a mammogram. Following a bilateral mastectomy she is doing great. Had she not gotten the mammogram and subsequent diagnosis I doubt she would still be here with us.
    This article discourages women from seeking cancer screening and I find that troubling.

    ReplyDelete

Post a Comment

Popular posts from this blog

Stop Medical Malpractice: The White Coat Wall of Silence

Photo Credit Leisure Guy, one of my most faithful commenters, opines that I am omitting an important aspect of the tort reform argument. He has implored me repeatedly to read a particular book that I suspect buttresses his views, but this worthy pursuit is simply not near the top of my priority pyramid. Since he’s retired, he enjoys the luxury of burrowing deeply into the base of his priority pyramid. With 4 tuitions to go, retirement is a distant mirage for me. I’m can be a ‘leisure guy’, but only in my dreams. I have written throughout this blog and elsewhere that there are too many frivolous lawsuits against physicians. I have admitted that caps on non-economic damages are not ideal, because they deny some worthy plaintiffs of complete compensation, but I support them because I believe they serve the greater good. I have ranted that there is no effective filter to screen out physicians who should never be invited to the litigation party in the first place. I believe that the...

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Prostate Cancer Screening: Stop The PSA Train!

About 10 years ago, my dad was to see his general internist. I have always refrained from giving medical advice to my family, for all of the reasons why doctors should not treat or advise their relatives. But, on this occasion, I did give Dad some unsolicited advice, particularly as I knew that his physician fired the diagnostic testing trigger readily. “Dad, please make sure that he doesn’t check the PSA (prostate specific antigen) test.” Dad indicated that he would convey my concern to his doctor, who ran the test on him anyway. Apparently, he includes the PSA test as a matter of routine on all men over a certain age. Twenty-five years ago as a curious, but skeptical medical student, I learned about prostate cancer. I learned that every man will develop it if he lives long enough. I learned that most cases of prostate cancer remain silent and never interfere with the individual’s life. I learned that the treatment for these cancers involves either major surgery or radiation, both of ...