Mammography - Does it save lives? | The USPSTF is incorrect | I review ALL the data
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- เผยแพร่เมื่อ 9 พ.ค. 2023
- Vinay Prasad, MD MPH; Physician & Professor
Hematologist/ Oncologist
Professor of Epidemiology, Biostatistics and Medicine
Author of 450+ Peer Reviewed papers, 2 Books, 2 Podcasts, 100+ op-eds.
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Thank you for calling us "women" and not "people with breasts" or whatever is PC these days.
Careful…Vinay is a progressive lefty. He might think men can have babies.
@@redtenthealing Men get breast cancer too.
About 10% mammograms are to men and 1% breast cancer is men. Doubtful they attend those pink ribbon rallies!
@@ItsAllBeenDecided Thank you for calling men "men" 😊
🌟🌟🌟🌟🌟🌟
I have known about the truth about mammograms for over 30 years, before I ever had one, so now at 67 I’m still mammogram free. But I’ve being YELLED at by doctors, nurses and family members ALL this time. It thrills me to FINALLY hear a doctor speak the truth, and so articulately and passionately. I hope many people are listening, especially women! 🙏🏼
My wife, a hospital physician, just told me most her friends, hospital employees, are not getting mammograms.
in the US??
HALLELUJAH ! That is fantastic news!!!
I went for my first mammogram at 50ish and was told that because my breasts were dense they couldn't really see anything so I should come back every year instead of every 2 years. My questioning the purpose of doing a test that won't reveal anything was met with derision. They finally stopped pestering me about getting it done and after listening to this video, I feel vindicated.
Ultrasound is so much better. I personally can’t handle the breast torture device. It is painful and they did an ultrasound because the mammogram didn’t really show an area clear enough.
So I just had a mammogram last week and asked the tech if I could do ultrasound instead . She said no caz it doesn't work as well. But I think it's probably more expensive for them, so they just force us to do the mmmfrm instead.
@@LJC123I live in a socialised medicine country. Neither mammograms not ultrasounds cost me a penny. The health fund is incentivized to give me the cheapest screening. Did my first mammogram. Each side had a single short sentence: can't see anything; needs ultrasound. I do ultrasounds regularly, sometimes even every 6 months. I still get harassing phone calls from the health fund and big telling off and talked to like a child by doctors for Not Understanding The Seriousness Of Mammograms. When I ask what the @&£! they will find if nothing can be seen they just say that it will miraculously suddenly be able to see if there is cancer. Yes, an the flying spaghetti monster will bring me chocolate eggs and tax rebates...
I first learned about this year's ago from Dr Pam Popper, who, like you, reads and understands the science. Thank you Vinay, your integrity is so needed in this time of medical corruption. No offence but I avoid doctors like the plague and instead of relying on drugs and screening, I eat wholesome food, exercise, get enough sleep and all the other good stuff that helps prevent chronic disease.
Love pam popper
Me too! I started a MAFA group 7 months ago and my life is so much improved! 😍
I was lucky, I had two things as a child. One I was allergic to black pepper too aspirin tore up my stomach I don’t own a pharmaceutical call me crazy but I do all the things you said it right hip sleep exercise I’m 72 years old Putting in 5, 16 hour days a week! Working at a major retail store. I know I don’t sit on my butt.
I did two mammograms sometime during my 40s. I thought it was the most inhumane crazy idea that I should put my breast in between a piece of glass and a piece of gold metal standing on my tiptoes to see if I had something I knew I didn’t have.
It drives my insurance crazy when I refuse to have either one of the two test story brought up in this video, colonoscopy, mammogram. So grateful Dr Vinay Prasad thank you
Same I’m vegan whole foods plant based eater + weight training
I'm a 59 year old woman in the UK. I've chosen not to have the screening. I had a major and scary disease picked up at the age of 48 because I made a fuss about the symptoms, so I know what it's like to like under the cloud of a diagnosis. I've agonised each time my GPs have sent me a reminder and made an appointment for me, but I don't want to live with the fear of an early diagnosis and the side effects of treatment because those things can spoil the life you have. Of course I'd get any lump checked out. I choose to stay thin and active, not drink, eat an excellent diet, exercise a lot and hope for the best. FEAR can ruin day to day life so I'm choosing not to engage with something scary if it's unlikely to prolong mine.
It’s easy to ignore. I just throw stuff away and ignore phone calls. I don’t visit conventional docs. I had a doc scare me to death about my BP. Her nagging and scare tactics made the issue worse with extreme anxiety resulting in an inability to get an accurate measurement which compounded the problem several fold. I finally quit going, measuring and got sane and calm again. I went to a functional medicine doc a year later and over time with her help I’m now getting a more normal readings and an appropriate amount of medication. Much less of it. Good for you!😊
@cressidathompson9363 I totally understand where you are coming from. I'm in the UK & at age 70 am due my last invited mammogram this Tues. Its every 3 yrs here so not as bad radiation wise as elsewhere, I'm wondering now whether I really want to have it at all. I know 2 female docs who wouldn't touch mammograms.
Well spoken.
I'm 60 this year. I was called for a mammogram when I reached 50 but I had already decided I wasn't going to go so I cancelled it. Five years later I got another appointment sent to me which I also cancelled. I'll cancel every other one I get too.
I agree
What I’ve learned over the past three unscientific years, has led me to a place where I will now avoid all screenings as far as possible, will not take another vax again for anything (I didn’t take the recent popular one and paid a huge price for that), and will avoid doctors now as far as possible and only use them when absolutely necessary, but with my eyes wide open
Or you could do the sensible thing and look at the data to find out if specific vaccines are worth taking, for you as an individual.
Exactly my thoughts. Nice to know there are other likeminded women seeking truths that are outside of mainstream, dollar driven propaganda. 💜
When you do, inevitably get sick, when they are "absolutely necessary" as you say--you should live by your credo then too. Don't trust them docs! Fix it yourself. It seems terribly foolish to me to say you would trust a physician to take out your gallbladder when it has exploded or stick a stent into your heart when you are clutching your chest, or to treat your cancer with radiation or poison but you won't take this same expert's opinion on a flu shot. If you don't trust them with blood pressure pills, then you certainly shouldn't trust them with cancer. There is no amount of youtubes you can watch that will educate you on any of these issues as well as your doctor is. If I thought my mechanic was full of BS about oil changes I would find a new mechanic and certainly not take my car to that guy when it explodes.
@@kennethg9277 that only works if you think you can believe the available data. This pandemic has cast a well deserved shroud of doubt on the entire health industry.
@@WeighedWilson you missed the point: the question isn't whether you have all the data. The standard is that you have to evidence whatever claims you make with at least SOME good quality data. If you're making judgements based on your feelings or your prejudices, you are DEFINITELY lying to yourself.
So nice to see people at least asking questions now, as opposed to just blindly doing what the medical industry says.
It’s kind of crazy though now. I don’t think I can believe ANYTHING a doctor says anymore aside from maybe losing a few pounds. Other than that, I feel I have to research any and every ailment and treatment plan on my own.
@@greglarson6293 yes, everything is crumbling now...maybe ultimately a good thing, but kind of scary that the things we took for granted...we can't anymore. Best wishes. Now is the time to believe in ourselves and a higher power.
As someone who works with some excellent breast radiologists, I often think of these two quotes: "It is difficult to get a man to understand something when his salary depends on his not understanding it.” "Man prefers to believe what he prefers to be true.”
I took one dose of Pf series and had an adverse reaction. My MD would not sign a waiver for my refusal of more doses so I was fired from my healthcare job. I saw him recently. He said "I did not want you to infect your patients" and I responded by reminding him he was asked to sign waiver in Feb of 2022 when we all knew that the injections did not stop transmission. Then he said "you could have worked from home" and I had to also remind him that all healthcare workers were mandated in the US to take all the doses or they were fired no matter if they worked alone on the moon. He literally changed history in his own mind. I was BLOWN AWAY. You are so right about these biases.
I love this.
@@kali542 the 'history changers' deserve what I hope they get...a bloody great kick in the butt from karma for being indecent cowards!
@@kali542Sorry that happened to you, it just blows my mind how easily people in positions of power are so willing to justify harming others based on irrational orders.
This is always the case in every war and very predictable during mass psychosis.
@@kali542 Cowardly doctor.
I've always been wary of having breasts squashed flat like veal cutlets, then irradiated...for...health?
After many years and they still have to squash your breasts. No new Technology.
Drs are kinky guys, always sticking something somewhere.
@@LTPottenger The medical industry has really stuck it to the people!
FACTS...ME TOO KELSEY
@@geminitwix ❤❤
Fear is very profitable.
Omg, I was thinking exactly same!!! It is so profitable!!
@@happymouse442 making a boom off our bust
Excellent. I'm a woman in my 50s who worked for not-for-profit health insurance orgs for over a decade, including the years leading up to passage of the ACA (or PPACA as it was known then). Digital mammography was becoming common in the mid-Aughts and I recall attending a health fair at which our local hospital had a booth promoting their new digital mammo. I asked, 'But how much more will it cost?" The two staff were wearing scrubs so I assumed they were radiology techs or nurses, but they looked at me, then at each other, then back to me, perplexed, saying, Oh, we don't know anything about that. The look on their faces told me they had never even considered the impact on, you know, actual patients. Personally, I only agree to a mammogram about once every 5 or 6 years for the very reasons you mention. BUT -- now that you're deep into the weeds on preventive interventions that do NOTHING except pad pharma company profits, i want you to examine the evidence for statins. Have Dr. Mandrola join you. It'll be fun. :/
That one's easy: zero, unless you count dementia and brain damage from mitochondrial poisoning the statins do.
THIS. YES I am desperate to hear him do the same with statins. There is so much conflicting evidence, its hard to know what is true. I know they have pretty strong evidence in high risk people (following MI, want to prevent another ect.) But I think it can't be denied that they have perhaps become overprescribed at least TO SOME EXTENT. Especially as guidelines expand further into low risk populations / primary prevention territory.
Vinay is one of the only people who I would trust to evaluate where that line should be, and where it veers into benefiting pharma-revenue much more than the actual patients.
your comment about the perplexed nurses also made me laugh. Reminds me of so many of medical school peers who single mildly advocate for single payer health care in USA. (which to be sure, there are some legit and sober arguments for - but they come w TRADE OFFS / COSTS) Nearly incapable of internalizing the reality of limited resources in an economy, and that every policy solution comes with trade offs. Simply NEVER CONSIDERED it! And no matter how they are probed or questioned, seemingly incapable of processing or understanding any trade offs at all. Makes me want to throw a thomas sowell book at their head.
Probably just a natural result of mediating most of healthcare payment through an indirect party/insurance. (which is also very beneficial equity wise for many reasons) But when $$$ for a product/service does not hit the pocketbook of a consumer DIRECTLY, the cost becomes kind of intangible and harder to conceptualize. very little market pressure pushing prices downward. ( "Oh no, run away explosion of health care costs, how could this have possibly happened!?!?!" )
@@skylerjames3276 Yes, for the years I worked in health insurance, I secretly, or not so secretly, wished for there to no longer be a reason for our industry to exist. It was an accident of history that health care became tied to employment in the first place, due to wage control after the Depression. Companies couldn't attract workers with pay, so they attracted them with extra benefits, which started out innocently enough... hospital care for catastrophic accidents and that sort of thing.
And as for statins: there is a lot less conflicting evidence than you think. Unless by 'evidence' you mean cherry-picked and inflated data that confuses relative risk for absolute risk. One thing has been shown over and over: that lowering LDL does not improve mortality. At all. So many doctors have no idea what LDL does. There is currently a study attempting to show that when trigs are low and HDL is high, then high LDL is irrelevant. It's a meaningless marker by itself. LDL performs many functions in the body and to lower it based on some stupid guideline without considering other biomarkers is harmful. Malpractice, in my mind. My Tg were 34 and HDL was in the 90s, with excellent BP, blood glucose, and body weight, because I don't eat carbs and I run and cycle. Sure enough; I get a call from our insurance plan's nurse case manager. Doctor is concerned about your LDL of 165! Oh dear! Wants you on a statin immediately! I laughed out loud, and said, I know you're just doing your job, but that doctor is 20 years out of date. Don't call me about this again.
Would love to see this in statins as well. Never ever is it discusses statins decrease CoQ10 which mitochondria rely on-leads to muscle weakness/fatigue. Guess how many hip fracture patients from falls are on statins for decades?
I wonder when we will see the randomized control study of women who radiated their breasts once a year for 30 years compared to the life expectancy of the women who did not. But that will never happen will it.
often not discussed is that cat-scans expose you to 70x more than a standard x-ray (like say at the dentist).
@@carlosgaspar8447 no one talks about it and especially the high risk women exposed to yet more cancer causing radiation.
@@redtenthealing often on multiple visits you are required to take another CT-SCAN or if changing hospitals they won't use previous scans.
@@carlosgaspar8447 over the lifetime allowance of radiation all with no informed consent consent 😥
not to mention false positives and false negatives. Testing and screening are not benign.
It was America's top radiation expert John Gough who determined the safe level if exposure after WWII who said 72% of all breast cancer is caused by mammograms. When asked about it he said, 'I'd go higher'. Thermography is cheap and effective but interferes w Siemens and General Electric profits.
Corrupt pharma science came out with rogue research journal that says thermography gives high false +ve causing fear and anxiety to those persons, thus thermograpy is not recommended...!!! However the false +ve is evidence of only hyperinflammation present thus only these group require further investigation by blood test and mammography to eliminate doubt, isn't it?
I was blessed to find a doctor who does breast thermography. Radically changed my diet to reduce inflammation and saw the hotter areas reduce. Let’s focus on health and wellness! ❤
@@mimicleveland7607 agree. I have seen medical journal of 70 out of 70 breast cancer lumps gone with anti cancer essential oil massage.
I have never had a mammogram due to an inner intuitive felt danger of this procedure 🙂 INTUTIION ROCKS 🙂
Correct. I too have seen this research journal. I have ALL anti cancer oils and herbs. I formulated my own and use for massage to keep cancer away...!!
I found out after my grandmother died that she had been diagnosed with breast cancer years prior and refused to be treated and didn’t tell almost anyone in the family. She died in her 80s. This discussion shines more light on questions I’ve been having for years. Those in my family who’ve been told they need to have surgery for abnormal findings and refused it continued on to live a long and full life. Those who chose medical interventions, surgical operations, chemo, radiation, etc didn’t have good quality of life and also didn’t live as long. Of course many other confounding factors play a role, but I can’t help but wonder if our medical interventions are the cause of harm more than we would ever acknowledge or admit.
All I know is I personally have decided to opt out of the medical systems “screening” interventions and don’t go to the Doctor anymore. I’m totally willing to be in the control group because I don’t trust a system where the vast majority of providers aren’t as diligent as you in staying up to date and willing to ask the hard questions.
I trust Gods design of my body far more than men and women who have tunnel vision and don’t understand the impact an intervention may have on the system as a whole.
Yeah, no. I’m all for treatment vs no treatment studies, matched populations of course. And I fully understand and appreciate the fact that may cancers caught early don’t kill people (depending on cancer type, breast and prostate being two such), but recent studies show that watchful waiting in prostate cancer has caused an uptick in deaths due to same. What we need are better stratification strategies based on stage and grade of cancer. This is occurring in prostate cancer but less so in breast, in large part because it’s less invasive and has fewer side effects to do a lumpectomy in breast cancer, whereas prostate cancer requires radical prostatectomy with loss of sexual function.
The treatment is toxic. He looked like he was on deaths door. It was quite an ordeal. Watched my ex husband go through it for testicular cancer and then came back as a spinal tumor. He was paralyzed for 6 months. Insurance were b-stards. They cut off paying for his therapy mid way. He made it but he was strong and in his 30s. An older person I can understand not wanting to endure all that.
@@visionsmagazineonlinthe insurance companies are simply awful. They would let a baby die to make a cent more in profit. Shameless and amoral.
AMEN! I agree with you. I've never had one, and never will, and I'm a senior woman. I stay away from doctors. Most of my friends get all the test and all of them have health issues. We all will die, but most people will do anything to keep from dying, but they will die, that's life, and I don't think there is anything you can do about it, except you can take care of your body, exercise, eat well, get rest, and don't run out in front of a car, but even with that I think when your time is up, it's up. Therefore live your life, as God intended, and be joyful, enjoy life and stop worrying about dying. 🙏❤️✝️ God is love and he who dwells in love, dwells in God and in Him. Jesus said, "Fear not I am with you always!" ❤❤❤❤
I still go to the doctor if I need to (injury, some kind of pain that can be treated, etc.) But I don't do any screenings anymore. Screenings got me to this point. I've accepted that if I get cancer I preferably don't want to know, but either way I don't want to treat it. I have the medical industry to thank for that. 😞
This video was published just as recommendations surface for mammogram screenings to start for all women at age 40 and half the doctors I am following are adamantly supporting this without stopping to ask if the procedure is even effective. Far too many doctors are blindly following recommendations without questioning a thing.
Yes, in ALL things medical, the cookie cutter protocols are in our way.
75% of doctors are employees…they can’t think for themselves even if they wanted to.
As in Covid ?
they found breast cancer in my right breast by a mammogram and ultrasound late Nov. 2022. It turned out to be zero stage in my milk ducts. Breast cancer runs in my family. I was lucky and very thankful I found it early.
@joycepino5346 that is the problem with mammograms. You are feeling really lucky that they found it early. But will it spread without treatment? Some cancers are so slow growing that you will die of something else first. Will it be treated unnecessarily? You CAN die from the treatment. My mother did. And you can have serious long term health problems from the treatment.
For me, my first mammogram pretty much destroyed my life. Long story short, I went in since my doctor gave me my prescription at age 40 and I got the dreaded call back the next day. That started the spiral of severe anxiety that still affects me to this day. I went in for the follow up diagnostic mammogram, and then was told I needed a biopsy. Turns out it was a benign fibroadenoma (which they pretty much knew that's what it was and even somehow knew that it had probably been there for years) but they made me believe that if I don't investigate it further that I would be risking death. The nurse actually told me something to the effect of "you don't want to find out 3 years from now that you could have caught it earlier". 😠
Even after I got the biopsy results that it was a "benign fibroadenoma", the now all encompassing health anxiety didn't go away and just got worse over the YEARS til I just got so mentally exhausted that depression set it and I became suicidal. That lead to years of therapy and medication (that continues to this day) which I didn't need prior to cancer screening.
What's even more insulting and frustrating is the reaction I still get from doctors when I refuse any and all cancer screenings. They say that I'm too young to not do something that could be "life saving". Yet apparently the mental health damage that was done was not important. How interesting.
As humans, we can't have a one size fits all approach. Especially considering how evident it's become that these tests have too many findings (in many cases benign findings) that should have just been left alone.
I am so sorry that happened to you. You just described the exact scenario that terrifies me most about mammography. The dreaded call back has happened to both of my sisters and my mother in law over the last decade. All were clear, but omg, the stress it caused!! Not to mention I had a dear friend who religiously got her mammograms starting at an early age, only for it to “miss” the breast cancer that she found on her own that turned out to be metastatic. Again, I wish that hadn’t happened to you. Stay strong my friend. 💚
This is so horrible I am so sorry you went through this and I am sorry for all of the other women that go through this. I am 54 I will never get one unless there is a good reason.
@@Masqueesha thank you. It happens so often! I had several friends, same age, who all went through similar events at their first mammograms. I've definitely learned over the years that it's extremely common. But that wasn't explained or discussed much back when it happened to my friends and I. And of course, everyone reacts differently. But I really hate the reaction from the medical community that if you don't want to do these tests, that something is wrong with you.
I'm so sorry to hear your friend's cancer was missed. Another friend of mine (though older than me) had something similar. If I remember correctly, she had reasoning why she wanted the mammogram (I think she had felt something) but it didn't show anything. She pushed for a MRI and that showed she did indeed have a tumor which turned out to be triple negative breast cancer. She had a lot of treatment between chemo and radiation but thankfully she's OK today.
Similar experience with my most recent mammogram - got the call back and had to go in for an ultrasound. I was sick with worry. Turned out to be small benign cysts in both breasts. "Do you drink a lot of caffeine drinks?" the tech asked as I tried not to throw up. "No, not really." "Turns out these are totally benign, but you do have dense breasts." This was before Covid and I'm trying to work up my courage to go again. Then, again, maybe I won't.
My mother died at age 44 of breast cancer...back in 1967. Five years earlier she had radiation and brutal surgery and removed all her breast, muscle, fat, and lymph. So as I finally reached adulthood and because of my mother's cancer my doctors got me into screening as soon as it became available. Every year before my appointment I was in a full anxiety attack, I dreaded it but I did it because it might save my life. All it really did was cause me horrible anxiety. I am 74 now, never had breast cancer and neither have my 3 sisters. I have lived a life annually tortured by the medical system, and I will never get those days back. I was able to forget about the rest of the time thank goodness. But today doctors argue that I still need to go for mammogram due to "standard of care". I have come to hate that term because you can't reason with doctors because of it.
As soon as I saw the news recommending mammos starting at 40 instead of 50, I thought - oh, here we go again! Gotta get those profits up! Cue the fear mongering and pressure.
Same with colonoscopies at 45 instead of 50 now. Pretty soon it will all be recommended at 20!
My mom was killed by surgery, chemo, and radiation. I am convinced she had a very slow growing breast cancer that would’ve killed her in her late 80s/early 90s. Instead, the “treatment” killed her in her 50s.
That's heartbreaking. I'm sorry for your loss.
Thank you, Suzie🙏@@suziehotbox
My best friend supposedly had breast cancer. She never had any serious symptoms but once diagnosed her breast was wacked off. I took care of afterwards and the chemo shit. Within a year cancer spread all over her lungs, and other parts. Within two years she was dead at age 44. The last six months she was in pain 24/7 and throwing up her gurs while vultures pumped her with chemo. She had excellent health insurance so for 3 years her Internist, and two other specialists milked the insurance company.
Its jarring to know you may have an even lower chance of survival with great health insurance because them people are so greedy. SMH.@@soniag4516
I agree, my mom had awful quality of life during her treatments. She was sicker while on treatment than when not, she ended up dying at 49.
Thanks Vinay! One thing that you don’t mention is the impact that over diagnosis of cancers (along with their subsequent over treatment) may be having on the incidence of leukemias and other blood cancers. I have a friend who was diagnosed with an early stage breast cancer in her 40’s, was treated with a lumpectomy and chemotherapy. Her breast cancer was quickly put in remission but two years later she developed treatment induced AML. Despite a bone marrow transplant she only survived for 10 months. These harms may not be isolated to the screening procedure because over diagnosis of non progressing or slow progressing cancers may lead to their over treatment.
Related story, my mother was having upper abdominal pain, our nurse friend said she thought it was her gall bladder. After scoping her, they said she had a tiny tumor at the head of her pancreas, no sign be could easily see it (and she has lots of these little bumps in her body). No history of this in our family, 💯 healthy, no meds of any kind, in her late 70s. Then she entered the ‘system’…I took her to chemo a few times, it was sickening, I call it the chemo factory. Poor people were there for hours and hours, saw an obese man with his extra large soda receiving chemo. Chemo was horrible for her, and no change in this teeny bump no one could hardly see. Did a week of radiation immunotherapy, the tine bump was gone, but they still scheduled her for removal of her gall bladder, part of small intestine, pancreas (Whipple procedure). Lo and behold, the surgeon discovers zero cancer anywhere in here body. He still did all the surgery. Throughout they reported ‘cancer markers’ that had no rhyme or reason to them during her treatments and post surgery. She did great after the surgery, only has to take $1000/mo enzyme meds. I’m not convinced, even 50% that she had cancer. Of course the oncologist wanted her to continue chemo treatments after surgery, she declined, I’m proud of her for that!
Wow, incredible story. The moral seems to be: if you feel completely fine and are not experiencing any symptoms whatsoever, are you really sick?
My grandmother had breast cancer three times. One time removed whole breast, another removed lump in the other side and the last another full breast removal.
The third time (in her 70’s) she had surgery to remove the tumour, but refused chemo/ radio. She didn’t want to spend her last years ill and she thought it would delete her. 10 years has passed and she’s still here.
I called it the cancer industrial complex after watching how much my mother suffered with her pancreatic cancer. Most of what they did made everything worse and ruined the quality of the end of her life. Swore off the whole thing after that.
@denisemichaels9545 What an ordeal! That’s why I’m constantly refusing procedures. I feel fine. I have no time for these people.
My wife refused to have a mammogram, opting for Thermal imaging instead. It looks like she made the best decision.
Mammograms raise my blood pressure. Dense breast tissue and family history equals numerous FNB, MRI with contrast, surgery. No cancer identified.
Thank god, I was hoping you would discuss this.
Me too!!
Gil Welch should have put this issue to rest and/or awoken some doubt with the lay public. Disappointing that has not happened and a reflection of our profession’s inability to grasp the subtlety of a complex issue
Me three!
I would love for you to investigate the possibility that “cancer” is fungal in nature. Twice, my husband was told he had stage 3 cancer, the first time in 3 locations. I had been following Doug Kaufman on “Know the Cause” for several years. While the results took longer, within 3 months, I saw a solid mass in his kidney become clear, the mass in his lung was completely gone, and the cluster at the opening of his bronchioles had reduced by 50%. Needless to say, the doctors were confused and all I could do is smile. This was done with herbs that are anti fungi. I too was a nurse and no longer believe in the medical profession because they don’t want to incorporate natural, less expensive modalities in their practice which do not harm the patient. Let food by thy medicine.
Thanks for your thoughts in this matter.
Which anti fungal herbs did you use? Congrats on your successful treatment!
As a HCW, I’m so very thankful that you are a current educator, researcher, & practicing physician. Please, don’t stop questioning, speaking/speaking up, & educating. As a woman, this episode was much appreciated. Many times HCW just keep on keeping on, that is not working. “Are they catching rabbits, or turtles?” Keep ‘em’ coming. Balls & strikes.
Wow, thank you. At 66 my gut always said NO to mammograms and then NO to the jab. Science backs it up.
Me too! I had one and it was so stupid feeling that I never went for another one.
I'm 67 and have never had one either. Although I might have if I had not read an article about mammograms over 30 years ago that elightened me. I don’t understand why the medical profession still pushes them...must be corruption. Like with the jab. 🤬
No, it literally doesn’t. Prasad may, but even he can’t run around canceling every medical journal and study coming out. Google will help you.
I stopped participating in mammography, because I do not want to expose myself unnessesarily to radiation, no matter how small, I am not sure, that this hard handling and pressing of the breast during mammography is not doig harm and I am afraid of the overreaction of doctors to possible findings. And - I learned, that the side effects, the risks of the treatments, are ignored by the medical professionals
"I am not sure that this hard handling and pressing of the breast during mammography is not doing any harm" : exactly my thought... I mentioned it while they were pressing one of my breasts between the plates, and the nurses did not answer me, just laughed. I decided not to have any more mammographies. I get lots of reminders but just ignore the invitation to make an appointment. I nursed four children, never used birth control pills, no history in my family of breast cancer and I never smoked, never used drugs. I am okay I think. I am in God's hands.. I am willing to just be and accept when I get sick.
I've seen many people die from Chemo too.
"safe and effective"
Chemo basically kills you and the hope is that it kills the cancer just barely before it kills you. Sometimes it's too close to call
Motanagal6958 there is no such thing as dying from chemo
When I turned 40, my obgyn immediately scheduled a mammogram for me. I didn't even think twice or ask questions. No family history. One note about screenings-- when people have subpar health insurance, they sometimes jump at the chance for any covered screening. You figure if the insurance company is willing to pay for it, then it must be important.🤷♀️
It doesn't work that way. If it weren't for sick people, insurance, doctors, surgeons, etc. wouldn't make much money. It's all about the money, not health.
Dr Welch addressed the same problems with mammography in his books. Thank you Dr Prasad for continuing to hold the medical establishment accountable.
I was introduced to the concept of overdiagnosis by Dr. Welch. His work should be a must read in medical education these days.
@@walterbortz355 Absolutely!
In MN i fought for hours to get an ultrasound of a known lump. The doctor and nurse took turns trying to talk me into a mammogram first. Threats, scare tactics, it was unbelievable!
i avoided getting a cat-scan recently (70 times the radiation dose of a standard x-ray) and opted for an ultrasound; but even that i'm getting concerned because those shock waves are not innocuous and resulted in some soreness in that area.
Same experience. Got the mammogram, then was told that type of lump and breast tissue requires ultrasound.
The biggest problem is that insurance will usually not cover an ultrasound unless a mammogram is done first. I've tried to bypass mammograms for my patients, and it's nearly impossible because of "standard of care." 😮
I’m one of few in my age age group refusing a mammography. Not in high risk group. Guess how many of my friends who HAVE done mammogram and been called back for 2nd screening:biopsy? ALL of them! NONE have been cancerous. One friend just diagnosed with breast cancer but she discovered it NOT mammogram!
Same I’m 43 never had one don’t plan on it no colonoscopy either
I had mamography 2 wks ago. They called me I have to have it repeated by sonography and they gave me the date for sono 3.5 weeks later. I live in horrible fear ,waiting for bad news,although I do not feel any change in my breasts. I live healthy life. How irresponsible it is to keep person wait so long for an answer?
@janapeony8561 do not live in fear. Just had my first (and likely last) mammogram recently. The technician told me it was common to get called back for more imaging because they don't have anything to compare it to. Sometimes there's dense tissue, sometimes just calcium deposits, very benign things that can be difficult to read if it's benign or not. Got a call back. When I called to confirm the appointment they mentioned I would have to pay additional money for the additional screening. I declined, sounded like a scam to me. That's when I went searching online and eventually found my way here. Most everything I have come across regarding mammogram and "the call back" lines up with what this Dr is saying. I have very little history of cancer in my family and no breast cancer thankfully, so I'm in no rush at this point. If I had an increased risk, I might feel differently.
I've had other incidents of doctors not listening to me and I ended up being correct or thought that they might be asking to add this or that test/treatment "because insurance will pay for it" based on the way they worded it. If a Dr's reasoning for a test is "insurance will pay for it", that sounds like you're doing as much as you can to bill as much as you can, not because it's needed. No thank you!
Thank you for this. I was so thrilled when I read the title of this one. I am EXHAUSTED from fighting with my nurse practitioner, who will not accept NO for an answer on mammogram. I have tried to explain why I have chosen to opt out. It's anxiety provoking for me and if it does no good, I choose not to go and I believe I deserve to make that choice without being belittled. The whole PINK machine is out of control. I expect you are gonna take some abuse over this one and appreciate you presenting the info anyway.
Might be time to choose a new doctor/NP
I’ve reached a point in life (74yo) where I believe that the MD or NP works for me. I take good care of myself, do the research for any problems I may face and, when I think it is necessary, I visit my PCP and consult with them. If I find that my research is lacking and my PCP has a different insight I’ll do further research. If the PCP becomes arrogant or insufferable I’ll go on my way looking for a second opinion. I’m seeking a NP now and he understands my approach to my health and appears to be working in concert with me.
Pink machine is right! I got so sick of seeing all those pink ribbons everywhere. People asking me, Do you want to walk for breast cancer? I’m like, No I’d like to walk AGAINST it.
Do you have to explain yourself?
I am starting to wonder if I just have to avoid doctors completely. It is becoming insane.
So glad to hear this. Believe it or not, I was convinced to stay away from mammos after watching an Adam Ruins It All video! I've had some heated disagreements with friends and family over this, but I've stood my ground. Not getting my mammies grammed...😂
I'm in my late fifties, and I've never had a mammogram. I go to my ob/gyn once a year for a manual breat exam and do so myself at home as often as I can. I get an annual pelvic and abdominal sonogram and a pap smear every 2 years (my amazing, sensible and conservative doc's recommendation) I do my blood work once a year and follow up if my gp sees a need for it. I take my B12 and D3 and other supplements and eat healthy and home cooked 90% of the time.
I think a treatment for an illness that ruins you financially is a bigger threat to us than the disease itself. Exactly like how the lockdown measures turned out to be worse for us than the virus itself. I also think we need to be aware of the paternalism that Vinay spoke of, that we always encounter when we seek medical advice. This loud and deafening, arrogance, paternalism and/or dismissiveness drowns out our instincts and actually gets us to ignore what our body might be telling us.
Most importantly, I have realised, we need to stop being afraid of dying. That truly robs us of actually living out lives......
Edit:
Here's the Adam ruins it video...
th-cam.com/video/Ni9TQHOsHUQ/w-d-xo.html
My new PCP emailed me via MyChart (electronic medical record/EMR) asking if he could assist scheduling a mammogram or to let him know if I "elect against breast cancer screening". At my last PE I said I would think about it. I've had 7 mammos in my life, starting in early 40's. Now 61, I'm done. I fear that my PCP putting this in my EMR possibly sets me up to be flagged and/or punished by insurance companies for refusing to comply. Thus, I did not reply.
I am 65 and I maybe had 4-5 mammography since I was 40 years old (they want to do the screening every 18 month here in sweden.between 40-74)
I always suspected that is has no benefit. And now I know my feeling was right! Best regards from Sweden
There's "Preventative Medicine" that's billable at an outpatient clinic but then there's also coaching people to eat natural foods and walk a few miles a day.
The incentive structures are on different axes and only one returns unearned profits.
Thank you for doing this! It's like the precursor to masks-- the politically correct message wouldn't go away despite the research findings (or lack thereof). Donations to "research" organizations ended up going to subsidize more of the intervention for populations in which it still hadn't proven any benefit.
It's all about feeding money into the medical industrial complex.
Did you know:
"Back in 1976 Henry Gadsden, chief executive of Merck, just before retirement lamented to Fortune magazine the tragedy that his company’s market was limited only to those who were afflicted with illness when his dream had long been to sell to healthy people, therefore having a market that potentially included every person in the world. "
I had a mammogram that sent me for a diagnostic mammogram that revealed a lump. It was not a DCIS. It was a fairly quickly growing lump. That has been removed, and I am now one year cancer free. I realize it is anecdotal, but I feel like that mammogram saved me, at the very least, from chemo and other more difficult treatments. Maybe my life in the long run. I want everyone to do what they think best, but I’m awfully happy I showed up for that mammogram. (I was 55 when this all started.)
You didn't get radiation and hormone blockers?
Was the lump cancer or something else? Most lumps are not cancerous
Good for you. I had a mammogram and ultrasound last Nov 22. They found something suspicious in my right breast. I had a biospy done. They found what could be cancer. The first surgery shown zero stage breast cancer contain in the milk ducts. I needed two more surgeries to have zero margins. Treatment was radiation and hormone treatment. I said NO to both. This was Jan. My mom had breast cancer at 63 in 1973. She went through radiation and chemo. I had genetic testing done, i have Lynch Syndrome which means I have a higher risk of cancers. i lived 67 years not knowing I had this Syndrome. Now I'm getting tests done and being monitored.
These comments are so powerful because this theme can be extended past cancer screening into so many more areas of medicine where overdiagnosis/over treatment is rampant
Exactly. Cancer is just one of the many, but it certainly is THE cash cow.
I had one, the physical damage done to my breast tissue convinced me that mammograms create damage to find damage. First do no harm.
Also had one colonoscopy, amazing that they always seem to find at least one polyp. I can only wonder if any damage was done.
Annual wellness exams create a long term, consistent revenue stream. Just like annual shots for domestic animals does for vets. Not as consistent so add in a 'law' requiring a vax...
Back in the day, you only talked to your doctor when something was wrong and you needed to make an appointment. Now, they call you.
Something's not right. Lol
It's become big business
@@kelseymathias3881 agreed. My doctor gives me an anxiety attack whenever he calls. I don't even want to answer the phone. Pushing me constantly for tests. I declined my first mammogram. Then I got the scarlet letter. Needless to say, we don't get along. Lol
@@LizaB486 I'm surprised he didn't insist on prescribing you antidepressants for the anxiety he's given you. Upselling.
@@kelseymathias3881m prone to anxiety but I'd never tell him that. Whenever you tell him something, he thinks you're asking for treatment.
(I learned that the hard way unfortunately)
And God forbid I do any reading for myself. My doctor's office doesn't like me reading stuff. I was literally told that my doctor is the doctor and Google should not be relied upon. Meanwhile, I'm reading medical journals and published studies, not conspiracy theories about 911.
@@kelseymathias3881 So True!
If population wide mammography/screening continues being so aggressively paternalistic, fear mongering for minuscule benefit.... it is likely that Vinay will get more "customers" seeking care → HIGHER income $$$ as an oncologist. The fact that this is true, yet he CONTINUES TO ENDLESSLY RAIL AGAINST the over-medicalization that brings people to his clinic doorstep, is a true mark of INTEGRITY.
You sir, are exactly the sort of physician I hope to become. Never f***ing change. (I rarely hear your perspective from professors in medical school) So painful to realize that impartial/objective discussion of the strengths and weaknesses of evidence is often sort of de-prioritized and brushed off as an after thought in medicine. Just adhere to dogma, "screening saves lives." That doesnt feel like TRUELY INFORMED consent or much of respect for patient autonomy.
Always done with an optimistic outlook and the best of intentions of course, but how many patients have we ushered into pits of despair following a terrifying diagnosis? How many sleepless nights and how much financial hardship have we inflicted upon people who would have been better off if we left them alone.
I went into medicine naively thinking it was black and white. GOOD doctors use medicine as powerful weapon to fight EVIL diseases. But reality unfolds on a continuum I suppose, and the truth is much more a shade of grey.
I have been getting educated on this for 15 or so years. Initially very wary now after Covid response I totally agree today. Thank you for getting the word out so many people are being harmed
Thank you for your critical yet objective perspectives on these important issues. I think screening and over-diagnosis is a big problem for folks, especially when screening involves more radiation exposure!
Precisely. I’m 53. My last 5 screens over 10 years have been clean. Local hospital wants me in every year. Why? They called me and told me it was to my benefit to get screened every year. Um, no. I’m good. Thanks.
Kaiser in Honolulu pressured me so hard to have a mammogram (they palpated a lump). I sad why not a sonogram? They said 'you can only have the sonogram AFTER a mammogram'. So I said 'tell me the science behind that policy,' and they couldn't, so I got my sonogram (negative). But Vinay, for someone who worked around radar for years, a little bit more radiation is not something I want (it's cumulative!)
Kaiser sucks! They did same to me just last week. I went for mammogram and asked tech why I couldn't do ultrasound instead. She said no because us isn't as effective. But that's bullshit! I think they just don't want to pay for it caz it costs them more!
I must say I really appreciate the time and effort you put into your channel.
As a small breasted woman, the mamo leaves me bruised and in pain for days. I’ve had 2biopsies of calcifications. I’m done.
😢😢😢😢
Yes, your breasts burn and are in pain for at least a week after this
My holistic integrative medical practice offers thermography-more accurate without the side effects of radiation.
This video couldn’t be more timely. Having recently turned 40, I was advised to get my first mammogram by my PCP. I booked the appointment and almost went, then cancelled the same day. My reason at the time? “I just feel weird about it.” Plus I’ve heard they hurt and I simply want interested in being in pain in that way. Now a few weeks later this video comes out. I’m grateful for your research as it confirms my “weird” feeling.
despite all the new technology, life expectancy in the western world is dropping. that should be a good indication if money is being well spent.
That’s what big pharma wants
Twenty years ago, I did the math; statistically, how many cancers are caused by radiographic screening? I don't remember the exact number but it was unacceptable; in the thousands (out of millions) I was dx's with DCIS over twenty years ago via ultrasound. I was scared but refused further, more invasive, diagnostics and treatment. Treatment for stage 0 cancer is/was as aggressive as for it is/was for late stage cancer. It is pursued 'as if' it is a threat. I recently had a second ultrasound. Even though, after 22 years, the adjacent lymph nodes were visibly clear, they wanted to follow up with biopsy, etc. If my body has successfully immobilized the problem, why pierce that barrier? Do I think the last 20 years of my life would have been improved by the standard slash/poison/burn techniques? 🤔 Uh, NO! Someday those cells might set out on a journey through my lymph or vascular systems or not. But I'm not going to help them by intentionally weakening my immune system. Cancer is generally feared because the treatment is as deadly and devastating as the disease if not more so. I sincerely hope that someday medicine can do better...
I’ve always wondered why the first thing doctors want to do is poke a hole in something they don’t want to see spread. And to your last point, in my 48 years of life, I’ve never seen anyone die from cancer itself. It’s always been from the treatment.
Reminds me to get around to reading my copy of Overdiagnosed
That is a MUST read!
And the doctors will never stop recommending this because they have equipment payments and liability fears
Bingo.
Yes, actually in the US, it's liability fears. If you don't recommend then anyone find they have cancer later, they wlll sue the doc big time. US system sucks and I am a dentist here.
Exactly. My very enlightened NP, who did not pressure me to get mammograms, worked in a clinic which had her get my signature on a paper acknowledging my rejecting recommended mammograms. It was all about their protection from a malpractice suit.
Could you please discuss cervical cancer screening? The pap test is pushed even more than mammography, but has yet to advance beyond the use of a glorified medieval torture contraption. For women with conditions like vaginismus, the procedure is excruciating; and pain management is seldom provided. Are there tolerable alternatives, and is this Dark-Aged ordeal actually - factually - beneficial?
I really want to know this too. I find it painful every time. 12+ years ago it came back "irregular", they made me have a biopsy (which hurt soooo much afterwards and they didn't warn me!), and then they said there were "abnormal" cells which needed to be burned off. I asked if abnormal meant cancerous -- they said no, but that they might become "precancerous" at some point. What does that actually mean?
Anyway, I forgot all about this experience until recently, when I had two screenings both of which came back "inconclusive". Now they're saying I need to get a colcoscopy (where they look at your cervix with a camera) and depending what they see I might need a biopsy once again.
I am a lot more sceptical of medicine at this point in my life so I'm really debating whether to go for this intervention or not. I just worry that it can't possibly be good to keep getting probed and cut up without really good reason.
@@barekicks
Let me guess….. They didn’t offer any pain relief?
Aren't we told that any extreme event to the brest tissue can cause all sorts of problems, but its ok to squish a breast in the name of health with no negative outcomes?
Come on, man!
This whole video reminds me of a FB post I ran across one day. It showed the lungs of 2 people, a smoker vrs a non-smoker. My comments was: which one got out alive?
Just go live your life people!!! No one is promised tomorrow.
Thank you for SPEAKING the truth. I was shocked when I learned the truth about Mammograms back in the 90s. I was furious when I learned the truth.
I had a screen detected breast cancer! It was large but in situ! I felt I had to accept treatment, but it has left me feeling over treated. I couldn't rap my head around that I needed physical altering surgery for something that might never have threatened my life. This was in 2021 at the age of 57!...
Going through this now. Dcis in left breast stage 0.
They’re recommending surgery, radiation and tomoxifin.
I’m against and have found studies that it’s over treated and hasn’t been followed up on if it really helps. So, I’ve opted to do a wait and see. My primary care Dr is trying to pressure me. It’s a hard no.
Thank you for reassuring me that im not a bad person for putting off my first mammogram until I felt like there was a need to look. I remember the coverage of those older papers questioning efficacy (which is why i didn't start at the recommended age, so you reached at least one member of the public) and want to thank you for stepping through the logic of WHY you and others advocated that mommograms weren't that necessy
I can't believe there isn't a TH-cam warning label on how mammograms are a necessary health screening for women on it. Because, you know, 1984...
Careful what you wish for! Pretty sure it will happen…just a matter of time.
Vinay! Don't let Jimmy scare you away from hard truth. Be the hero we need. You're awesome. Thank you for bringing your expertise to a wide audience.
Jimmeh couldn't scare a chihuahua if you gave him a bullhorn and a pair of stilts. He's finally beclowned himself with this RFK nuttriding
@@kennethg9277 RFK is right. Sorry to be the future you.
@@dsamh RFK is a longtime Clinton bootlicker who is now feigning outsider status to increase his own profile, and is simply hitting the sequence of fringe claims without conviction. The future you is unlikely to realise this.
@@kennethg9277 And just what is RFK wrong about? Any evidence?
@@leewillis4171 firstly if you- or RFK for that matter- make specific claims, it is for YOU (or him) to provide evidence. What RFK does is make spurious claims without hard evidence, and then dare others to disprove those claims. People unequipped to spot such rhetorical trickery sometimes fall for it.
Secondly- as one example- RFK is a full time advocate for the debunked claim that vaccines cause autism. There has been enormous, large scale research on this issue in recent years and the data shows clearly that the claim is flatly false. We could discuss many other of RFK's claims if you wish.
Lastly RFK is a professional liar: a politician. The fact that so many people are gullible enough to believe that any politician says anything that isnt simply designed to further their own interests is a source of amazement to me, still. In the case of politicians, the null hypothesis is always that they're just trying to enrich themselves.
Thank you Dr. Prasad! I've been hoping you would address this! After 40 + years of having mammograms, I can say I have lost faith in their ability to detect cancer. Last August after repeated mammograms, and ultrasounds, it took an MRI with contrast to detect 4 separate invasive cancers in one of my breasts. None were palpable. I asked how in the world this could have been missed, but no one had an answer. So what is the point of getting the screening I ask? Should they be doing MRIs with contrast instead if they suspect something? I did have to have a mastectomy according to the MDs, and now I wonder if maybe my tumors were turtles and not rabbits. As a result of my loss of faith in medical professionals and big pharma, I have refused estrogen-blocking drugs. I heard so many negative reports about the side effects. Women reported broken hips, strokes, heart attacks and terrible joint pain. I want quality of life and will take my chances.
But there's too much money to be made associated with mammography. We can't be recommending against a cash cow. Also, the delayed diagnosis of breast cancer is a common reason to get sued. So it will be interesting to see if the interpretation of these studies makes into the public consciousness.
The adequately informed patient can be reminded they have the right to refuse an advised mammogram. Then you make a record of their refusal.
Thank you Doctor I had heard that we really don’t need to do this unless we detect something while doing our own screening. I read the same thing on colonoscopy not needed unless you’re having issues. Please speak on that as well 👍
He did a few months ago.
@@sassysandie2865 I’ll look it up thanks!
Thank you for breaking this down in such a thorough and understandable way. On the topic of women’s health, have you ever considered doing a video on the risk/benefit of HRT? I’m in my mid-forties, and have found the information aimed at laypeople to be sorely lacking and often hyperbolic (on both the pro and anti sides). I would love to hear your opinion on the subject.
There is a piece on this in Sensible Medicine on Substack.
I suffered a psychosis at early menopause at age 43. I had been really struggling for years leading up to full meno. This was back in 2009. I was treated like a psych patient and nearly lost my life. Not one of my doctors suggested this could be hormonal. I did my own research and demanded HRT. I was totally cured in days and I have been healthy and very happy for 14 years. The WHI was a corrupt study that led to DEATH for tens of thousands of women who stopped taking HRT see the published studies on estrogen avoidance by Dr. Phillip Sarrell of Yale. Read "Estrogen Matters" thanks.
I used to obediently get mammograms annually. Then I noticed if they didn’t squish me right, I’d get a call back to redo it. After the third time, even with me warning the X-ray technician, I said no more. You’re billing for these extras. The last time they realized while I was still there that it needed to be redone and I said no. They left and the technician came back in and said the radiologist recommended an ultrasound and it just so happened they were ready for me in ultrasound. I said why? What are you looking for? She said I don’t know - something isn’t normal. I said I need a better reason to spend several hundred dollars, please ask the radiologist to explain the reason for the requested ultrasound. The technician left, came back in 10 minutes and said the radiologist said you can go home! That’s it - no explanation - never even saw the guy demanding the additional test. When questioned the whole practice had a temper tantrum.
If I’m uncomfortable I’m gonna get it looked at, otherwise I’m staying away from hospitals and doctors.
There is a key question to be asked here: if a screening test (in this case, mammogram) detects cancer, is there a way to determine whether the discovered cancer is of the type that needs to be treated?
Thank you for introducing me to the fantastically enlightening report by David Sacket! 31:53 “When you don’t know for sure and you intervene [medically] on healthy people, you can bungle it catastrophically and poison trust for a generation”….. Sadly, it sounds like he was predicting the last 3 years ✅ ✅✅
Thank you for your continued courage and commitment to the Truth wherever it is to be found Dr. Prasad
I got one mammogram under pressure from my pc at age 42. That was 25 years ago. After that, NO MORE. It's funny how science is demonstrating that I was right.
I had a small mole removed when I was 25 and it was insitu melanoma. They took it all off but then insisted I needed a big chunk taken out of my arm to check for more cancer. Nothing was there. I could see how that surgery could have caused me more problems. I think the doctors meant well but someone in their twenty’s might not need to have as aggressive a protocol and could be harmed by the intervention. I ended up ok but I think the risk/benefit wasn’t quite where I thought it was at the time.
my boyfriend had a weird mole on his arm, his doctors removed it just in case. then shortly after wanted to remove even more, just in case. i still dont know what that was about.
I've been practicing for 20 years and have been wondering about this.. SBE > never convinced me. Thank you for asking these questions and reviewing the data 💯
Great stuff! I’d send it to my friends and family, but they won’t watch it. Goes against deeply held beliefs and don’t understand statistics at all as well an an unwillingness to advocate for their own well being.
Dr Prasad, thank you for this video! Please consider doing one on the use of antidepressants and other prescribed psychotropic drugs...their side effects, long and short term. Than you!
Antidepressants = Sexual Dysfunction
Most mass shooters were taking antidepressants/SSRI's. Side effects of aggression, rage, suicidal thoughts, etc. But nobody in the main stream media wants to talk about it... just the guns. Big pharma has corrupted the media and government.
Don't smoke. Don't booze. Don't drug. Don't eat crap. Don't be obese. Do move your body. Do keep intellectually challenged. Do avoid negative people that invite you to their pity party. Do get on with life. Do use your own best judgment. We all die. Worry more about having a life.
What is the impact of the pressure on the breast tissue of mammograms? This is very soft tissue and if there is something in it that shouldn’t be there, I can imagine all the pressure and handling is doing harm.. and all the stress of the false positives has an enormous impact as well.
Dr. Vinay Prasad, you have a brilliant mind, and express brilliantly. Thank you.
Doctor McDougall came up with this same conclusion years ago. Thanks for the updated research. Like to see you do video on the PSA test.
Is he the starch guy?
I had a baseline mammo at 40. They "thought they saw something". 300 dollars and much stress later, it was nothing but from then on my future mammos were to be flagged diagnostic and full price to me. Plus they wanted to irradiate my breasts yearly. That was my first and LAST mammo. I am 59 now.
Could you assess cancer reduction vs risk associated with the HPV vaccine please? Really dive into the vaccine trial information.
Yes, that would be eye opening.
Dr. Prasad, your presentations are great, but I find it hard to see everything on your slides. Could you move your video off the slides or perhaps crop your video more so it obscures less of the slides?
This is absolutely the best popular outlet for philosophy of medicine. I wish everyone in the country would listen carefully and try to learn from this.
Yup
❤
At 35 yo my provider wanted a baseline mammography ... It did show something but they made we wait a year for another. The second showed nothing had changed. A client of mine, a doctor, looked at my mammography & immediately insisted I go to Hawaii for a second opinion. Come to find out the second mammorgram was black. So my third mammogram in one year showed a clear enlargement of whatever was in there on the first mammogram. I had a lumpectomy & it was benign. But the anguish & anxiety that took over my person for a year threw me into a health crisis that still follows me to this day. I will never have another one done even though doctors recommend. Sorry for the lay person speak. But I love your videos & papers & all your friends that join you. You helped me get through the covid. Thank you. 💛
Love the idea of offering maximalist vs minimalist patients various options.
I just asked and tagged you on X about the LA Times article reporting that so and so is recommending every woman on planet earth start getting mammos at 40 years, and then wouldn't you know it, I just came across this segment of yours! Amazing! It's probably going to answer all my questions and support my doubts and skepticism.
I get thermography instead of mammography. I don't want ionizing radiation. Breast cancer does not run in my family and I do not have the brca mutation.
Thank you Dr Prasad for another outstanding presentation. It’s timely subject, which is superbly analyzed, and presented so clearly.
I try to listen to almost all of your videos. You are phenomenal educator and public advocate. And I love your narration style! Cannot turn away until the episode is over.
Pure genius. Clarity. Kindness. Emphasis. Thanks again.
Thank you so much for your reality check. Kudos to you. Totally appreciate your analysis on this.
My friend has been doing mammographs for 10 years . Last one she did was scheduled in january and it was negative . In april , 3 months later , she found a lump on her left breast as big as a cherry . It was positive for tubular carcinoma stage 2 /3 so she started the protocol radiation , surgery ,chemotheraphy , immunotheraphy for life . Clearly the mammograph didn't do its work very well .
I've never participated in the mass screening mammography program. I am in an average to below-average risk group. I suppose that being over 60 puts me in a higher risk group due to advancing age, but I care not. I've never seen the point in getting a screening mammogram. I knew that the Cochrane Collaboration, Nordic Study has shown no benefit, although I had already come to that conclusion myself.I am very concerned about Over -Diagnosis. Even though I advised my brother, and my husband not to get PSA testing, and sent a link to the latest study I could find, they both still went ahead with it. I was an RN for 40 years, 20 of those years working in Oncology. I don't know why I bother informing my family about the dangers of screening. I'm wasting my breath. But no mammograms for me, ever. I shall continue to listen to my own advice. I trust my own intuition.
What did your intuition tell your after all those years in Oncology?
@@ldyresq my intuition told me that I should do what's right for me. But I can't tell anyone else what they should do. We must be informed, and don't be swayed by media or public opinion. Bottom line: Quality of life over quantity.
One terrible effect of screening recommendations is that now, when we're hearing that it might not work, we're still afraid and sometimes get screened anyway. We worry that if we don't, and then get cancer, it will be all our own fault.
When mammograms went digital, soooo many women were subjected to biopsy (including myself). Yes, it shows more and when it was still new I don't think they knew what to do with the findings, except biopsy.
I think you may be onto something. Thats when my first tiny tumor was found.
I do greatly appreciate Dr Prasad’s videos and attempts to educate us!👍😊
Thank you! Your analysis is greatly appreciated.
If a man went in for this screening, he would say never again. Thanks for the data. Very good to know.
The benefit of mammography with extremely dense breasts is questionable to me. The requirement to have a diagnostic mammogram before an ultrasound when a benign screening mammogram was done recently and a lump palpable is also baffling. Excess radiation with little benefit in specific patients seems of no concern to the medical community. Cookbook medicine at it’s finest.
It was just recommended to me to do the same, after I did my 1st screening in 10 years -now they say I should have the diagnostic, then the ultrasound after, if necessary. I don't know why we can't skip to the non-radiation ultrasound in first, especially if it's a dense breast issue. I have had (non-radiation) thermography done every two years for the past 6, with no significant change... I think I'll cancel the diagnostic mammo, and get an ultrasound through HerScan, if the hospital imaging won't listen to me...
@@JenniferMarxAlaska I’m sorry you’re going through a similar situation.
Thank you so much! Every woman needs to hear this - we are inundated with nonsense screening guidelines that only enrich pharma, insurance and biotech without making our lives better! In fact, quite often we are worse off for the hassle and anxiety they create!