Hello, and some food for thought

Greetings everyone!  It’s Photo Friday once again…and yes I really do take my photo every Friday to track my progress.  We’re enjoying this gorgeous but slightly chilly spring weekend.  And hope all friends and family are doing the same.

Tillie wasn't really into a selfie

I had an appointment with my Chiropractor, Dr. Rodney Merritt today and he said out of all the cancer patients he treats that I’m doing the best.  That felt great to hear because The Former Boyfriend and I are still waiting for the results of my HCG test (it takes 2 – 3 weeks) and I need those numbers to go down.  We’re also waiting for calls from the Surgeon and Radiologist.  We’ll be setting up appointments with them in May.  That’s it for my cancer update but while doing research this week I came across an article written by Ann Silberman.  She’s an advocate for women living with metastatic breast cancer (partly because she is one).

Is the American Approach to Breast Cancer Archaic?
What if we have learned new things since the advent of the pink ribbon? What if breast cancer doesn’t work the way we thought it did thirty years ago?  What if the messaging that has remained unchanged since the 1970’s is now anachronistic, and does more harm than good?  What if most of the charitable money raised for breast cancer is in fact being misspent?
Let me go thru those aspects one-by-one:
Early Detection Confusion: Take the importance of early detection in preventing metastases. We now know that breast cancer doesn’t obediently progress from Stage 1 to 4, the terminal stage. In fact, very few are diagnosed Stage 4 from the start. Almost all women who are currently living with metastatic (Stage 4) disease were diagnosed early-stage.
In these women, cancer progressed even after treatments such as mastectomy, chemo and radiation, so the lesson is that women diagnosed with early-stage cancer are never safe.  It can spread to the brain, liver, lung or bone in a year, three years, ten, even twenty years past the original treatment. By some estimates, this happens in 20% of women who had already been through treatment for early-stage cancer.
We also know that breast cancer is not one disease, but has many subtypes. Scientists now speculate that the breast cancer that metastasizes throughout the body may have a different genetic/cellular makeup than the cancer that does not.  It is clear therefore that early detection is not the one-size-fits- all cure we had all hoped for.
Mammography Ringing False Alarms: What if mammography does more harm than good?  We now have significant studies showing that routine screening causes women to find breast disease at such an early stage that it is unlikely to have ever caused a problem if left alone. Tens of thousands of women per year have mastectomies for a condition that may have simply disappeared. Many more are called in for more tests, biopsies, or radiation for something that is in fact completely benign. So it is possible, even likely, that more women are being harmed than helped by early screening campaigns.
Organizational Lags: Susan G. Komen, the marketing juggernaut with their well-known pink ribbon logo, has led the charge in encouraging mammography and early detection, but unfortunately, they have very limited efforts in place to help cure those who are actually sick from cancer, despite having “for the cure” as their tagline.  Reported in their latest public financial statements, they gave only 17% to medical researchers who are actually trying to solve the problem of cancer. Sadly, that is the largest percentage to date.
While it’s true that women are surviving longer with cancer, the number of women who die has remained unchanged. Forty thousand women died in 1970, and forty thousand women died in 2014.  It is quite clear now that the cure for cancer lies in a petri dish — and not with early detection.  However, Komen and the other breast cancer awareness charities have not budged in their line of thinking to not shift funding towards research labs, where it is crucially needed.
Statistical Gaffes:  Awareness charities are also the driving force behind the mistaken “1 in 8 women will get breast cancer” statistic.  Studies show that women overestimate their risk from breast cancer, and it’s no wonder when they are told that 1 in 8 of them will get it. Statistics are easily manipulated, and this one is no different.
The “1-8” number is not a lie; it is just misused.  This number represents a lifetime risk: in a group of eight 80-year-old grannies rocking on a porch, one of them will have had a brush with breast cancer.  But the younger a woman is, the more favorable the odds.
Think Critically Beyond “Awareness” — to a New Methodology
Does all of this mean one should not be screened for cancer?  No, of course not.
What it does mean though, is that one should pay attention to where your charitable dollar goes, and think critically about what you have been raised to believe.  There should also be the clear realization that today, the goal of “awareness” in the U.S. has largely been achieved.
So, in the future, the attempt to cure breast cancer will require an attack from new fronts, from big data to research institutions. In the 1970s, we needed to talk about awareness, and breasts, and bring cancer out of the dark. Today, the people left in the dark are medical researchers — and women who have died from metastatic breast cancer.

"When you arise in the morning, give thanks for the morning light, for your life and strength. Give thanks for your food and the joy of living. If you see no reason for giving thanks, the fault lies in  yourself." – Tecumseh, Shawnee, 1768-1813.