Tuesday, November 24, 2009

Mammograms-New Guidelines

A Federal Government Health Panel recently announced new guidelines for routine mammograms for women between age 40 and 50. The panel now no longer recommends annual screening for women in this age group, as research has not shown any benefit.

This announcement has come under fire by several groups including The American Cancer Society, radiologists, breast surgeons and oncologists (all profit from cancer detection and treatment). They claim routine mammograms save lives and we are "throwing women 40-50 under the bus."

Some pundits have even linked this announcement to the health care debate, here comes the rationing of care. While I am not a supporter of any national health care system, the link is coincidental.

I applaud the panels recommendation! It took a lot of guts to come out against conventional wisdom and finally base a recommendation on actual science. I have been telling my female patients for years in this age group to skip the mammograms until menopause.

Why would I do that?

Because research over the last 5-10 years is showing not only are mammograms for this age group ineffective for detecting cancer, it actually causes cancer in this age group! The National Cancer Institute reported that in younger women, mammograms cause 75 cancers for every 15 detected. Ductal Carcinoma in Situ (DCIS) has risen 328% since mammogram screening began, and 200% is directly linked to the radiation exposure of the mammogram.

A 1992 Canadian National Breast Cancer Study showed mammograms had no positive effect on mortality for women age 40-50. In fact the study suggested women in this age group were more likely to die of breast cancer when screened regularly.

A 2008 study published in the AMA's Archives of Internal Medicine showed marked increases in cancer rates since the onset of regular screening. But even more astounding is they found many of the cancers detected by mammograms spontaneously regressed!

Mammograms done on pre-menopausal women have a very high incidence of false positive tests, which leads to unnecessary treatment, and stress. There is also a very high incidence of false negative results, meaning many cancers go undetected. For every cancer detected, 4 are missed.

This is a very emotional topic, and tempers can flare when discussing this issue. You will hear of women in their 40's that had their cancer detected by mammograms and claim their life was saved. But when you look at the statistics, yes she was saved, but four other women now have cancer because of the mammogram, three others had false negative tests and 70 women were told they have cancer when they didn't.

The women who survives, should be thankful, and at the same time keep the other 77 women whose lives were adversely affected by mammograms in their prayers.

Monday, November 2, 2009

Chronic Illness Running Rampant!

With the main focus in the news lately on infectious disease, H1N1, seasonal flu, pneumonia....And of course Breast Cancer all last month, (and the national health care debate) one truly serious health issue keeps getting pushed aside. Chronic Illness!

Chronic Degenerative Illness including diabetes, obesity, arthritis, fibromyalgia, Celiac, Chron's, thyroid dysfunction, lupus, RA, Alzheimers, etc...... is the third leading cause of death behind heart disease and cancer. And virtually all of these diseases are preventable.

In the next ten years, one in three will be diagnosed with Type II Diabetes, two of three will be obese....before age 20! We are slowly killing our children.

All of these chronic illnesses have one thing in common--Inflammation.

Inflammation that can lead to advanced aging, degeneration, allergies, pain, heart disease, cancer and death.

Causes of inflammation include; acute illness, injuries, vaccines, diet and stress. The simplest way to reduce and eliminate inflammation is with diet changes. The SAD (Standard American Diet) is the biggest culprit in the rapid decline in our health. High in sugar (simple carbs), Omega 6 fats (vegetable oils), low in fiber and essential nutrients. Sugars (sucrose, fructose, HFCS) inhibit immune response, over tax insulin production and cause inflammation. The ratio of Omega 3 to Omega 6 oils should be 1:1 or 1:2. The SAD ratio is 1:20! This unbalanced ratio of fat types increases inflammation.

The inflammation over time degrades the digestive tract as well. This leads to leaky gut and eventually allergies and of course more inflammation. Nasty Cycle!

To reduce inflammation follow these steps:
1)Start Moving! Simple exercise on a regular basis reduces inflammation
2)cut out-ELIMINATE- sugars, grains and starches from your diet (corn is a grain)
3)eat more fish 3-4 times per week and take a quality Omega 3 supplement
4)eat more fresh vegetables (a pound per day)
5)eat 5 colors of fruits and vegetables per day (cup of blueberries per day is a great start)
6)get adjusted! Adding motion to the spinal joints reduces pain and inflammation
7)reduce stress-meditate

If you suffer from chronic illness or have family members suffering, get checked by someone familiar with Functional Medicine. Many chronic illnesses can be detected years before symptoms appear. But you have to know where to look.

Any questions, give me a call. And as always, please leave a comment.