Incidental Findings

Medicine, Culture, and Life

Danielle Ofri

Danielle Ofri
Location
New York, New York,
Title
Physician
Bio
Danielle Ofri, M.D., Ph.D. is Associate Professor of Medicine at New York University School of Medicine and an internist at Bellevue Hospital, the oldest public hospital in the country. She is co-founder and Editor-in-Chief of the Bellevue Literary Review. Her newest book, Medicine in Translation: Journeys with my Patients--is about the experience of immigrants and Americans in the U.S. health care system. She is the author of two collections of essays about life in medicine: Incidental Findings: Lessons from my Patients in the Art of Medicine and Singular Intimacies: Becoming a Doctor at Bellevue. Danielle Ofri's writings have appeared in the New York Times, the Los Angeles Times, the New England Journal of Medicine, the Lancet, and on National Public Radio. Danielle Ofri is currently working on a set of essays about medicine, while several unfinished novels in various states of disrepair gather prime New-York-City dust under her bed. Ofri lives with her husband, three children, cello, and black-lab mutt in a singularly intimate Manhattan-sized apartment. Danielle's homepage is www.danielleofri.com

MY RECENT POSTS

OCTOBER 10, 2010 11:45AM

More on Mammograms....

Rate: 2 Flag

pink_ribbonMammograms: One doctor, her patients, herself

by Danielle Ofri
CNN.com October 8, 2010

Monday:  Our journal club at the hospital reviewed the recent Norwegian trial showing limited benefits of mammograms.

Tuesday: I had my appointment for my own mammogram.

Wednesday: Veneta Masson’s article titled “Why I Don’t Get Mammograms” appeared in Health Affairs magazine.

There’s been a lot to think about in the realm of mammograms lately.

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Comments

Type your comment below:
Hey, you're a physician. Want to write about something relevant?

Why don't you address the issue of why the US has such an appallingly high infant mortality rate for a developed nation.

44 nations in the world, including Cuba and South Korea, have lower rates than the USA. Sweden and Singapore have infant mortality rates less than half of ours.

Why is this?
A quote from your article:

"Cancer screening tests should be treated like any other medical intervention. We want smart, dispassionate scientists to evaluate the data. I can’t predict how the mammogram data will eventually settle, but we should not be afraid to look at the data and re-evaluate our preconceptions. That’s the definition of science.:

My difficulty in accepting the USPSTF recommendations lies in their corporate partner, Health Insurance Plans which represents 1,300 health insurance corporations. It is to their benefit that women in their 40s not receive regular screenings, redefining "regular" as biannual.

Emotion aside, I know it is not "scientific" to accept the huge amount of anecdotal experience of individual women; however, when the breast cancer incidence has decxreased with regualr screening in thsi group, there needs to be a call to common sense.

It is becoming increasingly difficult to find these "smart dispassionate scientists" in many fields. (Jane Lubchenco coms to mind.) It is my understanding that the research that USPSF relied upon was 20 years old. They have recommended that women not be taught self examination and that MRI (which showed my cancer mass when mamms did not) should not be used. It is more expensive for sure, but involves no radiation exposure.

Numbers, cooked by corporate "partners", do not stand alone.