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	<title>Comments on: RIP Stephanie Spielman, wife of Chris (of OSU/NFL), mother of four, SBE diagnoser at 30 years old</title>
	<atom:link href="http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/</link>
	<description>&#34;She is very powerful, so be nice to her.&#34; Chancellor, Ohio Board of Regents, Eric Fingerhut</description>
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		<title>By: SCIENCE GRRL: Does science ever trump human lives? &#124; Girl with Pen</title>
		<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/comment-page-1/#comment-418871</link>
		<dc:creator>SCIENCE GRRL: Does science ever trump human lives? &#124; Girl with Pen</dc:creator>
		<pubDate>Wed, 09 Dec 2009 17:56:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.writeslikeshetalks.com/?p=13944#comment-418871</guid>
		<description>[...] in screening, many women have pondered whether their BFF or even they would be here to write about. Jill Zimon writes about how the guidelines might cause women to be more passive about breast cancer. Ironically after [...]</description>
		<content:encoded><![CDATA[<p>[...] in screening, many women have pondered whether their BFF or even they would be here to write about. Jill Zimon writes about how the guidelines might cause women to be more passive about breast cancer. Ironically after [...]</p>
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		<title>By: BRM</title>
		<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/comment-page-1/#comment-410214</link>
		<dc:creator>BRM</dc:creator>
		<pubDate>Fri, 20 Nov 2009 15:52:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.writeslikeshetalks.com/?p=13944#comment-410214</guid>
		<description>I would not have survived to have had the screening at 50, nor would a fair number of women both with and without &quot;histories&quot; I have met as a former facilitator for the Reach To Recovery program of the ACS.  How about weighing false positive anxiety against dead?</description>
		<content:encoded><![CDATA[<p>I would not have survived to have had the screening at 50, nor would a fair number of women both with and without &#8220;histories&#8221; I have met as a former facilitator for the Reach To Recovery program of the ACS.  How about weighing false positive anxiety against dead?</p>
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		<title>By: Christine C.</title>
		<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/comment-page-1/#comment-410115</link>
		<dc:creator>Christine C.</dc:creator>
		<pubDate>Fri, 20 Nov 2009 03:47:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.writeslikeshetalks.com/?p=13944#comment-410115</guid>
		<description>I think much of the confusion is in the wording. The point was that *routine* self-exams are not statistically proven to reduce the death rate -- but every expert I&#039;ve heard explain this has stressed that it&#039;s important for women to know their bodies and take action whenever something doesn&#039;t seem &quot;normal.&quot; 

In other words, as soon as you feel a lump or notice other changes, you call your doctor pronto. As I understand it, the exams as they&#039;ve been taught are not the end all be all. Women shouldn&#039;t feel guilty if they don&#039;t do a monthly exam -- but they absolutely should be empowered to know their body and to act on any changes.

The problem with mammograms isn&#039;t just that there&#039;s a high degree of false positives (more so in premenopausal women), but that mammograms and biopsies carry health risks and dangers of their own -- beyond the anxiety and stress. And unneeded treatments such as surgery or radiation can lead to an increased risk of other cancers and heart disease (this is from Breast Cancer Action). 

The task force&#039;s recommendations are in line with Europe&#039;s and the World Health Organization -- both of which recommend *routine* testing starting at age 50. 

There will always be cases that frighten us to the core, but each of us has to weigh the risks and the options (hopefully with the guidance of a good doctor!). For some women, that may mean getting a mammogram once or twice in their 40s and then waiting until their 50s, when the risk is higher, to do so more frequently.

What all this hopefully brought to light is the need for smarter and safer detection methods. 

Thanks for writing what you did, and sorry for the long response!</description>
		<content:encoded><![CDATA[<p>I think much of the confusion is in the wording. The point was that *routine* self-exams are not statistically proven to reduce the death rate &#8212; but every expert I&#8217;ve heard explain this has stressed that it&#8217;s important for women to know their bodies and take action whenever something doesn&#8217;t seem &#8220;normal.&#8221; </p>
<p>In other words, as soon as you feel a lump or notice other changes, you call your doctor pronto. As I understand it, the exams as they&#8217;ve been taught are not the end all be all. Women shouldn&#8217;t feel guilty if they don&#8217;t do a monthly exam &#8212; but they absolutely should be empowered to know their body and to act on any changes.</p>
<p>The problem with mammograms isn&#8217;t just that there&#8217;s a high degree of false positives (more so in premenopausal women), but that mammograms and biopsies carry health risks and dangers of their own &#8212; beyond the anxiety and stress. And unneeded treatments such as surgery or radiation can lead to an increased risk of other cancers and heart disease (this is from Breast Cancer Action). </p>
<p>The task force&#8217;s recommendations are in line with Europe&#8217;s and the World Health Organization &#8212; both of which recommend *routine* testing starting at age 50. </p>
<p>There will always be cases that frighten us to the core, but each of us has to weigh the risks and the options (hopefully with the guidance of a good doctor!). For some women, that may mean getting a mammogram once or twice in their 40s and then waiting until their 50s, when the risk is higher, to do so more frequently.</p>
<p>What all this hopefully brought to light is the need for smarter and safer detection methods. </p>
<p>Thanks for writing what you did, and sorry for the long response!</p>
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		<title>By: Jill Miller Zimon</title>
		<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/comment-page-1/#comment-410111</link>
		<dc:creator>Jill Miller Zimon</dc:creator>
		<pubDate>Fri, 20 Nov 2009 03:26:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.writeslikeshetalks.com/?p=13944#comment-410111</guid>
		<description>Kari - I am so angry over this move.  And Stephanie Spielman&#039;s circumstances just put me over. I wish to God that the crappy screening was better but it&#039;s not. I wish that doctors felt more confident in handling the anxiety that the crappy screening causes.  But honest to goodness - how do you swap out a 15% reduction in fatalities for &quot;extreme anxiety&quot;? Are they expletive serious?

Okay - rant over, for now. :)  Thanks for reading and commenting.</description>
		<content:encoded><![CDATA[<p>Kari &#8211; I am so angry over this move.  And Stephanie Spielman&#8217;s circumstances just put me over. I wish to God that the crappy screening was better but it&#8217;s not. I wish that doctors felt more confident in handling the anxiety that the crappy screening causes.  But honest to goodness &#8211; how do you swap out a 15% reduction in fatalities for &#8220;extreme anxiety&#8221;? Are they expletive serious?</p>
<p>Okay &#8211; rant over, for now. <img src='http://www.writeslikeshetalks.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />   Thanks for reading and commenting.</p>
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		<title>By: kari</title>
		<link>http://www.writeslikeshetalks.com/2009/11/19/rip-stephanie-spielman-wife-of-chris-mother-of-four-sbe-diagnoser-at-30yo/comment-page-1/#comment-410104</link>
		<dc:creator>kari</dc:creator>
		<pubDate>Fri, 20 Nov 2009 02:52:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.writeslikeshetalks.com/?p=13944#comment-410104</guid>
		<description>Right on Jill.</description>
		<content:encoded><![CDATA[<p>Right on Jill.</p>
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