Important Information on Mammograms

Being the mammographer that I am, I would like to share some information about the new announcement on screening guidelines that was shared with me. Please read, it is very important to your life.
On Monday, November 16, the U.S.Preventive Services Task Force (USPSTF) announced a change to their mammography screening guidelines. Specifically, their new quidelines recommend screening mammograms every 2 years from age 50-74 versus their old guidelines which recommended screening mammograms every 1-2 years starting at age 40. The USPSTF is an independent panel of doctors and scientists in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services. The Tast Force reports up through the Agency for Health Care Research and Quality (AHRQ) and to the Department of Health and Human Services (HHS). Since the announcement, many parties have issued statements, reiterated guidelines and have commented in the press that they are not in support of these new guidelines. Here are some more relevant statements with key parts highlighted in red.
Department of Health and Human Services (HHS): Statement issued by Secretary Kathleen Sebelius on November 18, 2009 and the USPSTF reports into the HHS....."There is no question that the USPSTF have caused a great deal of confusion and worry among women and their families across this country. I want to address that confusion head on. The USPSTF is an outside independent panel of doctors and scientists who make recommendations. They do not set federal policy and they don't determine what sevices are covered by the federal government. The Task Force has presented some new evidence for consideration but out policies remain unchanged. Indeed, I would be very surprised if any private insurance company changed it's mammography coverage decisions as a result of this action." What is clear is that there is a great need for more evidence, more research and more scientific innovation to help women prevent, detect, and fight breast cancer, the second leading cause of cancer deaths among women. My message to women is simple. Mammograms have always been an important life-saving tool in the fight against breast cancer and they still are today. Keep doing what you have been doing for years...talk to your doctor about your individual history, ask questions, and make the decision that is right for you."
American College of Radiology - Statement issued on November 16, 2009..."If cost-cutting USPSTF mammography recommendations are adopted as policy, two decades of decline in breast cancer mortality could be reversed and countless American women may die needlessly from breast cancer each year. The recommendations - created by a federal government-funded committee with no medical imaging representation - would advise against regular mammography screening for women 40-49 years of age, provide mammograms only every other year for women between 50 and 74, and stop all breast cancer screening in women over 74. These unfounded recommendations ignore the valid scientific data and place a great many women at risk of dying unnecessarily from a disease that we have made significant headway against over the past 20 years. These new recommendations seem to reflect a conscious decision to ration care. If Medicare and private insurers adopt these incredibly flawed USPSTF recommendations as a rationale for refusing women coverage of these life-saving exams, it could have deadly effects for American women. The USPSTF recommendations are a step backward and represent a significant harm to women's health. At least 40% of the lives saved by mammographic screening are of women aged 40-49.
American Cancer Society - Statement issued by Chief Medical Director Otis Brawley on November 16, 2009...."The American Cancer Society continues to recommend annual screening using mammography and clinical breast examination for all women beginning at age 40. Our experts make this recommendation having reviewed virtually all the same data reviewed by the USPSTF, but also additional data that the USPSTF did not consider. When recommendations are based on judgments about the balance of risks and benefits, reasonable experts can look at the same data and reach different conclusions. We specifically noted that the overall effectiveness of mammography increases with increasing age, but the limitations do not change the fact that breast cancer screening using mammography starting at age 40 saves lives. As someone who has long been a critic of those overstating the benefits of screening, I use these words advisedly: this is one screening test I recommend unequivocally, and would recommend to any woman 40 and over, be she a patient, a stranger or a family member. With it's new recommendations, the USPSTF is essentially telling women that mammography at age 40 to 49 saves lives: just nost enough of them. The task force says screening women in their 40s would reduce their risk of death from breast cancer by 15%, just as it does for women in their 50s. But because women in their 40s are at lower risk of the disease than women 50 and above, the USPSTF says the actual number of lives saved is not enough to recommend widespread screening. The most recent data show us that approximately 17% of breast cancer deaths occured in women who were diagnosed in their 40s and 22% occurred in women diagnosed in their 50s. Breast cancer is a serious health problem facing adult women, and mammography is part of our solution beginning at age 40 for average risk women. And as scientists work to make mammography even more effective, the American Cancer Society's medical staff and volunteer experts overwhelmingly believe the benefits of screening women aged 40 - 49 outweigh it's limitations.
As a mammographer, I've seen many women 49 and under who have been diagnosed with breast cancer.....and most of their lives have been saved by early detection because of mammography. Please take all this into consideration when making a decision about your mammogram.

Wow, has it been a long time. I seemed to have become a little involved in Facebook. Have been neglecting my blog.
While following a few blogs, I ran across Inky Impression's...and wanted to share. There is a link on my sidebar to follow. I love her stamps!
We will be heading to Branson in a couple of weeks and I will have to share some fall pics from there...also heading to the Strange Folk Art Festival in our area this weekend. I'm sure I'll also have some to share from that experience.

Awwwww.......baby robin!

They don't have their "red breast" at first. But they could fly without much tail feathers!!!

Butterfly House - Chesterfield, Missouri

Sunday we made a trip over to the butterfly house in Chesterfield. Was a beautiful day outside...the humidity was finally gone. But inside the butterfly house was another story....hot and very humid, had sweat rolling down my back. But oh how beautiful were the butterflies and flowers......quiet made up for it. Enjoy the pics.

My parents.

Not sure what exotic plant this was, but it's beautiful.

The Lunar Moth...the only moth in the butterfly house.

Hissing cockroaches.....very large as you can see by the relation to them and the orange. Don't want any of these at home!!!!!

The native butterfly garden out back.

Back view of the butterfly house.

I just love this picture....looks like the flowers are reaching up to the sun!

Happy Birthday Dad

We celebrated Dad's birthday on June 27, 2009....one day after the actual day! Happy Birthday!!

Winterset, Iowa

Just wanted to add a note to the blog addition below....Winterset, Iowa is probably one of the prettiest and neatest and quaint little towns I've ever visited. We drove around and every little home was impeccable and neat. A wonderful place to visit and see all the sights!

The "Duke"

Okay, all you John Wayne fans get ready......

Here are pics from John Wayne's birthplace, Winterset Iowa. There is a picture in the home of him and his dog, Duke. We were told that's how he became known as "Duke". When workers in a place he used to walk by saw him, they didn't know his name, only the dog's, so they starting calling the dog (which was large), big Duke and John Wayne little Duke. John Wayne liked that name, instead of Marion; so he adopted the name for his own. That's why he was called Duke most of his life.

JOHN WAYNE....the mere mention of his name produces images of courage and patriotism. His life story began in this small central Iowa town of Winterset. He was born Marion Robert Morrison, the son of Clyde and Mary Brown Morrison and weighed a whopping 13 lbs! His father was a pharmacist and John Wayne described his father as "the kindest, most patient man I ever knew." His mother, Mary, was of Irish descent, and the Duke said "she was a tiny, vivacious red-headed bundle of energy." John Wayne actually set out to be a lawyer, playing football in college....but we know life takes mysterious turns, and the rest is history, they say.....!

Here it is......the Duke's house! All four rooms! Step back in time and picture the life of a young midwestern boy and his family near the turn of the 20th century. It's been restored to reflect its appearance in 1907, the year of Duke's birth. I wasn't able to take any pictures in the house, but it is filled with memorabilia! So much to look at and absorb. The memorablia includes unique items as the eye-patch worn in the movie True Grit, a hat worn in Rio Lobo, and a prop suitcase used in the film Stagecoach. Hundreds of rare photographs of the Duke are on display as well as letters from Lucille Ball, Gene Autry, Maureen O'Hara, Jimmy Stewart, Kirk Douglas, Bob Hope, Ronald Reagan and George Burns. There is also the bib-style shirt worn by him in North to Alaska, two pair of pants and a leather vest which were worn in various television appearances during the late 60's and 70's....the list just goes on and on. Awesome stuff!!

Dad and JoAnn in the back of his house. Since it's opening, the childhood home of John Wayne has been visited by many celebrities and dignitaries. (Now that includes us...hehehe) On November 3, 1984, President Ronald Reagan commented during his visit that the Birthplace of John Wayne is an inspiring tribute to a good friend and a great American.

In May of 2007, Ethan Wayne and more than 30 members of the John Wayne family journeyed to Winterset to join in the celebrations surrounding the actor's 100th birthday. Among the weekend's highlights was the presentation by the Wayne family of a magnificent, larger-than-life bronze of John Wayne by sculptor David Manuel. This statue is in the museum and gift shop.

Pictures of the "public square" in downtown Winterset. One of these buildings house the pharmacy where John's Wayne's dad worked as a pharmacist when they lived here.

We visited a couple of covered bridges during our visit to Winterset. This town was basically where they filmed "Bridges of Madison County" with Clint Eastwood and Meryl Streep. There was so much we wanted to accomplish on our trip we couldn't see all the places of the movie. Directed by Clint Eastwood, produced by Eastwood and Kathleen Kennedy, and associate produced by Tom Rooker and Michael Maurer, it is the visual representation of two people coming to terms with their own lives through each other. The film is a narrative about love and choices and consequence. "The Bridges of Madison County" was made on location in Madison County, Iowa. A reconstructed farm house provided the key set, with additional sequences shot in the towns of Winterset and Adel, along with the actual Roseman and Holliwell covered bridges. Locations were coordinated with the full cooperation of the Iowa Film Commission, Winterset and Adel Chambers of Commerce, and the Madison County Covered Bridge Preservation Society. This is the Holliwell Bridge, built in 1880 and located over the Middle River southeast of Winterset, and is the longest bridge, measuring 122 feet. It was renovated in 1995 for $225,000.

Another view at the bridge.

Cutler-Donahoe Covered Bridge greets visitors as they enter Winterset City Park. Built in 1871 , it is 79 feet long. Originally over the North River near Bevington, it was moved to its present location in 1970. It was renovated in 1997 for $35,000.