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HEAL TH


image, the breast compression time is reduced. So again, it’s not a rollicking good time, but not bad at all and getting better.


I can’t afford it


Because of its long record as an effective tool for early detection in the fight against breast cancer virtually all health insurance plans cover a mammogram in full or in large part. For women without health insurance and at very low income levels, the Tappahannock Regional Free Clinic offers a Well Woman Check-Up that includes mammograms and Pap tests provided at no cost. Uninsured women who meet the age and income qualifications can also receive free or reduced cost breast and cervical cancer screenings through the state health department’s Every Woman’s Health program in which Riverside Tappahannock Hospital and Riverside Walter Reed Hospital participate. Our hope is that healthcare reform will make breast cancer screenings even more accessible – and believe me, breast cancer is a bipartisan disease. It doesn’t care how you vote, so mammograms are


a good example of why it would help to take politics out of healthcare.


What about harmful radiation?


The levels of radiation used in screening mammography – which is a type of x-ray procedure – are extremely low, and the very quick images we obtain reduce the exposure even more. It helps to keep in mind that most of our exposure to ionizing radiation, the form of energy waves used in an x-ray, come from natural sources.


For example, the amount of radiation


required for a mammogram is just about what you would receive just being outside for the day or making a flight on a commercial airline. Virtually no procedure is without risk, but in the case of mammography, the benefits far outweigh any potential concerns.


I don’t have a family history of breast cancer


For many women who develop breast cancer the only known risk factor is being a woman. In general, risk factors


can include everything from alcohol consumption, obesity, environmental exposures and age to an early menstruation and a late menopause, as well as certain genetic mutations. So not having a personal or family history of breast cancer is a good thing, but it represents only one of numerous potential risk factors.


Isn’t there a debate about the value of mammography?


Over the past five years in particular there have been some different opinions in the scientific community as well as some different interpretations of available data on the relationship between early diagnosis and the mortality rate from breast cancer. As a physician and a woman I support a healthy public debate about any health issue. But I also think that it is critical to have the facts, and this is what we know:


n Breast cancer killed an estimated 40,000 women last year and is the second-leading cause of death among women, exceeded only by lung cancer.


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October/November 2012


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