October is Breast Cancer Awareness Month
I’ve never met a woman who doesn’t hate having her biennial mammogram. And why would any woman not hate it? It feels like the technician is trying to pull your breast right out of your chest and squash it as flat as a pancake between two very cold metal slabs.
Regardless, every two years, I receive a reminder letter that I’m due for my mammogram and I dutifully make my next appointment and get it done. It’s become such a regular part of women’s health care regimes once they’re past 40 that almost no one questions it.
Enter Reneé Pellerin (class of 2016), who questions it deeply in Conspiracy of Hope: The Truth about Breast Cancer Screening (Goose Lane Editions, 2018). Pellerin points out that, at best, research doesn’t clearly support screening programs, and at worst, it suggests they may cause harm.
In a cover blurb written by Dr. Brain Goldman, host of CBC’s White Coat, Black Art, the veteran ER physician writes, “Pellerin knows the science better than many of the doctors in whose hands women have placed their trust.” On that note, I’ll let Pellerin speak for herself. The following passages are taken from the beginning and the end of the introduction:
Based on the knowledge of the day and her own decade of experience, [Maureen] Roberts [the clinical director of the Edinburgh Breast Screening Project] expressed serious misgivings about the nationwide breast screening program launched in the United Kingdom the year before she died. She acknowledged … research that showed mammography screening reduced deaths from breast cancer by 30 percent. But she urged her readers to also consider other research that did not find benefit….
Then she asked, “If screening does little or no good could it possibly be doing any harm? We are all reluctant to face this…. There is also an air of evangelism, few people questioning what is actually being done,” she wrote. “Are we brainwashing ourselves into thinking that we are making a dramatic impact on a serious disease before we brainwash the public?” …
Toward the end of the introduction, Pellerin concludes:
The story of mammography screening is a story about science and medicine. It’s a story about hundreds of thousands of women who were participants in screening studies around the world. It’s a story about honest differences and sincere efforts to do good. It is also a story about vested interests, money, and greed….mammography is a multi-billion dollar industry that provides employment to radiologists, creates markets for the latest in imaging equipment built by multinational companies, and perpetuates the bureaucracy and infrastructure of government-run screening programs. Pink ribbon charities that benefit financially from our fear of breast cancer take advantage of paternalistic messaging around early detection. The desire to believe in early detection is intuitive and compelling with the result that women and their doctors become complicit in the conspiracy, if unwittingly.
It’s not unusual for scientists to disagree, and controversy in medicine is not surprising…. But nothing in medicine has ever generated as much controversy or conflict as mammography screening. The mammogram story is about much more than argument. Sadly, it is often about backstabbing, bullying, and deliberate suppression of information. These are the by-products of fear and hope.
If you’re a woman, or if you’ve ever loved a woman—partner, mother, daughter, sister—read this book. You may still go for your regular mammograms—I do—but with just a little more doubt in my mind than I ever used to have. And that’s not a bad thing.
Other books for women:
One Strong Girl: Surviving the Unimaginable—A Mother’s Memoir, by S. Lesley Buxton.
Halal Sex: The Intimate Lives of Muslim Women in North America, by Sheima Benembarek.
Every Boy I Ever Kissed: A Memoir, by Nellwyn Lampert.
Highway of Tears: A True Story of Racism, Indifference and the Pursuit of Justice for Missing and Murdered Indigenous Women and Girls, by Jessica McDiarmid.
F Bomb: Dispatches from the War on Feminism, by Lauren McKeon.
