You have to ask for this; expect resistance.

I noted this study about women doing their own breast compression during mammograms in WebMD with no citation except to JAMA Internal Medicine. So I looked that up, "Self-compression Technique vs Standard Compression in Mammography A Randomized Clinical Trial," Philippe Henrot, MD1; Martine Boisserie-Lacroix, MD2; Véronique Boute, MD3; et al., a French study using 549 women.

The results of this study echo earlier research that found allowing women to control compression during a mammogram doesn’t reduce the quality of the image but does reduce the level of discomfort women report during the procedure.

In September 2017, the U.S. Food and Drug Administration gave clearance to a digital mammography system that allows women to increase or decrease the amount of compression applied to the breast before the mammogram starts.

But before I located it, I found a 1993 article published in Radiology, vol. 186, no. 1 with the same results, using 109 women. And it may have been referenced in the literature—I don’t have access to the full text.   Think of the pain women could have avoided for 25 years if someone had paid attention and followed through. "Impact of patient-controlled compression on the mammography experience." P J Kornguth, B K Rimer, M R Conaway, D C Sullivan, K E Catoe, A L Stout, J S Brackett

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2723076

https://www.breastcancer.org/research-news/less-pain-when-women-control-mammo-compression

https://www.radiologybusiness.com/topics/quality/self-compression-mammography-image-quality-pain

Mammograms—do they help, hurt or save?

You may wish to download this booklet on screening for breast cancer.

"When we first published this leaflet in 2008, the Summary was:

"It may be reasonable to attend for breast cancer screening with mammography, but it may also be reasonable not to attend, as screening has both benefits and harms.

If 2000 women are screened regularly for 10 years, one will benefit from the screening, as she will avoid dying from breast cancer.

At the same time, 10 healthy women will, as a consequence, become cancer patients and will be treated unnecessarily. These women will have either a part of their breast or the whole breast removed, and they will often receive radiotherapy, and sometimes chemotherapy.

Furthermore, about 200 healthy women will experience a false alarm. The psychological strain until one knows whether or not it was cancer, and even afterwards, can be severe."

These numbers were derived from the randomised trials of mammography screening. However, since the trials were performed, treatment of breast cancer has improved considerably. More recent studies suggest that mammography screening may no longer be effective in reducing the risk of dying from breast cancer."

http://www.nytimes.com/2015/08/21/insider/aggressive-treatment-for-early-breast-cancer-reporters-notebook.html?_r=0

If you read the NYT article, be sure to read the comments.

Katie Couric on the new breast guidelines

Isn't that just so odd? Katie says it's the REPUBLICANS making this into a political issue (she spoke on our local news show this evening). I guess those "women's groups" objecting and questioning the panel aren't DEMOCRATS? And it couldn't be that the DEMOCRATS have some of that transparent Pelosi tape over their mouths? Washington Wire (very liberal) at WSJ took the same tack (hmmm, almost like talking points were coming from the White House, isn't it?) Here's my favorite health writer, Tara Parker Pope

"The panel that issued the changes, the United States Preventive Services Task Force, advised doctors not to teach women to examine their own breasts, saying the self-checks led to more imaging procedures and biopsies but did not reduce cancer deaths.

Many women, particularly those of my generation, were mystified. Breast self-exams are inexpensive and noninvasive. No radiation, no fuss. You can do them in your own home, lying down in bed, in between checkups or mammograms. You don’t even need health insurance because they are free. So why not?"

Actually, the only detection that matters is your own--not the studies. Money raised for breast cancer for way too long has gone for education and detection, and not enough for research--just my opinion. That's always been my gripe about "runs" and "walks" for any disease of the week--the bulk of it goes back to support the organization doing the events, and then for education, and then a tiny portion for research.

Bernadine Healey was interviewed on Glenn Beck tonight and she said it should be between the woman and her doctor to decide. But Bernadine, there's that pesky insurance issue. . . women who have "cadillac" insurance are going to be taxed more, assuming their employer doesn't drop it, and that just might put a damper on what tests they're willing to put up with. And I know from Medicare, you don't just get any test or shot you want--it has to be one the approved schedule. If 40 year olds don't need it, maybe they'll decide 70 year olds aren't worth it either? Keep your eye on that Preventive Services Task Force once you're on the public health insurance.

Also, please read this story about Kerry Dumbaugh. I know her. She was interviewed in 2002 about a false negative mammogram, but 2 doctors could feel the lump. She was 42. Her grandmother died of cancer at 56--but her cancer had been visible for years. Kerry works for the Congressional Research Service and is an expert on China.