Just gimme 20 min

Hi guys. Dr. Katz here. It has been a minute but my soapbox is begging me to climb back up so I’m gonna. There is just something I have to get off my chest.

The women’s health screening recommendations are trash lately. I mean, they completely suck. All this nonsense about spacing mammograms farther apart, forgetting about yourself after the age of 50, not needing an obgyn exam after having a hyst….all baloney and dangerous on top of that!

First of all, why would we ever recommend something that would decrease our awareness of our own bodies? How does that make any sense? How does that empower us or increase our chances of using our powers to evoke good in the world? I tell ya. It doesn’t. Those recommendations are based on statistics and costs, not people and patients. Those statististics and recommendations are based on how much it would cost to save the lives of 5 or 10 or 20 extra women. Well I say, what is the cost of a human life? Can you really put a cost on it? To me, every single life out there is precious and worth preserving. There is no cost too heavy to at least attempt to save it. For all these small numbers of difference in lives spared, I find these numbers to be at least ten times higher just in my practice. In the last month alone, I have had to give bad news to at least ten women that was preventable or at least treatable at a much earlier stage if someone had been looking. These women were not doing anything wrong. They were not being non compliant. They were just following these recommendations that their physicians were following. None of them even had symptoms serious enough to warrant their seeking medical help. That’s just how sneaky obgyn issues are!

I have something to say to these academicians who make these recommendations. When you are ready to sit down face to face to one of those patient whose diagnosis you missed and tell them how it was too costly to bother with them, then we can talk. If you can’t, and I suspect you can’t, then I am going to continue to ignore those recommendations and advise women to be seen on a yearly basis. You can’t even use insurance coverage as a reason because most insurances are still covering the yearly exam, even with no copay! Why are we wasting the opportunity to make good use of our awesome preventative resources? Why?

Bottom line. I am a fan of the yearly check-up. Just c’mon in will ya?