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Prepare to have your health questions answered here on Safe, Effective, Natural Solutions

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with Dr. Todd Binkley, owner of Binkley Healing Center in downtown Ventura.

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Now, here's Dr. Todd.

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Good afternoon.

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I am Dr. Todd Binkley, board certified non-force doctor of chiropractic and practitioner of

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functional medicine.

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The last two episodes of the show, we were talking about preventing breast cancer, stopping

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breast cancer before it starts as a supplement to the conversation that we hear about every

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October focusing on earlier detection and funding more treatments for breast cancer

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that you already have.

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So people were excited to hear about that.

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I got a lot of positive comments about that.

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I've had a health fair at the office with a dozen other practitioners last month where

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we had over a hundred people pass through on a Saturday, got a lot of great questions

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and response, that was all very exciting.

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But the most common questions I got after these last two episodes of the show were just

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more wanting more information about early detection and, you know, what's the, should

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I get a mammogram, how often should I get a mammogram, at what age, what about thermography,

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what about ultrasound and MRI, what's the best way to find out what I really need, et

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cetera.

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And these are not easy questions to answer because everyone's different circumstances

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vary.

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What I try to do is arm people with information that they can use to make informed choices.

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So here are some things to consider.

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A study published in the Journal of Clinical Oncology in 2007 says that breast cancers

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were first identified by mammogram in 16% of women by a provider on an exam in their

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office by 9% of the time, by the spouse, 2%, 75% of patients first identified their tumors

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by self-exam.

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The National Breast Cancer Foundation.org website says adult women of all ages are encouraged

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to do a self-exam, breast self-exam at least once a month.

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And Johns Hopkins University Distinguished Professor of Breast Cancer states that 40%

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of diagnosed breast cancers are detected by women who feel a lump, so establishing a regular

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monthly self-exam is very important.

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And a 2003 National Health Interview survey of 361 breast cancer survivors found that

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57% reported detecting their breast cancer on their own either by self-examination or

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by accident, and 43% reported their breast cancer was detected by mammogram.

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Mammography in women under 30 significantly increases the risk of breast cancer.

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For this reason, mammography is rarely performed on women under 30, and its risks may outweigh

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its benefit in women under 50, which is why the recommendation has long been by most doctors

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to begin mammography at age 50.

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That has changed.

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They've reduced it to 40 again.

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We're going to come back to that.

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But everyone knows that radiation is bad and should be minimized as much as possible, and

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there are studies on this as well.

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So annual screening and diagnostic workup of 100,000 women.

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This is a modeling study published in the Annals of Internal Medicine, Radiation Induced

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Breast Cancer Incidence and Mortality from mammography screening, from getting mammograms.

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Annual screening and diagnostic workup of 100,000 women aged 40 to 74, 35 screening

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examinations per woman would induce, on average, 125 breast cancers, resulting in 16 deaths.

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Women with large breasts requiring extra views for complete examination are at higher risk

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with more than twice as many radiation-induced breast cancers, 266, and breast cancer deaths,

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25 compared to women with small or average breasts, 113 breast cancers, 15 breast cancer

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deaths.

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So these are estimates based on typical standards for screening.

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Compare this to annual screening from 40 to 70 years, biennial every two years screening

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from 50 to 74 years was projected to result in one-fifth as many radiation-induced breast

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cancers.

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So that's a lot of numbers.

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So again, what they're saying is being screened every two years starting at age 50 will result

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in one-fifth as many radiation-induced breast cancers compared to getting screened every

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year starting at age 40.

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So any radiation, including mammograms, does increase your risk of getting breast cancer,

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but mammography, mammograms also dramatically reduce your risk of dying from breast cancer

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because it can detect it much earlier.

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For the standard recommendations of getting screened every two years from age 50 to 74,

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23 breast cancer deaths will be averted for each radiation-induced breast cancer.

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So that means you're 23 times more likely to identify and survive a breast cancer that

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would otherwise go undetected than you are to get breast cancer from the radiation from

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getting a mammogram every two years from age 50 to 74.

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Nevertheless, the latest guidelines from the U.S. Preventative Services Task Force, the

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American College of Obstetricians and Gynecologists, the American Society of Breast Surgeons, and

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the National Comprehensive Cancer Network now advocate starting routine mammograms at

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age 40.

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So this debate is going to continue.

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There are no simple answers.

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Everyone has to make a choice for themselves, but the general outlines are all radiation

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is bad, some radiation is essential and can save your life.

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Approximately 1 to 2% of screening mammograms identify an abnormality that necessitates

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a biopsy and around 80% of the biopsy lesions are benign.

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One of the main things they're looking for when they find a reason to do a biopsy on

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a mammogram is calcifications.

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So calcifications are calcium deposits within breast tissue, which are little white spots

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or flecks on a mammogram.

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And they're common and they're especially prevalent after age 50.

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And they're usually non-cancerous.

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So a proper radiologist can interpret these findings to tell you whether they're likely

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to be cancerous or not.

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But just to generally get a little better understanding about this, it depends on a

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couple of things.

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So are they big or small?

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So macro, large calcifications, large white dots or dashes are almost always non-cancerous

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and require no further testing or follow-up.

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Micro calcifications, so little fine white specks similar to grains of salt, are also

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usually non-cancerous, but if they're in certain patterns, then they can be an early sign of

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cancer.

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So that's one of the major things that oncologists and radiologists are looking for on your mammogram.

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Billions of women get mammograms every two years after age 50, some every year, varying

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ages to start with depending on risk factors.

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The general outlines to consider are that women with small, dense breasts are more difficult

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to detect.

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The test is less likely to identify a cancer early to justify the radiation risk.

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And women with larger breasts require the study itself.

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The mammogram is going to use more radiation to do an effective test.

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So the radiation from mammograms is always going to be a concern.

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And it's painful due to the compression.

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When they train oncologists to examine breasts with suspected cancer, they're trained to

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examine the tissue very delicately because if you put too much pressure on a tumor, a

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breast cancer tumor, it could cause it to spread.

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And yet when you go in and get your mammogram, the radiologists put your breast in a vice

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and clamp down hard so they can flatten it out enough to get a good image, which can

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be painful and discourage people from getting regular mammograms.

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I'm Dr. Todd Bankley.

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You're listening to Safe, Effective, Natural Solutions to Almost Any Health Challenge.

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We're talking about breast cancer prevention, early detection more specifically today, questions

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about mammography.

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I did on the last episode, last two episodes, a long discussion about ways that you can

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prevent cancer from occurring in the first place.

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And the most common questions I got after that were around, you know, which form of

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early detection is best for me.

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And I'm sorry I can't answer that.

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It's different for everybody.

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It's a complicated series of things to consider.

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And so the first part of the show, we've just gone over mammograms and the risk of cancer

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from the radiation from mammograms and how you're dramatically more likely to discover

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and survive a cancer than you ever are to get cancer from the radiation associated with

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mammograms.

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But, you know, some people are going to do mammograms and some people aren't.

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And because of that, mostly because people aren't going to do it regularly, many millions

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of women do, but in spite of that, more breast cancers are discovered on self-examination.

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So I strongly encourage every woman to do a regular self-examination at least once a

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month, preferably once a week.

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You can do it in the shower, go online and just Google breast self-examination if you,

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you know, if you haven't done it in a while, just to brush up on the best ways to make

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sure that you're doing that effectively.

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And getting, learning how to do that well on yourself so that you notice when something

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changes is the way most breast cancers are identified.

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It's also important to keep in mind that the microscopic changes on that microcalcifications,

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for example, that can show up on a mammogram will detect cancer earlier.

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But it also must be said that most breast cancers detected on a mammogram are about

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the size of a raisin.

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And that's billions of cells that have been there for years.

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And so, you know, that's early detection, but how early is that?

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So the other most common question I get about, you know, prevention, early detection is about

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thermography.

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So if you're a health-oriented person, if you're looking for alternative to standard

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medical recommendations, then you may or may not have heard of thermography.

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If you haven't, thermography uses infrared photography, heat detecting, photographic

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process to examine the breasts to detect heat.

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So if you have any kind of disease process going on in your breasts or any other part

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of your body, that diseased tissue is going to be attracting nutrients to itself, increased

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circulation is going to be responding to that disease process, and that will cause a heat

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signal that is detected on thermography.

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So the thermography has been around since the late 50s, and it's largely poo-pooed by

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the medical profession.

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There's studies continually to come out and say that it's useless to detect breast cancer

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compared to getting mammograms every year.

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But that's changing.

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And it has been changing progressively over the years, largely because it's...

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So there are several things.

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It's much simpler to do a mammogram than to do a good thermography exam.

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When you're measuring heat signals from breast tissue, there are several things that you

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have to do to make that test accurate.

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The room has to have a very tightly controlled temperature.

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You have to sit in the room after undressing and sitting in front of the camera by yourself

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and wait for your body temperature to normalize.

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You have to make sure that you're not too hot or too cold.

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They turn off the heating and the air conditioning.

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So it's a little tricky to do everything properly to get a good test result.

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And all practitioners of thermography are trained in this and they know how to make

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sure to minimize any artifacts or...

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They know how to optimize those situations.

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So if you go get a thermography exam, it's available, widely available, Google Thermography,

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it's available in Inventura.

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It's a good thing to do because detecting a heat signal in any tissue in your body is

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a sign of an inflammatory process or a disease process.

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So as long as you're not going to get scared and run off and do something unnecessary based

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on that, it's good information to have.

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And several reports say that thermography can detect cancer eight to 10 years earlier

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than a mammogram.

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Well the standard pushback against that in the medical community is that it's not as

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accurate.

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For example, a study published in Breast Care, the journal from Switzerland in 2016, showed

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that the accuracy of thermography was 70% versus 77% for mammograms.

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Well that was 2016.

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Here's a more recent study from the International Journal of Surgery published in 2023.

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The title is Breast Cancer Preclinical Screening Using Infrared Thermography and Artificial

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Intelligence and it showed that the sensitivity, well it compared the sensitivity of ultrasound,

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mammograms, breast, self-exam, and infrared thermography for detecting breast cancer.

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And the accumulated evidence showed that infrared thermography was equivalent to standard breast

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imaging and clinical examination, meaning getting a breast exam by a trained doctor

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on a routine medical visit.

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And even more interesting is this is a study that was done in China with cameras provided

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and an app on a smartphone that allowed women to do self-exams and send the data in over

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the internet and use sophisticated artificial intelligence to analyze the data to produce

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these results.

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So that's something that's obviously not available here.

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I have no idea when it might be available here.

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And there's some obvious questions about controlling for temperature in the room and they do, they

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did describe pretty well in the study the instructions that were provided to the women

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doing these self-exams and it also incorporated a second leg in the study doing clinical exams

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with a similar system in doctors' offices.

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So it's something that hopefully will continue to be studied and it's a fascinating opportunity

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to make it easier for any woman to do earlier, avail themselves of earlier detection without

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any radiation and any of the pain and other problems with getting in to do annual mammograms.

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There is another device that is being studied in Europe that uses a cone-shaped device that

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you can also both use at home or in a doctor's office using a liquid crystal thermography,

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a different type of measuring heat but more accurate because they're putting a cup on

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directly over each breast and measuring heat signals that way.

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So obviously it's going to eliminate the need to control the temperature and the humidity

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in the room and takes less time for you to wait to acclimate until both of those are

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the same.

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And this is these devices, it's called a Braster device, B-R-A-S-T-E-R.

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They've been studying it for a few years now and it is becoming available in other countries.

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It's not available in the U.S. yet but I'm going to continue to watch that and I'll let

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you know as more data becomes available on that.

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And most importantly, the standard thermography that is available here in the U.S. right now,

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in Ventura, is getting better and better by virtue of the way they analyze the data that's

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gathered by the infrared thermography itself.

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So infrared thermography is basically just a means of using a type of camera that measures

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heat signals emanating from any tissue in your body, including breast tissue.

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So if you Google thermography versus mammography right now, you'll probably get a search result

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that says that thermography is nowhere near as good as mammography, mammograms for early

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detection of breast cancer, but that is going to change.

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It's changing already.

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This study in China is really profound in the data that it got showing that even having

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people do self-exams, how amazing would it be to maybe rent a camera that you could hook

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up to an app on your phone following detailed instructions, collect images that were sent

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in and then analyzed by artificial intelligence.

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artificial intelligence is kind of scary because who knows what's going to happen in a whole

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broad categories of our lives.

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But in radiography, it's already making huge inroads.

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There's all kinds of studies out already showing that using computers that have absorbed and

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had inputted data from thousands, tens of thousands, hundreds of thousands, millions

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of previous images can diagnose and identify conditions on x-rays and CAT scans and other

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images better than radiologists already.

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It's an unfortunate thing.

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And there's exceptions to that too.

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It's good to have both, but radiologists, every radiologist that looks at x-rays, all

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chiropractors are trained how to analyze x-rays.

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I've looked at lots of x-rays and found things that other doctors have missed, especially

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if somebody came into me years ago.

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The most common example when I would catch something that somebody else missed is if

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they went to the ER.

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If somebody gets in an accident and they go to the ER or they get some x-rays, they bring

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their films in and they find stuff that something was missed because they're not spending a

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lot of time looking at it.

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They're just looking for a fracture, something that needs emergent care, and it's not necessarily

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their job to identify everything else possibly that could be showing up on that x-ray.

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In the expanding use of computers that use artificial intelligence, compiling massive

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amounts of data, looking at hundreds and thousands of scans to identify patterns, computers are

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becoming better at that than the human eye in a well-trained professional.

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And that's likely to be a good thing going forward.

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These studies, for example, I think I forgot to mention, these studies were determining

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these outcomes by imaging people and then biopsying, then doing biopsies to confirm

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whether or not they had cancer.

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So the only way they know the accuracy of these various tests is by doing biopsies on

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them later and verifying whether or not these women had cancer.

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So they were, they're robust studies.

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I'm Dr. Todd Benkley.

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You're listening to Safe, Effective, Natural Solutions to Almost Any Health Challenge.

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We've been talking about the relative utility of various types of examinations to detect

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breast cancer early.

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And in review, it's important for every woman to do self-breast exams.

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Most breast cancers are detected by breast self-exam.

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That doesn't mean that's the most accurate way to detect them because you can't feel

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a tumor on a self-exam until it's become a certain size.

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Mammograms can find tumors that are smaller than that, and they can find evidence of microscopic

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calcifications in breast tissue before anybody, even a doctor, can feel a mass on a breast

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exam.

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And those are all important things.

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And risk factors are important to consider, which I've mentioned before.

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But the bottom line is if you're not getting mammograms, then thermography is a really

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good idea.

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But in my opinion, everyone should do breast self-exams and thermography.

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And given your risk factors, in discussion with your doctor or your family history, determine

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whether or not and how often, probably get mammograms too.

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There are exceptions to that.

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Everyone's situation is different.

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There's no simple example that applies to everyone.

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So if you want more information on this, please give me the opportunity to have a consultation

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with you and identify.

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That is the most appropriate thing for you.

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Everyone's different.

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You're as different on the inside as you are on the outside.

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Functional medicine is the use of diagnostic tests to identify conditions early enough

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that you can usually heal them with better food, exercise, and supplements, and where

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necessary make an appropriate referral to a medical specialist.

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In the worst case scenario, if you get diagnosed with cancer and end up in an oncologist's

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office, they're not going to tell you about anything that you can do to maximize your

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immune system function and give your body a fighting chance to kill off the cancer on

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its own and heal itself.

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They're going to stop, do whatever they can to minimize your risk of death.

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They're going to recommend the standard treatments, standards of care, I mean, that you get the

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same treatment everyone else does.

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They're going to recommend radiation chemotherapy and surgery.

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If you ask, can I take these supplements to boost my immune system at the same time?

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A lot of oncologists are confused about that.

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There are some really good ones that are holistically oriented, especially in Southern California,

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who are not, who understand that you can do both.

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You can do all of the above.

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You can do the standard radiation chemotherapy, immunotherapy, and in between the rounds of

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those things, flood your river of life, flood your body with nutrients to give it a fighting

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chance to heal and repair itself, maximize your immune system function.

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Something as simple as taking adequate amounts of vitamin D can dramatically reduce your

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risk of getting cancer in the first place.

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Getting your vitamin N review, getting your blood level of vitamin D up to 60 can reduce

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your risk of breast cancer by 80% compared to a blood level of 20, which is what most

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people test at if they're not supplementing vitamin D.

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Thank you for listening.

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As always, I'm happy to answer any questions you may have.

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You can email me at drbinkley at binkleyhealingcenter.com.

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You can text me at 805-218-3939.

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Look at that.

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I just gave out my cell phone.

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Just so you know, my cell phone is always off.

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If you call, I never answer the phone.

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You can leave a voicemail and I'll call you back.

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The best way to reach me is via text or email.

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Thank you for tuning in.

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Do something this weekend to be healthier than you were last weekend.

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Eat some vegetables.

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Do you have some vegetables?

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Are you growing vegetables on your own?

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The best way to get more vegetables in your diet is to plant some in your own garden because

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then you're going to be attached to them.

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You're not going to let them go to waste.

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You're going to be watching them grow and you're going to want to eat them.

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Add some more vegetables to your diet to be healthier this weekend than you were last

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weekend.

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Have a fabulous weekend.

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See you next Friday at 2 p.m.

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You've been listening to Safe, Effective Natural Solutions with Dr. Todd Binkley.

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If you have a health question you want discussed on the show, email your health questions to

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drbinkley at binkleyhealingcenter.com.

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Take advantage of this opportunity to ask questions for yourself and for your loved

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ones because our health matters.

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Join him next Friday at 4 p.m. for Safe, Effective Natural Solutions right here on 98.3 The Word,

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KDAR.

