Madelon L. Finkel

A 2022 Choice Outstanding Academic TitleThis book, written for the layperson, provides evidence-based material explaining the complex and evolving evidence of the benefits and limitations of breast cancer screening and the advances in breast cancer treatment. A diagnosis of breast cancer is one of the most emotionally charged statements a woman can hear from her doctor. Understanding the rapid changes in breast cancer diagnosis and treatment is challenging, especially for those without a medical background. This book will help explain the strengths and weaknesses of breast cancer screening, breast cancer treatment, and ways of coping with the disease (for oneself or a loved one). Written for the layperson, this text explains the history of disease prevention with a specific emphasis on breast cancer detection and treatment. The main chapters weigh the pros and cons of well-known but often mystifying screening tests, such as mammograms; discuss the benefits and side effects of targeted hormone therapies; consider holistic regimens that complement traditional medicine; and explore the mental, physical, and emotional strain caused by breast cancer. Concluding with the current breast cancer screening guidelines recommended by leading organizations in disease prevention, Breast Cancer Facts, Myths, and Controversies not only engages with the history of breast cancer screening, diagnosis, and treatment, it looks ahead to a brighter future for survivors.

An essential review of the history, benefits, limitations, failures, and politics of pipelines, with a core focus on potential harms to environmental and human health. The United States holds the world record of having the largest network of energy pipelines, with more than 2.4 million miles of pipeline transporting oil or natural gas. Russia, China, and Canada as well as many other countries also have extensive pipelines. How safe is this means of transport, and is there a potential harm to the environment and human health? In this text, professor Madelon L. Finkel presents an essential and clearly-stated review of the pros and cons of transporting oil and natural gas by pipeline. Finkel dispels myths, inaccuracies, and misconceptions and highlights the potential dangers that must be considered in any country's energy policy. Pipeline Politics: Assessing the Benefits and Harms of Energy Policy provides a broad and accessible analysis of pipelines, from their history and safety to their politics and risks. Finkel examines the benefits and costs of pipelines in parallel as well as issues of environmental justice; the fairness of treatment of the people affected; and the development, implementation, and enforcement of pipeline laws, regulations, and policies.

Writing to be understood by the layreader, Finkel shows how breast cancer develops and explains the controversy surrounding mammography. How valid are the screenings? Who should be screened? How frequently? At what age? Should women be screened at all? This book dissects the issues to help present answers. Above all, says Finkel. Women need to make informed decisions, and to do what they need to understand the potential benefits and potential harms accompanying mammography. This book includes a timeline showing changing public advice on mammography across the years. Listings explain how to see federal reports on mammography facilites and how to find and contact support groups. Finkel details the development of breast cancer and its various types of tumors, the treatment options, and the psychological effects. Also provided are techniques for—and questions to ask when—communicating with your doctor in order to make informed decisions.

The politicalization of research findings has become prevalent over the past two decades. Politics often prevents the implementation of policy supported by irrefutable science. Most of us understand something about how this is happening with stem cell research, but Cornell's Madelon Finkel delves deep into the subject to make the issues clear, also revealing how ideology and politics are distorting, diminishing and destroying scientific research results regarding topics from needle exchange, HIV/AIDS prevention and medical marijuana to antiobiotic use with animals later marketed for human consumption. When ideology—whether it is the ideology of scientists and clinicians or of politicians—distorts scientific findings and public health judgment, public welfare is endangered, potentially affecting every person in our nation. Finkel also discusses how research is funded and how ideology has influenced that process. Numerous examples are given to illustrate the consequences of co-opting the scientific integrity of a program in this way.

This book presents the findings of the highly respected eight-year Cornell-New York Hospital second opinion elective surgery program. The study covered 470,000 people in voluntary second opinion programs and an additional 273,000 people through a health insurance program mandating consultation. The authors present evidence that second opinion programs can effect significant medical cost reductions, even while enhancing the quality of care.