Dr. Susan Love's Breast Book, Fourth Edition
by Susan M. Love MD
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Book Summary Information
Author: Susan M. Love MDEdition: Paperback
Audio: English (Unknown); English (Original Language); English (Published)
Published: 2005-09-07
ISBN: 0738209732
Number of pages: 640
Publisher: Da Capo Press
Book Reviews of Dr. Susan Love's Breast Book, Fourth Edition
Book Review: Some major flaws
Summary: 3 Stars
This is probably the most comprehensive source of information on breast cancer and other breast issues that most of us will ever find, and it manages to avoid the cloying "good girl" kitch of those horrid pink websites. For those reasons, it is the best place to start educating yourself. Buy it.
BUT, be aware that it has a few major faults. Dr. Love spends a great deal of time pointing out the side effects of the three major treatments: surgery, radiation and chemotherapy. Many of these side effects are not temporary or fixable, but are permanent and life threatening in themselves. This is especially valuable knowledge since most doctors and those pink websites downplay or totally ignore disabling and potentially fatal problems such as lymphedema, secondary cancers and heart failure which can result from these standard treatments. I strongly suspect that all the attention paid to hair loss (which will grown back in, for crying out loud) is there to distract potential patients from the real problems.
Dr. Love also lays bare the dismal statistics on the efficacy of chemotherapy given to non-metastatic women (2-9% of women are actually helped - an eye opening figure to most of us who probably thought chemo "saved" 50 or 60 women per hundred). These are not statistics that the pink groups or your oncologist are eager to have you know.
However, after spending pages and pages warning us that chemo is dangerous and not especially effective, she then just says "Oh, but go ahead and have it." Why? After imparting so much frightening information, I'm not following her thought process as to why chemo is a good deal for non-metastatic women, and I think she owes her readers a fuller explanation of why she, and the rest of the American medical community, have come to this conclusion.
In addition, although she loves statistics (and so do I), she too often lapses into anecdotes that are frightening or bizarre or in other ways not very helpful. She also, at very critical times, as in discussing heart damage from radiation and chemotherapy, abandons statistics altogether and just says "seldom" or "infrequently". Well, what does that mean? 2-9% of women helped qualifies as "seldom" in my mind, yet to Dr. Love those are great statistics to gamble on and accept chemo.
Lastly, remember that Dr. Love is still a doctor, she is not your best gal pal, and as such, has a very different way of assessing the treatment plans. One of the most chilling anecdotes in the book is when she refers to a (non-metastatic) patient of hers who underwent chemo (2-9% efficacy rate) and ended up needing a heart transplant thanks to Adriamycin. Dr. Love just shrugs it off with, well at least she was alive to need the heart transplant, with no concern for the quality of life this woman was left with.
In sum, there is much good information here, but you will need to search for some specific answers elsewhere. And the knowledge she does give you may make it harder, not easier, to make decisions. But knowledge is always harder than trusting ignorance.
Summary of Dr. Susan Love's Breast Book, Fourth Edition
Recent research is rapidly changing the diagnosis, treatment, and outcomes of breast cancer. Just as women afflicted with or worried about breast cancer have turned to the earlier editions of Dr. Susan Love's guide for the soundest, most supportive advice, once again they will find all the help they need in this new edition. From guidance on screening techniques and benign disease to comprehensive and heartening advice on living with breast cancer, Dr. Love's book will be a priceless help to recovery on every level, medical, practical, and psychological. Once again readers will lean with gratitude on the extraordinary empathy and expertise in the book that Newsweek called "One of the most complete and trustworthy books ever published on breast cancer."
Dr. Susan Love's Breast Book has been considered the bible of breast-care books since it appeared in 1990. In 1995, Love completely updated the book in a 600-page second edition, including new biopsy and screening methods, implants, the pros and cons of hormone therapy, new discoveries in breast-cancer treatment, and many other topics. Every chapter has been rewritten, with the exception of the anatomy chapter ("The breast, I'm glad to report, is still located on the chest!"). Love presents copious medical information in a simple, welcoming style, and plentiful illustrations make the information even clearer. About two-thirds of the book deals with breast cancer: risk factors, prevention, screening, diagnosis, staging, emotions, treatment options, surgery, alternative treatments, clinical trials, and more. But the book isn't just about breast cancer. It's also about breast development, physiology, bras, nursing, sexuality--if it has to do with breasts, Love discusses it. Love also debunks breast myths: underwire bras do not cause cancer, neither do bruises or injuries; "fibrocystic disease" isn't really a disease. The book includes a wealth of resources: books, treatment centers, and organizations (but no Web sites--perhaps in the third edition?). --Joan Price
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