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Dr. Elaine Schattner
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Dr. Elaine Schattner is a writer with a unique perspective on medicine. Her views on health care, research and medical education are informed by her experiences as a patient with conditions including breast cancer.

After attending Yale College as an undergraduate, Dr. Schattner received her medical degree from the New York University School of Medicine. She completed a residency program in Internal Medicine at The New York Hospital, and a combined fellowship in hematology (blood diseases) and medical oncology. She ran an NIH-funded cancer immunology research lab and practiced medicine at Weill-Cornell Medical College, where she now teaches part-time.

She writes about breast cancer, medical news, communication and decision-making on her personal blog, Medical Lessons. Her early-stage tumor was detected by a radiologist in October, 2002, upon a routine mammogram.

Blog Entries by Dr. Elaine Schattner

Patenting Human Genes Harms People

(3) Comments | Posted April 15, 2013 | 3:39 PM

Today the U.S. Supreme Court will review a case about a company's ownership of human gene sequences. The issue, involving Myriad Genetics and patents related two cancer-linked molecules, BRCA1 and BRCA2, seems straightforward, so much so I considered not writing on it. After all, how could...

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What Needs to Be Done About the Rising Rate of Advanced Breast Cancer in Young Women

(0) Comments | Posted March 1, 2013 | 3:17 PM

This week the Journal of the American Medical Association reported that the incidence of young women presenting to doctors with Stage IV breast cancer has been climbing. For those affected by the disease between the ages of 25 and 39, the number who first learn they have cancer...

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Reading the Fine Print on Cancer Treatment and Side Effects

(3) Comments | Posted January 17, 2013 | 2:00 PM

Last week, the Annals of Oncology published a new report on bias in reports on breast cancer trials. The investigators analyzed how clearly, or not, academic journals represent clinical findings. They looked at spin -- what you might call "hype" -- about positive results, and how clearly the...

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Beyond Pink: What Matters for Future Progress Against Breast Cancer

(6) Comments | Posted October 29, 2012 | 1:12 PM

October's fading. This year, it seems like Breast Cancer Awareness Month has taken on a subdued, faded tone. The pink ads and ribbons, so ubiquitous in recent memory, appear smaller and farther between. Last weekend, as marchers in the Avon Walk for Breast Cancer passed through my neighborhood,...

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New Findings on X-Ray Risks Pose Dilemma for Young Women Prone to Developing Breast Cancer

(14) Comments | Posted September 14, 2012 | 12:39 PM

Last week delivered some disconcerting news for people with a specific, strong inherited high risk for developing cancer. An analysis published in the British Medical Journal (BMJ) found that young women with BRCA mutations are more likely to develop breast cancer if they've had more diagnostic...

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Hope Rules! On the Supreme Court's Ruling on Obamacare

(2) Comments | Posted June 29, 2012 | 11:22 AM

My heart leaped upon hearing the SCOTUS decision on Obamacare. The U.S. Supreme Court upheld the central components of the Affordable Care Act (ACA). This decision, a huge victory for patients, offers a message of hope -- one that's relevant not just to politics...

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Novel Drug Shows Promise in Her2+ Form of Breast Cancer

(2) Comments | Posted June 6, 2012 | 11:15 AM

This weekend, researchers at the annual meeting of the American Society of Clinical Oncology presented new findings on a novel agent that targets some forms of breast cancer. The new drug, called T-DM1, is designed to deliver a toxic chemotherapy directly to tumor cells....

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Scientists Identify 10 Molecular Types of Breast Cancer -- How Long Until Progress Reaches the Clinic?

(5) Comments | Posted May 3, 2012 | 3:19 PM

Doctors have understood for decades that breast cancer is not one disease. Still, and with few exceptions, knowledge of breast cancer genetics -- information on cancer-causing mutations in the malignant cells -- has lagged. Here's the paradox: Because effective treatments exist for most patients with this disease, the...

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Rough Language and Real Politics Jeopardize Women's Health

(5) Comments | Posted March 8, 2012 | 5:32 PM

Like most women, physicians and mothers of my generation in the U.S., I've been fortunate to learn of deaths from wire hangers and shady abortionists only indirectly. Last week I realized that I've taken women's health, or what's really at issue -- women's access to needed care --...

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Seeing the Metastatic Side of Breast Cancer

(0) Comments | Posted October 13, 2011 | 5:52 PM

Susan Niebur is a 38-year-old mom and astrophysicist who lives near Washington, D.C. In most mornings, lately, she chats with her husband as he drives to a medical center for her near-daily radiation treatments. She has metastatic breast cancer (MBC) that's spread to her spine and other bones.

It's...

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Why It Makes Sense To Keep Avastin Available For Women With Metastatic Breast Cancer

(3) Comments | Posted August 3, 2011 | 9:22 AM

In late June, the Food and Drug Administration (FDA) held an unusual, open-door and emotionally-packed meeting of its Oncologic Drugs Advisory Committee (ODAC). The topic was Avastin, a costly cancer treatment. The panel listened to testimony from women, including my cousin, about their ongoing cancer treatments. It heard,...

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Considering Geraldine Ferraro, and Progress in Myeloma Treatment--Past and Future

(8) Comments | Posted March 30, 2011 | 9:00 AM

Like many New Yorkers, might-be feminists, hematologists and others, I was saddened to learn of Geraldine Ferraro's death. The Depression-era born mother, public school teacher, attorney, criminal prosecutor, Congresswoman, 1984 Democratic VP-candidate and otherwise accomplished woman from this region, succumbed to complications of multiple myeloma at...

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New Study Supports Less Surgery for Breast Cancer

(6) Comments | Posted February 11, 2011 | 1:32 PM

A new report in the Journal of the American Medical Association may influence -- and reduce -- surgical treatment for many women diagnosed with breast cancer. The key finding is that for women with apparently limited disease before lumpectomy and what's called a positive sentinel node,...

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Reasons For the Anti-Vaccine Movement's Appeal

(145) Comments | Posted January 18, 2011 | 10:00 AM

Recently, the fraudulent work of Dr. Andrew Wakefield, who with his followers feverishly propounded a notion that childhood vaccines cause autism, fell further down the credibility ladder upon a detailed report published in the British Medical Journal. It turns out that cases reported in the original, retracted and...

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End of Life Care: Why Doctors Need Incentives to Talk With Patients About End-of-Life Care

(9) Comments | Posted January 9, 2011 | 9:31 AM

This week the Obama administration pulled back on a Medicare provision that would have compensated providers for discussing end-of-life care. This is an unfortunate reversal.

The problem is that many people don't get the kind of care that they would choose for the end of life. This...

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A New Year's Resolution for Adopting Electronic Health Records

(8) Comments | Posted December 31, 2010 | 1:03 PM

I'm looking forward to 2011, which among other steps in a healthy direction will deliver incentives for doctors and other medical care providers to adopt electronic health records (EHR). The push for better health IT (HIT) is long overdue.

A few months ago I had the...

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Is Whole-Body Airport Screening Harmful to Travelers With Illness and Disabilities?

(33) Comments | Posted November 25, 2010 | 8:22 AM

I'll be staying near my home for Thanksgiving. But if I did have plans to travel by airplane for the holiday, I think I'd be apprehensive about the new screening procedures implemented by the Transportation Safety Authority (TSA).

My concern is not with the scanning machines. The level...

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Breast Cancer Fatigue Syndrome Is Harmful to Patients

(29) Comments | Posted October 30, 2010 | 3:45 AM

Breast Cancer Fatigue Syndrome (BCFS) may be setting into our collective consciousness. This newly named, unofficial and insidious condition afflicts individuals who've become desensitized to all things having to do with breast cancer. The list of topics people shy away from, now, includes breast cancer screening and particularly...

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Recognizing a Day of National Metastatic Breast Cancer Awareness

(9) Comments | Posted October 13, 2010 | 9:35 AM

Tired of seeing pink? You're not alone, says Dr. Barron Lerner in a piece on Pink Ribbon Fatigue in the New York Times. While cancer awareness campaigns have heightened awareness about this condition, lessened women's fear of the disease and helped raise needed funds for research and care,...

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Holes in the Evidence on the Value of Screening Mammograms

(68) Comments | Posted September 28, 2010 | 7:00 AM

Last week's medical news centered on a New England Journal of Medicine (NEJM) article on breast cancer screening by mammography. The paper, authored by an international group of epidemiologists and biostatisticians, suggests that mammography has only a small influence on survival. The findings, along with an accompanying

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