Emilia Javorsky
speaker
1,653 appearances
2 recordings
1 series
first heard Mar 2026
last heard 20 Mar
Emilia Javorsky’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 2 in all, peaking in Mar 2026 with 2.
Appearances
And,
there's a problem with this because many of us are, we make sort of proto cancers every day in our body, right?
We always have cells that are making mutations that could be potentially come cancerous, but our other biological sort of homeostatic mechanisms, keep that in check and keep that from happening.
There's also many people that die with cancer, but not from cancer, right?
Where there's cancerous tumors that sort of come up in our body.
but it grows into a small tumor and it's never gonna spread and it's actually never going to kill you.
And so there was this really interesting screening study that was done in South Korea, which was looking at ultrasounds of the thyroid to basically say, can we detect thyroid cancer?
And when they sort of implemented a screening program nationwide, they had about a 15 volt increase in the diagnosis of thyroid cancer.
yet you actually didn't see really many, any changes in the mortality of thyroid cancer, right?
And so what you ended up doing was detecting a lot of cancers that were small tumors that were actually unlikely to cause problems.
And from a public health perspective, you're putting patients through treatment with risks to it and side effects to it without necessarily any benefit.
And so there is this paradox that like early detection is maybe not always the best way to
find a good risk benefit ratio in the long run.
And so it's more of a question of like, how do we identify the cancers that cause problems?
Not necessarily like how do we define all, like find all cancers.
And this is coming really into focus with new efforts that are like the sort of multi-cancer early detection, which is blood tests for cancer, right?
Can I have a blood test that detects some cancer DNA?
And so we're really trying to figure out
and there's large scale clinical trials ongoing to understand is that on the right side of things where we actually are gonna pick up things early and be able to treat them and prevent deaths, or are we gonna actually end up in the South Korea case where we're mostly picking up things that aren't gonna cause problems and people end up getting treatments that they don't need.
So even the idea like it's seductive to think, oh, we should just catch everything, but catching everything might not always be the best thing to do.
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