In May, David Green joined Bermuda Cancer and Health Centre as its consultant radiologist. Trained in the UK, he held the same position at the Wirral Teaching Hospital in England and was the programme manager of its breast-screening unit.He said he’s been focused on breast radiology for the majority of his career. In 21 years he’s reported more than 250,000 breast examinations and has performed more than 10,000 image guided breast biopsies, lymph node biopsies and wire localisations.In an interview with Body & Soul Dr Green said he’s been impressed with the amount of people who get screened for the disease, especially in the absence of a national plan.“I was slightly surprised at how well developed the screening service is given that you are such a small Island,” he said. But he hinted that there is room for improvement.In the UK there is a national breast cancer screening programme. Dr Green was part of a multidisciplinary team tackling the disease. “One of the advantages of having the national screening programme is that you work with others involved in the treatment the pathologist and the surgeon, so there’s good follow up,” he said. “You get a good feel for the types of cancer being found. There’s regular feedback and the programme is audited”In Bermuda he said the process is “not so well developed” and pointed out that if a tumour looks suspicious at the Bermuda Cancer and Health Center, the patient is sent for a biopsy at King Edward VII Memorial Hospital.According to Dr Green, if the needle biopsy result is that the tumour is benign, the matter is closed in Bermuda. In his former practice however, the team would have met and through this meeting might have learned that the tissue biopsied was not from the suspicious area of the tumour. In other words the biopsy needle did not touch the cancer cells that are in the tumour.Dr Green said considering each case in this collaborative way makes for better outcomes.“We should be discussing together so that we can problem solve the cases for the benefit of the patient, “ he said, “and also to reduce the risk of mistakes being made.”Dr Green will give a public talk on breast cancer screening on Thursday. He said he’d be explaining the advantages and disadvantages of screening.“What are the pitfalls? We hear about the advantages but not so much on the disadvantages, but I will talk about that,” he said.He’ll also cover what the future of breast screening is looking like and advantages expected with these advances.Dr Green’s talk will take place at the Bermuda Underwater Exploration Institute on Thursday from 6pm to 7.30pm, From 5.15pm to 6.15pm there will be health screenings and a vendor table. The event is free to the public and takes place during Breast Cancer Awareness Month.