I have never met an artist as exuberant as Dahlia Dreszer. She is so passionate about her work that she throws concerts, discussions, and special speaking engagements just to gather important collectors together with like-minded people. She recently built an immersive environmental experience in the gallery, Green Space, in Miami. The title of the show, “Bringing the Outside In,” is all about transforming elaborate garden installations in domestic spaces. It was amazing.
Visitors felt like they were sitting in the Garden of Eden, or some sort of unspoiled paradise. They were surrounded by large-scale garden photographs featuring complex arrangements of flowers, ancestral textiles, and cultural artifacts. The compositions were rich with information, color, and detail that bleed to the edges of the frame.
Dahlia is very inventive finding the most beautiful flowers for her walk-through arrangements. Many are picked after they are discarded from weddings or other super celebrations. You must also listen to this podcast to learn how she preserves them and revives their brilliant colors. Don’t miss the part where she tells you how she incorporates artificial intelligence into her exhibits and what future designs may look like. Dahlia is just a bundle of energy, inside and out.
I’m posting this only because the topic pops into recent conversations I have had with friends. I know it’s silly but we need a little silly in our lives. If we enjoyed ‘The White Lotus,’ we just want it to continue a bit longer.
‘Tension’ Between ‘The White Lotus’ Stars Walton Goggins and Aimee Lou Reed Has ‘Fractured the Vibe’
BY NICHOLAS ERICKSON
The success of The White Lotus has been betrayed by a reported feud between the show’s lead stars, Walton Goggins and Aimee Lou Wood, and a source exclusively tells Life & Style it’s driven a huge wedge between the rest of the cast as they feel compelled to pick sides.
“There is obviously a major rift between Walton and Aimee,” the insider says. “It’s very awkward for everyone because Aimee and Walton won’t say what kicked off their issues, but something happened and he’s completely disengaged from everyone as a result.”
The drama reportedly began while the team was on-location in Thailand during filming and production for season 3 of the award-winning HBO series. Walton, 53, who’s career of late has been red hot coming off an Emmy nomination and his roles in Justified, Vice Principals, and Quentin Tarantino’s The Hateful Eight, joined the show with much anticipation from fans, but the source notes he and Aimee, 31, had some sort of a disruptive fallout while on set. They were said to be friendly early on, which makes their apparent feud all the more puzzling.
Aimee was at the party to celebrate the finale episode. She seemed to be in a great mood, mixing and mingling with everyone,” the insider shares. “People were speculating about whether Walton would show up or not, and when his name came up Aimee looked uncomfortable, but she didn’t say anything.”
Walton ultimately skipped the wrap party, which raised some eyebrows among fellow cast members and the crew, according to the insider, who adds his absence highlighted how far their relationship has deteriorated behind the scenes.
“They were all so close at one time, it was like a summer camp situation,” the insider continues, “but this has fractured that vibe.”
The White Lotus has been one of HBO’s biggest hits of late and a frequent topic of conversation when discussing new directions for series’ to take to remain fresh as television becomes bogged down with an ever-expanding offering of mediocre programming. With each season set in a different locale, the show’s formula mixes social commentary with ensemble drama to great effect. Season 1, set in Hawaii, swept the Emmys the year of its debut in 2021 with 10 wins. Season 2, this time in Sicily, won two Golden Globes and critical acclaim, building huge anticipation for season 3, which creator Mike White previously promised would be “longer, bigger, crazier” than ever before, with new, more philosophical themes woven into its Thai setting.
While both Walton and Aimee have kept their reported feud far from prying eyes and safe from the public, bits and pieces of what’s going on have been apparent. They unfollowed each other on Instagram after the finale earlier in April, but refollowed each other just before attending the Met Gala on May 5.
“No one wants to assume the worst or side against Walton, but this whole situation has definitely brought a dark cloud over things,” the source adds. “There’s a tension when it comes up, which is sad because at one point they all said they’d be friends forever
The media mogul publicly addressed being gay for the first time, while also celebrating his marriage to Diane von Furstenberg. “Today he opened to the world,” she said.
During his decades as a media mogul, Barry Diller has held an array of powerful titles, serving as chairman and chief executive of Fox, Paramount Pictures and, most recently, IAC. The positions have made Mr. Diller a boldfaced name and a billionaire.
Now, however, Mr. Diller, 83, has embraced a new role: that of an openly gay man.
“While there have been a good many men in my life, there has only ever been one woman,” Mr. Diller writes, calling his relationship with Ms. von Furstenberg “the miracle of my life,” despite it causing “confusion and lots of speculation.”
At the same time, Mr. Diller also writes of a quiet suffering he felt by hiding his sexuality, and a fear of exposure that “stunted any chance of my having a fulfilling personal life.”
He added that he “had discovered I could separate myself from anything painful or terrifying by just locking it away, putting it into a distant box and having to deal with it hopefully never.”
In the memoir, Mr. Diller says his early sexual experiences with men came during his teenage years “cruising in West Hollywood, darting in and out of side doors of bars along Melrose Avenue.”
“I never discussed my personal life, lowlight as it was, with anyone,” Mr. Diller writes, saying that despite suspicions about his sexuality, he “never wanted to make any declarations.”
“So many of us at that time were in this exiled state, so stunted in the way we lived,” he writes, adding that he “hated having to live a pretend life.”
Intent on keeping his “private life distinctly private,” as he put it, Mr. Diller says he came up with a series of rules — “my own personal bill of rights” — to guide his behavior and public persona, including living “with silence, but not with hypocrisy.”
“I wouldn’t do a single thing to make anyone believe I was living a heterosexual life,” he said. “I wouldn’t tell, and I wouldn’t allow myself to be asked.”
He added that he decided to “never bring a man as a date to a heterosexual event — not that there were many guys I was serious enough about to bring.”
“But I’d never bring a woman as a ‘beard,’ either,” he wrote.
He later came to regret those rules.
“It wasn’t courage,” he writes. “It was simply the minimum conditions of my conduct, and I recognize it now as the opposite of courage.”
Mr. Diller characterizes his relationship with Ms. von Furstenberg as one of “romantic love and deep respect, companionship and world adventuring,” including periods of separation and subsequent reunion, saying they “have spent 50 years intertwined with each other in a unique and complete love.”
Reached in Venice, Ms. von Furstenberg said in an interview that she did not see Mr. Diller’s announcement as a “coming out,” but rather as Mr. Diller simply telling the truth.
“All I can tell you is Barry and I have had an incredible life, love for 50 years,” she said. “We have been lovers, friends, married, everything. And, you know, for me, the secret to honor life, and to honor love, is never to lie.”
“Today, he opened to the world,” she added. “To me, he opened 50 years ago.”
Ms. von Furstenberg said “we never had to talk about our relationship, we lived our relationship,” including the last five years during which Mr. Diller was writing his memoir.
“He’s been private all his life, but not with me,” she said. “So for me, it doesn’t feel strange.”
A spokesman for Mr. Diller, Paul Bogaards, said the memoir, which is being released May 20, speaks for itself.
In the excerpt in New York, Mr. Diller describes a whirlwind romance with Ms. von Furstenberg after they met in 1974, including his giving her 29 diamonds for her 29th birthday a year later. “I didn’t know what to wrap them in, so I put them in a Band-Aid box,” he writes.
The couple would later separate, before reigniting their relationship and eventually marrying at City Hall in Manhattan. (The party that followed, at Ms. von Furstenberg’s Greenwich Village home, was more glamorous, drawing guests like the designer Calvin Klein, while André Leon Talley, the famed fashion editor, said the wedding was “everything that it should be for two people who have been through thick and thin.”)
Mr. Diller, who currently serves as chairman and senior executive at the Expedia Group and at IAC, a sprawling digital media and technology company, said he had “lived for decades reading about Diane and me: about us being best friends rather than lovers.”
“We weren’t just friends. We aren’t just friends,” Mr. Diller writes, calling it “an explosion of passion that kept up for years.”
“And, yes, I also liked guys, but that was not a conflict with my love for Diane,” he said. “I can’t explain it to myself or to the world. It simply happened to both of us.”
Jury selection in Sean Combs’ sex trafficking and racketeering criminal trial will begin Monday, as both the hip-hop mogul’s high-powered defense team and Southern District of New York prosecutors are expected to quiz prospective jurors on their feelings about wealthy individuals and Combs’ self-described “swinger” lifestyle. Both sides will begin the process of whittling down 150 peopleinto a final jury pool of 12 men and women and six alternates for the celebrity criminal trial that is expected to last at least eight weeks. Jury selection is expected to last three days and opening statements are set for Monday, May 12.
The 55-year-old Bad Boy Entertainment founder pleaded not guilty to five felony counts of racketeering conspiracy, sex trafficking and transportation to engage in prostitution following his arrest last September. He faces 15 years to life in prison if convicted on the charges, and has already rejected a plea deal. Prosecutors will begin Monday’s voir dire by giving general instructions and presenting a brief overview of the charges to the pool.
The heart of the government’s case alleges that Combs used his sprawling, billion-dollar business as a “criminal enterprise” that allegedly used physical violence, threats and coercion to fulfill Combs’ “sexual gratification,” which included the alleged sex trafficking of two former girlfriends between 2009 and 2024.
Potential jurors have already been given a lengthy questionnaire about their general knowledge of the case. They were asked if they watched crime shows, where they gathered their news from and if they had an opinion on hip-hop. Other questions included if prospective jurors had ever experienced a traumatic event and if they “believe that wealthy people get away with things that the less wealthy do not.”
Combs’ defense team also probed people’s thoughts regarding what some would consider taboo / nontraditional sexual habits. “There may be evidence in this case about people having multiple sexual partners,” came one question. “Is there anything about this that would make it difficult for you to serve as a fair and impartial juror in this case?”
The line of questioning seems to be central to Combs’ defense. His lawyers have claimed that the alleged criminal sexual encounters — referred to as “freak-offs” — were not only consensual, but part of his alternative lifestyle. “There’s a lifestyle, call it swingers or whatever you will, that he thought was appropriate because it was common,”
Combs’ lead defense attorney Marc Agnifilo argued in a pretrial conference last month. “Many people think it’s appropriate because it’s common.”Possible jurors were also given a list of witnesses and alleged victims who might be called to testify. Prosecutors asked if they personally knew anyone on the list, of if they or any immediate family members had dealings with anyone on the list.
Likely on that list of names is R&B singer Casandra “Cassie” Ventura, who is expected to testify against her longtime ex-boyfriend Combs. Ventura has been at the center of prosecutors’ case (identified in court papers as Victim-1), who was allegedly sex trafficked between 2008 and 2018. The timeline aligns with dates that Ventura detailed in her since-settled civil lawsuit against Combs.
Over the course of their decade-long relationship, Ventura claimed her music label boss routinely forced her to have sex with male escorts while he watched and masturbated. During these encounters, Ventura alleged she was supplied copious amounts of alcohol and illicit substances, including Ecstasy, ketamine, GHB and cocaine. If she refused to participate, Ventura alleged, Combs would beat her Prosecutors have painted Combs as dangerous and abusive, claiming Combs forced at least two romantic partners to submit to his will and sexual fantasies through manipulation, coercion, threats, and violence, including once attempting to beat down a woman’s door with a hammer.
He is also accused of forced labor and abusing his staff, maintaining control over certain employees’ lives by leading them to “believe they would be harmed — including by losing their jobs — if they did not comply with his demands,” according to prosecutors.Combs’ team denied the accusations, saying they have former employees who could speak of their positive working experience with Combs.
They also have claimed that despite Combs’ self-admitted history of violent behavior in regard to his treatment of Ventura, that Combs is coming to court a changed man.
The father of seven is said to have sought professional help and gone to rehab years prior to address his substance-use issues. However, a Rolling Stone investigation from January found Combs was still volatile, still taking altering substances, and was still allegedly sexually abusive up until his arrest. Rolling Stone also previously uncovered a pattern of abusive behavior dating back to Combs’ time at Howard University.
Ever since the 2021 collapse of the Champlain Towers South condominium in Surfside, Miami, every high rise in South Florida had to be inspected and repaired to make sure that tragedy never happens again. Buildings three stories or taller, especially those near the coastline, are subject to mandatory milestone inspections, often every 10 years, to ensure structural integrity. These inspections, mandated by Florida Statute 553.899, help identify potential safety hazards and ensure buildings meet structural safety standards.
Everyone is grateful that we have these new rules and regulations. However, we all have been living in a constant construction zone for almost two years with perhaps another year to go. That means our windows were covered over, our balconies were closed off, no use of pools or other outside amenities, and several hours a day of loud disturbances from hammering and drilling.
The most dramatic event for many of us is when a helicopter is flying very close over our building to deliver necessary equipment. It’s unnerving to hear the roar of the engines and the winds that are created directly over our heads.
On Wednesday, April 30, 2025, there was a helicopter flyover and mobilization of equipment taking place at our property, This was in preparation for the elevators modernization project. The Miami Beach Police Dept.was on hand to assist with coordination and safety measures throughout the event. This is how we were notified and prepped.
Murano at Portofino – Helicopter Flyover and Mobilization – Important Update – 4.29.25
Time: 9:30AM – 12:30PM
*Weather permitting
What to Expect:
Main Entrance – The main entrance and circular driveway will be temporarily closed and there will be a temporary access point to the building during the mobilization. Our staff will be stationed to direct visitors and residents to the main lobby.
Garage Exit – Residents must use the rear gate located on the north side of the building to exit the garage during the helicopter mobilization. Please proceed with caution when exiting the garage.
Valet Service: Our valet team will be temporarily stationed away from the front entrance of the building to ensure safe access to the vehicles.
Front Gate – The front gate will be used only to enter the garage, please note our valet staff will be stationed at the front gate during the closure of the circular driveway. Please proceed with caution when entering the garage.
Visitors & Guests – Please note our team will be directing guests to Tower 1 to reach the lobby level while the front entrance is closed due to the mobilization.
Beach Club – Access to the Beach Club will be restricted from 9AM – 12:30PMwhile the helicopter performs multiple drop off’s.
Dog Park – Access to the dog park will be temporarily restricted starting at 7:30AM to allow our elevator company to stage their equipment safely, and will reopen after the mobilization has been completed.
Marina Boardwalk: Some areas will be temporarily closed, and pedestrian traffic will be detoured during the flyover. These areas will reopen once the helicopter operation is complete.
Please be aware that you will likely experience increased aerial activity and temporary noise during this time. We recommend closing your shades/blinds during this time for privacy.
We kindly ask all residents with balconies overlooking Fisher Island to remove or secure any loose items from their terraces before the event, due to the helicopter’s proximity and potential downdraft.
If you have any questions please contact the Management office. Thank you for your cooperation and understanding during this time. It hasn’t been an easy process for everyone in South Florida, but we had no choice. Better to be safe than sorry
Andrew Gross, Best-Selling Writer of Thrillers, Is Dead at 72
A successful New York apparel executive, he switched gears in midlife and became a novelist, writing numerous best sellers, including five with James Patterson.
Andrew Gross in 2009. One popular series of books he wrote featured a detective who probes the dark doings behind the mansion gates of Greenwich, Conn.Credit…Jann Cobb
Andrew Gross, a member of a prominent New York apparel family who abandoned a career in the rag trade to write nearly 20 crime and political thrillers, including five with the fiction juggernaut James Patterson that hit No. 1 on the New York Times best-seller list, died on April 9 at his home in Purchase, N.Y. He was 72.
The cause was a rare form of bladder cancer, his wife, Lynn Gross, said.
In his solo career, Mr. Gross was known for works such as “Eyes Wide Open” (2011), “15 Seconds” (2012), “No Way Back” (2013) and “Everything to Lose” (2014), as well as his popular series featuring the character Ty Hauck, a detective who probes the dark doings behind the mansion gates of Greenwich, Conn.
He later turned his sights from high-adrenaline contemporary potboilers, often involving ordinary people sucked into a whirlwind of criminal intrigue, to historical thrillers.
His 2016 effort, “The One Man,” centers on a young Jewish man who escapes the Krakow ghetto early in World War II and later joins an American intelligence effort to rescue a renowned physicist from the Auschwitz concentration camp. Booklist called it “as moving as it is gripping” in a starred review.
Mr. Gross’s novel “The One Man,” from 2016, centers on a young Jewish man who escapes the Krakow ghetto early in World War II and later joins an American effort to rescue a physicist from the Auschwitz concentration camp.Credit…Minotaur Books
Ultimately a prolific writer, Mr. Gross started late: He was in his 40s when he decided to trade the spreadsheets and quarterly reports of the business world for the long, lonely hours of a literary career.
Mr. Gross was a grandson of Fred P. Pomerantz, the founder of Leslie Fay Inc., whose dresses and sportswear were being sold in more than 13,000 stores around the country when Mr. Pomerantz died in 1986.
For a time, Mr. Gross served as senior corporate vice president of the company, running its sportswear division, as well as president of its Head Sports Wear subsidiary, known for its ski, golf and tennis apparel. He later became a top executive at Le Coq Sportif and Sun Ice, a Canadian sportswear company.
Wearying of the corporate world, Mr. Gross decided to perform a career about-face. “Basically,” he said in a 2015 interview published on the website LinkedIn, “I came home without a job one night and announced to my wife and three kids that I wanted to write a novel.”
Easier said than done. It took three years to write, edit and attempt to sell his first novel, “Hydra,” a political thriller that was never published. Late in the process, after double-digit rejections, he recalled in a 2017 interview, he was sitting in his den and wondering “what cliff to drive our S.U.V. off” when he received a call from Mr. Patterson’s publisher asking if he would be willing to talk to Mr. Patterson.
An editor at the publishing house, he learned, had sent Mr. Gross’s manuscript to Mr. Patterson, a veritable fiction factory in human form. (As of this year, he has churned out more than 200 books in various genres, including thrillers and children’s books, and sold more than 400 million copies.)
Mr. Gross, who spent part of the year in Palm Beach, Fla., recalled in a 2016 interview with The Palm Beach Post that the editor had written on the manuscript, “This guy does women well!”
Mr. Patterson soon invited Mr. Gross to breakfast, telling him that “he had several projects he wanted to write and not enough time to do them,” Mr. Gross recalled on his professional website. “I had the incredible foresight to say yes.”
Mr. Gross teamed up with James Patterson to write “2nd Chance” (2002), part of a series of novels about a group of women in San Francisco who crack murder cases. Credit…Little, Brown and Company
Their first book together, “2nd Chance” (2002), was the second installment of Mr. Patterson’s highly regarded Women’s Murder Clubseries, about a group of women in San Francisco, including a police detective and a newspaper reporter, who band together to crack murder cases. (In 2007, the series was spun off into a short-lived ABC drama starring Angie Harmon.)
To a literary neophyte, Mr. Patterson’s tutelage was invaluable, Mr. Gross wrote on his website: “It was like a combination MFA and MBA rolled into one.”
As for the writing itself, “we always began with a concept and an outline that came from him, which we fleshed out into a detailed chapter-by-chapter outline,” Mr. Gross recalled. “No writer’s block here, the road map was always there.
Thanks to Mr. Patterson’s clout, he added, “my first book was a No. 1 best seller” on the Times list.
Howard Andrew Gross was born on May 18, 1952, in Manhattan to Aaron Gross, who ran an active-wear company, and Leslie Fay Pomerantz, whom the family apparel company was named after.
Mr. Gross in 2006. Before turning to fiction, he was an executive with his family’s apparel company.Credit…Jann Cobb
After graduating from the Barnard School for Boys, in the Riverdale section of the Bronx, Mr. Gross enrolled at Middlebury College in Vermont, where he received a bachelor’s degree in English literature in 1974. In 1982, he earned a master’s degree in business administration from Columbia Business School.
His fruitful partnership with Mr. Patterson included “Lifeguard” (2005), about a Florida lifeguard lured by love into a multimillion-dollar robbery, and “Judge & Jury” (2006), about an aspiring actress whose life spins out of control after she lands on the jury in the trial of a brutal Mafia don. (The story was inspired by Mr. Gross’s own experience as a juror in a mob trial.)
Mr. Gross struck out on his own in 2007 with “The Blue Zone,” a novel about a woman whose seemingly perfect life unravels after her father is arrested and charged with laundering money for a drug ring.
In “The Blue Zone” (2007), a woman’s life unravels in a crime story centering on a drug ring.Credit…William Morrow“Button Man” (2018) is about a garment industry executive who has to fend off the mob.Credit…Minotaur Books
In addition to his wife of 42 years, Mr. Gross is survived by their daughter, Kristen Gross Magyar; their sons, Matthew and Nicholas; a half sister, Liz Scopinich; and five grandchildren.
In 2018, Mr. Gross published what he considered his most personal work, “Button Man,” about someone from a poor Jewish family on the Lower East Side of Manhattan who fights his way up the ladder in the garment trade only to find himself in a Depression-era standoff with vicious Jewish mobsters. (“Button man” is not an apparel term, he explained in a 2020 video interview, but mob slang for a hit man.)
“It’s a tribute to my grandfather,” Mr. Gross told Publishers Weekly, referring to Mr. Pomerantz. “He was as tough as any gangster you’ll read about in the novel. He was single-minded and driven and set a high bar for himself, and he succeeded.”
Calvin Sun was a healthy 37-year-old when a full-body MRI scan showed a cyst in his kidney. Sun saw a urologist who was cautiously optimistic that it wasn’t cancerous and offered him a surgery appointment several weeks away to inspect the kidney and operate if necessary. “I was like, how about tomorrow?” Sun recalls.
As an ER doctor, Sun is used to decisive problem-solving. It’s the “right mindset” for undergoing a whole-body MRI, he says. “You have to be willing to take 100% responsibility for the consequences, good and bad.”
Instead of traditional scans, like CTs or MRIs of a specific part of the body, full-body MRI scans require just an hour to image you from head-to-toe. Celebrities and influencers are holding them up as a pillar of preventive health to catch problems early on, wherever they’re hiding—before they become hard-to-treat diseases. Dwyane Wade, for example, recently credited a whole-body MRI with alerting him to an early-stage kidney cancer.
However, most medical experts are more wary. “The odds that you’re going to be hurt are higher than the odds you’re going to be helped,” says Dr. Matthew Davenport, professor of urology and radiology at the University of Michigan.
Here’s what to know about this relatively new technology—both its promise and shortcomings.
What is a full-body MRI scan?
First offered in the early 2000s, a whole-body MRI is like looking at a city from a distance, says Dr. Heide Daldrup-Link, professor of pediatric oncology at Stanford. “You might always find a high-rise building, but you won’t find a spider,” she says.
With this panoramic view of the body, doctors may spot big problems, like a large tumor. “But we can very easily miss small tumors” without scans that zoom in, Daldrup-Link explains. CTs or organ-specific MRIs are needed to fully investigate health issues like cancer and most brain abnormalities, she says.
An advantage of whole-body MRIs over CTs is that they use magnets and radio waves, which eliminate the type of radiation linked to cancer. But that doesn’t mean they’re risk-free or the right choice for everyone, Davenport says.
Who benefits?
For nine years, Dr. Dan Durand oversaw an outcomes-focused health care network in Baltimore’s poorest neighborhoods. Some people are incredulous, he says, that he’s now the chief medical officer at Prenuvo, a company specializing in whole-body MRIs starting at $2,500 a pop (and not covered by insurance for the average, symptom-free person).
But Durand and others view whole-body MRIs as key to the future of health for everybody, not just rich bodies. “We’ll look back on whole-body MRIs the same way as your cell phone or computer,” he says.
They’re already beginning to change health care, he says, by detecting “silent killers lurking,” like aneurysms or cancers. “We can find Stage I cancers before symptoms appear,” he says. The technology is advancing, becoming faster and more accurate.
Daldrup-Link agrees that whole-body MRIs can “detect diseases in early stages.” Dwyane Wade’s case “may underscore the potential benefits of early cancer detection.” But the patients who benefit most have unique risks, such as people born with certain genetic syndromes that cause random cancers throughout the body. “Whole-body scans are really helpful” to identify these cancers, she says.
Such syndromes are relatively rare, though Daldrup-Link gives about two whole-body scans per week and sees a wide variety of cancer predispositions like Li Fraumeni syndrome and retinoblastoma.
Full-body MRIs provide information about some other conditions besides cancer and brain pathologies, she notes, like certain skin and muscle infections, and disorders involving abnormal blood vessels.
People with such known conditions or risks get “even more value” from the images, Durand says, but this type of MRI can raise awareness about anyone’s state of health, he adds. His own scan picked up on joint inflammation and damage, which he’s now treating to keep in check.
They can also show excess visceral fat before heart disease and other chronic illnesses develop. Such findings provide benchmarks for tracking how interventions are working. Prenuvo recommends adults under age 40 get scans once every two years if their first scan didn’t show a problem. If you’re older or your first scan did find an issue, the company advises scans yearly or even more often. However, these are just the company’s recommendations; major medical groups do not currently recommend whole-body MRIs for the general population.
The drawbacks
If you have no symptoms or unique risks, the drawbacks of whole-body MRI scans outweigh the benefits of early detection, some experts have found. “Metaphorically, you could go to Vegas and win the jackpot,” Davenport says, “but the average expected result is losing money, especially if you’re gambling regularly.”
Sun, the ER doctor, had no family history of cancer. He exercised, ate a plant-based diet, and was “super healthy.” When his Prenuvo scan found the cyst—and a more targeted follow-up MRI showed it in more detail—he knew it might still mean nothing. Even so, he persuaded his doctors to expedite surgery to avoid “spending months stewing and ruminating” about worst-case scenarios.
His care team prepared to potentially remove a small part of his right kidney as a precautionary measure. Every expectation was that it would be benign.
When Sun woke up five hours later, he learned the kidney was “completely gone,” he says. The surgeons removed it because they thought the surface looked malignant.
Sun had no complications from surgery, but at 37, he recognizes he’s less vulnerable than some. Older people tend to be less protected due to age-related changes. Having an unnecessary surgery, which could involve serious consequences, is one risk Davenport cites. “Every time someone does an endoscopy, biopsy, or surgical procedure, risks include a bleeding complication or difficulty with anesthesia,” he says. “It can be life threatening.”
Davenport is underwhelmed by the potential benefits, at least for people without any known health issues. About 15-30% of whole-body MRIs show a red flag, but the vast majority of these concerns end up being nothing to worry about. Even when cancer is ultimately removed, it’s often unclear if it would’ve grown or how fast. “Both patient and doctor are happy because they found cancer early, but 15 years later, when you look at the data, it didn’t improve mortality,” Davenport says.
Larger studies are needed, and severalare trackinghow interventions based on whole-body-MRIs contribute (or not) to longer, healthier lives. But researchers must follow people for decades to see a survival benefit. Without more evidence, the leading associations of radiologists, the American College of Radiology and the Radiological Society of North America, haven’trecommended whole-body MRIs for the average healthy person.
Another risk is giving someone a false sense of reassurance after full-body MRIs come back clean. It’s a mistake to then assume that health screening measures, like colonoscopies, aren’t necessary. Full-body MRIs show some organs better than others. “The kidney and liver are very well depicted,” Daldrup-Link says, but the scans less reliably image colon cancer, lesions in the prostate, and small lung cancers. “That’s a big caveat,” Daldrup-Link says.
Durand agrees, while noting that recommended screenings can’t catch everything. “Whole-body MRIs don’t replace primary care doctor visits and consensus-based screenings. They’re on top of these screenings.”
Sun was shocked and worried to learn his kidney was removed. “What if they literally took out my kidney for no reason?” he kept thinking.
Yes, the organ had looked diseased, but a biopsy would need to confirm that. Thus began a week of agonizing over the possibility that it wasn’t cancer. “That is the danger of doing full-body MRIs,” Sun says.
The results of full-body scans are frequently hard to interpret, difficult to act upon, and detrimental to mental health, Davenport says. “Someone who identifies as a normal, healthy person is quickly converted into a patient,” even though they might be perfectly healthy. “This creates anxiety that is meaningful and measurable.”
A week after surgery, Sun got the call. “I don’t know what possessed you to get that scan,” his surgeon told him, “but you saved your life. It was an aggressive cancer.”
Sun felt reassured. At least his kidney hadn’t been robbed without justification. Then confusion and sadness sunk in as his identity suddenly reconceptualized as both a cancer patient and survivor. How could this happen to a healthy 37-year-old?
Maybe a line can be drawn in the sand dividing people with high cancer risk and people without such risk, but it’s wind-swept and covered with footprints. Cancer is often caused by interactions between various genes and environmental factors, and many of them aren’t well understood. “We will never know with 100% precision which patients are most at risk,” Davenport says.
The mysterious rise of cancer in young adults is the subject of myriad theories and debates. Relatively few people have been diagnosed with genetically-rooted cancer syndromes, yet scientists are “constantly discovering new types” of these syndromes, Daldrup-Link says.
To better understand your personal risk for cancer and other diseases, speak with your doctors about family history. Regular blood tests can show elevated markers associated with diseases and genetic risks for cancer and heart disease. (Sun’s test, however, showed no genetic risk.) This information may warrant individualized, targeted screening, including detailed CTs of relevant organs.
Meanwhile, the technology for whole-body MRI scans continues to improve. “The genuine interest to want to know what’s inside the body is totally understandable,” Davenport says. “Whether you get a whole-body MRI is a personal decision, but it’s important to consider the risks as well as potential benefits.”
DigiDame 