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If you feel OK, maybe you are OK.
NY Times ^ | 02/27/12 | H. Gilbert Welch

Posted on 03/15/2012 8:53:33 PM PDT by Pining_4_TX

Recently, however, there have been rumblings within the medical profession that suggest that the enthusiasm for early diagnosis may be waning. Most prominent are recommendations against prostate cancer screening for healthy men and for reducing the frequency of breast and cervical cancer screening. Some experts even cautioned against the recent colonoscopy results, pointing out that the study participants were probably much healthier than the general population, which would make them less likely to die of colon cancer. In addition there is a concern about too much detection and treatment of early diabetes, a growing appreciation that autism has been too broadly defined and skepticism toward new guidelines for universal cholesterol screening of children.

The basic strategy behind early diagnosis is to encourage the well to get examined — to determine if they are not, in fact, sick. But is looking hard for things to be wrong a good way to promote health? The truth is, the fastest way to get heart disease, autism, glaucoma, diabetes, vascular problems, osteoporosis or cancer ... is to be screened for it. In other words, the problem is overdiagnosis and overtreatment.

(Excerpt) Read more at nytimes.com ...


TOPICS: Health/Medicine
KEYWORDS: health; healthcarerationing; medicaltesting; medicaltests; medicine; obamacare; tests
Please, no comments about how you or someone you know was saved by a test. First, it's almost impossible to prove or disprove. The issues surrounding testing the healthy and the idea of prevention are not as straightforward as most folks believe. All I ask is that people keep an open mind.
1 posted on 03/15/2012 8:53:42 PM PDT by Pining_4_TX
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To: Pining_4_TX

You can never be over tested. A good diagnostician is your best friend be it a cold or cancer.. communication is key..


2 posted on 03/15/2012 8:59:03 PM PDT by goseminoles
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To: Pining_4_TX
Meh... It's not like I'm going to take chemo or submit to anything other than emergency surgery (If I'm not awake) anyway.

If I can't figure out what is broke or bleeding, I'll just make right with Jesus, and go from there.

I lived through one bad time... never, ever again. I was "THIS" close. And now, eventually, I gotta do it all over again.

/johnny

3 posted on 03/15/2012 9:04:09 PM PDT by JRandomFreeper (Gone Galt)
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To: goseminoles

I’m guessing this is a feel good article about impending changes in people’s (lack of) health care through Obama.


4 posted on 03/15/2012 9:06:26 PM PDT by madameguinot (Our Father's God to Thee, Author of Liberty)
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To: Pining_4_TX
"Please, no comments about... I ask is that people keep an open mind"

Um.


5 posted on 03/15/2012 9:07:50 PM PDT by I see my hands (It's time to.. KICK OUT THE JAMS, MOTHER FREEPERS!)
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To: goseminoles

I disagree.

Overtesting is often done on elderly people(I’m one of them).

I haven’t developed colon cancer or osteosporosis at age 79 so I refuse to be tested for them anymore. If I get them,I get them.

I am having another test done in a few weeks for something that may or may not be be prevented by early detection but I’m giving this one a shot since I’ve never had this test before.


6 posted on 03/15/2012 9:08:58 PM PDT by Mears (Alcohol. Tobacco. Firearms. What's not to like?)
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To: Pining_4_TX

Some commonly held beliefs about Prostate Cancers (PC):

Most PC are slow growing, one of the slowest growing of all cancers.

Your chances of having a PC already are aprox (age-20)%
So if you are 60, there is a 40% chance of a PC already in you. Small tumors are difficult to find with DRE. PSA is a better tool.

For men over 60, with PC, you will most likely die from something other than your PC.

As I said these are only beliefs. Your urologist is best qualified to make diagnosis.


7 posted on 03/15/2012 9:11:13 PM PDT by entropy12 (Republicans do not hate, that is a monopoly of democrats.)
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To: Mears

What about people that never get tested? I hear about the 85 year olds that never get tested, but id prefer to get routine physicals and bloodwork to be on the preventive side. As a sidenote, im 41..


8 posted on 03/15/2012 9:14:07 PM PDT by goseminoles
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To: Pining_4_TX

“The truth is, the fastest way to get heart disease, autism, glaucoma, diabetes, vascular problems, osteoporosis or cancer ... is to be screened for it.”

I have said this for years.

That and the lowering and lowering of levels of what “is sick” will put you in the sick category faster than you can turn your head.


9 posted on 03/15/2012 9:17:32 PM PDT by eXe (Si vis pacem, para bellum)
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To: entropy12

That’s true. Men usually die with pc than from it.. doesn’t hurt to be tested for it.. well, maybe a little bit. Make sure the doctor doesn’t have both hands on your shoulders during the digital exam.. you get my point..


10 posted on 03/15/2012 9:20:55 PM PDT by goseminoles
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To: goseminoles

“What about people that never get tested? “


My mother never got tested(most of the current tests weren’t around).

She made it to 91.

After my last child was born when I was 35 I didn’t see a doctor for 15 years-—I didn’t even have one,but at age 50 things started to change so I had annual physicals,often including the tests I am now refusing to do.


11 posted on 03/15/2012 9:26:42 PM PDT by Mears (Alcohol. Tobacco. Firearms. What's not to like?)
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To: Pining_4_TX
"Please, no comments about how you or someone you know was saved by a test."

OK - I won't tell you the story.

All I'll say is that since I had one 22 years ago I will never miss a scheduled date for a colonoscopy.

I have also told every one of my friends who is over 40 that they should have this test - in its full colon form - not just the sigmoid exam.
12 posted on 03/15/2012 9:27:38 PM PDT by shibumi (Cover it with gas and set it on fire.)
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To: Pining_4_TX
The truth is, the fastest way to get heart disease, autism, glaucoma, diabetes, vascular problems, osteoporosis or cancer ... is to be screened for it.

Right, right. Because if you don't know that you have a medical condition, you don't have it. Much better to let heart disease or diabetes progress until they're impossible to ignore and either far more difficult or impossible to treat. Makes perfect sense.

What nonsense. This drive to remedy the dreaded problem of "overdiagnosis" - otherwise known as good preventive medicine - is not in the best interests of patients. It's being done as a way to control costs - Obama blathered some of this nonsense when he was trying to peddle Obamacare to an unwilling nation.
13 posted on 03/15/2012 9:40:10 PM PDT by AnotherUnixGeek
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To: goseminoles

lol which is why I prefer female MD’s or PA’s (physician’s assitants) They have smaller fingers.


14 posted on 03/15/2012 10:13:27 PM PDT by entropy12 (Republicans do not hate, that is a monopoly of democrats.)
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To: shibumi

I had my first colonoscopy at 66 and that will be my last. The procedure itself was painless, but hated the prep. Anyway there was not even a hint of polyps, and I do not drink or smoke and eat lots of fiber. However I intend to have regular Hemocult tests.


15 posted on 03/15/2012 10:23:36 PM PDT by entropy12 (Republicans do not hate, that is a monopoly of democrats.)
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To: Pining_4_TX

My SIL’s both went to doctors regularly, they had all the regular tests and both of them ended up with stage 4 cancers, one melanoma and the other advanced breast cancer, both have survived but it was touch and go. So, to me, anecdotally, the tests don’t seem to help because neither were diagnosed until they started having disturbing symptoms.


16 posted on 03/15/2012 10:45:29 PM PDT by tiki
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To: eXe

If I didn’t get my skin checked about 10 years ago I’d be dead now from melanoma.


17 posted on 03/15/2012 10:53:19 PM PDT by Aria ( 2008 wasn't an election - it was a coup d'etat.)
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To: Mears

My MIL is 89, they wanted to run tests on her heart and she wouldn’t let them.

Every so often she has some gastrointestinal problems and we have to take her in to get an IV because she stops eating and drinking and they get so mad when we don’t let them do any tests, we know what is wrong with her and what she needs.


18 posted on 03/15/2012 11:03:29 PM PDT by tiki
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To: eXe
“lowering of levels of what is sick”

That is probably the crux of the matter.

The accepted levels of everything are so low that no one can comply without medication. The medication has side affects as well. And so it goes.

I suspect when OCare kicks in, this trend will reverse.

I have noticed in the last few years, it even extends to veterinarians. Go figure.

19 posted on 03/15/2012 11:57:44 PM PDT by berdie
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To: Pining_4_TX

Genes...it’s all in the genes.

Look at your family history, and adjust accordingly.

One of my grandmothers had colon cancer, so I am screened for that.

The other grandmother had a heart attack at 72, but lived to be 91. She spent 12 days in a nursing home.

Those are the two problems with my genetic history.

If there is a history of cancer, diabetes, heart disease, whatever...be aware, and take care of yourself.


20 posted on 03/16/2012 12:05:13 AM PDT by dixiechick2000 (This hobbit is looking for her pitchfork...God help the GOP if I find it.)
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To: Aria

Why did you think you needed to be screened for melanoma?


21 posted on 03/16/2012 12:08:17 AM PDT by dixiechick2000 (This hobbit is looking for her pitchfork...God help the GOP if I find it.)
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To: dixiechick2000

I heard someone on the radio talking one night about the subject and just thought “I need to get my moles checked”. There was a sort of intuition.

The doctor checked me all over and said I was fine and almost without thinking about it I said “what about this one?” and pointed to one I have never before paid any attention to. Turned out it was the earliest stage - any earlier and it wouldn’t have tested as melanoma according to the doctor. It was “in situ”, they dug out around it and I was good to go. I was VERY lucky!


22 posted on 03/16/2012 12:17:34 AM PDT by Aria ( 2008 wasn't an election - it was a coup d'etat.)
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To: Aria

Thank God that you heard that radio program!

My mother has moles, and has them checked every six months. She’s had a couple of them that were melanoma...the rest that were suspicious were basal cell.

Thankfully, I have my daddy’s skin, but I’m not inattentive...just in case.

You weren’t “lucky”...you were informed. Proud of you! ;o)


23 posted on 03/16/2012 12:28:23 AM PDT by dixiechick2000 (This hobbit is looking for her pitchfork...God help the GOP if I find it.)
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To: dixiechick2000

I go once a year. I got another one a few years later and it too was easily removed.

Actually, I think I have a guardian angel. :-))


24 posted on 03/16/2012 12:32:07 AM PDT by Aria ( 2008 wasn't an election - it was a coup d'etat.)
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To: madameguinot

Yes. After DECADES of news outlets scaring the bejebus out of people about the SILENT KILLERS and such, they now are poo pooing the idea of finding out of something is wrong when it’s early enough to do something about it.

“Coming up at 11... could your blood pressure be a ticking time bomb??????????”

Now it’s “Anh, if you don’t know about it, it’s probably fine.”

This world is loony tunes I think.


25 posted on 03/16/2012 2:29:23 AM PDT by autumnraine (America how long will you be so deaf and dumb to the tumbril wheels carrying you to the guillotine?)
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To: AnotherUnixGeek

Right. Cause I’d rather wait until I am losing toes to find out I have diabetes.

Is it just me, or is this article absolutely batpoop crazy?


26 posted on 03/16/2012 2:35:06 AM PDT by autumnraine (America how long will you be so deaf and dumb to the tumbril wheels carrying you to the guillotine?)
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To: berdie

Yes, they just recently lowered the level that determines if you have high blood pressure.


27 posted on 03/16/2012 2:41:42 AM PDT by autumnraine (America how long will you be so deaf and dumb to the tumbril wheels carrying you to the guillotine?)
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To: All

Ahhhh, now it makes sense. It’s the EVIL health care industry.

Or maybe it’s the LAWYERS who sued anybody and everybody to bully doctors into OVER TESTING and now they are recommending UNDER testing.

“How did we get here? Or perhaps, more to the point: Who is to blame? One answer is the health care industry: By turning people into patients, screening makes a lot of money for pharmaceutical companies, hospitals and doctors. The chief medical officer of the American Cancer Society once pointed out that his hospital could make around $5,000 from each free prostate cancer screening, thanks to the ensuing biopsies, treatments and follow-up care. “


28 posted on 03/16/2012 2:45:33 AM PDT by autumnraine (America how long will you be so deaf and dumb to the tumbril wheels carrying you to the guillotine?)
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To: eXe

That and the lowering and lowering of levels of what “is sick” ....In December of 2007, I was told no diabetes, just barely borderline. In February of 2008, I broke a rib and had a blood test and they said I was diabetic, did I want medicine? I asked how I got this way in less than 60 days? They said the government lowered the figures in January so I AM diabetic and will always BE diabetic. Asked me what I wanted to do, medicine or strict diet. I said “give me percoset for the ribs and I want to go home and have a beer.”


29 posted on 03/16/2012 2:50:13 AM PDT by Safetgiver (I'd rather die under a free American sky than live under a Socialist regime.)
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To: Pining_4_TX

Its as simple as this:

When private insurance paid the bills, testing was inadequate and never enough.

When the government picks up the tab, they aren’t really necessary.

At least the NYT tells us what the government thinks.


30 posted on 03/16/2012 3:27:10 AM PDT by SampleMan (Feral Humans are the refuse of socialism.)
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To: tiki

Just beware of health professionals who may call adult protective services if you don’t allow certain tests to be done on your “poor helpless relative”. (not criticizing you, but I know how some of my “comrades in arms’ tend to think!).


31 posted on 03/16/2012 3:38:38 AM PDT by mdmathis6 (Christ came not to make man into God but to restore fellowship of the Godhead with man.)
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To: Safetgiver

Yup.. I have seen the same happen with high blood pressure with a friend of mine. One week healthy, few months later 100 dollars worth of pills every week, problem was his blood pressure was the exact same.

Interesting article on this in the Seattle times called “Suddenly sick” it shows not only the lower levels, but who pushes for them and how Disease Marketing works.

http://seattletimes.nwsource.com/news/health/suddenlysick/


32 posted on 03/16/2012 9:34:34 AM PDT by eXe (Si vis pacem, para bellum)
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To: tiki

“we know what is wrong with her and what she needs.”

That just about says it all.


33 posted on 03/16/2012 2:55:50 PM PDT by Mears (Alcohol. Tobacco. Firearms. What's not to like?)
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