Re: Remember Obama's criticism about unnecessary medical tests?On Mar 12, 4:26 pm, Methuselah <methuse...@older.than.dirt,com > wrote:
> A part of an article on today's MSNBC web page - snipped to include the
> important point only...
>
> <snip>
>
> As a medical journal editorial said this week about Obama's recent
> checkup, Americans including the commander in chief need to realize that
> "more care is not necessarily better care."
The press is way off on this one.
>
> /Obama's exam included prostate cancer screening and a virtual
> colonoscopy. The PSA test for prostate cancer is not routinely
> recommended for any age and colon screening is not routinely recommended
> for patients younger than 50. Obama is 48./
1) He might have had an enlarged prostate on rectal exam,
necessitating the test.
2) Afro-americans have a higher rate of prostate cancer death
compared to whites, therefore most authorities screen Afro-americans
starting at age 40.
3) Do you know if he has a family history of prostate cancer? If so,
screening beginning at 40 is appropriate.
>
> /Earlier colon cancer screening is sometimes recommended for high-risk
> groups — which a White House spokesman noted includes blacks. Doctors
> disagree on whether a virtual colonoscopy is the best method.
Do you know if he's had any bowel changes/hematochezia/family history
of polps or bowel cancer? Screening was appropriate, but he
colonoscopy is far superior: the capsul/colonoscpy cannot remove
polyps. There is some protection by removing certain polyps which are
pre-cancerous (i.e., adenomatous polyps) as they could go on to colon
cancer. So the colonoscopy is a better test and may prevent colon
cancer. The "virtual" camera can only pick up problems, not treat
them.
>
> /The colon exam exposed him to radiation "while likely providing no
> benefit to his care," Dr. Rita Redberg, editor of Archives of Internal
> Medicine, wrote in an online editorial. Obama's experience "is
> multiplied many times over" at a huge financial cost to society, and to
> patients exposed to potential harms but no benefits./
>
Hey Rita, shut up. The radiation, albeit cumlative, is minimal. And,
we know that he's been screened for colon cancer. Totally
appropriate. Now, his cholesterol from what I understand is a bit
dyslipidemic and he smokes cigarettes....certainly the greatest
medical problems he faces.
CigarBaron