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Remember Obama's criticism about unnecessary medical tests?

Reply from: Methuselah
Date: 12 Mar 2010, 22:26
Remember Obama's criticism about unnecessary medical tests?

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."

/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./

/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. But it's
less invasive than traditional colonoscopies and doesn't require
sedation — or the possible temporary transfer of presidential power, the
White House said./

/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./

<snip>


Reply from: Miss Elaine Eos
Date: 12 Mar 2010, 22:30
Re: Remember Obama's criticism about unnecessary medical tests?

On 2010-03-12 13:26:01 -0800, Methuselah <methuselah@older.than.dirt,com > said:

> /Obama's exam included [...] a virtual colonoscopy.

WTF is 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./

"The president of the united states" is not "a routine patient."

While I don't know enough facts to have an opinion about this
particular checkup, I'm ok with the general idea of the president
getting more/better/more-thorough health-care than the rest of us.
Heck, it's his money -- he can get as many colonoscopies as his wants!
(Perhaps he's competing with Paul?)

(It *IS* his money, right?!?! Or does the president get "free" medical care?)

--
Please remove your pants if you want to send me e-mail.
Lots of good cigar info, the ASC Birthday page, FAQs, vendors and more at
< http :// www .ManyFriends,com /Cigars/>
A "great" review is one with the name of the cigar before the review
text in the body of the post. :)


Reply from: Methuselah
Date: 12 Mar 2010, 23:05
Re: Remember Obama's criticism about unnecessary medical tests?

On 3/12/2010 3:30 PM, Miss Elaine Eos wrote:
> On 2010-03-12 13:26:01 -0800, Methuselah
> <methuselah@older.than.dirt,com > said:
>
>> /Obama's exam included [...] a virtual colonoscopy.
>
> WTF is 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./
>
> "The president of the united states" is not "a routine patient."
>
> While I don't know enough facts to have an opinion about this
> particular checkup, I'm ok with the general idea of the president
> getting more/better/more-thorough health-care than the rest of us.
> Heck, it's his money -- he can get as many colonoscopies as his
> wants! (Perhaps he's competing with Paul?)
>
> (It *IS* his money, right?!?! Or does the president get "free"
> medical care?)
>
I would assume it's the same care other presidents received. I can't
imagine he paid even a penny.

And why should he get better treatment in terms of diagnostics than
everyone else unless it was warranted? If so called medical experts
don't believe the PSA test is a viable indicator, why should he get it
regardless of who pays for it?

But, there's always the privileged. Isn't there? Even in socialized
medicine.



Reply from: CigarBaron
Date: 13 Mar 2010, 13:29
Re: Remember Obama's criticism about unnecessary medical tests?

On Mar 12, 5:05 pm, Methuselah <methuse...@older.than.dirt,com > wrote:
>
>
> But, there's always the privileged.  Isn't there?  Even in socialized
> medicine.- Hide quoted text -
>
> - Show quoted text -

Yes.
CigarBaron

Reply from: Tony
Date: 13 Mar 2010, 06:13
Re: Remember Obama's criticism about unnecessary medical tests?

On 3/12/2010 4:30 PM, Miss Elaine Eos wrote:
> On 2010-03-12 13:26:01 -0800, Methuselah
> <methuselah@older.than.dirt,com > said:
>
>> /Obama's exam included [...] a virtual colonoscopy.
>
> WTF is a "virtual" colonoscopy?!

When you put on a pair of funny goggles and pretend you're up Obama's
ass. :)

>> 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./
>
> "The president of the united states" is not "a routine patient."
>
> While I don't know enough facts to have an opinion about this particular
> checkup, I'm ok with the general idea of the president getting
> more/better/more-thorough health-care than the rest of us. Heck, it's
> his money -- he can get as many colonoscopies as his wants! (Perhaps
> he's competing with Paul?)
>
> (It *IS* his money, right?!?! Or does the president get "free" medical
> care?)

He'll be out of office before the cancer grows enough to be dangerous.

--
The Cigar Diary: http :// www .cigardiary,com
ASC Facebook Group:
http :// www .facebook,com /home.php#/group.php?gid8059489225

Reply from: Ray
Date: 14 Mar 2010, 01:11
Re: Remember Obama's criticism about unnecessary medical tests?

On Sat, 13 Mar 2010 00:13:39 -0500, Tony <tony@cigardiary,com > wrote:

>On 3/12/2010 4:30 PM, Miss Elaine Eos wrote:
>> On 2010-03-12 13:26:01 -0800, Methuselah
>> <methuselah@older.than.dirt,com > said:
>>
>>> /Obama's exam included [...] a virtual colonoscopy.
>>
>> WTF is a "virtual" colonoscopy?!
>
>When you put on a pair of funny goggles and pretend you're up Obama's
>ass. :)
>

I don't know if I'd call Olbermann's glasses "funny"...

Reply from: Tony
Date: 14 Mar 2010, 03:16
Re: Remember Obama's criticism about unnecessary medical tests?

On 3/13/2010 7:11 PM, Ray wrote:
> On Sat, 13 Mar 2010 00:13:39 -0500, Tony<tony@cigardiary,com > wrote:
>
>> On 3/12/2010 4:30 PM, Miss Elaine Eos wrote:
>>> On 2010-03-12 13:26:01 -0800, Methuselah
>>> <methuselah@older.than.dirt,com > said:
>>>
>>>> /Obama's exam included [...] a virtual colonoscopy.
>>>
>>> WTF is a "virtual" colonoscopy?!
>>
>> When you put on a pair of funny goggles and pretend you're up Obama's
>> ass. :)
>>
>
> I don't know if I'd call Olbermann's glasses "funny"...

Ok, coffee all over the monitor! :)

--
The Cigar Diary: http :// www .cigardiary,com
ASC Facebook Group:
http :// www .facebook,com /home.php#/group.php?gid8059489225

Reply from: Ray
Date: 14 Mar 2010, 09:03
Re: Remember Obama's criticism about unnecessary medical tests?

On Sat, 13 Mar 2010 21:16:54 -0500, Tony <tony@cigardiary,com > wrote:

>On 3/13/2010 7:11 PM, Ray wrote:
>> On Sat, 13 Mar 2010 00:13:39 -0500, Tony<tony@cigardiary,com > wrote:
>>
>>> On 3/12/2010 4:30 PM, Miss Elaine Eos wrote:
>>>> On 2010-03-12 13:26:01 -0800, Methuselah
>>>> <methuselah@older.than.dirt,com > said:
>>>>
>>>>> /Obama's exam included [...] a virtual colonoscopy.
>>>>
>>>> WTF is a "virtual" colonoscopy?!
>>>
>>> When you put on a pair of funny goggles and pretend you're up Obama's
>>> ass. :)
>>>
>>
>> I don't know if I'd call Olbermann's glasses "funny"...
>
>Ok, coffee all over the monitor! :)


Plus, I think in KO's fantasies, those roles would be reversed,
IYKWIMAITYD.

Reply from: CigarBaron
Date: 13 Mar 2010, 13:28
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




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