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Posts with tag CancerScreening

Dentists can be the first to diagnose some diseases

Some dentists are giving patients blood tests before and after the treatment of gum disease and these tests can help screen for more than 20 conditions, according to a Chicago Sun-Times report via the Kaiser Daily Health Policy Report.

Bacteria that cause gum disease can release by-products into the blood, which can increase blood sugar, cholesterol and C-reactive protein. If the treatment of the gum disease by the dentist does not lead to a lowering of these levels, it may indicate an underlying disease such as diabetes, heart disease, colon cancer, Hodgkin's lymphoma and chronic heartburn. Such testing costs about $150 but is generally not covered by insurance according to Ronald Schefdore, a dentist who gives such blood tests.

According to Ivan Valcarenghi, another dentist profiled in the story, "If every dentist practiced this way, we could improve the health of the world overnight."

Might be something worth asking about at your next cleaning.

How not to run a cancer screening clinic

Outside of state-of-the-art cancer screening clinics in the U.S., Britain and other industrialized nations, the equipment and the expertise needed to operate and summarize seem to be lacking.

At least, this is the case in South Africa. That country, widely considered to be quite advanced in many ways, is having a problem at its Johannesburg Helen Joseph Hospital. Yes, there are some pieces of high-tech digital imaging and screening equipment in use there. But nobody knows how to use the machines.

What does that do? Makes cancer screening very ineffective and makes the timing of such screenings way behind the times for hundreds of female patients looking for fast results for answers to the possibility of breast cancer having invaded their bodies. I'm not sure I would want to wait months and months for answers to cancer screening results, but this is normal there it appears.

One risk of breast cancer screening: the false-positive

Danish researchers, in a new study in Value in Health authored by Dr. John Brodersen, studied the effect of false-positive cancer tests, including false-positive results on mammograms.

Brodersen and colleagues found that false-positives caused significant psychological harm in "six psychosocial dimensions; anxiety, behavioral impact, sense of dejection, impact on sleep, breast examination and sexuality."

Brodersen says, "Women should be better informed both before breast cancer screening and during the screening process. This should include a discussion about the implications of a false-positive result, as well as the benefits of early detection of breast cancer."

I couldn't agree more.

British Women denied breast cancer screening

It's something that's painful and infuriating to me in my own experience, and thus something I feel very strongly about: people getting denied tests and treatment because of long line-ups of patients and limited resources.

It happens all the time in countries where healthcare is public, though we don't always hear about it. But here's one instance where we do: thousands of women are being denied breast exams in Oxfordshire, UK, because of staffing shortages. Women there between 50 and 70 are rightly entitles to a screening every 6 months but the NHS can't keep up with the demand and is turning women away. This has outraged cancer specialists and survivors, though they can't do much about it at this point.

Say what you will about the importance of public healthcare, but when things like this are happening, it should be a rather large indicator that it's just not working. My dad couldn't get screened for cancer until a couple of weeks before he passed away, and by then, obviously, it was too late.

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