2 Comments
  • Bernadette Munoz
    Posted at 02:32h, 24 June Reply

    Thank you for the information given but I believe that screenings for cancer and hypertension and such should begin at a younger age. In the age of fast food and preferred vehicle nobility rather than riding bikes or walking, men are at risk at younger and younger ages. Even if you take into account family history, a lot of screenings don’t begin until may be mid-thirties. By that time, it’s too late. My husband is 38 and he has friends that have passed away within the past 12 years, from cancer and diabetic complications. I think all of your suggestions are spot on but these issues need to be addressed much, much sooner. For both men and women, the age should start at early to mid 20’s. That would save many more lives. I know every doctor has seen patients that suffer these problems at an early age. It’s time to suggest earlier screenings to be covered by insurance.

    • Bojana Jankovic
      Posted at 11:58h, 19 September Reply

      Thank you for sharing your thoughts Bernadette. I agree that screenings are a complex topic and they are certainly not perfect. There is considerable heterogeneity in the population, there are many unknowns, and applying rigid criteria to everyone can lead to late diagnoses for some. When it comes to screening, we also need to consider risks, false positives and consequences of these. Then there is the unfortunate reality of limited resources. This is where physician’s careful history and examination, as well as knowledge of and discussion with the patient comes in. These can serve as a guide to thoughtfully formulating an individualized plan based on the particular patient.

      I appreciate the point you raised about chronic conditions and cancer. We need to place more emphasis on wellness habits and health coaching in the medical and community settings. Actionable steps regarding movement, stress management and nutrition should be addressed at medical visits and through chronic disease programs. Many of our chronic diseases can be largely reduced by following healthier lifestyle habits, and we need to start focusing on prevention!

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