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Important Community information! 

Last week a flier from Lifeline screening appeared in the paper encouraging screening for carotid blockage and other vascular diseases. It should be absolutely clear that this was an advertisement from a company trying to make money. It was not medical advice.

The U.S. Preventive Services Task Force has recommended against the use of carotid artery screening in adult patients without a history of stroke, transient ischemic attack or other signs of blockage. Current strategies for screening "have imperfect detection and could lead to unnecessary surgery and result in serious harms, including death, stroke and heart attack," according to the final document, which updates a 2007 statement. The recommendations appear in this months Annals of Internal Medicine.

In addition, false positive or equivocal results from mobile testing often results in much more expensive retesting and significant test anxiety that very likely is unnecessary. If you are considering medical testing, ask your family doctor first if you really need the test and if it is appropriate for you.


Dr. Scott Dunn

 

 
 
Pertussis cases in U.S. are cause for concern

The CDC has reported a 24% increase in pertussis cases nationwide this year compared with last year, including a large outbreak reported recently in California. Educating parents about the importance of childhood vaccinations is a key way of preventing outbreaks, and family physician Beth Loney Oller, M.D., of Stockton, Kan., said she reassures parents that serious reactions to the DTaP vaccine occur in fewer than 1 in 1 million.  AAFP News (6/25) 

"Another reminder of the vaccine preventable diseases which still infect our children. Even adults are now advised to get a booster for pertussis, especially if caring for very young children. We can give vaccines any day the office is open – just ask!" Dr Dunn

Group advises against routine pelvic exams for most women

The American College of Physicians has released new guidelines advising against routine pelvic exams for women who are not pregnant and who don't have symptoms of a potential health problem. The group said there is not sufficient evidence that the screening exams benefit most women, but cervical cancer screening should be continued. The guidelines appear in Annals of Internal Medicine.  HealthDay News (6/30) 

"This will be a change for most women. If you have questions about whether or not you should have a pelvic exam, talk to your doctor." Dr Dunn

 

 

CDC: Excessive drinking is tied to 1 in 10 deaths among adults

From 2006 to 2010, heavy drinking claimed the lives of about 88,000 working-age adults each year, according to a CDC study published in the journal Preventing Chronic Disease. Men faced greater risk than women, and people 20 to 64 were more susceptible than those of other ages.  HealthDay News (6/26), USA Today (6/26) 

"This is a stunning statistic and probably effects someone you know. If a friend needs help with alcohol, have them contact their doctor or counselor." Dr Dunn

 
 
 

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