RE: screening test mania

[Guest guest]

Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings "warrant". But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania

All,

This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients make

evidence-informed decisions.

An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself, a major health policy issue.

http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html

A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F

[Guest guest]

I think some of the screens are preventative if they allow for detection of a severe or catastrophic condition while it is treatable Ted Forcum, DC, DACBSPBack In Motion Sports Injuries Clinic, LLCACA Sports Council, Past President'08 US Olympic Sports Medicine Team Member11385 SW Scholls Ferry RoadBeaverton, Oregon 97008503.524.9040www.bimsportsinjuries.com The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of the individual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution. From: [mailto: ] On Behalf Of BRIAN SEITZSent: Monday, January 03, 2011 12:05 PMoregon DCsSubject: RE: screening test mania Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings " warrant " . But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania All, This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients make evidence-informed decisions. An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself, a major health policy issue. http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F

[Guest guest]

This method of scanning and screening has been going on for the last 40 years. The public (and us) are finally beginning to recognize the allopathic approach for what it is ..... disease mongering. When I was told, back in the 60s, that 'vitamins and minerals have no effect whatsoever on what the human body does', medical doctors lost their credibility with me. Having just been given a class - from my nursing instructors - on how important good levels of basic nutrients were, their statements made no sense. Now, I understand, nurses are no longer being given those classes.

Detection has NEVER been a means of prevention, it is just what it says: detection.

People, including other medical disciplines, are finally seeing - or is it admitting - that the wool has been pulled over our eyes all of these years. It is so nice to see the honesty finally surfacing.

Now can you realize how I got to be so angry and dismissive with that discipline?!

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: dcdocbrian@...Date: Mon, 3 Jan 2011 12:05:20 -0800Subject: RE: screening test mania

Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings "warrant". But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724

From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania

All,

This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients make

evidence-informed decisions.

An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself, a major health policy issue.

http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html

A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F

[Guest guest]

Primary prevention means not allowing a person to become ill/infected/injured in the first place. What you describe is detection and is secondary prevention. Preventive care by definition does include primary, secondary and tertiary "care", but it still does not address true health or wellness unless focused on actual PREVENTION rather than detection, treatment or management of risk factors (IMHO).From Wiki:LevelsPreventive medicine strategies are typically described as taking place at the primary, secondary, tertiary and quaternary prevention levels.LevelDefinitionPrimary preventionPrimary prevention strategies intend to avoid the development of disease.[2] Most population-based health promotion activities are primary preventive measures.Secondary preventionSecondary prevention strategies attempt to diagnose and treat an existing disease in its early stages before it results in significant morbidity. [3].Tertiary preventionThese treatments aim to reduce the negative impact of established disease by restoring function and reducing disease-related complications.[4]Quaternary preventionThis term describes the set of health activities that mitigate or avoid the consequences of unnecessary or excessive interventions in the health system.[5]In addition, the term "primal prevention" has been used to describe all measures taken to ensure fetal well-being and prevent any long-term health consequences from gestational history and/or disease[6]. The rationale for such efforts is the evidence demonstrating the link between fetal well-being, or "primal health", and adult health[7][8]. Primal prevention strategies typically focus on providing future parents with: education regarding the consequences of epigenetic influences on their child[9], sufficient leave time for both parents, and financial support if required.Simple examples of preventive medicine include hand washing and immunizations. Preventive care may include examinations and screening tests tailored to an individual's age, health, and family history. For example, a person with a family history of certain cancers or other diseases would begin screening at an earlier age and/or more frequently than those with no family history. On the other side of preventive medicine, some non-profit organizations, such as the Northern California Cancer Center, apply epidemiological research towards finding ways to prevent diseases. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724Subject: RE: screening test maniaDate: Mon, 3 Jan 2011 12:33:21 -0800From: TForcum@...To: dcdocbrian@...;

I think some of the screens are preventative if they allow for detection of a severe or catastrophic condition while it is treatable Ted Forcum, DC, DACBSPBack In Motion Sports Injuries Clinic, LLCACA Sports Council, Past President'08 US Olympic Sports Medicine Team Member11385 SW Scholls Ferry RoadBeaverton, Oregon 97008503.524.9040www.bimsportsinjuries.com The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of the individual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution. From: [mailto: ] On Behalf Of BRIAN SEITZSent: Monday, January 03, 2011 12:05 PMoregon DCsSubject: RE: screening test mania Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings "warrant". But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania All, This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients make evidence-informed decisions. An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself, a major health policy issue. http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F

[Guest guest]

An acupuncturist I knew back in Buffalo, NY, who seemed like 100 years old back in the 80’s, told the story of his apprenticeship in a tiny village in remote China. He and the old doctor would make daily rounds through the village. As theywould leave a home they would collect their fee. If anyone was sick their fee was zero. They only got paid if all in the home were symptom free. As he said, “My job is to keep you well, not to treat the sick. By then it is too late.” Now that is preventative care! Glenn Sykes, DC Gresham Town Fair Chiropractic ClinicPhone: (503) 667-6744Fax: (503) 661-7896WWW.GRESHAMCHIROPRACTOR.NET From: [mailto: ]On Behalf Of BRIAN SEITZSent: Monday, January 03, 2011 2:40 PMoregon DCsSubject: RE: screening test mania Primary prevention means not allowing a person to become ill/infected/injured in the first place. What you describe is detection and is secondary prevention. Preventive care by definition does include primary, secondary and tertiary " care " , but it still does not address true health or wellness unless focused on actual PREVENTION rather than detection, treatment or management of risk factors (IMHO).From Wiki:LevelsPreventive medicine strategies are typically described as taking place at the primary, secondary, tertiary and quaternary prevention levels.LevelDefinitionPrimary preventionPrimary prevention strategies intend to avoid the development of disease.[2] Mostpopulation-based health promotion activities are primary preventive measures.Secondary preventionSecondary prevention strategies attempt to diagnose and treat an existing disease in its early stages before it results in significant morbidity. [3].Tertiary preventionThese treatments aim to reduce the negative impact of established disease by restoring function and reducing disease-related complications.[4]Quaternary preventionThis term describes the set of health activities that mitigate or avoid the consequences of unnecessary or excessive interventions in the health system.[5]In addition, the term " primal prevention " has been used to describe all measures taken to ensure fetal well-being and prevent any long-term health consequences from gestational historyand/or disease[6]. The rationale for such efforts is the evidence demonstrating the link between fetalwell-being, or " primal health " , and adult health[7][8].Primal prevention strategies typically focus on providing future parents with: education regarding the consequences of epigenetic influenceson their child[9], sufficient leave time for both parents, and financial support if required.Simple examples of preventive medicine include hand washing and immunizations.Preventive care may include examinations and screening tests tailored to an individual's age, health, and family history. For example, a person with a family history of certain cancers or other diseases would begin screening at an earlier age and/or more frequentlythan those with no family history. On the other side of preventive medicine, some non-profit organizations, such as the NorthernCalifornia Cancer Center, apply epidemiological research towards finding ways to prevent diseases. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724Subject: RE: screening test maniaDate: Mon, 3 Jan 2011 12:33:21 -0800From: TForcum@...To: dcdocbrian@...; I think some of the screens are preventative if they allow for detection of a severe or catastrophic condition while it is treatable Ted Forcum, DC, DACBSPBack In MotionSports Injuries Clinic, LLCACA Sports Council, Past President'08 US Olympic Sports Medicine Team Member11385 SW Scholls Ferry RoadBeaverton, Oregon 97008503.524.9040www.bimsportsinjuries.com The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of theindividual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication inerror, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution. From: [mailto: ]On Behalf Of BRIAN SEITZSent: Monday, January 03, 2011 12:05 PMoregon DCsSubject: RE: screening test mania Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings " warrant " . But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania All, This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients makeevidence-informed decisions. An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself,a major health policy issue. http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F __________ Information from ESET NOD32 Antivirus, version of virus signature database 5754 (20110102) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com__________ Information from ESET NOD32 Antivirus, version of virus signature database 5754 (20110102) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

[Guest guest]

Yeh, all that verbiage is written to defend the allopathic method of ignoring health needs .... they write this stuff to make sure people understand 'what they are doing to educate the public' about health ..... and then turn around and tell them that vitamins and minerals 'do nothing for your health'. I sat on so many of these committees writing this * & ) & ^ , uh, 'stuff' .... it is all about making people really believe that 'something is begin done for them' when nothing was done.

Primary prevention needs to be about what a person does on a daily basis to appropriately fuel the system.

Today's 2 cents.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

From: dcdocbrian@...Date: Mon, 3 Jan 2011 14:39:34 -0800Subject: RE: screening test mania

Primary prevention means not allowing a person to become ill/infected/injured in the first place. What you describe is detection and is secondary prevention. Preventive care by definition does include primary, secondary and tertiary "care", but it still does not address true health or wellness unless focused on actual PREVENTION rather than detection, treatment or management of risk factors (IMHO).

From Wiki:

Levels

Preventive medicine strategies are typically described as taking place at the primary, secondary, tertiary and quaternary prevention levels.

Level

Definition

Primary prevention

Primary prevention strategies intend to avoid the development of disease.[2] Most population-based health promotion activities are primary preventive measures.

Secondary prevention

Secondary prevention strategies attempt to diagnose and treat an existing disease in its early stages before it results in significant morbidity. [3].

Tertiary prevention

These treatments aim to reduce the negative impact of established disease by restoring function and reducing disease-related complications.[4]

Quaternary prevention

This term describes the set of health activities that mitigate or avoid the consequences of unnecessary or excessive interventions in the health system.[5]

In addition, the term "primal prevention" has been used to describe all measures taken to ensure fetal well-being and prevent any long-term health consequences from gestational history and/or disease[6]. The rationale for such efforts is the evidence demonstrating the link between fetal well-being, or "primal health", and adult health[7][8]. Primal prevention strategies typically focus on providing future parents with: education regarding the consequences of epigenetic influences on their child[9], sufficient leave time for both parents, and financial support if required.

Simple examples of preventive medicine include hand washing and immunizations. Preventive care may include examinations and screening tests tailored to an individual's age, health, and family history. For example, a person with a family history of certain cancers or other diseases would begin screening at an earlier age and/or more frequently than those with no family history. On the other side of preventive medicine, some non-profit organizations, such as the Northern California Cancer Center, apply epidemiological research towards finding ways to prevent diseases. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724

Subject: RE: screening test maniaDate: Mon, 3 Jan 2011 12:33:21 -0800From: TForcum@...To: dcdocbrian@...;

I think some of the screens are preventative if they allow for detection of a severe or catastrophic condition while it is treatable

Ted Forcum, DC, DACBSP

Back In Motion Sports Injuries Clinic, LLC

ACA Sports Council, Past President

'08 US Olympic Sports Medicine Team Member

11385 SW Scholls Ferry Road

Beaverton, Oregon 97008

503.524.9040

www.bimsportsinjuries.com

The information contained in this electronic message may contain protected health information confidential under applicable law, and is intended only for the use of the individual or entity named above. If the recipient of this message is not the intended recipient, you are hereby notified that any dissemination, copy or disclosure of this communication is strictly prohibited. If you have received this communication in error, please notify Back In Motion Sports Injuries Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and purge the communication immediately without making any copy or distribution.

From: [mailto: ] On Behalf Of BRIAN SEITZSent: Monday, January 03, 2011 12:05 PMoregon DCsSubject: RE: screening test mania

Thanks Chuck, interesting article. Practicing in the environment I do I see the routine visits/testing as a part of the engine of medical profits. Such tests and visits are essentially mandated by the insurers, and the PCP's obey, and prescribe when findings "warrant". But none of this is health care, or wellness care. Early detection is not the same as prevention! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724

From: csimpson@...Date: Mon, 3 Jan 2011 10:15:39 -0800Subject: screening test mania

All,

This isn't all about MSK (again), but in my experience DC patients often seek information from us about other health matters such as screening tests for breast, prostate, lung CA, Altzheimer's and now AAA. Switzer's blog here concerns the over-hyping of a number of screening tests and the interests of those who promote them...it's long, but packed with information and resources to help us get reliable, evidence based information for us to help our patients make

evidence-informed decisions.

An analysis of various forms of news and advertising about various screening tests in 2010 and a reflection on why communication of the tradeoffs of benefits and harms involved in screening is, in itself, a major health policy issue.

http://www.healthnewsreview.org/blog/2010/12/a-leading-health-policy-issue-for-2010-11-communicating-tradeoffs-in-screening-test-decisions.html

A. Simpson, DC DABCOMedical Director, Vice PresidentThe CHP Group6600 SW 105th Ave, Suite 115Beaverton, OR 97008503-619-2041 O503-367-0872 C503-644-0442 F