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Jim-Poncin
medicine forum Guru Wannabe
Joined: 02 May 2005
Posts: 180
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 Posted: Mon May 02, 2005 8:04 pm Post subject:
Ultrasound screening worthwhile?
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Is ultrasound screening of the carotids, aorta and peripheral arteries for
buildups worthwhile?
Thanks |
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menu boy
medicine forum beginner
Joined: 24 Mar 2005
Posts: 43
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| Posted: Mon May 02, 2005 9:18 pm Post subject:
Re: Ultrasound screening worthwhile?
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"Jim-Poncin" <jphkjkhkj@jkjhjkhkj.net> wrote in message news:qtxde.3281$HL2.720@newsread3.news.pas.earthlink.net...
| Quote: | Is ultrasound screening of the carotids, aorta and peripheral arteries for
buildups worthwhile?
Yes. |
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David Rind
medicine forum Guru Wannabe
Joined: 02 May 2005
Posts: 205
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| Posted: Mon May 02, 2005 11:30 pm Post subject:
Re: Ultrasound screening worthwhile?
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Jim-Poncin wrote:
| Quote: | Is ultrasound screening of the carotids, aorta and peripheral arteries for
buildups worthwhile?
Thanks
|
The USPSTF now recommends one time screening of the aorta in men who
have ever smoked between the ages of 65 and 75 looking for abdominal
aortic aneurysm.
There is no particular reason to perform screening looking for
"buildups" in the carotids and peripheral arteries except that a patient
with such "buildups" would be at sufficiently increased risk for a heart
attack to likely justify statin therapy at almost any LDL cholesterol
level. However, nearly all such patients would already have another
indication for statin therapy, so such screening isn't usually worthwhile.
--
David Rind
drind@caregroup.harvard.edu |
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Andrew B. Chung, MD/PhD
medicine forum Guru
Joined: 25 Mar 2005
Posts: 8540
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Paul E. Lehmann
medicine forum addict
Joined: 03 May 2005
Posts: 51
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| Posted: Tue May 03, 2005 2:26 pm Post subject:
Re: Ultrasound screening worthwhile?
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David Rind wrote:
| Quote: | Jim-Poncin wrote:
Is ultrasound screening of the carotids, aorta and peripheral arteries
for buildups worthwhile?
Thanks
The USPSTF now recommends one time screening of the aorta in men who
have ever smoked between the ages of 65 and 75 looking for abdominal
aortic aneurysm.
There is no particular reason to perform screening looking for
"buildups" in the carotids and peripheral arteries except that a patient
with such "buildups" would be at sufficiently increased risk for a heart
attack to likely justify statin therapy at almost any LDL cholesterol
level. However, nearly all such patients would already have another
indication for statin therapy, so such screening isn't usually worthwhile.
|
Sorta like saying inspection of the brake linings of your car really isn't
necessary since brake failure will let you know when they need to be
replaced. |
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David Rind
medicine forum Guru Wannabe
Joined: 02 May 2005
Posts: 205
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| Posted: Tue May 03, 2005 8:42 pm Post subject:
Re: Ultrasound screening worthwhile?
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Paul E. Lehmann wrote:
| Quote: | David Rind wrote:
Jim-Poncin wrote:
Is ultrasound screening of the carotids, aorta and peripheral arteries
for buildups worthwhile?
Thanks
The USPSTF now recommends one time screening of the aorta in men who
have ever smoked between the ages of 65 and 75 looking for abdominal
aortic aneurysm.
There is no particular reason to perform screening looking for
"buildups" in the carotids and peripheral arteries except that a patient
with such "buildups" would be at sufficiently increased risk for a heart
attack to likely justify statin therapy at almost any LDL cholesterol
level. However, nearly all such patients would already have another
indication for statin therapy, so such screening isn't usually worthwhile.
Sorta like saying inspection of the brake linings of your car really isn't
necessary since brake failure will let you know when they need to be
replaced.
|
Umm, no. More like saying that even though a car that has a worn clutch
is also likely to have worn brakes, inspecting the clutch is not a
particularly cost-effective way to figure out that you need new brakes.
--
David Rind
drind@caregroup.harvard.edu |
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outrider
medicine forum Guru
Joined: 28 Apr 2005
Posts: 1155
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| Posted: Tue May 03, 2005 8:50 pm Post subject:
OT {sorta}: Ultrasound screening worthwhile?
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| Quote: | Sorta like saying inspection of the brake linings of your car
really isn't
necessary since brake failure will let you know when they need to
be
replaced.
Umm, no. More like saying that even though a car that has a worn
clutch
is also likely to have worn brakes, inspecting the clutch is not a
particularly cost-effective way to figure out that you need new
brakes.
--
David Rind
drind@caregroup.harvard.edu
|
So you're saying--the clutch inspection that just cost me a couple
hundred bucks but my car still makes a squeaky clunky when I corner
(and conicidentally brake) was probably not the way to go?
Who knew?
I mean...David Rind master mechanic.
My microwave doesn't work either David. I turn the dial nothing
happens. I plug my hair drier in there everything's hunky dory. But the
microwave? No. Any ideas?
Zee |
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William Wagner
medicine forum Guru
Joined: 29 Apr 2005
Posts: 809
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| Posted: Tue May 03, 2005 9:50 pm Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
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In article <1115160630.676497.182010@g14g2000cwa.googlegroups.com>,
"outrider" <outrider@despammed.com> wrote:
| Quote: | Sorta like saying inspection of the brake linings of your car
really isn't
necessary since brake failure will let you know when they need to
be
replaced.
Umm, no. More like saying that even though a car that has a worn
clutch
is also likely to have worn brakes, inspecting the clutch is not a
particularly cost-effective way to figure out that you need new
brakes.
--
David Rind
drind@caregroup.harvard.edu
So you're saying--the clutch inspection that just cost me a couple
hundred bucks but my car still makes a squeaky clunky when I corner
(and conicidentally brake) was probably not the way to go?
Who knew?
I mean...David Rind master mechanic.
|
Never had a clutch inspection as it either worked or replaced in the
day. Still know how to use them.
So like so much else here in SMC we are talkin trouble shooting.
1) Have a large person press your hood down and release ...Does it dip
and hold or bounce a bit. The latter says shocks or the new shock
systems which cost a lot. This is important as you can loose control in
an emergency.
2) Drive down a flat road and step on your brakes reasonably hard does
the car veer left or right? If so maybe new pads maybe new brake shoes
if your karma demands it.  ) This is important too.
3) Makes sure your exhaust, tires and belts are OK.
4) Older car? Consider new water pump and a timing chain.
5) Make sure stereo is OK!
Bill who did most of his car stuff knows what a slave cylinder is and
knows how to rebuild alternators only because in my foolish youth I
drove MG midgets. Lucas electrical systems still keep me up at
night, who needs Steven King. Sad tale of woe when positive ground car
meets negative ground standards.. No master mechanic for sure. My
mechanic vacations in Maui for 2 months every winter.
--
Zone 5 S Jersey USA Shade garden in a Jungle Japanese manner
Vision problems? http://www.ocutech.com/ we own two.
"oeuf tôt pique " Lover 39.615557 N, 75.04088 W |
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Jim Chinnis
medicine forum Guru
Joined: 30 Apr 2005
Posts: 1030
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| Posted: Tue May 03, 2005 10:55 pm Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
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William Wagner <No1SpamStill__B2wagner@snip.net> wrote in part:
| Quote: | Lucas electrical systems still keep me up at
night, who needs Steven King.
|
I share some of your car repair background, Bill.
In England, Lucas was known as the "Prince of Darkness."
--
Jim Chinnis Warrenton, Virginia, USA |
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David Rind
medicine forum Guru Wannabe
Joined: 02 May 2005
Posts: 205
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| Posted: Tue May 03, 2005 11:08 pm Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
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outrider wrote:
| Quote: | So you're saying--the clutch inspection that just cost me a couple
hundred bucks but my car still makes a squeaky clunky when I corner
(and conicidentally brake) was probably not the way to go?
Who knew?
I mean...David Rind master mechanic.
My microwave doesn't work either David. I turn the dial nothing
happens. I plug my hair drier in there everything's hunky dory. But the
microwave? No. Any ideas?
Zee
|
It was an analogy dammit, an analogy! :-)
(I do listen to Car Talk for what it's worth, and sometimes even get the
right answer to the Puzzler.)
I feel all obligated now to make a guess about the microwave: microwave
ovens have an interlock switch (or perhaps two such interlocks) to
prevent them from operating when the door is open. If the interlock(s)
are broken, the oven wouldn't turn on even if everything else is fine.
We now return you to your regularly scheduled discussions of statins,
sock puppets, and stents.
--
David Rind
drind@caregroup.harvard.edu |
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outrider
medicine forum Guru
Joined: 28 Apr 2005
Posts: 1155
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| Posted: Tue May 03, 2005 11:33 pm Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
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David Rind wrote:
| Quote: | outrider wrote:
So you're saying--the clutch inspection that just cost me a couple
hundred bucks but my car still makes a squeaky clunky when I corner
(and conicidentally brake) was probably not the way to go?
Who knew?
I mean...David Rind master mechanic.
My microwave doesn't work either David. I turn the dial nothing
happens. I plug my hair drier in there everything's hunky dory. But
the
microwave? No. Any ideas?
Zee
It was an analogy dammit, an analogy! :-)
(I do listen to Car Talk for what it's worth, and sometimes even get
the
right answer to the Puzzler.)
I feel all obligated now to make a guess about the microwave:
microwave
ovens have an interlock switch (or perhaps two such interlocks) to
prevent them from operating when the door is open. If the
interlock(s)
are broken, the oven wouldn't turn on even if everything else is
fine.
We now return you to your regularly scheduled discussions of statins,
sock puppets, and stents.
--
David Rind
drind@caregroup.harvard.edu
|
Clunk.... ; ))
Zee |
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outrider
medicine forum Guru
Joined: 28 Apr 2005
Posts: 1155
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| Posted: Wed May 04, 2005 12:27 am Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
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Bill?
Jim and David keep engaging in OT posts. I wonder if we should say
something. This can't go on...
Zee
William Wagner wrote:
| Quote: | In article <1115160630.676497.182010@g14g2000cwa.googlegroups.com>,
"outrider" <outrider@despammed.com> wrote:
Sorta like saying inspection of the brake linings of your car
really isn't
necessary since brake failure will let you know when they need
to
be
replaced.
Umm, no. More like saying that even though a car that has a worn
clutch
is also likely to have worn brakes, inspecting the clutch is not
a
particularly cost-effective way to figure out that you need new
brakes.
--
David Rind
drind@caregroup.harvard.edu
So you're saying--the clutch inspection that just cost me a couple
hundred bucks but my car still makes a squeaky clunky when I corner
(and conicidentally brake) was probably not the way to go?
Who knew?
I mean...David Rind master mechanic.
Never had a clutch inspection as it either worked or replaced in
the
day. Still know how to use them.
So like so much else here in SMC we are talkin trouble shooting.
1) Have a large person press your hood down and release ...Does it
dip
and hold or bounce a bit. The latter says shocks or the new shock
systems which cost a lot. This is important as you can loose control
in
an emergency.
2) Drive down a flat road and step on your brakes reasonably hard
does
the car veer left or right? If so maybe new pads maybe new brake
shoes
if your karma demands it. ) This is important too.
3) Makes sure your exhaust, tires and belts are OK.
4) Older car? Consider new water pump and a timing chain.
5) Make sure stereo is OK!
Bill who did most of his car stuff knows what a slave cylinder is
and
knows how to rebuild alternators only because in my foolish youth
I
drove MG midgets. Lucas electrical systems still keep me up at
night, who needs Steven King. Sad tale of woe when positive ground
car
meets negative ground standards.. No master mechanic for sure. My
mechanic vacations in Maui for 2 months every winter.
--
Zone 5 S Jersey USA Shade garden in a Jungle Japanese manner
Vision problems? http://www.ocutech.com/ we own two.
"oeuf tôt pique " Lover 39.615557 N, 75.04088 W |
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Bob (this one)
medicine forum Guru
Joined: 28 Apr 2005
Posts: 1196
|
| Posted: Wed May 04, 2005 3:39 am Post subject:
Re: OT {sorta}: Ultrasound screening worthwhile?
|
|
|
David Rind wrote:
| Quote: | outrider wrote:
My microwave doesn't work either David. I turn the dial nothing
happens. I plug my hair drier in there everything's hunky dory. But the
microwave? No. Any ideas?
I feel all obligated now to make a guess about the microwave: microwave
ovens have an interlock switch (or perhaps two such interlocks) to
prevent them from operating when the door is open. If the interlock(s)
are broken, the oven wouldn't turn on even if everything else is fine.
|
Or look at its fuse/breaker (usually a little red reset button situated
in an inconvenient place if it has a breaker.) I had to do a quick
angioplasty on the compartment where the light bulb was because it kept
shorting the unit out. No blood loss but a lot of crumbs and small bugs
fell out when I took the cover plate off. Cleaned the metal bulb holder
and it looks good for another 10 years.
Pastorio |
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