This year, as with every year around this time, you hear a lot of people wishing each other health and happiness. And I believe that people are sincere in this wish, but unfortunately, being healthy and happy requires some work of the wishee. Being healthy means, among other things, going to the doctor.
If This Is What You Need: to get you motivated to put these things on your calendar, I say go for it.I’ll be the first to admit that doctor’s appointments are about my least favorite activities. The examinations and questions make me uncomfortable and unhappy, and even with insurance, the cost stresses me out. But even though I dread my doctor’s appointments, I’m diligent about going simply because I’m terrified that if I don’t keep on top of my health I’ll find out I have some serious condition that requires lots and lots of time with doctors in hospitals, paying lots of money for procedures that hurt. So if you’re like me, I strongly suggest that you make your annual appointments ASAP.
AppointmentS, you say? In the plural?
Yep. There are a bunch of things to get checked out every year. Check with your doctor to see if all of these apply to you (pap smears, for instance, are recommended yearly for women under 30, and and then less often as you get older, and colon screening isn't necessary until you're fifty) but you really should investigate. Sucks, but just do it.
1. Get SqueezedBreast health is my number one issue right now because my mother was recently diagnosed with breast cancer, and that makes her the fourth woman in three generations of her family. She was diagnosed because of something that was found in a mammogram, which only reinforces everything I’ve always heard about mammograms: they work, and you need to get one every year. Starting when you’re forty this should be something that you keep up with no matter what. Until you’re forty, practice monthly breast self exams (alas, being felt up by your boyfriend doesn’t count).
Boobs: If you wanna keep 'em, get 'em squeezedFor more information on the importance of mammography,
click here.
For information on getting a free mammogram
click here.
For instruction on how and when to conduct a breast self exam,
click here.
2. Get PokedColon cancer is one of those cancer’s we’d really rather not discuss. Colons are gross, right? You know what’s grosser? Dying. From the time you turn fifty you should get one of three tests that screen for colon cancer every year. Every ten years you should get a colonoscopy. For more info on what tests you should ask for (and yes, you may have to ask for them)
click here.
3. Get smearedGirls, you need to go to the gynecologist every year for your annual pap smear. This may be my single least favorite activity of all time, but I hear cervical cancer is a bitch (and frankly, if there’s any part of my body that I want in tip top shape, it’s my cunt) so I grin and bear it. While you’re there, I suggest being tested for STDs, too (assuming you’re sexually active) because some of them, like clamydia, might not have any symptoms, and so can just hang out in your cooch for ages if you don’t catch them early. For more info on the importance of Pap smears, and how often to get them
click here.
4. Get scrapedIs there anything worse than the sound of plague being scraped off your teeth? Blech! But it turns out going to the dentist is not just about checking for cavities and and gum disease. Because so much enters the body via the mouth, lots of things can be diagnosed early by looked closely at oral health. For more information on the Mouth-Body connection, check out
this website. I was especially surprised by this:
Many diseases and conditions can affect your oral health. For example, people with weakened immune systems may be more likely to get fungal and viral infections in the mouth. The immune system (the system that protects the body from illness and infection) can be weakened by disease or as a side effect of cancer chemotherapy drugs or by drugs that are taken to prevent the rejection of transplanted organs or bone marrow. Medications taken for other conditions also can affect the health of your mouth. For example, many drugs cause dry mouth, which can increase your risk of dental decay, oral yeast infections and other oral infections.
Your oral health also can affect other medical conditions. For example, if you are diabetic, an infection in your mouth can disrupt your blood-sugar levels and make your diabetes harder to control. Researchers also are exploring the role of periodontal (gum) disease as a potential risk factor for various medical conditions, including heart disease.
So do yourself a favor and make an appointment to see a dentist every six months.
5. Get screenedHeart disease is the number one killer in the US. Half of all Americans will die of heart disease. If you’re like me and hate being a member of a the mainstream, or if you just don’t want to die anytime soon, I highly suggest getting screened for heart disease, a process that can be as quick as 15 minutes, and can help you see how to make changes in your diet and lifestyle that can save your life. For information on what happens at a screening, and where to be screened, check out
Heart Screen Now.
6. Get chargedThe smoke alarms in your house or apartment need to be checked once a month, and the batteries should be replaced every year. For more info check out
this directive from the US Consumer Product Safety Commission, or this
rapping British firefighter.
If you think you might have trouble remembering all of this stuff, I encourage you to sign up for a free service that will remind you to set up appointments. I like
MyHealthTests.
This stuff might not seem spiritual, but unless you want to become a spirit, you’ve got to stay alive, and to stay alive, you’ve got to keep on top of your health. So this year mark your spiritual beginning by having a bunch of doctors make you uncomfortable. Then take yourself out for a drink and congratulate yourself for being so damn on top of things.
AmyGuth
Thank you, Tamar. So much good information! I'm like to reiterate the importance of the breast self-exam, especially for younger women. It's easy to blow it off because we're young and much breast cancer awareness material is aimed at women over forty, but let me speak from personal experience-- it is never too early to start and finding something early can make a world of difference!
Sharsheret is a wonderful breast cancer organization for young Jewish women:
http://www.sharsheret.org/
Another idea, one that I use, is the self-exam reminder shower card. It's a waterproof card, like a "Do Not Disturb" sign in a hotel, that you hang on your showerhead to remind you to do and to show you how. Get one here:
http://cms.komen.org/Stellent/bci/shower-card.asp
Anonymous
I'm not sure you actually read the screening information on the websites you linked to:
Girls, you need to go to the gynecologist every year for your annual pap smear.
Actually, according to the site you linked to and every other health organization, pap tests are NOT always recommended annually. From http://www.4women.gov/FAQ/pap.htm#pap04:
How often do I need to get a Pap test?
It depends on your age and health history. Talk with your doctor about what is best for you. The American College of Obstetricians and Gynecologists recommends the following:
* If you are younger than 30 years old, you should get a Pap test every year.
* If you are age 30 or older and have had three normal Pap tests for three years in a row, talk to your doctor about spacing out Pap tests to every two or three years.
* If you are ages 65 to 70 and have had at least three normal Pap tests and no abnormal Pap tests in the last 10 years, ask your doctor if you can stop having Pap tests.
There's no benefit to screening annually and it can actually do harm. In the UK, for example, women don't start getting pap tests until age 25 and they get them only every three years. Screening yearly increases the rate of false-positives and unnecessary interventions.
Every year you should get three tests that screen for colon cancer. Every ten years you should get a colonoscopy.
Again, not true according to the very site you linked to. You do not need to begin colon cancer screening until age 50 and you need to only be screened every 5-10 years (not annually!) depending on the screening method used. Furthermore, you don't need all three tests, just pick one screening method. According to http://www2.mdanderson.org/depts/oncolog/articles/03/10-oct/10-03-hc.htm...
the following general colon cancer screening recommendations (see Screening Tests for Colon Cancer) for men and women beginning at age 50 :
* An annual fecal occult blood test and a flexible sigmoidoscopy and digital rectal examination every five years, OR
* A colonoscopy and digital rectal examination every 10 years, OR
* A double-contrast barium enema and digital rectal examination every five to 10 years.
Tamar Fox
Hey,
I really did read all the sites. The one for pap smears does say that you should get one yearly for quite a while. As for colon screening, you're right that you need to start at fifty, but since I know a few young people who've gotten colon cancer, I ask my doctor whenever I go if she thinks I should be screened. All of these things should obviously be discussed with a doctor. If your doctor says it's unnecessary, certainly he or she is more knowledgable than me. My point was just that we need to keep on top of things. As for how they do things in Europe-- I hate to say it, but I didn't research it. You got me on that one.
François Blumen...
Tamar is right -talk to your doc, it all depends on your specific case. Things have changed recently (for the better), especially with the introduction of the HPV vaccine. (http://www.cdc.gov/std/HPV/STDFact-HPV-vaccine.htm)
I'd like to see some evidence for the anonymous claim that "Screening yearly increases the rate of false-positives and unnecessary interventions."
Tamar Fox
Anonymous, I changed the post to reflect your views. You're right--it should have been clearer. Thanks.
Anonymous
I'd like to see some evidence for the anonymous claim that"Screening yearly increases the rate of false-positives and unnecessary interventions."
Sure, look here (.pdf):
"Based upon these studies, the CDC recently concluded that annual screening shows no clear advantage over less frequent screening, and may even lead to worse health outcomes due to a greater number of questionable abnormalities requiring intervention. In fact, it is not difficult to recognize the potential disadvantages of annual compared with triennial screening....most abnormal smear results are either atypical squamous cells of undetermined significance (comprising 60% of abnormal smears) or low-grade squamous intraepithelial lesions (33% of abnormal smears), the majority of which are transient lesions that would resolve spontaneously without treatment. This raises obvious questions about the benefit of promptly identifying such lesions."