Well the lack of information and vigorous thinking continues. After my dad had his carotid endarterectomy, his doctor should have known what the chances were that any children might have problems. My doctor who finally did an ultrasound on my carotids 3 years post stroke found that my right carotid had totally closed up. His thought was that it probably was 80% clogged at the time of the stroke. With the knowledge that maybe I should have had my carotids scanned, my stroke was totally preventable. In a complete failure of hospital procedures my carotid blockage was never found or looked for. So for 3 years I was at an extremely high risk of dissecting the exact same artery again. But I managed to miss that bullet which is why I can be a complete pain in the ass right now to all things stroke related. But don't listen to me, I'm not medically trained and thus should just shut up and die. Have fun people, I am. This is probably more against those independent traveling clinics like Lifeline because they are outside of the normal medical channels.
Stroke Rounds: USPSTF Says Carotid Screening Overused
The U.S. Preventive Services Task Force (USPSTF) has reaffirmed its
recommendation against screening asymptomatic adults(I was asymptomatic) in the general
population for carotid artery stenosis, draft guidance showed.
After
an updated review of the evidence, the USPSTF concluded "with moderate
certainty that the harms of screening for asymptomatic carotid artery
stenosis outweigh the benefits."
The recommendation against
screening is consistent with the task force's previous 2007 guidance on
the topic, as well as guidelines from other major organizations,
including the American Heart Association/American Stroke Association and the American College of Cardiology.
Several factors contribute to the consensus that routine screening isn't a good idea.
Studies
indicate that the prevalence of carotid artery stenosis is low in the
general population, at 1% or lower. When stenosis is present, few cases
actually trigger a stroke, and there are no reliable ways to identify the problematic cases.(Has any research been done at all? With the correct amount of data this question could be easily solved. Stop throwing up your hands and accepting defeat at the slightest bump. In my organization you would be fired for that defeatist attitude.)
More at link
No comments:
Post a Comment