Stare at boobs for longer life: Study

[hostile]

Never done it.

That's because all breast exams are necessary.

"Don't worry ma'am, I am a doctor"

[BlueHair]

I think most hospitals would require a female chaperon for a breast exam. I could be wrong though.

My family doctor checks my nads every time I go in for any reason. One time I went in because I thought I had strep and I ended up with my pants down and his hands on my balls. To be fair, it had been a couple of years since I had a physical, but still.

[BlueHair]

Never done it.

You're missing out. All the cool doctors are doing it.

[CardiacCoug]

Oversimplified. You would agree that, per the AHA/ACC 2007 consensus guidelines on perioperative evaluation for non-cardiovascular surgery that a patient with known severe systolic dysfunction with greater than 5 functional metabolic equivalents (without active cardiac conditions) requiring urgent surgery does not need further invasive cardiac testing.

The guidelines don't address the specific circumstances of an individual patient and I don't think very many cardiologists rely on these guidelines very much -- you have to individualize the guidelines for the specific patient.

Whether or not that patient with decreased LV function needs further non-invasive or invasive work-up depends on:

1. The type of surgery and its urgency. Granted, if the patient is going to die of appendicitis you just let the surgery happen and deal with the heart issues if/when the arise.
2. Risk for obstructive coronary disease.
3. The presence of regional wall motion abnormalities suggesting obstructive coronary artery disease.

The people who write these guidelines rarely practice in the real world -- I encounter at least one patient with 90%+ left main stenosis pretty much every week. "I was just following the guidelines" doesn't cut it as an excuse if one of those patients dies in the OR during a surgery that could have waited for a full cardiac evaluation.

[wuapinmon]

You're missing out. All the cool doctors are doing it.

You're right. I did one Friday night that was just freaking spectacular.

[doctorcoug]

CardiacCoug:

I find the guidelines quite refreshing. I use them every week when doing perioperative evaluations. 90% occlusion of left main would fall into the "active cardiac conditions", which is adressed by the guidelines.

The statement, "apply the guidelines to the patient" is a wise statement. It implies that we look at the evidence and verify that our patient meets the inclusion and exclusion criteria of the studies. For patietd that meet these criteria, the guidelines are quite comprehensive.

Stable severe LV systolic dysfunction with greater than 5 metabolic equivelants fits the criteria.

[UtahDan]

Goat is this your doing?

https://twitter.com/BYUboobs

[kccougar]

Goat is this your doing?

https://twitter.com/BYUboobs

The funny thing is that the U and USU counterparts are upset that they are behind in the pic count to BYU fans.

[Slim]

I just told the wife to go slip into some byu gear. She said no. Weird.

[Surfah]

I just told the wife to go slip into some byu gear. She said no. Weird.

Gidget said no too.

[kccougar]

You guys are braver than I am. No way I'd even ask.

[scottie]

Is there a lot of red tape in starting a cancer preventative center?

Squeezing breasts could prevent cancer, study says.

EDIT: There is a somewhat not-safe-for-work pic in the link, but it's not bad.

[wuapinmon]

This thread is not doing much to lengthen my life.