Dr. Gifford Jones

The checkup, too much or too little?

What constitutes a good checkup examination? Good sense dictates that young children don’t need a Pap smear for cervical cancer, a PSA test for prostate malignancy or X-ray studies to measure bone density.

So what’s done depends on the patient’s age and it can save a life or prevent serious diseases.

Today many hi-tech diagnostic tests are available, but the stethoscope is all that’s needed to spot a big killer.

Since 60 million North Americans have hypertension a blood pressure check must be a part of every annual examination. It’s the second leading cause of kidney failure.

Routine blood tests help to pinpoint problems such as anemia. But today the one test everyone wants done is blood cholesterol.

What’s debatable is when it should be checked. Some argue it needed as early as age 20, others say 35 is a more reasonable time. And then it should be done every five years.

What isn’t debatable is a fasting blood sugar (FBS) to detect diabetes which has reached epidemic proportions.

Every 45 seconds a new diabetic is diagnosed in North America and 90% of cases are due to obesity.

Diabetes sets the stage for heart disease, kidney failure, blindness and gangrene of the legs. FBS is a “must” test since too many people have undetected diabetes.

In the 40’s it’s important to have an electrocardiogram (EKG) even if you don’t have heart problems.

Later in life if you experience chest pain and EKG changes are present it’s helpful to compare these changes with the earlier EKG.

In a perfect world at 35 to 40 years of age everyone should have a colonoscopy. This procedure examines the entire large bowel to determine if polyps (fleshy growths) are present.

It takes many years before some become malignant so early removal saves lives. If colonoscopy isn’t available in your community arrange for a sigmoidoscopy which examines the lower large bowel. After age 50 a colonoscopy should be done every five years.

Breast examination should be a part of every yearly checkup. But there’s no agreement when to start mammography. Some authorities say age 40, others age 50. But after age 50 most concur it should be done every two years.

Unfortunately it sometimes detects masses that turn out to be benign which causes sleepless nights. And misses cancers that are present. It’s a test that overall leaves much to be desired.

Pap smears should be started as soon as a woman is sexually active. Some authorities claim that if the smear is normal three years in a row it can be done less frequently.

But since Pap smears are not 100% accurate many gynecologists prefer an annual smear.

What is more controversial is when men should be advised to have a PSA test to detect prostate cancer.

The American Cancer Society recommends prostate screening starting at age 50. Others argue that most prostate cancers grow slowly and not all are fatal. Agreeing to radical surgery or radiation treatment may result in impotence and spending the rest of your life in diapers. Only an open discussion with your doctor can solve this dilemma.

But a PSA at age 70 becomes questionable. Even if it shows early prostate cancer most men survive 15 years without any treatment.

Today many adults have failed to keep immunizations up-to-date. A cut from a rusty nail may result in dying from tetanus. Or death may occur from cirrhosis or liver cancer unless protected from the hepatitis B virus.

Each year 70,000 North Americans die from failing to obtain influenza and pneumoccal vaccine. And when did you last have a polio shot? The annual check-up is the best time to see what immunizations should be brought up-to-date.

Check with your doctor about supplements. All women of child-bearing age should take a multivitamin containing folic acid. It’s vital that this is started before pregnancy occurs to prevent spinal cord defects in newborns.

Elderly people are often lacking in B12. There’s also evidence that folic acid, B6 and B12 are needed to keep homocysteine levels normal and help to decrease the risk of coronary artery disease. And vitamins C and E decrease the risk of cataracts and other aging problems.

See new web site www.docgiff.com. Comments to info@docgiff.com.

Just Posted

Central Alberta dancers ‘shimmy’ for a great cause

Shimmy Mob will take place in more than 169 locations all over the world

Johnny 2 Fingers and the Deformities play The Vat April 27th

Moose Jaw band is on a 39-day national tour from Quebec City to Vancouver

Council highlights

Council to fund Rimbey Boys and Girls Club for $15,000

WATCH: Second annual Our Best To You Craft Sale on now

Red Deerians can expect over 150 artisans, makers and designers

Red Deer RCMP look for James Holley on warrants

Holley is believed to be in possession of firearms

WATCH: ‘Battle of the Badges’ event raises money for Humboldt Broncos

Red Deerians get together at charity hockey tournament April 20th at Servus Arena

‘When everybody leaves: Counselling key to help Humboldt move on after bus crash

Dealing with life after a tragedy can be the worst part following a loss

Half-naked shooter guns down four, runs away in Nashville Waffle House shooting

Nashville police say they are looking for Travis Reinking in connection with the shooting

Child’s body found in river downstream from where boy went missing during flood

Three-year-old Kaden Young was swept out of his mother’s arms in February

Austin Powers ‘Mini-Me’, Verne Troyer, dies at 49

Facebook page confirmed his death Saturday afternoon

Alberta man dead after snowmobile collision on B.C. mountain

The incident occurred on Boulder Mountain Friday morning

Speed Skating Canada fires coach Michael Crowe after investigation

Crowe was a coach on the American team from 1983 to 1991 and again from 1999 to 2006

5 things to know about the ongoing influx of asylum seekers in Canada

Number of illegal border crossings are up this year – as RCMP, military, politicians try to combat

Producer, DJ Avicii found dead at 28

Swedish-born artist Tim Bergling, was found in Muscat, Oman

Most Read