CT lung cancer screening

Posted by joelars @joelars, Jul 7, 2019

I listened to a discussion concerning cancer screening. It was the opinion of the oncologists that doctors continue screenings late into the patients life where the risks of radiation exposure outweigh any benefits because the patient doesn’t have enough years, statistically, to live. Does anyone know about what age is the right age to discontinue cancer screenings?

@joelars– Yes I do remember that you had pneumonia and am glad that you recovered. I'm still confused because you said that you did want a work-up. Instead of another Xray, I'm wondering why not a CT scan. What do you mean by demoralizing a workout? Do you mean that it would ruin your mindset?

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@joelars

@merpreb I haven't called yet. I'm waiting for the results of the test I take this week. You may remember I had pneumonia in March In my follow=up chest x-ray a few weeks later they found a small "infiltrate" My doctor scheduled a 2nd x-ray. I put it off. I'm scheduled this week. In part I put it off because I don't think it was realistic to find a completely clean x-ray that soon after pneumonia should be expected? . A small patch of dead infectious material should be expected? Assuming this x-ray is clean I will schedule the Mayo exam. My concern is going to doctors they tend to find things. The findings may demoralize my arduous work-outs and runs. The fact that I can do so much physically I believe has saved my life. I don't want anything to interfere with that. So unless they can really help me improve my athletic performances and I don't believe they can, what is the point of letting them test me just to report problems?

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Trust me, all that working out will stand for something even if they find something. My husband was always very physically fit. When he was diagnosed with bone cancer he was able to tolerate the hard treatments, and still continue to do well. He is in his 70s, and still way ahead of most with his disease, we attribute much of that to workouts, marathons, etc. even though he has been unable to do continue it after diagnosis. Walking is his friend now.

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@merpreb

@joelars– Yes I do remember that you had pneumonia and am glad that you recovered. I'm still confused because you said that you did want a work-up. Instead of another Xray, I'm wondering why not a CT scan. What do you mean by demoralizing a workout? Do you mean that it would ruin your mindset?

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@merpreb, I'm ambivalent about a work-up because I feel the docs are good at finding problems but not in providing remedies. So if I just get a poor diagnosis and no medical solution it would dampen my desire to continue with the high intensity work-outs that I put myself through. On the other hand, maybe they have something new that can help me with my exercise program making it a little easier.

The x-ray is my primary doc's suggestion. I'm guessing the x-ray is just a follow-up from the pneumonia and not a cancer screening. The cancer screening question I asked earlier was prompted by a medical program I was listening to. It had nothing to do with my x-ray (although I'm guessing that an x-ray would pick up a tumor?)

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@auntieoakley

Trust me, all that working out will stand for something even if they find something. My husband was always very physically fit. When he was diagnosed with bone cancer he was able to tolerate the hard treatments, and still continue to do well. He is in his 70s, and still way ahead of most with his disease, we attribute much of that to workouts, marathons, etc. even though he has been unable to do continue it after diagnosis. Walking is his friend now.

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@auntieoakley I'm sorry to hear about your husband's cancer. I hope he's able to do some level of exercise.
I just got off the track.I jogged a 5k. Between the wind, the heat (90's) and the COPD I struggled to hold 12 minute average miles. But that's ok. When I started 15 years ago, when I was first diagnosed with COPD, it took me 1 year to get up to 1 mile at 15 minute pace.

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He walks, that is his limit now, but he really moves out! Lol

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@joelars

@merpreb, I'm ambivalent about a work-up because I feel the docs are good at finding problems but not in providing remedies. So if I just get a poor diagnosis and no medical solution it would dampen my desire to continue with the high intensity work-outs that I put myself through. On the other hand, maybe they have something new that can help me with my exercise program making it a little easier.

The x-ray is my primary doc's suggestion. I'm guessing the x-ray is just a follow-up from the pneumonia and not a cancer screening. The cancer screening question I asked earlier was prompted by a medical program I was listening to. It had nothing to do with my x-ray (although I'm guessing that an x-ray would pick up a tumor?)

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joelars – I understand more now. Thank you for going into more detail. ANY diagnostic test is not 100%. My first tumor was picked up by an Xray. Also if your doctor isn't a positive about the anomaly that he picked out then a follow-up CT might be needed.
If a doctor gives you news that is not to your liking then you must follow it up, of course. After my first cancer I went all out with exercising. Don't you think that your welfare should be put before your desire for high intensity work-outs, not matter how good they make you feel?

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@merpreb

joelars – I understand more now. Thank you for going into more detail. ANY diagnostic test is not 100%. My first tumor was picked up by an Xray. Also if your doctor isn't a positive about the anomaly that he picked out then a follow-up CT might be needed.
If a doctor gives you news that is not to your liking then you must follow it up, of course. After my first cancer I went all out with exercising. Don't you think that your welfare should be put before your desire for high intensity work-outs, not matter how good they make you feel?

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@ my problem is in defining what is in my welfare. I leave room for the concept of healthy denial. Much of what doctors offer (besides the billings) is suffering with clarity. Is that necessarily in my best interests? Unfortunately, I talk a better fight than I actually fight. I will have the x-ray this week and if it's bad I'll probably go down the same medical/psychological road I tell myself I won't.

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@joelars– haha. Some of us have to go through self-torture before making sense of what we really need to do. Unless something has changed since your pneumonia you are probably fine and your anomaly might have been a scar from bring sick. I hope that you let us know after your test?

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@merpreb It wasn't a scar. The doctor told me it was liquid. Probably infectious stuff. But the problem is if it didn't go away or got worse after all this time wouldn't that mean I have an antibiotic-immune lung infection? What could they do except lung surgery? Does anyone in the group know anyone who has a lung infection that won't resolve? Of course, with a new scan it opens new possibilities-they may find a tumor in addition to unresolved infections, in which case I won't have to concern myself with the infection.The infection would be trivial by comparison. If I didn't have that follow-up x-ray I wouldn't be dealing with any of this. Too bad you deleted the African salesman with the herbal cure for emphysema.I might need the herbal doctors name after hearing the results of this x-ray.

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@bluelagoon

@merpreb @colleenyoung I agree that it gets confusing when there's a post without a directon, but I'm pretty sure I've done that myself.
I know when I post by hitting "reply" on your message I expect it to know that it's you whom I'm replying but that doesn't seem like the case! When all the user comments were coming up when they made changes awhile back do you recall if this came up? At the time I hadn't used it enough to have questions like that!

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@bluelagoon, You can see examples in this discussion of how replies display when one replies or posts to the discussion in general vs when one replies to a specific post within the discussion https://connect.mayoclinic.org/discussion/new-customize-the-order-you-view-posts-see-new-posts-first/

By @mentioning a person's username, it can provide an extra aide to know which person one is responding to, especially when discussions are very active with multiple tangents etc.

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@joelars

@merpreb It wasn't a scar. The doctor told me it was liquid. Probably infectious stuff. But the problem is if it didn't go away or got worse after all this time wouldn't that mean I have an antibiotic-immune lung infection? What could they do except lung surgery? Does anyone in the group know anyone who has a lung infection that won't resolve? Of course, with a new scan it opens new possibilities-they may find a tumor in addition to unresolved infections, in which case I won't have to concern myself with the infection.The infection would be trivial by comparison. If I didn't have that follow-up x-ray I wouldn't be dealing with any of this. Too bad you deleted the African salesman with the herbal cure for emphysema.I might need the herbal doctors name after hearing the results of this x-ray.

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@joelars– Good morning Joe. Where to begin? My first impression is that you might be spending way too much time thinking about your health and what could happen, what does this mean? Is it cancer, maybe I'm immune? I'm sorry if this will upset you but my advice is to stop watching health videos or programs. Make sure that you go to good medical sites.
https://www.google.com/search?safe=active&source=hp&ei=N6ItXYSJKczWtQaWsY6oDA&q=medical+research+organizations&oq=medical+research&gs_l=psy-ab.1.0.0i20i263j0l9.1359.9196..12714…9.0..0.399.3221.8j16j1j1……0….1..gws-wiz…..10..35i39j0i131j0i67j0i10.IV-wn7NBGQo.
Look at the top line of logos.

If there is still liquid in your lung it doesn't necessarily mean that your pneumonia is antibiotic-immune because you would still be ill, I would think. But it most likely is yucky stuff that needs more time to clear up. Antibiotics last longer than your last pill. It's an accumulative effect. Pneumonia is pretty serious. I bet that you were pretty ill. It can take weeks and weeks to clear up.
There is no herbal or other cure for emphysema, period. It's a life time disease mostly caused by smoking, and it involves damage to the air sacs (alveoli) in the lungs. As a result, your body does not get the oxygen it needs. Emphysema makes it hard to catch your breath. You may also have a chronic cough and have trouble breathing during exercise. The most common cause is cigarette smoking. It is a subset of COPD.
https://lunginstitute.com/blog/emphysema-prognosis-treatment-options/—
Please don't fall for scams. That African Company is a known scam artist and offers false hope for too many people who want to believe in fairy tales. Believe this: If it's too good to be true it isn't. And that's the truth. Can you believe this? Listen to your doctor. DO you trust him/her? If you do than just stay your course and be happy. Can you do this?

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@merpreb

@joelars– Good morning Joe. Where to begin? My first impression is that you might be spending way too much time thinking about your health and what could happen, what does this mean? Is it cancer, maybe I'm immune? I'm sorry if this will upset you but my advice is to stop watching health videos or programs. Make sure that you go to good medical sites.
https://www.google.com/search?safe=active&source=hp&ei=N6ItXYSJKczWtQaWsY6oDA&q=medical+research+organizations&oq=medical+research&gs_l=psy-ab.1.0.0i20i263j0l9.1359.9196..12714…9.0..0.399.3221.8j16j1j1……0….1..gws-wiz…..10..35i39j0i131j0i67j0i10.IV-wn7NBGQo.
Look at the top line of logos.

If there is still liquid in your lung it doesn't necessarily mean that your pneumonia is antibiotic-immune because you would still be ill, I would think. But it most likely is yucky stuff that needs more time to clear up. Antibiotics last longer than your last pill. It's an accumulative effect. Pneumonia is pretty serious. I bet that you were pretty ill. It can take weeks and weeks to clear up.
There is no herbal or other cure for emphysema, period. It's a life time disease mostly caused by smoking, and it involves damage to the air sacs (alveoli) in the lungs. As a result, your body does not get the oxygen it needs. Emphysema makes it hard to catch your breath. You may also have a chronic cough and have trouble breathing during exercise. The most common cause is cigarette smoking. It is a subset of COPD.
https://lunginstitute.com/blog/emphysema-prognosis-treatment-options/—
Please don't fall for scams. That African Company is a known scam artist and offers false hope for too many people who want to believe in fairy tales. Believe this: If it's too good to be true it isn't. And that's the truth. Can you believe this? Listen to your doctor. DO you trust him/her? If you do than just stay your course and be happy. Can you do this?

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I was kidding about the herbal medicine. I'm sorry but my sarcasm is the result of my frustration with our medical system- its inability to effectively address illnesses like emphysema and COPD. I was pointing out the similarity between the scam artist and "legitimate medicine" where both seek your money and neither delivers a cure.
At what point do I withdraw my trust from a system that's only function is diagnosing conditions they're helpless to treat? Speaking as a patient whose doctors charge him but can't help him, I have the right to make light of the situation. Maybe most of us should be less solicitous and more demanding of our medical system (I realize some of us have survived cancer because of our doctors). They are well paid. They need to do better.

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