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CLAIRE_LEFT_SP's Photo CLAIRE_LEFT_SP Posts: 2,802
5/4/12 7:45 P

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Not singling it out and not talking about the tests that ARE done, talking about the tests that AREN'T done: stress tests for heart, uterine ultrasounds for ovarian cancer, pulmonary function tests to catch early COPD, liver enzymes for liver disease, Vitamin D blood levels, hormone levels to detect kidney, pituitary gland, and thyroid disorders.. It goes on and on.

So, my point is the same as yours - why single CKD out for testing and not the other, equally deadly disorders?

Claire
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JANNYGIRL3's Photo JANNYGIRL3 SparkPoints: (36,788)
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5/4/12 7:31 P

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All tests done during a routine yearly physical are done without a risk factor or symptom requirement. Why is CKD being singled out.

Edited by: JANNYGIRL3 at: 5/4/2012 (19:41)

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CLAIRE_LEFT_SP's Photo CLAIRE_LEFT_SP Posts: 2,802
5/4/12 5:39 P

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There are several CDC articles, all of which have different statistics. The ones in 'my' article come from a high blood pressure perspective. 'Jean's' article comes from a diabetic perspective. So, I don't believe any of them are right on the mark accurate - what we know is CKD is high on the list of killers.

Not gonna buy into everyone should be tested. Less than 8% of the population has CKD and testing everyone else would be a huge, completely unnecessary burden on an overtaxed medical system. So, to me, adding it to the annual blood results is asking too much if you do not have any risk factors.

What ISN'T happening is the testing of people with risk factors and THAT is completely unnecessary. My DH has, as you know, uncontrolled BP but he didn't get tested for CKD until I jumped up and down. THOSE are the people unnecessarily falling through the cracks.

Yep, some people will die because we can't test everyone or prevent everything. Sometimes life just sucks. I, like everyone else, wouldn't want to be on the wrong side of those odds, but that doesn't mean we shouldn't play them.


Claire
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LIFE-FAITH's Photo LIFE-FAITH Posts: 7,785
5/3/12 12:27 P

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Here is some updated info as of Feb 2012. It is listed as Chronic Kidney Disease, however it does fall under diabetes.

Kidney disease ranks as the eighth leading cause of death in the United States. More than 10%, or more than 20 million, U.S. adults have CKD and most of them are not aware of their condition.

The CKD Initiative currently includes surveillance, epidemiology, and state-based demonstration projects and economic studies in collaboration with partners from other government agencies, universities, and national organizations. Early detection and treatment of patients with CKD can help prevent or delay cardiovascular death and progression to kidney failure.

link: www.cdc.gov/diabetes/projects/kidney
/a
bout.htm


I think when they do routine blood work yearly - it cannot be too much to add CKD to the list. People are falling through the cracks as most of us know.
How sad for us.
Jean

Dad: BIBLE: Basic Instructions Before Leaving Earth

Leader:Loving Our Kidneys
Kidney Failure is the 8th leading cause of death in USA


"Seventy years are given to us! Some may even reach eighty.
But even the best of these years are filled with pain and trouble;soon they disappear, and we are gone."(Psalms 90:10)

You cannot change your life until you change something
that you do every day.
~John C. Maxwell~


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JANNYGIRL3's Photo JANNYGIRL3 SparkPoints: (36,788)
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5/3/12 8:49 A

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Could it be that the increased mortality for kidney disease is due to routine screening? I believe it is. How many of us on this team would be following the kidney diet if we had not been tested for CKD. Remember, CKD is a silent killer. By the time symptoms appear it is often too late.

Another flaw in this report is the assumption that all CKD is caused by high blood pressure. There is no category on this report that ranks other forms of CKD. Also if you read further down in the report you will find that the data for the study was estimated.

The preventative measures that we are all taking would not be happening if preventative screening had not been done.



Edited by: JANNYGIRL3 at: 5/3/2012 (08:50)

"If you have the courage to begin, you have the courage to succeed."
~ David Viscott ~


Coincidence is God's way of remaining anonymous.
~Albert Einstein~




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CLAIRE_LEFT_SP's Photo CLAIRE_LEFT_SP Posts: 2,802
5/3/12 1:55 A

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Here are the top 15 leading causes of death in the US using 2010 data according to the Center for Disease Control and Prevention:

1 Diseases of heart
2 Malignant neoplasms (cancer)
3 Chronic lower respiratory diseases
4 Cerebrovascular diseases (strokes)
5 Accidents (unintentional injuries)
6 Alzheimerís disease
7 Diabetes mellitus
8 Nephritis, nephrotic syndrome and nephrosis
9 Influenza and pneumonia
10 Intentional self-harm (suicide)
11 Septicemia
12 Chronic liver disease and cirrhosis
13 Essential hypertension and hypertensive renal disease
14 Parkinsonís disease
15 Pneumonitis due to solids and liquids

(our 'kidney disease is the 6th most common killer"stat is old news, I guess. It's now the #13th killer and that's a great thing!)

Most docs don't suggest a stress test unless there are symptoms even though heart disease is the #1 killer. I've never had a breathing test to check for lower respiratory disease, either, even though that is the #3 killer. Even with the parameters docs work with these days, everyone in the health care provider chain agrees that the #1 reason for explosive costs are the unnecessary diagnostic tests and treatment options that are ordered. Americans sue doctors for unfavorable outcomes so much that these tests are ordered for lawsuit CYA.

So, how do you decide the rules on what tests should be done and when and to whom? Certainly, anyone who are at high risk, everyone agrees with that. Then, do you pick an age at which the disease usually starts? Docs should start recommending stress tests in your late 40's and mammos starting in your mid 30's; and diabetes screening should start as teenagers. If age is the rule, then what age would be the 'right' age to screen for kidney disease?

At any age or other criteria we use, someone will get a disease who doesn't fit that norm and it's just not realistic to think everyone can be screened for everything. Even though diabetes was the # 7 killer, that represents only 68,705 people (a small percentage of US population). Do we screen hundreds of thousands of people that have no symptoms, no family history, and healthy life styles?

I'm glad I don't have to make these kinds of rules. Hard to do, but necessary to have.

Link to webpage - see page 7 of the document:
www.cdc.gov/nchs/data/nvsr/nvsr60/nv
sr
60_04.pdf


Claire
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CBEVNOW's Photo CBEVNOW Posts: 6,324
5/2/12 9:12 P

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I can not believe this article, this disease IS ONE AS WE ALL KNOW you can have and not know it (as happened to me). And its just a simple blood test, and we all have blood work done, so what's the big deal to look at it to see if a patient has CKD or not. Yes i think every one should be tested as i said it will tell you in your blood work.
When i found out i was stage 3, i had a stupid DR( forgive me for saying that,)
but as i looked back at all my past records after leaving him and getting a new DR, It was right there in my past records, my GFR was never above 46 for 3 years. And before this it was stage 2 so you see every one needs to be tested, that's my opinion any way.
It really Irks me what our health care system wants us to do. I can remember years ago, i called my ins. co so i could get a mammogram and they said they would not pay for it. I told them this was so stupid, that if i got cancer, it was going to cost them more , i really did say this to, we argued for a while, next day i got a call that yes they would pay for it. Now they know how important this is so they urge every one to get a mammogram.
I believe if they dont do kidney checks there will be more people going straight to dialysis or transplant or die.

Im starting to take control of my life today. I will take care of me, love my self., be good to my self, I am strong, i can do this.


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JANNYGIRL3's Photo JANNYGIRL3 SparkPoints: (36,788)
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5/1/12 1:11 P

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I think what really is happening is that services are being cut in preparation for Obama care.

The guidelines for pap smears were recently changed to one every three years and and the guidelines for Mamograms has also changed and not for the better. Now we can add the elimination of routine screening for Kidney disease to the list. There will be many more changes before Obama care takes effect in 2014.


"If you have the courage to begin, you have the courage to succeed."
~ David Viscott ~


Coincidence is God's way of remaining anonymous.
~Albert Einstein~




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MALKS_ARIA's Photo MALKS_ARIA Posts: 2,405
5/1/12 10:01 A

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what i read was mishmash of words....
Screening isnt neccessary for those with no risk factors
but those WITH risk factors need to be tested.

then they go on to say stuff i dont agree with.... if found there is no proof it can be prevented.... well it can be managed and reduced what stage by proper diet....

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aria

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LIFE-FAITH's Photo LIFE-FAITH Posts: 7,785
5/1/12 9:31 A

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Today on Spark

Routine Kidney Disease Screening Not Worthwhile, Experts Say

www.sparkpeople.com/resource/health_
ne
ws_detail.asp?health_day=664218


OK I am LIKE WHAT IN THE WORLD?!!

please share your thoughts.
Jean

Dad: BIBLE: Basic Instructions Before Leaving Earth

Leader:Loving Our Kidneys
Kidney Failure is the 8th leading cause of death in USA


"Seventy years are given to us! Some may even reach eighty.
But even the best of these years are filled with pain and trouble;soon they disappear, and we are gone."(Psalms 90:10)

You cannot change your life until you change something
that you do every day.
~John C. Maxwell~


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