[HSF] Aortic Valve Stenosis and Carotid Stenosis

[Tea Acuff]

We know the natural history of colon polyps also. I have familial polyposis in my family which reminds us that the more asymptomatic polyps the more catastrophic later (and not that much later!) symptoms. And sticking a barium enema up ones arse is many times worse than a colonoscopy. That later information was from a small (and personal) series of patient observations.
 
tea


----- Original Message ----
From: Ani Anyanwu <anianyanwu at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Monday, January 28, 2008 7:27:35 AM
Subject: RE: [HSF] Aortic Valve Stenosis and Carotid Stenosis

Dr Novick

That the survival of Dukes A is better than Dukes C unfortunately does not mean that if a Dukes C had been detected when it was a Dukes A that the survival would be better. The stage of presentation of a tumor is partly a reflection of its biology as we learn from interval cancers in breast screening programs. This is partly the reason why the mortality from breast cancer remains largely unchanged despite widespread screening programs.

Because of lead time bias, length time bias and differences in tumor biology between screen detected and symptom presenting tumors, most patients who die of aggressive fast growing tumors - especially those presenting with nodal disease or metastasis - would still die in a similar time frame even if they had been detected 'early'.

Of course I would screen for ASD in a new born and have it closed. As I said i would screen where the natural history of the disease is clear and the effect of surgery in altering the natural history is well demonstrated.

Ani






> From: ICHFNO at aol.com> Date: Sun, 27 Jan 2008 23:54:52 -0500> Subject: Re: [HSF] Aortic Valve Stenosis and Carotid Stenosis> To: OpenHeart-L at lists.hsforum.com> CC: > > Interesting thread, so then are we to leave ASD's open until symptoms > appear? Seems there was an article in the NEJM stating that they should be closed > because of the decreased life-span if left open, and should we not screen for > colorectal cancer, seems it would stand to reason, and results, that if you > are screened and found to have a lesion early, say Dukes A or B1 that your > survival is much better than when you become symptomatic with a C lesion that > causes you obstructive symptoms. You only have 1 left ventricle and one brain, > the data is clear that you do better with correction of asymptomatic carotid > lesions > 70%. Regarding the LV we do not leave residual Ao valve gradients > of >30 in children as we know what will happen in the long term. Sounds like a > bit of an
 ostrich mentality to me, don't look and it won't hurt you?> > WNovick> > > > **************Start the year off right. Easy ways to stay in shape. > http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
_________________________________________________________________
Who's friends with who and co-starred in what?
http://www.searchgamesbox.com/celebrityseparation.shtml_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------