Comments by "Lisa Culton" (@LisaCulton) on "How I Discovered My Life Was In Danger" video.

  1. Your surgeon friend is absolutely correct. (I am also a doctor). The problem is that once something "atypical" is identified we are obligated to investigate further. I do not recommend that anyone who feels well and is asymptomatic to do anything but maybe occasional blood work.
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  2.  @bamflyer  Here's some prevention for you: don't smoke, do some physical activity, don't get fat, avoid most carbs, avoid seed oils, and take vitamin D. Eat quality foods like meats, liver, eggs, and fish often. Reduce stress. Get a check up every few years. Brush and floss your teeth daily. That's it.
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  3.  @alexshi9320  The pain from herniated discs and osteoarthritis varies greatly from person to person. Some are asymptomatic and some can't function for the pain. If you have no symptoms, leave it alone.
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  4. As a medical doctor, I do not recommend asymptomatic people of any age to go around getting tests "to see if anything is wrong". Believe me, something WILL be found and then you're in store for bloodwork, different types of biopsies, and more imaging. And in the end, you may wind up with parts of perfectly good organs removed from your body, if not the whole organ. If you feel healthy, you most likely ARE healthy.
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  5. @84anothersmith  And that most likely results in increased revenues and increased over -diagnosis and unnecessary treatments.
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  6. It's no accident.
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  7. It is a waste of resources, but a LOT of people have money to burn.
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  8. There's a typo: it should be "longevity scam".
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  9. There are already plenty of specialists who do this and they're called Radiologists.
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  10.  @StudentX-h6w  You're in your 4th year of medical school, but you still have a LOT to learn.
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  11. ​ @gendalfbeast213  I've seen people develop things like high stage aggressive colon cancer with metastasis in the months in between their annual screenings. I've seen someone develop gallbladder cancer and die within a month of diagnosis even though they had just had a full body MRI 8 months prior. The thing that is rarely said is that if you develop a malignancy that will eventually kill you, it will do so no matter how early you catch it and how often you screen. This fact is even surprisingly printed on the last page of the pamphlet encouraging women to get screening mammograms, at least in my country. (It states that mammograms do not prevent deaths from breast cancer).
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  12. It's all true and we have more than enough to do without every clinic being clogged with patients demanding rapid treatment for their various incidentalomas. The case that sticks with me the most was a Whipple procedure being performed for a "pancreatic mass" seen on imaging...and it turned out to be a small accessory spleen. The entire pancreas was 100% normal and healthy.
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  13. But it's not preventive, it's diagnostic.
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  14. Why would you want to do it annually?
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  15.  @bamflyer  So go ahead and get one. Just remember that they ARE going to find SOMETHING. And then it's got to get worked up.
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  16. ​ @sportsdude206 I've been practicing medicine for over 25 years in 3 different countries including the two with the highest and second highest per capita health care costs (USA, Switzerland) and Switzerland has one of the world's highest life expectancies. Anyway, as a physician, we are obligated to follow up on atypical findings, even if that means just informing patients of the results and differential diagnosis. Of course, patients can refuse any further diagnostic procedures, but they almost never do, out of the fear and uncertainty that arises from knowing that they have a lump, mass, polyp or cyst somewhere in their body. Likewise, the information is published and freely available and many physicians are commenting right here that more and more "routine screening" results in increased over-diagnosis and unnecessary treatments. Consider yourself warned. I personally haven't had any sort of screening test (pap smear, mammogram) in probably 15 years. I made the mistake of getting a mammogram at age 40 (radiation) and that was enough for me. I don't have a family history of breast cancer. (And mammograms DO NOT prevent any deaths from breast cancer - they even state this clearly in the fine print of the pamphlets urging women to get screening mammograms). To this day, the majority of breast cancers are detected by women doing the breast self-exam. I've never had a screening colonoscopy and I'm not planning to. The choice is yours.
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  17. @caitlinsummers888  I mean most carbs, particularly anything called "healthy whole grains". Nothing wrecks a gut faster.
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  18.  @MrObsvenchilde  You damn sure had better offer some kind of follow-up (surveillance, biopsy, further imaging studies, serology, etc.) or else you will be sued for malpractice. If the patient refuses, you write something like "patient was informed of the findings and refuses follow-up diagnostics/treatment". That way you stay safe.
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  19. They're unhealthy.
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  20.  @Reelix  Scary
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  21.  @icawn  That's not necessarily true. I've had some herniated discs in the lumbar area for at least 20 years and they don't cause any pain or athletic limitations. And I'm almost 55 and do sports (basketball, skiing, hiking, biking) all the time.
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  22.  @ahmedkombar2954  It's not free, they just bill the insurance instead of you.
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  23.  @TheFumigators  🤣😭
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  24. ​ @Roadkiller85 I'm a Pathologist too!!!🔬🧫🧬
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  25. @veniaminneofytidis9525  I've seen people live past 100 in good health without getting a single MRI. But go ahead and get it, if that will make you feel better.
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  26.  @veniaminneofytidis9525  I'm not here to argue with you.
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  27. He's not less expensive, though. Plus, you still have to pay a radiologist for Interpretation.
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  28. That would be an IGeL Leistung that nobody can afford.
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  29. Be happy, you're healthy.
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  30. Those machines are expensive.
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  31.  @fraanzfan8158  You can make a ton of money on these "screenings". Don't be fooled.
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  32. ​ @tarik.moufid On his "team of doctors".
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  33. You don't think that he's going to make millions off of healthy people with this scheme?
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  34. 😅
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  35. None. It's a bag magnet.
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  36. Thank you (from a Pathologist) but they won't listen. They're convinced that he knows more than experienced board-certified radiologists.
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  37. This man is not a radiologist. What is he doing writing an MRI protocol? He doesn't even understand the basics of the circulatory system. Buyer beware!
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  38. Nothing, because it's not life-threatening.
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  39.  @Dzeuss4  This is why people are so easily tricked - just are just naive.
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  40. @horrorcoder  We already have everything that you are talking about: digital Image analysis, AI assisted diagnostic Algorithms, "big data" from next-gen sequencing, personalized medicine, liquid biopsy, totally automated core lab, you name it. And guess what? The physician workload has only increased steadily over the past 20 years. And why is that? Because you can't give a machine license to practice medicine. If cellavision flags a peripheral smear as having blasts, I still have to go and confirm that and enter the diagnosis of leukemia. Or, if the Hologic genius system categorizes cells as high grade, the Pathologist still must make the diagnosis of high grade dysplasia or cancer cells. There's no getting around it. And you have to constantly assist with machine learning. Aside from that what normal person would agree to 50 full body MRIs? What a waste of productive time for everyone involved.
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  41. You paid for it through your taxes.
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  42.  @jeremyvanced4731  My point is that it's not free. And I don't live in the US, I live in Switzerland, where we simply pay for insurance policies and are under no illusions that healthcare is free.
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