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Old 25.08.2016, 11:02
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Re: Routine physical examination

Then we have different opinions, and remember, I have lived longer than you.
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Old 25.08.2016, 11:03
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Re: Routine physical examination

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it does actually make sense to do a regular check. for example, for breast cancer.
Only if you are at risk, and it doesn't always help anyway.

Tom
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Old 25.08.2016, 11:04
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Re: Routine physical examination

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I've also never faced a situation where the insurance refused to pay for a routine gyn visit.
Gyn is not the same as general check-up.

Tom
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Old 25.08.2016, 11:05
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Re: Routine physical examination

I, for one, am happy the yearly gyn visits are paid as it most likely saved my life (or at least saved me a lot of hassle)
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Old 25.08.2016, 11:17
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Re: Routine physical examination

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Then we have different opinions, and remember, I have lived longer than you.
Well I sincerely hope you have many healthy years ahead of you, which is the purpose of the yearly exam.

Being older is a moot point.
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Old 25.08.2016, 11:18
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Re: Routine physical examination

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Only if you are at risk, and it doesn't always help anyway.

Tom


Well, it's good know that it helps sometimes.
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Old 25.08.2016, 11:44
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Re: Routine physical examination

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it does actually make sense to do a regular check. for example, for breast cancer.
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Only if you are at risk, and it doesn't always help anyway.

Tom
Early detection has been oversold. The standard mammography protocol misses some, and overdiagnoses lots of stage 0 disease that never turns to cancer. It is effective in others. The increase in stage 0 disease that's low risk anyway is why "early detection" is touted as successful.

It seems that 30% of early stage breast cancers go on to metastasize at some point. Earlier in some cases, later in others. And metastatic disease is increasing in young women (under 40), who are often ignored by standard detection schemes.

While it may be true that some early detection saves lives, it's not the panacea the pink ribbon industry presents it to be - but i won't start on that.


Having said that, i found my own breast cancer, it was detected at an early stage and I've received prophylactic treatment. So far so good....and now i am followed regularly, but not obsessively.

Since I am an older person, and must be followed, I do have a yearly exam. It's not a bad idea to have blood work, etc done every few years before you hit the creaky stage of life and depending on your risk profile.
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Old 25.08.2016, 11:45
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Re: Routine physical examination

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I've been told that Swiss doctors aren't exactly known for putting value on preventive medicine. However, the GP will make a general examination and a blood test. Regarding the latter, make sure you ask for the detailed test, they call it big "ein grosses Blutbild" here.

.
That may be true but I think the Swiss are really big on a 'preventative-lifestyle' from an early age.

Walking to school, no sweets or biscuits for Znuni, competitive sports from an early age.

Apart from specific target groups (hereditary diseases etc) and proven supplements like vitamin D for babies, what exactly is 'preventative medicine' anyway?
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Old 25.08.2016, 11:46
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Re: Routine physical examination

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There are plenty of dead bus drivers that had a check up the previous week.
The routine check up has little value, unless the patient is feeling unwell.

Ask your doctor next time you visit him.
Stupid, uninformed "advice" that is worth exactly the amount paid for it. You clearly have no idea how many lives have been saved by screening and early detection of disease, nor do you appear to place any value on quality of life (you may well have lived long, but have you lived healthily? If so, it would appear to be due to luck and/or fortunate genetic inheritance).

Sbrinz, you have a habit of dashing off "authoritative" posts full of your personal "wisdom" that unfortunately are without any scientifically or otherwise supportable merit. This is another of those. Be aware that literally millions of lives have been saved or improved as a result of screening and early disease detection carried out in the medical check-ups that you deem worthless.

As always, your personal patient trial with a cohort of n=1 is totally invalid, statistically.
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  #30  
Old 25.08.2016, 11:47
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Re: Routine physical examination

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what exactly is 'preventative medicine' anyway?
Profit
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Old 25.08.2016, 11:50
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Re: Routine physical examination

We all have to die of something, the problem is just a matter of timing.

My father died at the age of 92, well done you might think, but he died in hospital a week after he fell on his head while putting his trousers on. Even worse, he died because the hospital decided to take away the drugs that were controlling his heart beat. So no amount of testing would have prevented his death.

We are all happy my mother has just stopped driving around London, but then she was 95 last month. It's all in the genes!
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Old 25.08.2016, 11:59
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Re: Routine physical examination

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The routine check up has little value, unless the patient is feeling unwell.

Ask your doctor next time you visit him.
Sorry, but that's crap.

I can think of at least four very good examples where prevention/early detection is crucial: testicular cancer, breast cancer, various forms of ovarian disease as well as melanoma. All are quite easily treatable if detected early, which is usually during an annual routine check and not "because the patient is feeling unwell".

Agree it's not always the case, but yes, of course there are examples where a check-up is extremely helpful. And the above are only "extreme" examples, there's plenty of non-life-threatening issues that are only ever detected by chance and not because they cause any type of discomfort or pain.
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Old 25.08.2016, 12:00
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Re: Routine physical examination

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Sbrinz, you have a habit of dashing off "authoritative" posts full of your personal "wisdom" that unfortunately are without any scientifically or otherwise supportable merit.
This is not true at all, which is why you got a groan. Normally I add a link to a reputable source (See my post on Cashier checks) which almost nobody else does around here.

I have no statistics, but when I find some I will publish them.

Question: why hasn't the Swiss government placed routine medical check ups on the list of requirements for health care insurers?

I can't be bothered to check this time, but you might get the check up free of charge only if you have the supplementary health insurance.
.
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  #34  
Old 25.08.2016, 12:25
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Re: Routine physical examination

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Dear friends,

Does anyone know annual routine physical examination in Switzerland?
Is it expensive?
Does health insurance cover the fee?
What's the normal process?

Thank you!


In Switzerland many things are expensive, so phone your health insurance and inquire before going to the doctor.
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Old 25.08.2016, 14:13
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Re: Routine physical examination

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Even worse, he died because the hospital decided to take away the drugs that were controlling his heart beat. So no amount of testing would have prevented his death.
Why was your father on cardiac medication in the first place? Because he was tested and found to have arrhythmia or some other irregularity — which is often asymptomatic, so the patient would not "feel unwell".
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It's all in the genes!
Exactly, your family appears to be long-lived through luck rather than good management.

Would you prefer to wait until you can't urinate properly to visit your doctor and get a diagnosis of metastisised prostate cancer and a prognosis of six months to live, or have a general check-up including a PSA test to identify potential early cancerous activity, leading to treatment and/or life-giving surgery before any symptoms manifest themselves?

I can list hundreds of other examples where prevention trumps cure. I can also list hundreds of instances of you providing unsupported and incorrect "advice" on a plethora of unrelated topics. I'm simply asking you to post factually in threads on subjects as important as this (personal health must be one of the most important issues in most people's lives). Groan away if it gives you some sort of puerile satisfaction, but frankly, you just don't know what you're talking about on this subject.
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  #36  
Old 25.08.2016, 14:23
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Re: Routine physical examination

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Stupid, uninformed "advice" that is worth exactly the amount paid for it. You clearly have no idea how many lives have been saved by screening and early detection of disease, nor do you appear to place any value on quality of life (you may well have lived long, but have you lived healthily? If so, it would appear to be due to luck and/or fortunate genetic inheritance).

Sbrinz, you have a habit of dashing off "authoritative" posts full of your personal "wisdom" that unfortunately are without any scientifically or otherwise supportable merit. This is another of those. Be aware that literally millions of lives have been saved or improved as a result of screening and early disease detection carried out in the medical check-ups that you deem worthless.

As always, your personal patient trial with a cohort of n=1 is totally invalid, statistically.
Why all ragging on Sbrinz (oh dear, I'm defending one of my least favorite posters against another! )

Tom
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Old 25.08.2016, 14:34
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Re: Routine physical examination

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Profit

One of the biggest money spinner for private health care in the US and the UK.
Which also leads to over testing, over treating and over operating -
again because that is where the money is - the worrying well.
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  #38  
Old 25.08.2016, 14:36
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Re: Routine physical examination

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Why all ragging on Sbrinz (oh dear, I'm defending one of my least favorite posters against another! )

Tom
Because he's posting dangerous, uninformed bullshit. That's easy to verify, as his posts have been thanked by one of our resident tinfoil hat-wearers.
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Old 25.08.2016, 14:45
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Re: Routine physical examination

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We all have to die of something, the problem is just a matter of timing.

My father died at the age of 92, well done you might think, but he died in hospital a week after he fell on his head while putting his trousers on. Even worse, he died because the hospital decided to take away the drugs that were controlling his heart beat. So no amount of testing would have prevented his death.

We are all happy my mother has just stopped driving around London, but then she was 95 last month. It's all in the genes!
Oh dear, does this mean we have a long time left to listen to your crap ?
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Old 25.08.2016, 14:54
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Re: Routine physical examination

Read my lips: "Do go to the doctor if you are feeling unwell."

Do not waste your money on medical check ups - unless you do them every week!

Of course it is a personal choice. If the regular check up had any value the Swiss government would make it compulsory, just as the medical test for over 70 year old drivers is compulsory, every 2 years.
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