Most diseases are discovered at an advanced stage treatment is difficult to care them all
|Most diseases are discovered at an advanced stage.
For example, high blood pressure is often lived silently. As a result, it takes enough time to be elaborate. Then it is discovered most often at the stage of left heart dilatation which is the consequence of a long high blood pressure term evolution.
Coronary artery disease and at its first stage is most often a coronary artery atherosclerosis, is discovered when a lack of coronary blood supply provokes myocardial ischemia or infarction.
Stroke brain attack is also discovered late and most often provokes death. At first it is also an atherosclerosis of brain vessels. Also it is linked to high blood pressure.
Diabetes kind two or of maturity and which is discovered at adult age, is also and most often discovered late. The hyperglycemia at subnormal rate and as the first metabolic disorder, is lived silently and then takes enough time to cause secondary lipids disorders, vessels retina defects and kidney vessels disorders with function decrease.
Cancer is also discovered at metastatic stage. It is also lived silently, a thing which gives enough time to cancer cells to be reproduced and developed and achieve many organs.
Also venereal infections are first manifested as a banal urinary infection most often. However and most often they are discovered at an advanced stage like a complicated syphilis rebel to conventional treatment or an HIV.
That is to say that most diseases are first silent .That is why first early and regular screening is very important. Electrocardiogram, blood pressure measure as routine exam, general blood test and some cancer markers and x-ray exams are most often the base of an annual screening.
However most often people have not such initiative to do annual screening. There are many reasons.
The first one is economical one. Indeed most basic screening fees are costly and to cover them is not suitable to any people revenues.
Cultural screening is not adhered by all. At the moment most consider it useless.
Also there is a major dilemma, there is most often either false positive or negative results. Most of the population is aware about this.
Is it because of commercial reasons? Indeed such screening realizes an important income.
Is it because of a lack of expertise?
Indeed the interpretation of the results is not an easy thing. That is because the expert interpretation is based only on a specific exam and no clinical data exists.
That is to say, it is searching for premonitory index of any pathology in a person in an appearing good health.
Also the interpretation needs many lectures to be concluded and at least three ones.
Is it because of the actual screening means? Are they really efficient or medicine does need others?
There are many biological markers but quickly and most often it reveals their inefficiency.
Indeed a false positive or negative result is not out of safety and can lead to dramatic consequences.It is either an excess care according to a disease which does not really exist or a lack of care according to a disease which really exists but is not identified.
Actual screening has not really proved any positive change according to the different health index of improvement. This is like fatal death/life quality /hospitalization/illnesses evolution....
The early discovery of diseases can greatly delay the evolution and prevent complications. As it contributes greatly to the improvement of patient life quality.
The setting of a good health mentality, expertise, new screening means and the involvement of all the actors (patient/physician/civilian society/trading/media/private and public sectors/government) should really render such screening efficient. Then realizes patient health improvement, saves a great amount of money to the public health budget and realizes a giant path in medicine research.