O slideshow foi denunciado.
Seu SlideShare está sendo baixado. ×

ROJoson PEP Talk: Early Diagnosis and Early Treatment

Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Anúncio
Carregando em…3
×

Confira estes a seguir

1 de 54 Anúncio
Anúncio

Mais Conteúdo rRelacionado

Mais de Reynaldo Joson (20)

Mais recentes (20)

Anúncio

ROJoson PEP Talk: Early Diagnosis and Early Treatment

  1. 1. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  2. 2. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health.
  3. 3. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment What I have in mind in my PEP TALK which may run for 3 years is to empower at least 30 persons, with my family members and my patients as a priority. This is my key performance indicator. I hope you will be in my group of 30.
  4. 4. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment I launched this PEP TALK on May 15, 2021 with MODULE on COVID19. 2nd Module: PATIENT EMPOWERMENT 3rd Module: PATIENT MANAGEMENT PROCESS 4th Module: RIGHTS IN PATIENT EMPOWERMENT
  5. 5. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment 5th Module: STAYING HEALTHY AND CONTENTED 5 Parts • Introduction and Intentional Living Plan • Healthy Lifestyle Plan • Screening and Periodic Health Check • Early Diagnosis and Early Treatment • First Aid and Basic Medical Care
  6. 6. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment My PEP TALK today is entitled: Staying Healthy and Contented – Early Diagnosis and Early Treatment
  7. 7. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment This PEP TALK is being conducted with the assumption that you have attended the ROJoson PEP TALK on Screening and Periodic Health Check.
  8. 8. One tactic to stay healthy or alive as long as possible is to have early diagnosis and early treatment for a discovered disease. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  9. 9. Early diagnosis can be promoted by periodic health check or symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  10. 10. To repeat or for review what I mentioned in ROJ- PEP-TALK on Screening and Periodic Health Check: Screening and Periodic Health Check is used for people who are asymptomatic, apparently healthy who are screened for early detection of diseases so that they can be treated early enough to avoid disability and death. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  11. 11. To repeat or for review what I mentioned in ROJ- PEP-TALK on Screening and Periodic Health Check: Should I have a periodic health check (PHC) or periodic health examination (PHE)? Staying Healthy and Contented – Early Diagnosis and Early Treatment
  12. 12. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO after removing the legal (Newborn Screening), occupational, travel, and organizational requirements. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  13. 13. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. YES, if you and your trusted physician have assessed that you, generally healthy, have a higher risk for developing a particular disease because of a strong family history. Some would use age as an indication – if there is a high incidence for a particular disease in a certain age group. If you should undergo screening, screen only for the identified disease at risk. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  14. 14. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO, if you and your trusted physician have assessed that you, generally healthy, do not have a higher risk for developing a particular disease as compared to the general population in your age group. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  15. 15. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. Other reasons for NO answers: Direct reasons: •Studies have shown that general or routine health checks had not reduced morbidity or mortality, neither overall nor for cardiovascular or cancer causes. https://www.bmj.com/content/345/bmj.e 7191 •Practical recommendation is to be selective, using risk-based approach. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  16. 16. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO - Other reasons: • Just like in curative medicine, the biggest pitfall in disease prevention, which screening is a strategy, is that things that ought to work do not always do so. Even the strategy of screening has had its failures. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  17. 17. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO - Other reasons: • The presence of false-positive results in screening tests has many asymptomatic patients wrongly labeled as being “ill.” • Instead of improving the quality of life of people, this phenomenon of “false labelling” has been found to wreak havoc on the social, psychological, physical and financial stability of unfortunate individuals. Staying Healthy and Contented – Early Diagnosis and Early Treatment Furthermore, false positive tests often lead to a battery of expensive and unnecessary follow- up procedures.
  18. 18. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO - Other reasons: • The presence of false-negative results can give a false assurance that everything is okay, which may lead people to ignore or minimize new symptoms. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  19. 19. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO - Other reasons: • A lot of times, • instead of an ounce of prevention is worth a pound of cure, • pounds of prevention translate only to just an ounce of cure. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  20. 20. Should I have a periodic health check (PHC) or periodic health examination (PHE)? The answer is YES and NO. NO - Other reasons: • If you don’t go for periodic health checks and periodic health examinations, make sure to listen to and watch your body closely for symptoms of a particular disease. Once symptoms of a particular disease occur, consult a physician right away. With this strategy, you still have an opportunity to catch the disease early. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  21. 21. Should I have a periodic health check (PHC) or periodic health examination (PHE)? NOT ALWAYS! So, the other way of promoting early diagnosis aside from periodic health check is symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  22. 22. Symptom-based early health check means that at the onset of symptom, a patient consults a physician right away for early diagnosis so that a discovered disease can be treated early enough to avoid disability and death. As mentioned, symptom-based early health check also carries an opportunity to catch the disease early. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  23. 23. Which one is better, periodic health check while there is no symptom or early health check at the onset of symptom? Which is better in terms of early diagnosis? If there is a difference, does the advantage of earlier diagnosis of one approach translate to better outcome in terms of reduced morbidity and mortality? Staying Healthy and Contented – Early Diagnosis and Early Treatment
  24. 24. Theoretically speaking, screening at the stage of no manifestation of symptoms yet in persons with an actual disease that is being done in periodic health check has an advantage of earlier detection of the disease compared to symptom-based early health check where there is already symptom. The question is, does the advantage of earlier detection of periodic health check translate to better outcome in terms of reduced morbidity and mortality? Staying Healthy and Contented – Early Diagnosis and Early Treatment
  25. 25. There are no robust (randomized controlled) studies comparing the two approaches. However, there are studies that show periodic health checks had not reduced morbidity or mortality, neither overall nor for cardiovascular or cancer causes. https://www.bmj.com/content/345 /bmj.e7191 Staying Healthy and Contented – Early Diagnosis and Early Treatment
  26. 26. It may be that as long as the detected diseases (assuming they are detected in the early stage) is treated early, whether discovered through periodic health check or symptom-based health check, the result would be the same. One has to take note that although majority of diseases detected on periodic health check will be in the earlier stage, there will be a minority in the later and even advanced stage. The same probability goes for symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  27. 27. Because of the absence of robust studies, I made a statement that “it may be that as long as the detected diseases (assuming there are detected in the early stage) is treated early whether discovered through periodic health check or symptom-based health check, the result would be the same.” Staying Healthy and Contented – Early Diagnosis and Early Treatment
  28. 28. I made this statement in the background of robust studies on breast cancer surveillance that can serve as an analogy. There are two schools of thoughts in breast cancer surveillance. One is using a battery of tests even in the absence of symptoms just like what is done in periodic health check. The other is symptom-based, meaning doing tests based on the symptoms or when are already symptoms, similar to the concept of symptom- based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  29. 29. Randomized controlled studies have shown that although symptom-based surveillance would detect breast cancer recurrence later than the periodic battery-of-test surveillance, the final outcome would be the same. The survival rates would be the same for both types of surveillance. An advantage of the symptom-based surveillance would be better quality of life because of shorter period of anxiety before death. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  30. 30. In the ROJoson PEP-TALK on Screening and Periodic Health Check, false positive and false negative results as the downside of this approach. How does the incidence of these false results compared with that in symptom-based early health check? Again, there are no robust studies on this issue. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  31. 31. However, theoretically speaking, the incidence of false positive and false negative assessment in symptom-based early health check is expected to be lesser because of presence of additional data (symptoms) that can be inputted, processed and correlated in the analysis by the physicians. There are no symptom-data to be correlated with the diagnostic tests in the periodic health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  32. 32. So, symptom-based early health check is another approach to promote early diagnosis. What is the symptom-based early health check approach that can promote early diagnosis? Let me repeat: symptom-based early health check approach means that at the onset of symptom, a patient consults a physician right away for early diagnosis. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  33. 33. What is a symptom in the context of physical health? A symptom is a feeling or observation of a person of something unusual in the body which can be a manifestation of a medical condition or illness. Examples of symptoms are fever, cough, colds, pain, discoloration like redness, lump, etc. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  34. 34. Persons with a medical condition or illness usually experience a symptom or several symptoms. However, there are persons with a medical condition who do no manifest symptoms at all. Such persons are labelled as asymptomatic. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  35. 35. Symptoms are not equivalent to medical condition or illness per se. They are manifestations of a medical condition or illness. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  36. 36. What to do if a person experiences a symptom or several symptoms and when to consult a physician? The first reaction of a person experiencing a symptom or several symptoms is worry. This worry may progress to anxiety if the person does not know what the symptom is indicative of; is not confident of managing; and not confident it will or can be resolved right away. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  37. 37. Thus, at the very start of the onset of symptoms, a person must know what to do to manage the worry. The possession of basic medical knowledge on symptoms will be helpful such as knowing the organ or system that may be involved and their common disease implications. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  38. 38. Examples: Fever may indicate an infection is going on. Cough may come from the throat or the lungs. Colds come from nose. Yellowing of the skin usually indicate a liver problem. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  39. 39. All persons have the freedom to do a self- diagnosis of their symptoms, no matter how crude and tentative it is. At the crudest level, they must know which organ, tissue or body system is involved. They can go further, even a perception and a guess, what kind disorder may be present – inflammatory / infectious; tumorous growth; hormonal; trauma; etc. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  40. 40. They can seek help from Internet. They can ask around even before seeing a physician. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  41. 41. Once a symptom or several symptoms occur, wait and watch and monitor closely with the hope that everything will turn out well. The best hope is for the symptoms to spontaneously disappear in due time and soon. Next best hope is for the symptoms not to be part of a medical condition called disease. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  42. 42. Next, for the symptoms, if diagnosed already as a medical disease, to be something curable in due time and soon and to be able to be treated easily, with non-invasive procedures, with short downtime, and with the least expense. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  43. 43. Fortunately, majority (as high as 90%) of symptoms felt at the start are nonspecific and will regress or resolve spontaneously even without medical intervention. Again, one has just to wait and watch and monitor with the best hope. One should not panic right away and do irrational intervention. One can be worried but one should not panic. Just wait and hope for the best. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  44. 44. If the symptoms persist and progress, it is time to consult a physician. Two weeks to one month is a generally safe wait and watch period as long as there is no life-threatening situation. Patient can consult sooner if indicated. Patient consulting a physician at this point is what is called symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  45. 45. What happens at symptom-based early health check? Patients consult a physician. This is a medical consultation, which is defined as a patient or a relative of the patient voluntarily seeking out a physician to get professional ADVICES on certain medical concerns. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  46. 46. The physician, as a matter of basic routine, interviews and does physical examination on the patient to get to a clinical diagnosis. The physician looks for symptoms together with signs. Signs are the findings obtained by a physician after doing a physical examination. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  47. 47. To make a diagnosis, physicians combine the collected symptom and sign information and see if they can be reflective of a pattern or picture of a known medical condition or illness. If they are, then the matched medical condition or illness is the diagnosis. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  48. 48. With the symptom-based early health check, hopefully, the clinical diagnosis made by the physician will end up with an early staged disease or no disease after all. If an early staged disease is diagnosed, this should be followed by early treatment to get good results. A late treatment by the patient for whatever reasons will negate the gain of the early diagnosis made by the symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  49. 49. Thus, symptom-based early health check can still provide an opportunity for early diagnosis if a periodic health check is not done but the early diagnosis must be followed by early treatment to be completely fruitful or beneficial. Staying Healthy and Contented – Early Diagnosis and Early Treatment
  50. 50. There you are. Symptom-based early health check is an option available for early diagnosis aside from periodic health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment Conclusion Take Away
  51. 51. Symptom-based early health check means that at the onset of symptom, a patient consults a physician right away for early diagnosis so that a discovered disease can be treated early enough to avoid disability and death. Symptom-based early health check also carries an opportunity to catch the disease early. Staying Healthy and Contented – Early Diagnosis and Early Treatment Conclusion Take Away
  52. 52. Vigilant Self-observation and Monitoring Make sure to listen to and watch your body closely for symptoms of a particular disease. Once symptoms of a particular disease occur, consult a physician right away. Staying Healthy and Contented – Early Diagnosis and Early Treatment Conclusion Take Away
  53. 53. A thing that has to be emphasized also: If an early staged disease is diagnosed, this should be followed by early treatment to get good results. A late treatment by the patient for whatever reasons will negate the gain of the early diagnosis made by the symptom-based early health check. Staying Healthy and Contented – Early Diagnosis and Early Treatment Conclusion Take Away
  54. 54. Empowerment objective - for laypeople to have an understanding of the use of EARLY DIAGNOSIS AND EARLY TREATMENT as a strategy in STAYING HEALTHY AND CONTENTED. Staying Healthy and Contented – Early Diagnosis and Early Treatment

×