2 Matching Annotations
  1. Jul 2018
    1. On 2014 Mar 06, David Keller commented:

      Is that a T-wave inversion, or are you just glad to see me?

      DEXA bone densitometry causes a small risk of harm due to ionizing radiation exposure, so I adhere to the recommended guidelines. The USPSTF recommends that routine DEXA screening begin at age 60 for women at increased risk for osteoporotic fractures, and at age 65 for women at average risk. I think your internist jumped the gun by ordering your first scan at age 50. On the other hand, I support her decision to obtain an "unnecessary" ECG, since this test causes no direct harm to the patient and is inexpensive. If the patient has a false-positive abnormality on ECG, it is better to learn about it when she is asymptomatic, rather than in the ER when she is presenting with an acute aortic dissection.

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  2. Feb 2018
    1. On 2014 Mar 06, David Keller commented:

      Is that a T-wave inversion, or are you just glad to see me?

      DEXA bone densitometry causes a small risk of harm due to ionizing radiation exposure, so I adhere to the recommended guidelines. The USPSTF recommends that routine DEXA screening begin at age 60 for women at increased risk for osteoporotic fractures, and at age 65 for women at average risk. I think your internist jumped the gun by ordering your first scan at age 50. On the other hand, I support her decision to obtain an "unnecessary" ECG, since this test causes no direct harm to the patient and is inexpensive. If the patient has a false-positive abnormality on ECG, it is better to learn about it when she is asymptomatic, rather than in the ER when she is presenting with an acute aortic dissection.

      To facilitate discussion, I respectfully request the person who found this comment "not helpful" to state their reason


      This comment, imported by Hypothesis from PubMed Commons, is licensed under CC BY.